Intro
Contents
Part I: Foregut
Chapter 1: Laparoscopic Fundoplication
1.1 Introduction
1.2 Clinical Presentation
1.3 Preoperative Work-up
1.4 Surgical Technique
1.4.1 Positioning of the Patient and Surgical Team
1.4.2 Trocar Placement
1.4.3 Division of the Gastrohepatic Ligament
1.4.4 Division of the Phrenoesophageal Membrane
1.4.5 Division of Short Gastric Vessels
1.4.6 Placement of Penrose Drain and Mediastinal Dissection
1.4.7 Closure of the Esophageal Hiatus
1.4.8 Fundoplication
1.4.9 Final Inspection
1.5 Postoperative Care
References

Chapter 2: Laparoscopic Heller Myotomy and Dor Fundoplication
2.1 Introduction
2.2 Clinical Presentation
2.3 Preoperative Evaluation
2.4 Technique
2.4.1 Position of the Patient
2.4.2 Placement of the Trocars
2.4.3 Division of the Gastro-hepatic Ligament and Identification of the Right Crus and Posterior Vagus Nerve
2.4.4 Division of Peritoneum and Phreno-esophageal Membrane Above the Esophagus and Identification of the Left Crus of the Diaphragm and Anterior Vagus Nerve
2.4.5 Division of the Short Gastric Vessels
2.4.6 Esophageal Myotomy
2.4.7 Dor Fundoplication

2.5 Postoperative Course
References
Chapter 3: Laparoscopic Paraesophageal Hernia Repair
3.1 Introduction
3.2 Clinical Presentation
3.3 Preoperative Work-up
3.4 Surgical Approach
3.5 Surgical Technique
3.5.1 Positioning of the Patient and Surgical Team
3.5.2 Trocar Placement
3.5.3 Dissection and Reduction of Stomach and Hernia Sac
3.5.4 Esophageal Mobilization and Lengthening
3.5.5 Closure of the Esophageal Hiatus
3.5.6 Fundoplication
3.6 Postoperative Care
References
Chapter 4: Robotic-Assisted Paraesophageal Hernia Repair
4.1 Introduction

4.2 Clinical Presentation
4.3 Preoperative Evaluation
4.4 Technique
4.4.1 Patient Preparation
4.4.2 Operating Room Set-up
4.4.3 Patient Positioning
4.5 Post-operative Care
4.6 Follow-up
References
Chapter 5: Laparoscopic Gastrectomy: Partial and Total
5.1 Introduction
5.1.1 Clinical Presentation
5.1.2 Pre-Operative Evaluation
5.1.3 Indications for Surgery
5.2 Technique
5.2.1 Laparoscopic versus Open Approach
5.2.2 Patient Positioning
5.2.3 Trocar Placement and Operator Positioning
5.2.3.1 One Surgeon, One Assistant Approach

5.2.3.2 Two-Surgeon, One Camera Operator Approach
5.2.4 Lymphadenectomy
5.2.5 Gastric Mobilization and D1 Lymphadenectomy
5.2.6 Distal Specimen Division
5.2.7 D2 Dissection
5.2.8 Proximal Specimen Division
5.2.9 Specimen Retrieval
5.2.10 Reconstruction
5.2.10.1 Extracorporeal Reconstruction
5.2.10.2 Intracorporeal Reconstruction
5.2.11 Billroth II
5.2.12 Roux-en-Y: Jejunojejunostomy
5.2.13 Roux-en-Y: Proximal Anastomosis
5.2.14 Closure of Mesenteric Defects
5.3 Post-Operative Management
5.4 Conclusion
References