When to Operate on Gallbladder Polyps in Chinese-Americans
Carmen F Fong1, Joanne Ling2, David Pechman1, Steven Cai, MD1. 1Mount Sinai Beth Israel, 2CUNY Medical SchoolBackground: The current teaching is that gallbladder polyps greater than 1cm need to be resected via cholecystectomy. Many of these polypoid lesions are benign on final pathology and the benefit of the patient undergoing surgery is unclear. The literature… Continue Reading
- Topic:
- Biliary
Video Assessment of the Critical View of Safety: No Consensus Exists
Benjamin Carr, MD, Niki Matusko, BS, Gurjit Sandhu, PhD, Oliver Varban, MD. University of MichiganINTRODUCTION: Recent studies suggest that the critical view of safety (CVS) as originally defined by Strasberg and colleagues may be achieved in fewer than 20% of laparoscopic cholecystectomy (LC) cases. This implies high variability in surgeons’ understanding of the CVS, or… 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
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
Technique of Cystic Duct Cut-Down for Difficult Laparoscopic Trans-Cystic CBDE with Access to Proximal Hepatic Ducts
Lee M Morris, MD, Patrick R Reardon, MD. The Houston Methodist HospitalThis is a video case report illustrating a technique of a cystic duct cut down for difficult laparoscopic trans-cystic common bile duct explorations, which also provides access to the proximal hepatic ducts.Presented at the SAGES 2017 Annual Meeting in Houston, TX.Abstract ID: 80923Program Number:… Continue Reading
- Topic:
- Biliary
Teaching Cholangiography in General Surgery Residency: A five-year experience
Julian Maendel, MD, William Hope, MD, Thomas Clancy, MD. New Hanover Regional Medical CenterObjective: To evaluate the role of routine intraoperative cholangiography in a surgical residency program, and whether level of training correlates with technical proficiency and length of procedure. Design: We retrospectively reviewed all patients undergoing laparoscopic cholecystectomy with intraoperative cholangiography by surgical residents… 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
Symptomatic Hyperkinetic Biliary Dyskinesia: A Predictor of Successful Outcomes after Cholecystectomy
Joseph C Melvin, MD1, Erica Ibendahl, MD1, Mark Perna, MD2, Arthur L Rawlings, MD, MDiv1. 1University of Missouri, 2Mercy Hospital Berryville, ArkansasObjective: Classic biliary colic and a cholecystokinin hepatobiliary iminodiacetic acid (CCK-HIDA) scan demonstrating an ejection fraction less than 35% is a well-established indication for cholecystectomy as definitive treatment. However, in patients without stones and… Continue Reading
- Topic:
- Biliary
Single Incision Laparoscopy Surgery (SILS) Cholecystectomy: How do we do it, Can it be standardized?
Pravish Rai Sookha, MD, PhD. Clinique du NordIntroduction: The limit of minimally invasive surgery is challenged constantly in todays world. After an era where conventional laparoscopic surgery was a challenge, today we are facing the same challenge with SILS. Methods and Procedures: After training from Pelican hospital Romania under the guidance of Prof Maghiar I… Continue Reading
- Topic:
- Biliary
Single Incision Laparoscopic Cholecystectomy
Nihat Yavuz, MD1, Serkan Teksöz, MD2, Engin Hatipoglu, MD2, Sabri Erguney, MD2, Osman Tortum, MD2, Tuna Yildirim, MD1, Sirri Özkan, MD1. 1Acibadem Kadikoy Hospital,General Surgery Department, 2Istanbul University,Cerrahpasa Medical School,General Surgery DepartmentIntroduction: Thanks to technological advances, laparoscopic surgery continues to evolve . One recent advance in this field is laparoscopy performed through a single incision.… Continue Reading
- Topic:
- Biliary
Role of Staging Laparoscopy in Patients Undergoing Pancreatoduodenectomy
Awais A Malik, Muhammad I Ashraf, Raza Hasnain, Aamir A Syed, Faisal Hanif. Shaukat Khanum Memorial Cancer Hospital & Research CenterIntroduction: We aim to evaluate the role of staging laparoscopy in patients undergoing pancreatoduonectomy for pancreatic/periampullary tumors at our institution. Methods: All patients planned for pancreatoduodenectomy who underwent staging laparoscopy between September 2014 and June… Continue Reading
- Topic:
- Biliary
Reduced-port laparoscopic cholecystectomy with 3mm minute-diameter forceps
Shuichi Iwahashi, Mitsuo Shimada, Satoru Imura, Yuji Morine, Tetsuya Ikemoto, Yu Saito, Masato Yoshikawa. Department of Surgery, Tokushima UniversityIntroduction: Laparoscopic cholecystectomy (Lap-C) is the standard operation for the benign diseases, such as cholecystolithiasis, adenomyomatosis and gallbladder polyp. Single-incision laparoscopic cholecystectomy (SILS-C) contains the difficult techniques for the young surgeons. Therefore, we examined the utility of… Continue Reading
- Topic:
- Biliary
Prospective evaluation of low insufflation pressure cholecystectomy using an insufflation management system versus standard CO2 pneumoperitoneum
Rashid Kikhia, MD1, Kristie Price1, Vamsi Alli, MD2, Aurora Pryor, MD1, Gerald Gracia1, Jerry Rubano, MD1, Jessica Schnur1, Dana Telem, MD3. 1Stony Brook Medicine, 2Penn State, 3University of MichiganBackground: Pneumoperitoneum produces significant hemodynamic and cardiopulmonary changes. At present abdominal insufflation to 15mmHg is standard during laparoscopy; however, even at that accepted pressure studies demonstrate increased… 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
Percutaneous Cholangioscopy for Managing Common Bile Duct Stones Post Roux-En-Y Gastric Bypass
Rebecca Zener, MD, FRCPC, Eran Shlomovitz, MD, FRCPC, FRCSC. University Health NetworkA 68-year-old man with a history of Roux-en-Y gastric bypass presented with cholangitis secondary to obstructive choledocholithiasis. Percutaneous cholangioscopy and lithotripsy were selected as an ultra minimally-invasive approach to manage the common bile duct (CBD) stone. Acute decompression and drainage were performed percutaneously with… Continue Reading
- Topic:
- Biliary