Contributors: David Caba-Molina, MD and Mark S. Talamonti, MD The following video depicts our technique for performing a two layered end-to-side duct to mucosa pancreaticojejunostomy without the use of a pancreatic duct stent, following the resection phase of a standard Whipple operation. DOI: http://dx.doi.org/10.17797/wvi4b33r6r Editor Recruited By: Jeffrey Matthews, MD
Contributors: Marco P. Fisichella 65 year old man who underwent a laparoscopic Nissen fundoplication in August 2015. Preoperative manometry was normal and DeMeester score was 25. Two months later he began to experience difficulty of swallowing solid foods, then liquids. After 2 dilatations, dysphagia persisted. DOI#: http://dx.doi.org/10.17797/egw2097cpq Referred By: Jeffrey B. Matthews
Contributors: Reza Salabat and Marco P. Fisichella Preoperative work-up and surgical technique of laparoscopic paraesophageal hernia repair. DOI#: http://dx.doi.org/10.17797/c2kvm64ru5
A 51-year-old man seeks medical attention for intermittent chest pain. He describes the pain as “burning” and it has become increasingly frequent after meals over the last 4 to 6 months. In addition, he experiences regurgitation, and often wakes up at night with a feeling of choking. He has also noted hoarseness and cough. Proton pump inhibitors are very helpful for the heartburn and chest pain but do not improve the regurgitation. Long-term results have shown that a fundoplication provides control of reflux in about 90% of patients. To achieve these results the surgeon should focus on the technical elements of the operation, rather than on the eponyms. The technical elements of the operation are the following: (1) division of the short gastric vessels to achieve complete fundic mobilization; (2) extensive dissection of the distal esophagus in the posterior mediastinum to bring the gastroesophageal junction at least 3 cm below the diaphragm; (3) meticulous closure of the right and left pillar of the crus with non-absorbable sutures; (4) use of a bougie to decrease postoperative dysphagia; (5) a short fundoplication with three interrupted stitches placed at 1 cm of distance from each other (2-2.5 cm long). All these technical elements have been shown to positively impact long-term outcomes. Patients who are still symptomatic postoperatively must be thoroughly evaluated to identify the cause of failure, and treatment must be individualized. by Ciro Andolfi (The University of Chicago Medicine) Marco G. Patti (The University of Chicago Medicine) DOI: http://dx.doi.org/10.17797/287pfs38ls Editor Recruited By: Jeffrey Matthews, MD
Contributor: Ciro Andolfi (University of Chicago), Marco G. Patti (University of Chicago) We describe our preoperative work-up and the surgical technique of Laparoscopic paraesophageal/hiatal hernia repair. DOI: http://dx.doi.org/10.17797/56by9lqzf5 Editor Recruited By: Dr. Jeffrey Matthews
Contributors: Roger Hurst and Neil Hyman This video demonstrates the approach to stapled ileoanal reservoir (Ileal pouch anal anastomosis (IPAA)) construction initiated utilizing enterotomy at the future reservoir inlet. This approach has the advantage of permitting reservoir eversion during construction to ensure hemostasis and limiting the apical enterotomy to a stab puncture for the sharp anvil trochar. Dr. F. Michelassi and Dr. G.E. Block originally described this technique in 1993, and the authors have made minor adaptations (1) DOI: http://dx.doi.org/10.17797/4gf38v9mw2 Editor Recruited By: Jeffrey B. Matthews, MD
Endoscopic Assisted Laparoscopic Transgastric Resection of GE Junction Gastrointestinal Stromal Tumor (GIST)video
Contributors: Irving Waxman and John C. Alverdy Laparoscopic intragastric resection of a gastrointestinal stromal tumor 0.5cm distal to the gastroesophageal junction performed with oral endoscopic assistance. Related External Links: http://www.wjgnet.com/1948-5190/full/v7/i1/53.htm http://www.ncbi.nlm.nih.gov/pubmed/21224608 DOI: http://dx.doi.org/10.17797/5v0bdou315 Editor Recruited By: Jeffrey Matthews, MD
Contributors: Mitchell C. Posner Open transhiatal esophagectomy DOI: http://dx.doi.org/10.17797/6ob5owtokl Editor Recruited By: Jeffrey Matthews, MD
Contributors: Anahita Jalilvand and Marco P. Fisichella This video describes a laparoscopic-extracorporeal repair with mesh of a Morgagni diaphragmatic hernia in an 81 year old female. We used Ventralight™ ST Mesh which is an uncoated lightweight monofilament polypropylene mesh on the anterior side with an absorbable hydrogel barrier based on Sepra® Technology on the posterior side for laparoscopic ventral hernia repair. The posterior side mesh does not cause adhesion with the abdominal organs. DOI: https://doi.org/10.17797/k8ktfjncgn A quick review of the literature of laparoscopic cases has shown that in a substantial amount of cases the hernia was reduced and the defect repaired with mesh placement without hernia sac resection . Therefore, non-resecting the sac is an acceptable option.
Contributors: Marco G. Patti Laparoscopic Heller Myotomy and Anterior Partial Fundoplication DOI: http://dx.doi.org/10.17797/m5v0f8xzp3
Contributors: Marco P. Fisichella Laparoscopic Heller myotomy and Dor fundoplication for a patient with type 2 achalasia. DOI: http://dx.doi.org/10.17797/seyyttx9lk
- Professor of Surgery
- Chairman of the Department of Surgery
Dr. Jeffrey B. Matthews is the Dallas B. Phemister Professor of Surgery, Chairman of the Department of Surgery, and Surgeon-in-Chief of The University of Chicago Medicine. A graduate of Harvard College and Harvard Medical School, Dr. Matthews completed surgical residency at Beth Israel Hospital in Boston and a hepatobiliary fellowship at the University of Bern. During his appointment at Harvard Medical School and Beth Israel Hospital, he rose to the rank of Associate Professor of Surgery and Chief of the Division of General Surgery at the Beth Israel Deaconess Medical Center. In 2001, he was appointed Christian R. Holmes Professor and Chairman of the Department of Surgery at the University of Cincinnati until assuming his current position in 2006.
Dr. Matthews is a leading expert in pancreaticobiliary and gastrointestinal surgery. He has over 150 original articles and other publications. He serves on the editorial board of 11 scientific journals and is co-editor of the Journal of Gastrointestinal Surgery. He is a member of the Surgery Residency Review Committee of the Accreditation Council for Graduate Medical Education. He is a senior Director of the American Board of Surgery and past president of the Society of University Surgeons and the Society for Surgery of the Alimentary Tract (SSAT).
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