clinical cases surgery
Acute Gangrenous Appendicitis
In cases of acute gangrenous appendicitis where the appendiceal base is severely inflamed or friable, securing the stump with an endoscopic linear stapler offers particular technical advantages. Staplers...
GB Tear Repair
Surgical video case: GB tear can be repaired with sutures to avoid spillage of stones.
Left Inguinal Hernia with Diverticulosis of Sigmoid...
This is the case of an 82-year-old man who was prepared for laparoscopic surgery for a left inguinal hernia. Initial exploration of the abdominal cavity revealed diffuse diverticulosis of the sigmoid...
Corona Mortis
Corona mortis is an anatomical variant characterized by arterial and venous connections that cross the space behind the superior pubic ramus. It typically involves anastomoses between the obturator artery...
Shoe Shine Maneuver in Nissen Fundoplication
Shoe shine maneuver in Nissen Fundoplication to ensure adequate mobilization of the gastric fundus to perform the wrap.
One Centimeter More: The Role of Vagal-Esophageal...
Adequate intra-abdominal esophageal length is crucial for tension-free wraps and complete myotomies during laparoscopic Heller myotomy and Nissen fundoplication. Distal esophageal mobilization and release...
When Nothing is Seen, Look Deeper
If during laparoscopy no obvious internal hernia orifice (e.g. deep inguinal ring) is visible despite preoperative clinical/imaging suspicion, it is recommended to perform a preperitoneal exploration...
Cystic Vein Draining Into the Liver Bed: a Laparoscopic...
Usually multiple tiny veins and venous twigs drain the gallbladder, but their pattern is variable. Much of the gallbladder that lies against the liver drains via small veins into hepatic sinusoids (the...
Laparoscopic Giant Retrocaval Ganglioneuroma...
Surgical video case: laparoscopic giant retrocaval ganglioneuroma removal.
Long Myotomy for Achalasia
Laparoscopic Heller myotomy (LHM) is indeed considered the gold standard treatment for achalasia. Studies indicate that it effectively relieves dysphagia in over 90% of patients, with minimal complications...
Large Hiatal Hernia Sac Dissection
Hiatal hernia sac dissection is a critical step in the surgical repair of hiatal hernias.The procedure involves dissecting the hernia sac from the mediastinum to mobilize the esophagus and ensure proper...
Advanced Sigmoid Colon Cancer Surgical Treatment
A case of surgical treatment of advanced sigmoid colon cancer with invasion of the bladder wall and formation of a colovesical fistula is presented. The patient is 56 years old, without concomitant comorbidities....
Robotic SADI-S Conversion
47-year-old female (153 cm). History: Sleeve gastrectomy in 2020 (92 → 72 kg), weight regain after 18 months. Aug 2025: 89.4 kg, WC 100 cm, fatty liver grade III, dyslipidemia, gallbladder polyp...
Fluorescence Guided Imaging in HPB Surgery
Fluorescence guided omaging in HPB Surgery was presented at the HPB Intraoperative Guidance Using Advanced Imaging Modalities session by J. Bart Rose MD, MAS on April 17, 2024 during the SAGES 2024 Annual...
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