Laparoscopic Enucleation of Pancreatic Tumors
Introduction: In an attempt to reduce the incidence of development of pancreatic insufficiency following subtotal pancreatectomy, lesser procedures (central pancreatectomy, enucleation) are advocated for selected patients. Enucleation of pancreatic tumors carries the risk of pancreatic duct leakage or inadequate resection. We have performed laparoscopic enucleation of pancreatic tumors in selected patients since 1992. We present… Continue Reading
laparoscopic Liver Resection for Localized Primary Intrahepatic Bile Duct Dilatation
LAPAROSCOPIC LIVER RESECTION FOR LOCALIZED PRIMARY INTRAHEPATIC BILE DUCT DILATATIONIbrahim DAGHER, Papa Saloum DIOP, Alessio CARLONI, Panagiotis LAINAS, Dominique FRANCODepartment of General Surgery, Antoine Béclère Hospital, AP-HP, Clamart, F-92140, France; Univ Paris-Sud, Orsay, F-91405, France. Objective of the study: Primary intrahepatic bile duct dilatation (IHBD) may present as a localized form, in which resection of… Continue Reading
Laparoscopic Liver Resection and the Use of Torsional Ultrasound Dissectors for Parenchymal Liver Dissection
Background:Recent advances in laparoscopic surgical equipment is one of the most significant factors in the expansion of laparoscopic liver resections (LLR) by increasing its feasibility, safety and efficiency.Ultrasonic dissectors are the main instrument used for the parenchymal dissection part of a laparoscopic liver resection. Most of the commercially available brands of ultrasonic dissectors use a… Continue Reading
Laparoscopic Cystgastrostomy
Introduction:Laparoscopic drainage is a definitive and effective treatment for symptomatic pancreatic pseudocysts. Pancreatic pseudocysts are pancreatic fluid collections that develop a defined fibrous wall without a true epithelial lining. These are usually caused by acute or chronic pancreatitis or trauma with disruption of the pancreatic duct. 85% resolve spontaneously in six weeks. Large pseudocysts can… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- HPB
Comparison of Spleen Preserving Laparoscopic Distal Pancreatectomy with En Bloc Laparoscopic Distal Pancreatectomy: 55 Vs 90 Cases
Introduction: The pupose of this study is to compare clinical results of spleen preserving laparoscopic distal pancreatectomy(SPLDP) with en bloc laparoscpic distal pancreatectomy (LDPS).Methods: From March 2005 to September 2008, 55 cases of SPLDP and 95 LDPS were performed at our institution and compared retrospectivele. Enrolled periods were divided to four eras chronologically by 11… Continue Reading
Technique for Laparoscopic-Assisted Formal Right Hepatectomy, Deconstructed
BACKGROUND: Laparoscopic formal right hepatectomy remains a technical challenge. We propose that the procedure can be accomplished efficiently with standard laparoscopic techniques, in ordered sequence, using smaller incisions, and having identical outcomes as the open procedure. METHOD: We reviewed 25 consecutive video recordings of formal laparoscopic right hepatectomy performed over a 4 month period. Instruments… Continue Reading
The Use of Intraoperative Cholangiography in Patients with Empyema of the Gallbladder
INTRODUCTION: In difficult cases involving the gallbladder, the use of intraoperative cholangiography has been shown to be beneficial. The inflammatory reaction that is associated with empyema of the gallbladder is frequently quite severe making laparoscopic cholecystectomy difficult. We present our experience with intraoperative cholangiography in cases which presented with empyema of the gallbladder.METHODS AND PROCEDURES:… Continue Reading
The Therapeutic Use of Laparoscopy in the Icu
INTRODUCTION: Early diagnosis and treatment of intraabdominal illness is a challenge in the ICU patient and any delay may have devastating consequences. The aim of this study is to study the role of laparoscopy as a therapeutic tool in the ICU. There are a few studies in the literature describing laparoscopy as a diagnostic tool,… Continue Reading
Impact of Laparoscopic Cholecystectomy on Operative Time in the Elderly
OBJECTIVE OF THE STUDY: Laparoscopic cholecystectomy (LC) remains one of the most frequent surgical therapies for symptomatic gallstone disorders. Although associated with several comorbidities, LC became widely accepted even in the elderly. The aim of this study was to determine factors affecting the operative time of LC.METHODS AND PROCEDURES: Patient data were retrospectively analysed from… Continue Reading
In the Era of NOTES, a Cosmetic and Secure Approuch to Laparoscopic Cholecystectomy.
Background: Since 1993, our group has been doing Laparoscopic Cholecystectomy (LC) using a three-port approach with excellent results. Many papers showed that Needlescopic and two or three 5mm ports approaches may reduce the postoperative pain, but did not gained popularity.Aim: Describe a variant three-port approach with excellent cosmetic results without losing the benefits and security… Continue Reading
Laparoscopic Central Pancreatectomy for Pancreatic Body Lesions: Report of 6 Cases Including Totally Intracorporeal Technique
Introduction) Laparoscopic surgery has been gaining wide acceptance currently especially in distal pancreatectomy, but few study has been reported about laparoscopic central pancreatectomy (LCP) for pancreatic body lesions. So, we herein report our evolving experiences of LCP.Methods) From Sept 2007 to June 2008, 6 cases of LCP were performed for pancreatic body lesion at our… Continue Reading
Laparoscopic and Endoscopic Management of Biliary Ascariasis on a 2 Year Old
Objective: To present a case report of a 2 year old female diagnosed with biliary ascariasis and was managed by laparoscopy and endoscopy. This is a case of a 2 year old female who presented with abdominal pain, fever and jaundice. On abdominal ultrasound, there was tubular echogenic structures at the common bile duct. Working… Continue Reading
The Effect of Colectomy on Pancreatic Infections in a Model of Experimentally Induced Acute Pancreatitis.
Introduction; Prevention and treatment of secondary pancreatic infection is currently the main goal of treatment for acute necrotizing pancreatitis. The colon has been considered a major source of bacteria causing infection of pancreatic necrosis in acute pancreatitis. Our aim is to study the role of near total colectomy in reducing bacterial translocation and infection of… Continue Reading
Which Case of Preoperative Suspected Gallbladder Cancer Is Most Appropriate for Laparoscopic Cholecystectomy ?
BACKGROUND/PURPOSE: The surgical procedure for gallbladder cancer is still difficult to improve a prognosis. Otherwise, laparoscopic cholecystectomy (LC) is possible to get complete cure in some cases of early cancer. The present study aims to clarify the appropriate case for LC by evaluating the preoperative suspected gallbladder cancer and its clinicopathological finding. METHODS: We performed… Continue Reading
Roux En Y Intrahepatico-jejunostomy After Common Bile Duct Injury.
We present a case of a 20 year old female, who underwent a laparoscopic cholecystectomy for symptomatic gallstones.Patient was discharged home the same day and returned to the hospital 48 hours after surgery complaining of abdominal pain. A CT scan performed showed a large abdominal fluid collection compatible with a biloma. An ERCP showed an… Continue Reading
- Topic:
- HPB