Carbon Footprint of Laparoscopic Cholecystectomy Performed with or Without Energized Dissection-A Case Controlled Study
Objectives of StudyClimate change related challenges & concerns have united the chasm across socio-political, geographical, cultural & professional spectra. Persuasion, coercion & offering incentives like carbon credits & personal carbon trading are all being implemented to reduce the global carbon footprint. No civilisation sustaining activity including surgery is carbon neutral. Till the emergence of carbon… Continue Reading
Laparoscopic Liver Resections Including Major Hepatectomies- A Tertiary Centre Experience
Aim: Liver resection is considered as one of the most formidable surgeries and laparoscopic resections for the same is considered as the last frontier in laparoscopy. We would demonstrate the feasibility of laparoscopic liver resections emphasizing the excellent morbidity profile. Methods: Since 2006 we have performed 54 laparoscopic liver resections for malignant and non malignant… Continue Reading
Laparoscopic Left Hepatectomy Without Inflow Occlusion Using Modified Anterior Approach
INTRODUCTION: Laparoscopic liver surgery requires high degree of anatomical knowledge, laparoscopic skills and technical know how of latest state of the art haemostatic and parenchymal split instruments, more so for major hepatic procedures like right hepatectomy .We describe the technique of laparoscopic left hepatectomy by anterior approach performed by single surgeon using two hand technique.METHOD:… Continue Reading
- Topic:
- HPB
On Demand Trocar Insertion for Laparoscopic Cholecystectomy: Two, Three or Four?
According to the classical definition, laparoscopic cholecystectomy (LC) is performed using four trocars. This study aims to answer the question if this number can be decreased or not. The results of consecutive 40 patients who underwent LC were prospectively analyzed. For all patients, the operation began with the intent to complete the procedure with minimum… Continue Reading
How Reliable Is Laparoscopic Cholecystectomy in Elderly Patients? a Retrospective Analysis of Outcomes.
AIM: Patient population admitting to surgical clinics is getting older in accordance with the aging world. Being one of the most common surgical procedures, laparoscopic cholecystectomy (LC) is also being performed in older population than it was used to. The aim of this study is to compare younger population with elderly (65 and older) patients… Continue Reading
Gallbladder Volvulus: A Video Case Report
Summary: We present a case report from September 2009 at our Laparoscopic Institution. The case attended as an emergency in an 84 year old female. Initially treated under medical care with generalised abdominal pain, an abdominal ultrasound scan demonstrated an inflamed, thick-walled gallbladder and a diagnosis of cholecystitis was made. At laparoscopy, the gallbladder was… Continue Reading
- Topic:
- HPB
Laparoscopic Liver Resection Using Vascular Staplers in the Porcine Model
The aim of this study was to assess the feasibility and safety of laparoscopic hepatectomy using the stapler technique in a porcine model. Method: Fourteen female pigs weighting more than 25kg were used. Five trocars (10mm) were used for the introduction of the video camera and the other laparoscopic instruments. With the porta hepatis not… Continue Reading
Hand-Assisted Laparoscopic and Total Laparoscopic Partial Hepatectomy for Hepatocellular Carcinoma – a Comparative Study
INTRODUCTIONLaparoscopic liver resection has become possible with the availability of new instrumentation that allows a relatively bloodless liver transection. It can be performed via hand-assisted approach or total laparoascopic approach. However, it is still unclear which is superior in outcome. The aim of the present study was to compare the short term outcome of these… Continue Reading
Initial Experiences in 70 Cases of Totally Laparoscopic Liver Resection for Hcc
Initial experiences in 70 cases of Totally Laparoscopic Liver resection for HCC BackgroundLaparoscopic surgery now is commonly applied for several kinds of different operations, but laparoscopic liver resection is still under survey. The objective of this study was to evaluate the feasibility and safety of this technique for HCCPatients and methodsPerspective and descriptive study. From… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
Comparative Pateint Reported Well Being After Laparoscopic Cholecystectomy Performed with or Without Energised Dissection-A Case Controlled Study
Objective of StudyPost-operative pain, fatigue, circadian disturbances & well-being are cardinal patient reported outcome (PRO) measures indicating desired/ expected Health related Quality of Life (HrQoL) improvement after Laparoscopic Cholecystectomy (LC). These PROs result from a cascade of inflammatory and metabolic stress responses to surgery. Energised dissection (ED) in LC may excite these inflammatory & stress… Continue Reading
Short Term Outcome After Laparoscopic Radical Cholecystectomy for Carcinoma of the Gall Bladder
Introduction:Role of laparoscopy in management of carcinoma of the gall bladder is still controversial. Unlike other gastro intestinal cancers, only few reports of radical cholecystectomy are available.Method:Retrospective analysis of 22 cases of radical cholecystectomy for carcinoma gall bladder from Jan 2003 to Dec 2007 was performed. All were stage I disease diagnosed by pre-operative imaging.… Continue Reading
Laparoscopic Repair of a Common Bile Duct Injury
In this video, we present a laparoscopic repair of an inadvertent common bile duct injury during laparoscopic cholecystectomy in a 16 year old female. This patient had chronic cholecystits. She was brought to the operating room for a laparoscopic cholecystectomy. During dissection, the common bile duct was mistaken for the cystic duct and was ligated.… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- HPB
Impact of Health Insurance on Complicated Choledocholithiasis and Same-Admission Interventions
Background: Disparities in management and outcomes of biliary disease have been linked to sources of payment for healthcare services. The objective of this study was to evaluate the impact of insurance status on the cumulative incidence of inpatient admission for complicated choledocholithiasis (CMPCDL) and the proportion of patients who underwent a related intervention during that… Continue Reading
Long Term Follow Up After Laparoscopic Non-malignant Pancreatic Tumor Surgery
Introduction: Laparoscopic pancreatic surgery has gained acceptance but few data are available concerning the long term results. Aim of this study was to evaluate the safety and long term results of the laparoscopic approach for treatment of non-malignant pancreatic lesions. Materials and Methods: From January 1993 to June 2008, 18 patients (pts) underwent laparoscopic enucleation… Continue Reading
Preliminary Experience of Laparoscopic Hepatectomy in Hepatocellular Carcinoma
Introduction: Laparoscopic liver resection has gained much popularity in the recent years, but relatively few centers have performed hepatectomies in hepatocellular carcinoma (HCC) patients due to the technical difficulties faced with underlying liver cirrhosis. We herein present the initial experience of laparoscopic liver resection in HCC performed in a single institution.Methods: From October 2003 until… Continue Reading