Our large multicenter study indicates that LA-ERCP in patients with RYGB is feasible with a high procedure success rate comparable with that of standard ERCP in patients with normal anatomy. The ERCP-related adverse events rate is comparable with conventional ERCP, but the overall adverse event rate was higher because of the added laparoscopy-related events.

Increased VAT area is a strong predictor of severe pancreatitis, necrosis, and multisystem organ failure.

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Splenic flexure cancer is relatively rare among colon cancers. We present a case of a 76-year-old female with a partially obstructing tumor in the proximal descending colon and pulmonary metastasis who underwent a laparoscopic resection of the splenic flexure with end transverse colostomy due to clinical symptoms of obstruction. This case highlights several important technical considerations in safely performing the laparoscopic resection of the splenic flexure through the medial-to-lateral approach starting at the plane below the inferior mesenteric vein (IMV), taking care to preserve the tail of the pancreas. We present a narrated video demonstrating our approach, taking care to highlight important anatomic landmarks.

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