3 Decades Later: Investigating the Rate of and Risk Factors for Conversion from Laparoscopic to Open Cholecystectomy
Steven J Coffin, MSIV1, Peter Callas, PhD1, Sean Wrenn, MD2, Wasef Abu-Jaish, MD, FACS, FASM, BS2. 1University of Vermont College of Medicine, 2University of Vermont Medical CenterIntroduction: Recent data suggest a wide range of conversion (4.9%-20%) from laparoscopic to open cholecystectomy (OC) despite increasing surgeon familiarity and superior equipment. Previously identified risk factors for conversion… Continue Reading
- Topic:
- Biliary
Hepatic Teratoma Masquerading as a Post-Deployment Echinococcal Cyst: A Case Report and Literature Review
Tommy A Brown, CPT, MD, Chonna L Kendrick, MAJ, MD, Kelly A Haeusler, Capt, MD, John D Ritchie, MAJ, MD, Shawnn D Nichols, Lt, Col, MD, AFMSA. SAMMCHepatic Echinococcal cysts in native-born US citizens and hepatic mature cystic teratomas are both rare entities and can present similarly due to mass effect. Less than forty cases… Continue Reading
- Topic:
- Biliary
Campaign for greater safety in laparoscopic cholecystectomy in Denmark.
Jan Krzak, MD1, Ane Beck Jensen Vingborg, MD2, Ada Krzak3. 1Department of Surgery, Herning Hospital, Denmark, 2Department of Surgery, Viborg Hospital, Denmark, 3University of Cambridge, UKIntroduction: We aim to popularize SAGES Safe Cholecystectomy Program among Danish surgeons. Method: In June 2016 a survey was conducted at a symposium about the surgical treatment of gallstones in… Continue Reading
- Topic:
- Biliary
The minimum incision for single port laparoscopic cholecystectomy
Noriaki Kameyama, PhD, Norihiro Kishida, MD, Satoshi Tabuchi, MD, Yuki Seo, PhD, Toshiki Yamashita, MD, Yoshinobu Akiyama, PhD. KKR Tachikawa HospitalBackground: We introduced the single port laparoscopic surgery in May 2009 and our experiences of single port surgery are 900 and more until April, 2016. The benign diseases occupied about 80% of them, such as… Continue Reading
- Topic:
- Biliary
Massive Biliary Dilation after Roux-en-Y Gastric Bypass: Is it Ampullary Achalasia?
Noble G Jones, MS, Andrew T Strong, MD, John H Rodriguez, Matthew Kroh, Jeffrey L Ponsky, MD. Section of Surgical Endoscopy, Dept. of General Surgery, Cleveland ClinicBackground: Symptomatic biliary dilation commonly follows an obstructive process. However, in the absence of an obvious structural lesion, a functional etiology may be sought. Biliary dilation has been described… Continue Reading
- Topic:
- Biliary
Documentation of the Critical View of Safety During Laparoscopic Cholecystectomy in a High-Volume Hospital System
Julia F Kohn1, Alexander Trenk2, Brittany Lapin2, John G Linn2, Stephen Haggerty2, Woody Denham2, Ray Joehl2, Michael B Ujiki2. 1University of Illinois at Chicago Medical School, 2Department of Surgery, Section of Minimally Invasive Surgery, NorthShore University HealthSystemINTRODUCTION: This study sought to determine the rate and accuracy of documentation of the Critical View of Safety (CVS)… Continue Reading
- Topic:
- Biliary
Management of Choledocholithiasis after Roux En Y Gastric Bypass at Tertiary Care Center
Laura E Grimmer, MD, Shaina Eckhouse, MD, Arghavan Salles, PhD, MD, Michael Awad, J. Christopher Eagon, MD, Michael L Brunt, MD. Washington UniversityIntroduction: Numerous options exist for managing choledocholithiasis in patient with prior Roux-en-y gastric bypass (RYGB), including percutaneous, endoscopic, laparoscopic and open approaches. While many studies describe the results of a single preferred management… Continue Reading
- Topic:
- Biliary
Intraoperative EST for CBD stone
Takumi Yamaguchi, Satoru Takayama, Masaki Sakamoto, Ryohei Matsui, Toru Imagami. Nagoya Tokushukai General HospitalAIMS:There are various approaches for the treatment of cholecystocholedocholithiasis. Laparoscopic cholecystectomy after endoscopic sphincterotomy (EST) is standard methodology now a day. However, compared with such metachronous strategy, simultaneous endoscopic sphincterotomy with cholecystectomy is favorable. And we usually perform it by rendezvous technique… Continue Reading
- Topic:
- Biliary
Two port laparoscopic cholecystectomy using the Teleflex mini-grasper in a modified dome down technique
Hugo Bonatti, MD. University of Maryland Community Medical Group Surgical CareBackground: The majority of surgeons use four ports including for laparoscopic cholecystectomy (LC). Multiple efforts have been made to reduce number and size of ports. left upper quadrant (LUQ). Patients and methods: Of 127 LCs performed from 6/2013 - 9/2016, 115 (91%) were done using… Continue Reading
- Topic:
- Biliary
Comparative study between open and minimally invasive surgery for congenital biliary dilatation and pancreatobiliary maljunction.
