A Case for the Robot: the Difficult Gallbladder
Priya Rajdev, MD, Ankit D Patel, MD, FACS. Emory UniversityOver the last several decades, laparoscopic cholecystectomy has become the standard approach to operative diseases of the gallbladder. Now, as more surgeons are training in and adopting robotics around the world, the robotic approach to cholecystectomy is gaining popularity due to ability to gain finer dissection and… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary
A case report of Double gallbladder and Choledochal cyst in a single patient.
Abdulaziz A Arishi, MD, Amin M Ahmad, MD, Wesley C Judy, David Heidt, MD. University of Toledo Medical CenterIntroduction: Double gallbladder is an uncommon condition. The incidence of Double gallbladder alone is about 1 in 3000-4000 cases where the incidence of choledochal cyst is ranging from 1 in 13 000 persons to 1 in 200 000… Continue Reading
ADENOMYOMATOUS HYPERPLASIA OF DISTAL COMMON BILE DUCT: A CASE REPORT AND REVIEW OF THE LITERATURE
Paul S Chandler, MD, Jonathan Harris, Danny Sherwinter, MD. Maimonides Medical CenterAdenomyomatous hyperplasia (AH) is commonly found in the gallbladder and is considered a tumor-like inflammatory lesion arising from Rokitansky-Aschoff sinus. It is extremely rare in the extrahepatic bile duct and only 15 cases have been reported to date. We describe a 63-year-old male patient… Continue Reading
An Unusual Presentation of Acute Cholecystitis: Gallbladder Volvulus
Elizabeth E Price, DO, Luciano Dimarco, DO. UPMC Pinnacle Community Osteopathic HospitalGallbladder volvulus is an uncommon disease caused by torsion of the gallbladder around its mesentery along the axis of the cystic duct and artery, ultimately leading to gallbladder ischemia and obstruction of biliary drainage. The etiology of the condition is unknown; however, hypothesized contributory… Continue Reading
Approach to Safe Laparoscopic Cystic Duct Remnant Resection: More Than Just Careful Dissection
Essa M Aleassa, MD, MSc, Kevin M El-Hayek, MD. Section of Hepatopancreatobiliary Surgery, General Surgery, Cleveland Clinic FoundationIntroduction: Presentation of recurrent symptoms of calculous biliary disease after remote cholecystectomy should hint at the presence of a retained cystic duct remnant stone. While non-surgical options should be attempted first, they can be unsuccessful. This video demonstrates… Continue Reading
- Topic:
- Biliary
ARTIFICIAL INTELLIGENCE IN SURGERY: ASSESSMENT OF THE CRITICAL VIEW OF SAFETY USING MACHINE LEARNING
Jin Sol Oh, MD1, Jennifer A Minneman, MD1, Anne P Ehlers, MD, MPH1, Shanley B Deal, MD2, Adnan A Alseidi, MD2, Andrew S Wright1. 1University of Washington, 2Virginia Mason Medical CenterIntroduction: Laparoscopic cholecystectomy (LC) is performed over 750,000 times each year in the U.S. with 0.3% risk of bile duct injury. The SAGES Safe Cholecystectomy… Continue Reading
- Topic:
- Biliary
Biliary Hyperkinesa: Is it a true indication for cholecystectomy?
Ratnakishore Pallapothu, MD, FACS, FASMBS1, Matthew Protas, MSIII2, Todd Prier, MD, FACS3, Jerome Brustein, MD3, Nirupama Anne, MD, FACS1. 1Our Lady of Lourdes Memorial Hospital, Binghamton, NY. SUNY Upstate Medical University, Binghamton Clinical Campus, Clinical Assistant Professor of Surgery., 2SUNY Upstate Medical University Syracuse NY, 3Our Lady of Lourdes Memorial Hospital, Binghamton, NYBackground: Biliary hyperkinesia is… Continue Reading
Cholelithiasis in Sickle Cell Disease
Prachi Mahajan, MS, FRCS, FMAS, FIAGES. Mahajan ortho and surgical hospitalVidarbha region of Central India hosts a large population suffering from sickle cell disease ( SCD). Patients may be divided into 2 categories depending upon whether they harbour the sickle cell trait ' SA' pattern or ' SS' haemoglobinopathy. 25% of people suffering from either… Continue Reading
Clinical, Radiological and Pathological Presentation of Intramural Intraductal Papillary Mucinous Neoplasm of the Gallbladder.
