Nansheng Cheng, MD, Xianze Xiong, MD, Su Peng, MD, Yao Cheng, MD. West China Hospital, Sichuan University. Background: Postoperative pancreatic fistula is one of the most frequent and potentially life-threatening complications following pancreatic resections. Fibrin sealants are introduced to reduce the incidence of pancreatic fistula by some surgeons. Methods: The Cochrane Library (Issue 10, 2012), […]
P Patrick Basu, MD, MRCP, FACG, AGAF, Niraj J Shah, MD, Md Ashfique, MD, Sakina Farhat, MD, Ravi Siriki, MD. 1. Columbia University College of Physicians and Surgeons, NY 2. NSLIJHS/ Hofstra North Shore LIJ School of Medicine, NY 3. James J. Peters VA Medical Center, Mount Sinai School of Medicine, NY. Objective: The prevalence […]
David J Worhunsky, MD, Monica M Dua, MD, Jeffrey A Norton, MD, Brendan C Visser, MD. Stanford University Medical Center. Open pancreatic necrosectomy remains associated with significant morbidity. In this video, we present a case of a laparoscopic transgastric necrosectomy, a novel minimally invasive technique for debridement of pancreatic necrosis. Two laparoscopic ports are placed […]
Heidi J Miller, MD, MPH, Nadia Awad, MD, Jihan Hegazy, MD, FACS. Albert Einstein Healthcare Network. We present the case of a 42 year old male who presented to the emergency room with 2 days of nausea, vomiting and abdominal pain. He complained of sharp, epigastric pain that radiated to the umbilicus and was associated […]
Sung Hwan Lee, MD, Chang Moo Kang, MD, Ho Kyoung Hwang, MD, Sung Hoon Choi, MD, Woo Jung Lee, MD. Department of Surgery, Yonsei University College of Medicine. Introduction Intra-abdominal fluid collections (IFC) at operative bed were frequently founded after minimally invasive left sided pancreatectomy. However, natural course of IFC following minimally invasive left sided […]
Cory Johnston, MD, Pippa Newell, MD, Chet Hammill, MD, Ronald Wolf, MD, Paul Hansen. Providence Portland Cancer Center, The Oregon Clinic, Foundation for Surgical Innovation and Education. Extra-Glissonian mass ligation of the left portal pedicle is an efficient technique for inflow control during laparoscopic left hepatectomy that is safe and time-saving. We demonstrate the techique in video […]
Michael Timoney, MD, Sharique Nazir, MD, David Swedler, MD, George S Ferzli, MD, FACS. Lutheran medical Center,Brooklyn ,New York. Introduction Bile duct injury (BDI) during laparoscopic cholecystectomy is one of the most feared complications in General Surgery. Iatrogenic BDI can result in the need for major reconstructive surgery, poor quality of life and increased mortality […]
Dilendra H Weerasinghe, MD, Bestoun Ahmed, MD, Ziad Awad, MD, FACS, FRCSI. University of Florida-Department of Surgery. Laparoscopic pancreatectomy is a technically difficult operation to perform. However with advancing laparoscopic training and experience this will be the standard of care for treating tumors of the head of the pancreas in the near future. Recent […]
Yao Cheng, MD, Nansheng Cheng, MD, Xianze Xiong, MD. Department of Bile Duct Surgery, West China Hospital, Sichuan University. The simultaneous occurrence of hepatic hemangioma and cholangiocarcinoma is very rare. The development of cholangiocarcinoma in the location of hepatic hemangioma is even more rarely seen. A 59-year-old woman presented to our hospital for evaluation of […]
Prithwijit Basu, MD, MRCP, FACG, AGAF, Niraj J Shah, MD, Ravi Siriki, MD, Md Ashfique, MD, Sakina Farhat, MD. 1Columbia University College of Physicians and Surgeons, NY; 2 NSLIJHS/ Hofstra North Shore LIJ School of Medicine, NY, 3 James J. Peters VA Medical Center, Mount Sinai School of Medicine, NY. Objectives: Treating CHC (Chronic hepatitis […]
Alberto Montori, MD, M. Gasparrini, MD, M. Onorato, MD, F. Mari, MD, T. Di Cesare, MD, *v. Petrozza, MD, *n. Porta, MD, *l. Santini, MD. Rome University “Sapienza” *Pathology Unit ICOT.. It is well known that the adenocarcinoma of the duodenum is a quite rare lesion in fact represents 40% of cancer of the small […]
Ahmed Hammad, Mr, Mohamed Attique, Mr, Imran Inam, Mr, Manreek Basi, Dr, Mohamed Sajed, Dr, Sajed Mahmud, Mr. Upper GI unit. Hairmyres Hospital. NHS Lanarkshire. Glasgow. Aim: Pseudoaneurysm of the cystic artery is rare, two third of the cases are iatrogenic, the remaining third includes trauma, malignancies, inflammation and A-V malformations either congenital or acquired. […]
