A New Application of Biliary Tract Identification Based on Indocyanine Green Fluorescent Imaging At Laparoscopic Surgery
Background: Although biliary tract injuries are lethal, many difficulties in identifying it have been encountered during laparoscopic surgery. We report a novel method of biliary tract identification using an endoscopic device with fluorescent imaging of indocyanine green. Method: During operation 1.0-2.0 ml of 0.25% ICG had been intravenously injected in a patient with multiple liver… Continue Reading
A Prospective Cohort Study for Simple New Technique Two-incision Laparoscopic Cholecystectomy :
Background : Laparoscopic cholecystectomy ( LC ) has clearly become the procedure of choice for routine gallbladder removal. The advantages of this approach include decreased scarring, decreased incisional pain, shorter hospitalization and faster functional recovery.The recent years, many investigators have attempted to further improve on the established technique of LC. Generally, the goal has been… Continue Reading
Bouveret\’s Syndrome: Gallstone Ileus of the Duodenum
Introduction: This is a case of a 59 year old female with Bouveret’s syndrome. An initial endoscopic approach to management is described. Gallstone ileus occurs when a gallstone passes from a cholecystoduodenal fistula or a choledochoduodenal fistula into the GI tract and causes obstruction, usually at the ileocecal valve. Bouveret’s syndrome is a variant of… Continue Reading
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
Clinical Outcomes Compared Between Laparoscopic and Open Distal Pancreatectomy for Benign Tumors
(Introduction) Though laparoscopic distal pancreatectomy for benign conditions was first described in the early 1990s, there is limited information on the outcomes of the laparoscopic surgery compared with open surgery. Therefore, this study aimed to investigate the clinical outcomes and to evaluate efficacy of laparoscopic distal pancreatectomy compared with open distal pancreatectomy in the benign… Continue Reading
Clinical Outcomes of Laparoscopic Cholecystectomy (without Energised Dissection) Performed By a Basic Surgical Trainee or a Consultant-double Blind Randomized Control Study
Objective of Study Avascular anatomical planes guided surgery is an important prerequisite for expeditious & safe procedure. These so called “holy planes” are of help in performing Laparoscopic cholecystectomy (LC). We have earlier reported technique of LC without any energised dissection (ED) and its replication by a higher surgical trainee (HST). The HST had an… Continue Reading
Common Bile Duct Exploration in Decline: Majority of These Procedures Are Done in Non-teaching Hospitals in the Us.
BACKGROUND: Common bile duct (CBD) exploration used to be one of the relatively frequent procedures in armamentarium of the general surgeon. With raise of minimally invasive techniques one may expect diminished needs and fewer indications for that surgery. OBJECTIVE: The purpose of this study was to determine nationwide trends of cholecystectomy and common bile duct… 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
Conversion Factors in Laparoscopic Cholecystectomy
Introduction: Laparoscopic cholecystectomy is the treatment of choice for various gall bladder diseases. However in 5-10%, certain cases still require conversion to conventional cholecystectomy. The aim of this study is to identify the factors and likelihood of conversion rates in experienced surgeons when performing laparoscopic cholecystectomy. Methods A retrospective and prospective analysis of 3090 patients… Continue Reading
Effect of Yoga on the Speed of Convalescence After Uncomplicated Outpatient Laparoscopic Cholecystectomy – A Case Controlled Study
Objective of StudySpeedier convalescence, return to activity & improved health related quality of life (HrQoL) are indices of patient reported outcomes in laparoscopic cholecystectomy (LC). Improving patient reported outcomes by minimising multi-factorial post-operative pain & fatigue in LC demand a multi-pronged approach. Yoga improves HrQoL in many chronic fatigue & stress related inflammatory disorders. We… Continue Reading
Emergency Laparoscopic Common Bile Duct Exploration in Acute Cholangitis with Common Bile Duct Stone Patients.
INRTODUCTION There is many modalities in the treatment of common bile duct (CBD) stone. Among the patients who were performed cholecystectomies due to gall bladder stone with acute cholecystitis, about 3-14% cases were accompanied by CBD stone. Under the unavailable situation of ERCP, especially in emergency circumstances, laparoscopic cholecystectomy, choledochotomy, CBD exploration, CBD stone removal,… Continue Reading
Feasibility of Laparoscopic Portal Vein Ligation Prior to Major Liver Resection
INTRODUCTION. In a case of major hepatectomy, an inadequate volume of liver remnant is necessary and pre operative assessment to be induced hypertrophy of future liver remnant is considered to be candidates for percutaneus transhepatic portal vein embolization. It is difficult to use the transhepatic route in a case with giant liver tumor or multiple… Continue Reading
Gallbladder Perforation: Increased Risk in a Va Population Associated with Lower Body Mass Index (bmi)
Introduction: The purpose of this study was to determine the incidence of gallbladder perforation in a VA patient population presenting with acute cholecystitis and evaluate the impact of multiple risk factors including BMI on the risk of perforation. Methods: This is a retrospective study of patients identified by a computer database (CPRS) undergoing cholecystectomy between… 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
Gasless Single Port Laparoscopic Cholecystectomy
Background: Recently, single port laparoscopic cholecystectomy (SPLC) was gradually penetrated. Minimally abdominal scar provides better cosmetic result. High laparoscopic skill will make it possible to perform SPLC. Methods: We experienced SPLC in 6 patients between 1997 November and 1998 May. Their mean age was 58 years (range: 39-73), one male and 5 females, and preoperative… Continue Reading