Laparoscopic liver resection including the lesion located in posterior and superior part
Background: Despite the increasing experience of laparoscopic and hepatic surgery, laparoscopic liver resection is still limited to lesions localized on the antero-lateral segments of the liver. The aim of this study is to evaluate the feasibility of laparoscopic liver resection for tumors located in the postero-superior segments of the liver (Segments I, VII, VIII, and… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
Primary and Overall Success Rate and Clinical Outcomes for Laparoscopic, Endoscopic and Open Pancreatic Cystgastrostomy for Pancreatic Pseudocysts
Introduction: The purpose of this study is to evaluate the primary and overall success rate for laparoscopic, endoscopic and open pancreatic cystgastrostomy for pancreatic pseudocysts.Methods: Records of 83 patients (M:F, 46:37) undergoing laparoscopic (LAP; n=16), endoscopic (ENDO; n=45) and open (OPEN; n=22) pancreatic cystgastrostomy from 3/99-8/07 were analyzed on an intention-to-treat basis from an IRB-approved… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
Laparoscopic Duodenopancreatectomy
INTRODUCTIONSince the first report of laparoscopic pancreatic resections in the early 1990’s, laparoscopic resection of pancreatic tail tumors has become increasingly more common in the surgical treatment of both benign and malignant tumors. The minimally invasive approach to duodenopancreatectomies, however, is still only being performed in highly specialized centers. This is principally because of concerns… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
Treatment of Gallbladder Disease During Operations Iraqi Freedom and Enduring Freedom
INTRODUCTION: We examined the outcome after treatment for gallbladder disease in deployed military service members and the impact of instituting a clinical pathway to expedite return to duty (RTD). METHODS AND PROCEDURES: A retrospective chart review of 97 medically evacuated patients with gallbladder disease was analyzed. These patients were evacuated from the field to Landstuhl… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
Near total laparoscopic pancreatic resection for chronic pancreatitis
In the past, a minimally invasive technique in pancreatic surgery was only used for diagnostic laparoscopy in evaluating periampullary malignancy. Recent advances in operative techniques and instrumentation have empowered surgeons to perform all procedures in the pancreas surgery, including the Whipple procedure. Some of these tecniques represent the most sophisticated application of minimally invasive surgery.A… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
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
The immediate re- resection of T1 incidental gallbladder carcinoma- indication or over treatment
Introduction: The indication for an immediate re-resection (IRR) in T1b incidental gallbladder carcinoma (IGBC) is debated in the literature, and different recommendations are often drawn based on data collected from only small groups. But the management of IGBC is difficult, because there are no established guidelines.An IRR is recommended in cases of T2 tumours and… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
Totally Laparoscopic Right Hepatectomy
Laparoscopy is slowly becoming an established technique for liver resection. This procedure still is limited to centers with experience in both hepatic and laparoscopic surgery. Preliminary reports include mainly minor resections for benign liver conditions or hand assisted resections and show some advantage in terms of postoperative recovery. The authors present their video with laparoscopic… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
The Use of a Multiple Instrument Guide to Facilitate Lcbde; Report on 119 Cases
Objective: To analyze a large LCBDE experience in a community hospital and determine the efficacy of using a new device, the Multi-channel Instrument Guide (MIG) to achieve safe, practical and effective LCBDE techniques that are applicable to virtually all cases of choledocholithiasis.Methods: All cases of choledocholithiasis that presented to our surgical team were analyzed. An… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
Laparoscopic Distal Pancreatectomy-Splenectomy for Insulinoma
This video illustrates our laparoscopic technique for removal of an insulinoma in the tail of the pancreas. Because of the distal location of the lesion in the tail of the pancreas, distal pancreatectomy with splenectomy was required. The video also shows how bleeding from a splenic vessel was controlled laparoscopically. A hand port was required… Continue Reading
- Topic:
- HPB
Laparoscopic Spleen Preserving Distal Pancreatectomy
Introduction:Minimally invasive distal pancreatectomy for cystic lesions located in the body and tail of the pancreas is usually achieved with splenectomy. We report a case of a laparoscopic distal pancreatectomy with spleen preservation .Materials:A 52 year old woman presented with a cystic lesion of the body of the pancreas. Preoperative workup including MRI , CT… Continue Reading
- Topic:
- HPB
The Routine Use of Laparoscopic Ultrasound Decreases Bile Duct Injury
Objective: Laparoscopic ultrasound (LUS) has been used to diagnose bile duct (BD) stones and delineate anatomy during laparoscopic cholecystectomy (LC) for over 10 years. LUS as a modality to prevent BD injury has not been reported in a large series. This study proposes to determine the effect of LUS on preventing BD injury. Methods: A… 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
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
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