Tsiiregzen Enkh-Amgalan, MD, Jigjidsuren Chinburen, MD, Katie M Wells, MD, Erdenebileg Taivanbaatar, MD, Gurbadam Unenbat, MD, Dagvadorj Munkhbat, MD, Erdene-Ochir Dulguun, MD, Raymond Price, MD. National Cancer Center of Mongolia, University of Utah Center for Global Surgery, Intermountain Health Care. Introduction: Mongolia has the highest mortality rate of liver cancer in the world (six times […]
Sylvester N Osayi, MD, Mark R Wendling, MD, Umer I Chaudhry, MD, Joseph M Drosdeck, MD, Kyle A Perry, MD, Sabrena F Noria, MD, Jeffrey W Hazey, MD, Peter Muscarella, MD, W. Scott Melvin, MD, Vimal K Narula, MD. The Ohio State University Wexner Medical Center, Columbus, OH, USA 43210. INTRODUCTION: Bile duct injury remains […]
N.Y. Bayramov,, Taryel I Omarov, N.A. Zeynalov. Azerbaijan Medical University, Baku, Azerbaijan. Objective: This article presents the results of laparoscopic choledocho-duodenostomy (CDD) applied to 25 patients with benign strictures of distal part of common bile duct (CBD) and its dilatation. Material and methods: 23 patients had combination of distal stricture of CBD and stones in […]
Piyush Aggarwal, MD, David Marx, PhD, Kiran Turaga, MD, Armour Forse. Creighton University Medical Center. Introduction Malignancy in the head of the pancreas can cause obstructive jaundice. There have been multiple studies in the past to evaluate the effect of high bilirubin levels on the post-operative mortality and morbidity however, the large database studies are […]
Muhammad Nadeem, HOUSE, OFFICER, Mustafa Kamal Pasha, Professor. Nishtar Medical College And Hospital. Transumbilical multi-mini port clipless laparoscopic cholecystectomy is a novel laparoscopic surgical technique for cholecystectomy utilizing only a transumbilical incision, which eliminates any visible abdominal scars and improves cosmesis. This pilot study was conducted to assess the safety, feasibility, and short-term outcomes of […]
P Patrick Basu, MD, MRCP, FACG, AGAF, Niraj J Shah, MD, Richard Huang, Medical, Student, LIJ, Ravi Siriki, MD, Md Ashfique, MD, Sakina Farhat, MD. 1. Columbia University College of Physicians and Surgeons, NY 2. NSLIJHS/ Hofstra North Shore LIJ School of Medicine, NY 3. James J. Peters VA Medical Center, Mount Sinai School of […]
Jiong Lu, MD, NanSheng Cheng, MD. Department of Bile Duct Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China. Background and Aim: Primary carcinosarcoma (CS) and sarcomatoid carcinoma (SC) of the liver are extremely rare malignancies composed of both carcinomatous and sarcomatous components. The aim of this study is to clarify the clinical features, […]
Darshak Shah, MD, MBBS, Alexander Valderrama Ramirez, MD, Ashish Padnani, MD, MBBS, Talat Addasi, MD. New York Hospital Queens, New York. Multiple Endocrine Neoplasia-1 (MEN-1) is a rare hereditary endocrine disorder predisposing to tumors of pituitary gland, pancreas, parathyroid and gastrointestinal tract. A practical definition of MEN1 is a case with 2 of the 3 […]
C Palanivelu, MS, MCh, FRCS, P Senthilnathan, MS, FACS, R Parthasarathi, MS, P Praveen Raj, MS, R Sathiyamurthy, MS, V P Nallankilli, MS. GEM Hospital & Research Centre. Background Carcinoma Gall bladder is a common problem especially in the Gangetic plane of India.Generally patients present late for the surgery. But, when it is diagnosed at […]
Wesley A Dailey, MD, Steven Bowers, MD, John A Stauffer, MD, Horacio J Asbun, MD, Mauricia A Buchanan, RN, Eric Lam, BS. Mayo Clinic Florida. Background: A previous small study on healthy subjects demonstrated that proton pump inhibitors (PPIs) were associated with a significant reduction in gall bladder ejection fraction (GBEF). It has been a […]
Andrea Zelisko, MD, Walter Chlysta, MD, FACS. Akron General Medical Center. Introduction Duplication of the biliary system is rare and the incidence of a double gallbladder has been reported at one per 4,000-5,000 people. It is important for surgeons to be knowledgeable of the different anatomic classifications of a double gallbladder and also understand the […]
Ashley Pistorio, MD, Cory Richardson, MD, Heidi Ryan, MD, Charles R St. Hill, MD, MSc, Matthew Johnson, MD, Matthew Ingle, Nathan I Ozobia, MD, FACS. University of Nevada School of Medicine. INTRODUCTION A safe and accepted approach to managing biliary pancreatitis is to allow the pancreatitis to “cool off” before performing a cholecystectomy with intra-operative […]