Indraneil Mukherjee, Aleksandr Demin, DO, Ian Provancha, Jocelyn Villanueva, Anupma Agarwal. Staten IslandINTRODUCTION: The clinicopathologic characteristics of epithelial neoplasms of the gallbladder is limited, due to its rarity and because of the variability in terminology. The World Health Organization classification of 2010 added Mucinous cystic neoplasms as a separate entity. The Category of lntracystic papillary neoplasm… Continue Reading
Common Bile Duct Injuries: Why are they still common?
Reid Fletcher, MD, MPH1, Chandler Cortina, MD1, Hannah Kornfeld, MD1, Ruojia Li, MD1, Antonios Varelas1, Lauren Willoughby1, Benjamin Veenstra, MD1, Steven Bonomo, MD2. 1Rush University, 2John H. Stroger Hospital of Cook CountyIntroduction: The incidence of bile duct injury (BDI) during laparoscopic cholecystectomy has not changed significantly in the past 2 decades despite increased operative experience and… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Biliary
Comparison between transpapillary vs. transduodenal biliary decompression for biliary obstruction: a meta-analysis
Aaron Pinnola, DO, Yuan Du, Paula Veldhuis, Sebastian De La Fuente. Institute for Surgical Advancement, Florida Hospital OrlandoIntroduction: The effectiveness of transpapillary endoscopic retrograde cholangiopancreatography (ERCP) with stenting for palliative relief of biliary obstruction is well established. Recently, technical advances have led to the development of transduodenal endoscopic ultrasound guided biliary drainage (EUS-BD) for use in… Continue Reading
Comparison of long-term outcomes between laparoscopic and open liver resection in combined hepatocellular carcinoma and intrahepatic cholangiocarcinoma
So Hyun Kang, Woohyung Lee, Youngrok Choi, Ho-Seong Han, Yoo-Seok Yoon, Jai Young Cho, Kilhwan Kim, In-Gun Hyun, Sunjong Han. Seoul National University Bundang HospitalIntroduction: Combined hepatocellular carcinoma and cholagiocarcinoma (HCC-CCC) is a rare primary hepatic neoplasm with incidence reporting up to 3.5%. Liver resection is still the preferred method for curative treatment. With the… Continue Reading
Complex Cases of Choledochlithiasis: Robotic CBD Exploration
Adel Alhaj Saleh, MD, MRCS, Edwin O Onkendi, MBChB. Texas Tech University, Health Sciences CenterPost-operative Course: The patient recovered smoothly and was gradually advanced to full diet and was discharged on POD#1 He was seen in the clinic 2 weeks after the procedure had no issues. Pathology was benign The CBD stent was removed 4… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary
Determinant of quality of life after laparoscopic cholecystectomy
Heba A Elghalban, MD1, Nagwa Nashat, MD1, Rami R Mustafa, MD2, Hatem Soltan, MD3, Hala Shaheen, MD1, Taghreed Farahat, MD1. 1Family Medicine Department, Faculty of Medicine, Menoufia University, 2Department of surgery, Cleveland Medical Center, University Hosptals, 3Department of surgery, Faculty of medicne, Menoufia UniversityIntroduction: cholecystitis is a striking public health issue with high socioeconomic impact.… Continue Reading
Early cholecystectomy (<8 weeks) following percutaneous cholecystostomy tube placement is associated with higher morbidity
Maria S Altieri, MD, MS1, Jie Yang, PhD2, Donglei Yin, MS2, Konstantinos Spaniolas, MD2, Michael Brunt, MD1, Mark Talamini, MD, MBA2, Aurora Pryor, MD2. 1Washington University School of Medicine, 2Stony Brook University HospitalIntroduction: Percutaneous cholecystostomy tube (PCT) placement is often the initial management approach to severe acute cholecystitis in the unstable patient. However, the timing… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Biliary