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
Laparoscopic Roux-en-Y Cystjejunostomy and Choledochojejunostomy for a Pancreatic Pseudocyst with Biliary Obstruction
The minimally-invasive management of uncomplicated chronic pancreatic pseudocysts has been shown to be safe and effective with laparoscopy becoming the preferred surgical modality in many patients. Complicated pancreatic pseudocysts, however, continue to pose a challenge to the surgeon, and the ideal surgical treatment remains unclear. We are reporting the first case to our knowledge of… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- HPB
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
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
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 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 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
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
Laparoscopic Cholecystectomy (lc) and Common Bile Duct Exploration (cbde) in Patients with a Previous Gastric Resection
Background: An increased incidence of cholelithiasis is reported after truncal vagotomy and gastric resection. Adhesions from previous gastric surgery are often considered a contraindication to laparoscopic surgery. Aim was to evaluate the feasibility and long-term results after LC and CBDE in patients with a previous gastric resection.Methods: from April 1991 to February 2007, CBD stones… Continue Reading
Laparoscopic Approach in the Distal Pancreatic Tumor Surgery
Introduction: Laparoscopic resection of the body and tail of the pancreas for benign lesions is an accepted technique but published series are still few. Aim is to evaluate the results of the laparoscopic approach for distal pancreatic tumors. Methods: From January 1993 to June 2008 18 patients (pts) underwent laparoscopic enucleation (EN) (8 pts, 2… Continue Reading