Takanori Morikawa, MD, PhD, Takeshi Naitoh, MD, PhD, FACS, Hideo Ohtsuka, MD, PhD, Masaharu Ishida, MD, PhD, Takadate Tatsuyuki, MD, PhD, Takeshi Aoki, MD, PhD, Kei Nakagawa, MD, PhD, Hiroki Hayashi, MD, PhD, Fuyuhiko Motoi, MD, PhD, Michiaki Unno, MD, PhD. Department of surgery, Tohoku University Graduate School of MedicineBackground: The treatment of congenital biliary… Continue Reading
- Topic:
- Biliary
Laparoscopic Exploration of Common Bile Duct with Primary Closure after Failed ERCP
Daniel Gomez, MD. ENDOOLAPIntroduction:CBD exploration are still performed by laparotomy with choledochotomy plus T tube placement after CBD stones removal subsequiently to failed ERCP in a large number of cases due to the technical challenges in the laparoscopic approach. Methods: From January 2014 to August 2016, 49 consecutive patients with common bile duct stones (CBDS)… Continue Reading
- Topic:
- Biliary
laparoscopic CBD exploration- an experience of more than 250 cases at a single centre
Krishna Asuri, MS, Bansal Virinder, MS, Misra Mahesh, MS. all india institute of medical sciencesIntroduction: The optimum management of patients with concomitant gall stones and common bile duct (CBD) stones is debatable. ERCP followed by cholecystectomy is the preferred method of management at present. Although randomized trials have shown single stage cholecystectomy and laparoscopic CBD… Continue Reading
- Topic:
- Biliary
Laparoscopic common bile duct exploration, long-term follow-up at Texas Endosurgery Institute
Morris E Franklin Jr., MD, FACS, Miguel A Hernandez, MD, Jeffrey L Glass, MD, FACS, Matthew Brown, MD, Jaime Diaz, MD. Texas Endosurgery InstituteRoutine use of intraoperative cholangiogram (IOC) in laparoscopic cholecystectomy leads to identification of patients with choledocholitiasis. Traditionally a surgical team performed its management, but the advance in technology of endoscopic retrograde cholangio-pancreatography… Continue Reading
- Topic:
- Biliary
T-tube versus Biliary Stent in Laparoscopic Common Bile Duct Exploration: Prospective Randomized Trial
V.v. Grubnik, O.i. Tkachenko, V.v. Ilyashenko, E.i. Shapovalova. Odessa national medical university, UkraineINTRODUCTION: Laparoscopic common bile duct exploration (LCBDE) for choledocholithiasis is a popular option in many surgical institutes. Decompression of biliary system via T-tube post supra-duodenal choledochotomy has been the traditional surgical practice. Primary closure of common bile duct (CBD) has been shown to… Continue Reading
- Topic:
- Biliary
Predictive Factors Associated with Cholangitis Following Endoscopic Retrograde Cholangiopancreatography
Joshua Tierney, MD, Neal Bhutiani, MD, Bryce Stamp, BS, John Richey, MD, Michael H Bahr, MD, Gary C Vitale, MD. University of Louisville Department of SurgeryBackground: Despite the low overall incidence of cholangitis following an ERCP, it can be a source of increased hospital cost and morbidity with the need for additional procedures and hospital… Continue Reading
- Topic:
- Biliary