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
2mm Laparoscopic Cholecystectomy: The Correct First Step Before Advancing to NOTES
Background: The laparoscopic cholecystectomy (LC) has been the standard of care for two decades. LC is usually preformed with two 10-12mm ports and two 5mm ports. Some investigators have looked to improve the procedure by limiting the port sizes to improve outcomes. In our Department, a single surgeon and his trainees have been performing 2mm… Continue Reading
A Prospective Randomized Trial Comparing Single Stage Versus Two Stage Management of Patients with Gall Stones and Cbd Stones
The optimal management of patients with concomitant gall stones and CBD calculi is controversial. The options for management include either a single stage approach of laparoscopic cholecystectomy along with laparoscopic common bile duct exploration or a two stage approach which includes preoperative endoscopic stone extraction followed by laparoscopic cholecystectomy. This prospective randomized trial was done… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- HPB
Alternative Treatment of Acute Pancreatitis
The contemporary approach to treatment of acute pancreatitis (AP) is far from satisfactory. This resulted in the increased number of AP patients as well as increased number of cases that developed complications. Our idea is not an original one since we strictly followed the guidelines of the World and European Pancreatic Societies that recommend obtaining… Continue Reading
Analysis of 9 Cases of Pancreaticobiliary Ductal Maljunction Without Common Bile Duct Dilatation Based on Intraoperative Cholangiography During Laparoscopic Cholecystectomy
OBJECTIVE OF THIS STUDY: In order to diagnose pancreaticobiliary maljunction (PBM), it is necessary to perform direct fluoroscopic examinations of the biliary tract system. However, for patients without symptoms, these examinations are performed only in selected cases. For some cases, it is not until intraoperative cholangiography (IOCG) during laparoscopic cholecystectomy (LC) is performed that a… Continue Reading
Are We Following Guidelines for the Management of Acute Pancreatitis?
Background: In 1998 the British Society of Gastroenterolgy (BSG) published guidelines for the management of acute pancreatitis, which were further revised in 2003. These guidelines include 11 audit criteria, which allow individual units to appraise their performance, and allow for national comparison. The aim of the study was to assess the adherence of BSG guidelines… Continue Reading
Assessing the Potential and Limitations of Laparoscopic Ultrasound in the Staging of Pancreatic Cancers
Introduction: Although the role of laparoscopic ultrasound (LUS) during staging laparoscopy for pancreatic cancers is well established there is no consensus as to whether it provides useful information over and above other imaging modalities. Aim: To evaluate the value of intra-operative LUS in the pre-operative assessment of pancreatic cancer. Methods: A retrospective consecutive case series… Continue Reading
Clinical Outcomes of Laparoscopic Pylorus Preserving Pancreaticoduodenectomy (l-pppd): Comparison of Laparoscopic Assisted Pppd to Totally Laparoscopic Ppppd
Even though most surgeons are reluctant against L-PPPD for malignant lesion of pancreas head because of oncologic point of view yet, if technical feasibility and safety are verified, L-PPPD can be accepted as an alternative option for open pancreaticduodenectomy. (Purpose) The purpose of this report is to present the clinical outcomes of the L-PPPD to… Continue Reading
Clipless Minilaparoscopic Cholecystectomy: A Comparative Cost Study for a Minimally Invasive and Cost Effective Procedure.
INTRODUCTION: For the surgical treatment of gallbladders diseases, the laparoscopic cholecystectomy has been accepted as the gold standard all over the world. Although, it seems to be clear that the needlescopic procedure, called minilaparoscopic cholecystectomy (MLC) is superior in many aspects when it is compared not only to open surgery, but also compared to the… Continue Reading
Comparative Clinical Analysis of 111 Cases Conversed to Open Procedure During Laparoscopic Cholecystectomy of 2,523 Cases
PURPOSE: While laparoscopic cholecystectomy is successfully performed on majority of patients, conversion to open procedure is yet necessary in certain cases in the perioperative period. The purpose of this study is to identify the discerning factors that help determine the conversion into open cholecystectomy. METHOD: A retrospective review was conducted on the data of 2,523… Continue Reading
Comparision of Outcomes After Laparoscopic and Open Distal Pancreatectomies
Introduction: The objective of our study is to compare results of Laparoscopic Distal Pancreatectomy (LDP) and Open Pancreatectomies (OP) performed at Staten Island University Hospital. Despite the first case (LDP) being reported over a decade ago, fewer than 300 cases have been added to the world literature. The largest series to date is the multicenter… Continue Reading
Comparison of Laparoscopic Cbd Exploration,ercp and Open Choledocholithotomy for Large Cbd Calculi
ABSTRACTBACKGROUNDCBD calculi is a common complication of cholelithiasis. ERCP and open choledocholithotomy are the two common procedures used to deal with this problem.Laparoscopic choledocholithotomy is technically demanding procedure because itrequires fine endo suturing but at the same time more beneficial and result oriented than the other two methods. In this study laparoscopic CBD exploration was… Continue Reading
Comparison of Laparoscopic Hepaticojejunostomy and Open Hepaticojejunostomy in Benign Extra Hepatic Biliary Tree Pathologies
ABSTRACT BackgroundStrictures of common bile duct and other extra hepatic biliary tree pathologies are sometimes encountered in surgical practice. The aim of the study is to provide in data to establish whether laparoscopic approach for hepaticojejunostomy is better than open hepaticojejunostomy. MethodThe data presented in this paper is obtained from a single centre and performed… Continue Reading
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
CT-guided Vs. Laparoscopic Radiofreqnecy Ablation (rfa): A Comparison of Morbidity and Hospital Cost
Background: CT-guided radiofrequency ablation (CT-RFA) is presumed to be less morbid and less costly than laparoscopic RFA (L-RFA). CT-RFA, however, has a higher treatment failure rate than L-RFA. This analysis looks at the 30-day morbidity and financial data for CT-RFA versus L-RFA for hepatocellular cancer (HCC) and colorectal liver metastases (CRLM). Methods: All patients with… Continue Reading