Laparoscopic Versus Open Liver Resection for Hepatocellular Carcinoma: A Comparative Study
LAPAROSCOPIC VERSUS OPEN LIVER RESECTION FOR HEPATOCELLULAR CARCINOMA: A COMPARATIVE STUDYIbrahim DAGHER, Giuseppe DI GIURO, Panagiotis LAINAS, Helene AGOSTINI, Alessio CARLONI, 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: Laparoscopic liver resection for hepatocarcinoma, especially in cirrhotic patients, has recently been developed… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
Novel System Improves Accuracy of Needle Placement for Ablation Procedures
This study demonstrates improved accuracy in needle placement for ablation procedures using a novel 3D ultrasound trajectory system. Ultrasound guidance can be difficult and require years of experience to master. In addition it does not provide a real time trajectory to the target. This system creates an advanced, real-time stereoscopic image when added to standard… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
The Immediate Re- Resection of T1b Incidental Gallbladder Carcinoma- Indication or Overtreatment
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.A IRR is recommended in cases of T2 tumours and… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
Laparoscopic Hepatectomy Results in Decreased Vegf Expression in Residual Hepatoma Cells When Compared to Open Resection
INTRODUCTION: Vascular endothelial growth factor (VEGF) is upregulated in hepatocellular carcinoma (HCC), and its level of expression in these tumors has been shown to impact tumor growth. We hypothesized that when compared to open liver resection, laparoscopic hepatectomy would result in decreased local angiogenic response in residual tumor cells.MATERIALS AND METHODS: Right and left lobe… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
Totally Laparoscopic Liver Resection for Hepatocellular Carcinoma Located in All Segments of the Liver
Introduction: Laparoscopic liver resection (LLR) is still not a well established treatment modality for hepatocelluar carcinoma (HCC). Moreover, most of reported cases have been limited to the anterolateral segments (segments 2, 3, 4b, 5, 6). We evaluate the clinical and oncologic outcome after LLR for HCC including the lesions located in the posterosuperior segments (segments… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
Laparoscopic Near Infrared Fluorescence Imaging of Biliary Tree Anatomy
Objective of the study: The primary goal of this study was the successful intraoperative near infrared fluorescence (NIRF) imaging of extra and intra hepatic bile ducts using the SPY and laparoscopic SPY2 scope systems (Novadaq Technologies Inc.) after parenteral administration of Indocyanine Green (ICG). Optimal NIRF imaging of biliary anatomy occurs when sufficient amount of… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
Single Incision Laparoscopic Cholecystectomy, Initial Evaluation of a Large Series of Patients
Introduction: Single Incision Laparoscopic Cholecystectomy (SILC) has been found to be feasible and safe. We have pioneered and mastered a two trocar SILC technique at UT Southwestern. Here we present our initial data using this technique on fifty patients. Methods: Following an institutional review board, patients with symptomatic gallbladder disease were recruited from January until… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
Predicting That Occult Metastatic (stage Iv) Disease Will Be Discovered with Diagnostic Laparoscopy and Peritoneal Lavage Cytology in Locally-Advanced Pancreatic Cancer
Background: In a group of 74 patients where computed tomography (CT) showed locally extending but not metastatic pancreatic cancer, we have demonstrated (Surg Endosc 2005;19:638-42) that 1/3 will have occult metastatic disease using diagnostic laparoscopy and peritoneal lavage for cytology (DL-PLC). Using a larger cohort, we asked if there are predictive factors that increase the… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
Laparoscpic Choledochal Cyst Resection with Hepaticojejunostomy
28 year Old female presented with right upper quadrant pain since November 2007 and on workup was found to have Type 1 Choledocal cyst. This is a Video presentation of Laparoscopic Choledochal Cyst resection with hepaticojejunostomy. Session: Podium Video Presentation Program Number: V032 Continue Reading
- Topic:
- HPB
Minimally Invasive Pancreatic Debridement: Intracavitary and Transperitoneal Debridement
Pancreatic debridement is necessary for treatment of infected pancreatic necrosis but is associated with significant morbidity that includes a high incidence of wound complications and enterocutaneous fistulae. We demonstrate two minimally invasive techniques of pancreatic debridement: catheter-guided intracavitary debridement and laparoscopic transperitoneal debridement. In the first patient, fine needle aspiration of a heterogeneous lesser sac… Continue Reading
- Topic:
- HPB
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
Laparoscopic Intervention for Massive, Rapidly Progressive Pancreatic Pseudocyst Disease with Endocrine and Exocrine Dysfunction
Introduction: Therapeutic interventions for pancreatic pseudocyst disease are most often based on symptoms, lesion size, and in particular duration of the lesion. Conventional wisdom typically avoids early surgical therapy for “immature” pseudocysts, citing concerns of cyst wall thickness, durability, and ability to hold suture material for a secure anastomosis. We present a case of a… Continue Reading
- Topic:
- HPB
Laparoscopic Pancreatoduodenectomy:safety and Efficacy of Radical Resection
Aim: To prove that radical laparoscopic pancreatoduodenectomy for malignancy can be safely performed, adhering to sound oncological principles. Methods: From March 1998 to January 2008, we retrospectively reviewed 52 patients undergoing laparoscopic pancreatoduodenectomy with nodal clearance for malignancy, and present a step-by-step video demonstration. Results: Mean age was 62 years and the types were ampullary,… Continue Reading
- Topic:
- HPB
Lessons Learned in Single Incision Laparoscopic Cholecystectomy
Background:Since the first surgical procedure of this type in 1997, single incision surgery for biliary tract disease has been slow to gain popularity. Recent descriptions of SILSTM and SPATM have shown great potential to revolutionize minimally invasive procedures. The average general surgeon still has to face a significant learning curve and to decide how to… 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