A retrospective analysis of the incidental gallbladder cancer and a review of the laparoscopic cholecystectomy.
BACKGROUND/PURPOSE: With the increasingly widespread acceptance of laparoscopic cholecystectomy (LC), the number of cases of incidental gallbladder cancer (IC) has increased. However, the surgical procedure for advanced cancer is still difficult to improve a prognosis. Otherwise, preoperative detecting early gallbladder cancer may be difficult in symptomatic patients with such as cholelithiasis. The present study aims… Continue Reading
Comparative analysis on clinical outcomes between laparoscopic distal pancreatectomy and open distal pancreatectomy : single center, single operator, same period experience
Purpose) Laparoscopic pancreatic surgery on distal lesion is in development state now. However benefit of laparoscopic distal pancreatectomy over the open surgery is not well known yet. We compared the clinical data of the patients underwent laparoscopic distal pancreatectomy (LDP group) with the patients underwent open surgery (ODP group) on the base of same operator,… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
Comparison of Laparoscopic versus Open Liver Resection: A Case-Controlled Study
Background: Although there is data in the literature about the safety and efficacy of laparoscopic liver resections, there are not many studies comparing laparoscopic versus open approaches in a case-matched design. The purpose of this study is to compare the perioperative outcome of laparoscopic versus open liver resections from a single institution.Methods: Twenty-two patients underwent… Continue Reading
Concomitant Laparoscopic Splenectomy and Cholecystectomy in Children: Our Outcomes and Technical Standardization
[Objectives] Hereditary spherocytosis (HS) is the most common red blood cell membrane disorder and often is associated with hemolytic crisis and cholelithiasis. The aims of this study are to evaluate the safety and cosmetic result of concomitant laparoscopic splenectomy (LS) and cholecystectomy (LC), and to describe our current technique.[Methods] We evaluated 7 LS+LC procedures (HS… Continue Reading
Conservative treatment for acute cholecystitis: Predictors of failure
Objective: To identify risk factors for failure of conservative treatment for acute cholecystitis and thus identify earlier patients who will require percutaneous drainage.Summary Background: Current treatment options for acute calculus cholecystitis include either early cholecystectomy, or conservative treatment consisting of intra-venous antibiotics and an interval cholecystectomy several weeks later. Percutaneous drainage of the gallbladder is… Continue Reading
Day case laparoscopic cholecystectomy in the elderly
INTRODUCTION: Laparoscopic cholecystectomy (LC) is the gold standard treatment for cholelithiasis, and surgeons are increasingly looking towards day case procedures. However, only 6% of UK LCs are performed as day case (DC) (i.e. same day discharge without overnight stay) or extended day case ( 80 years old. 46% of patients stayed longer than 23 hours.… Continue Reading
Early Conversion in Gangrenous Cholecystitis
INTRODUCTION: Early conversion from laparoscopic to open cholecystectomy for patients with gangrenous cholecystitis has been advocated. This study investigated the impact of early conversion on patient outcome. AIMS & METHODS: Data from all patients with gangrenous cholecystitis undergoing laparoscopic cholecystectomy between 1995 and 2006 whose procedure had been converted to open surgery were collected and… Continue Reading
ERCP in situs inversus totalis: report of two cases
Background: Situs inversus totalis (SIT) is a rare entity which has been estimated to occur in the range of 1:10000 to 1: 20000. We present two cases of situs inversus totalis who successfully underwent ERCP and subsequent laparoscopic cholecystectomy.Case 1: A 45 year-old male patient with known situs inversus totalis was admitted to emergency department… Continue Reading
Incidence of Symptomatic Recurrent Choledocholithiasis After Preoperative ERCP and Interval Laparoscopic Cholecystectomy Without Intraoperative Cholangiography
INTRODUCTION: The incidence of common bile duct (CBD) stones on intraoperative cholangiography (IOC) during laparoscopic cholecystectomy (LC) after preoperative ERCP and successful stone extraction as documented on completion endoscopic cholangiography is approximately 17%. The purpose of this study is to determine the incidence of symptomatic CBD stones after preoperative ERCP and a negative completion endoscopic… Continue Reading
Incidental gallbladder cancer – the problem of a complete and practical classification
Introduction: Incidental gallbladder carcinoma (IGBC) is a carcinoma first detected by the pathologist. The indication for the cholecystectomy was a benign disease. It is often supposed that the laparoscopic technique could deteriorate the prognosis of gallbladder cancer. In the literature there is a big variety of different 5 year survival curves for the different T-… Continue Reading
Injury to the accessory duct of Luschka requiring emergent laprotomy. A rare complication following laparoscopic cholecystectomy.
Introduction: Laparoscopic cholecystectomy (LC) has become the mainstay for treatment of gallbladder disease. Although biliary injuries are well described in LC, these are mainly associated with common bile duct injuries. There are scant reports related to complications involving the accessory ducts of Luschka (ADL). Case presentations: We present three patients that presented with persistent abdominal… Continue Reading
Laparoscopic-Assisted Hepatectomy for Metastatic Liver Tumor.
Introduction: As laparoscopic surgery has come into more widespread use in recent years, especially for colorectal cancer, we consider that laparoscopic minimal invasive approach for metastatic liver tumors is one of the useful modalities as a multidisciplinary therapy for colorectal cancer. However the results of this technique are still not certain.Aims & Methods: In this… Continue Reading
Laparoscopic assisted hepatic resection for hepatocellular carcinoma in patients with severely-impaired hepatic function
Background and Objectives: Laparoscopic assisted hepatic resection (LAHR) is one of the newly-developed surgical procedures, and requires highly specialized competencies of surgeons for coping with operative bleeding and other complicated difficulties caused by impaired hepatic function. We reviewed our experiences in the LAHR to evaluate whether it was safe and feasible for the treatment of… Continue Reading
Laparoscopic Cholecystectomy for Acute Cholecystitis: Aiming At No Conversion and No Complications
INTRODUCTION: Laparoscopic cholecystectomy (LC) has largely replaced open cholecystectomy for the treatment of gallstone disease. However, conversion to open surgery is still relatively common in patients with acute cholecystitis (3.6%~32%) and it has been reported that the complication rate is high in these patients. Our aim was no conversion and no complications in patients undergoing… Continue Reading
Laparoscopic Cholecystectomy in Cirrhotic Patients
INTRODUCTION: The aim of this study was to evaluate the results of laparoscopic cholecystectomies in cirrhotic patients between 1995-2006 in Emergency County Hospital Moinesti.AIMS & METHODS: The paper represents a retrospective study, which includes 113 patients (4,21%) with hepatic cirrhosis and symptomatic gallstones disease from our experience of 2685 laparoscopic cholecystectomies performed. In most of… Continue Reading