University of Texas Medical School at Houston - CRSLS https://crsls.sls.org MIS Case Reports of the Journal of the Society of Laparoscopic & Robotic Surgeons Wed, 29 Jun 2016 14:46:51 +0000 en-US hourly 1 https://wordpress.org/?v=6.9.4 https://crsls.sls.org/wp-content/uploads/2026/01/cropped-cropped-SLS_logo_HR-32x32.png University of Texas Medical School at Houston - CRSLS https://crsls.sls.org 32 32 Retained Gastric Band Tubing Resulting in Large Bowel Obstruction https://crsls.sls.org/2014-002591/ Sat, 09 May 2015 12:00:41 +0000 https://crsls.sls.org/?p=1300 Christopher Starnes, MD, Sheilendra S. Mehta, MD, Shinil K. Shah, DO, Kulvinder S. Bajwa, MD, Erik B. Wilson, MD, Peter A. Walker, MD Department of Surgery, University of Texas Medical School at Houston, Houston, TX, USA (Drs. Starnes, Mehta, Shah, Bajwa, Wilson, Walker). Michael E. DeBakey Institute for Comparative Cardiovascular Science and Biomedical Devices, Texas A&M University, College Station, […]

The post Retained Gastric Band Tubing Resulting in Large Bowel Obstruction first appeared on CRSLS.

]]> Christopher Starnes, MD, Sheilendra S. Mehta, MD, Shinil K. Shah, DO, Kulvinder S. Bajwa, MD, Erik B. Wilson, MD, Peter A. Walker, MD

Department of Surgery, University of Texas Medical School at Houston, Houston, TX, USA (Drs. Starnes, Mehta, Shah, Bajwa, Wilson, Walker). Michael E. DeBakey Institute for Comparative Cardiovascular Science and Biomedical Devices, Texas A&M University, College Station, TX, USA (Dr. Shah).

ABSTRACT

Introduction: Complications due to retained gastric band tubing are rarely reported and frequently include disconnections of the tubing requiring operative revision. Obstruction from adjustable gastric band tubing is an infrequently reported event.

Case Description: The patient presented to us 1 month after removal of a presumed isolated infected port performed at an outside facility. The wound was left open, but the intra-abdominal tubing and band were left in place. Abdominal distention, pain, and peritonitis developed, and the patient was taken to the operating room because of concern regarding an acute intra-abdominal process. Intraoperatively, he was noted to have a sigmoid obstruction from the retained gastric band tubing.

Discussion: Although obstruction from adjustable gastric band tubing is infrequently reported in the literature, it poses a potentially devastating complication. We review the relevant literature and potential issues when dealing with band-related tubing.

Key Words: Internal hernia, Adjustable gastric band, Bowel obstruction, Port infection.

Download (PDF, Unknown)

The post Retained Gastric Band Tubing Resulting in Large Bowel Obstruction first appeared on CRSLS.

]]> Laparoscopic Hepatectomy is Easier in Repeat Hepatectomy https://crsls.sls.org/2014-00202/ Tue, 31 Mar 2015 12:08:08 +0000 https://crsls.sls.org/?p=1270 Naruhiko Ikoma, MD, Osamu Itano, MD, PhD, Go Oshima, MD, Shinil K. Shah, MD, Shinichi Fukuhara, MD, Yuko Kitagawa, MD, PhD, FACS Department of Surgery, University of Texas Medical School at Houston, Houston, Texas, USA (Drs. Ikoma and Shah); Keio University, School of Medicine, Tokyo, Japan (Drs. Ikoma, Itano, Oshima, and Kitagawa); Department of Surgery, Eiju General Hospital, […]

The post Laparoscopic Hepatectomy is Easier in Repeat Hepatectomy first appeared on CRSLS.

]]> Naruhiko Ikoma, MD, Osamu Itano, MD, PhD, Go Oshima, MD, Shinil K. Shah, MD, Shinichi Fukuhara, MD, Yuko Kitagawa, MD, PhD, FACS

Department of Surgery, University of Texas Medical School at Houston, Houston, Texas, USA (Drs. Ikoma and Shah); Keio University, School of Medicine, Tokyo, Japan (Drs. Ikoma, Itano, Oshima, and Kitagawa); Department of Surgery, Eiju General Hospital, Tokyo, Japan (Drs. Ikoma, Itano, and Oshima); Department of Surgery, Beth Israel Medical Center, New York, New York, USA (Dr. Fukuhara); Michael E. DeBakey Institute for Comparative Cardiovascular Science and Biomedical Devices, Texas A&M University, College Station, Texas, USA (Dr. Shah).

ABSTRACT

Hepatic malignancies are frequently associated with primary liver disease, including hepatitis and cirrhosis. It is not uncommon for selected patients to require repeated operations for tumor recurrence. Subsequent operations are more challenging because of dense adhesions from prior operations combined with the inherent risk for liver dysfunction. We present the case of a 64-year-old man with a 20-year history of hepatitis B who developed recurrent hepatocellular carcinoma and underwent repeated laparoscopic hepatectomies on 4 separate occasions. We found that the laparoscopic approach in repeat hepatectomy offers significant advantages, including minimal adhesions, superior visualization, and favorable effect by generated by pneumoperitoneum. Laparoscopic hepatectomy will potentially become a standard strategy for the treatment of liver malignancies associated with background liver abnormalities, which carry the high possibility of reemergence of the liver malignancy in the remnant of the liver.

Key Words: Laparoscopic surgery, Hepatectomy, HCC, Hepatitis.

Download (PDF, Unknown)

The post Laparoscopic Hepatectomy is Easier in Repeat Hepatectomy first appeared on CRSLS.

]]>