Totally laparoscopic management in complicated case of choledochal cyst
Hariruk Yodying, MD1, Sermsri Pongratanakul, MD1, Vichit Viriyaroj, MD1, Thammanij Rookkachart, MD1, Thanatorn Sricharoen, MD2. 1Department of surgery ,Sirindhorn medical center Hospital , Srinakharinwirot University, 2Department of radiology ,Sirindhorn medical center Hospital , Srinakharinwirot UniversityBackground: Choledochal cysts typically are a surgical problem of childhood, but some of the patients can have delay presentation in adult. The… Continue Reading
- Topic:
- Biliary
REVISITING THE IMPACT OF INTRAOPERATIVE CHOLANGIOGRAPHY ON CHOLECYSTECTOMY COMPLICATION RATES AND OPERATIVE TIME
Ashley L Deeb1, Yazen Qumsiyeh1, Sean Wrenn, MD2, Charles Maclean, MDCM, FACP3, Wasef Abu-Jaish, MD, FACS, FASMBS2. 1The Robert Larner, M.D. College of Medicine at the University of Vermont, Burlington VT, 2Department of Surgery, University of Vermont Medical Center, Burlington VT, 3Department of Medicine, University of Vermont Medical Center, Burlington VTIntroduction: The utility of intraoperative… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Biliary
Is Hyperkinetic Gallbladder an Indication for Cholecystectomy?
Shireesh Saurabh, MD, Benjamin Green, DO. Mercy Iowa CityINTRODUCTION: Most studies recommend cholecystectomy for patients with biliary dyskinesia, defined by gallbladder ejection fraction (GBEF) of less than 35 – 40% on HIDA scan. There are no recommendations regarding management of hyperkinetic gallbladder defined by GBEF of more than 80% on HIDA scan. The aim of… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Biliary
CHOLECYSTECTOMY FOLLOWING PERCUTANEOUS CHOLECYSTOSTOMY TUBE PLACEMENT LEADS TO HIGHER RATE OF CBD INJURIES
Maria S Altieri, MD, MS, Jie Yang, PhD, Donglei Yin, MS, Salvatore Docimo, MD, Konstantinos Spaniolas, MD, Mark Talamini, MD, MBA, Aurora Pryor, MD. Stony Brook University HospitalIntroduction: Percutaneous cholecystostomy tube (PCT) placement is often the initial management of severe acute cholecystitis in the unstable patient. PCT can be later reversed and cholecystectomy performed. The… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Biliary
26 years of experience in laparoscopic common bile duct exploration a single institution experience at Texas Endosurgery Institute.
Paulina Bajonero Canónico, MD1, Morris Franklin jr, MD2, Miguel A Hernandez, MD2, Dolores Lopez-Garnica, MD1, Montserrat Guraieb-Trueba, MD1. 1Tecnologico de Monterrey, 2Texas Endosurgery InstituteIntroduction: Routine use of intraoperative cholangiogram (IOC) in laparoscopic cholecystectomy leads to identification of patients with choledocholithiasis. Traditionally a surgical team performed its management, but advances in technology of endoscopic retrograde cholangiopancreatography… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Biliary
THE LESSER OF TWO EVILS: DEALING WITH COMPLICATIONS AFTER LAPAROSCOPIC SUBTOTAL CHOLECYSTECTOMY
Guillaume S Chevrollier, MD, Danica N Giugliano, MD, Jennifer A Rich, BS, Jonathan M Stem, MD, Andrew M Brown, MD, Francesco Palazzo, MD, Michael J Pucci, MD. Sidney Kimmel Medical College of Thomas Jefferson University, Department of SurgeryWe present a video case presentation of a patient who developed cholecystolithiasis, choledocholithiasis, and a cystocutaneous fistula after… Continue Reading
- Topic:
- Biliary
GALLBLADDER DUPLICATION: INTRAOPERATIVE DIAGNOSIS USING ICG
Andres E Giovannetti, MD1, Michael Prendergast, MD2. 1UIC-MGH General Surgery Residency, 2Presence St Francis Hospital EvanstonINTRODUCTION: Biliary anatomy is variable and its knowledge is key in the surgical management of our patients. Gallbladder duplication is a rare finding with an incidence estimated of 1:4,000 cases. Was first described in a Roman Emperor’s slave autopsy. Management… Continue Reading
- Topic:
- Biliary
Dome-Down Laparoscopic Cholecystectomy in Acute Cholecystitis
Kamthorn Yolsuriyanwong, MD, Eric Marcotte, MD, Bipan Chand, MD. Loyola University Chicago, Stritch School of MedicineBackground: In normal situations, laparoscopic cholecystectomy (LC) usually starts with dissection from the triangle of Calot upwards towards the dome of the gallbladder. However, the surgeon may encounter a difficult LC, which loss of anatomical details particularly in the triangle… Continue Reading
- Topic:
- Biliary
Type I Choledochal Cyst. Laparoscopic Excision and Roux en Y Hepaticojejunostomy
Mauro Andrés Perdomo Pérez, MD, Pablo Valsangiácomo, Martin Bentancur, Cecilia Chambon, Daniel Gonzalez, Luis Ruso Martinez. Hospital MacielCase presentation of a Todani´s type Ia choledochal cyst. Totally laparoscopic excision and Roux en Y hepaticojejunostomy video. 45-year-old female, presented with right upper quadrant abdominal pain and obstructive jaundice. Laparoscopic cholecistectomy 17 years ago. Seven-year history of… Continue Reading
- Topic:
- Biliary
Laparoscopic Management of Intra-hepatic Gall Bladder Perforation
Ajay Bhandarwar, MS, FICS, FBMS, FALS, FMAS1, Tejas Nikumbh, DNB1, Gajanan Wagholikar, MS, MCh, DNB, FACS, FICS2, Amol Wagh, MS, FMAS, FBMS, FALS, FIAGES1, Eham Arora, MS1, Shubham Gupta, MS1, Jasmine Agarwal1, Gagandeep Talwar1. 1Grant Government Medical College & Sir JJ Group of Hospitals, India, 2Deenanath Mangeshkar Hospital & Research Centre, Pune, IndiaCholecystohepatic communication, i.e.… Continue Reading
- Topic:
- Biliary
ROBOT-ASSISTED REPAIR OF E1-BILIARY DUCTAL INJURY WITH ROUX-EN-Y HEPATICOJEJUNOSTOMY
Subhashini Ayloo, MD, MPH, FACS, Chetan Merchant, MD, Gregory Grimberg, MD, Jacob Schwartzman, MD. Rutgers New Jersey Medical SchoolObjective: To demonstrate the safety and feasibility of minimally invasive robot-assisted early repair of E1 bile duct transection post laparoscopic cholecystectomy. Materials & Methods: A 36 year old woman with previous laparoscopic cholecystectomy eight days prior was… Continue Reading
- Topic:
- Biliary
Extrahepatic Bile Duct Anomalies:a case series using fluorescent cholangiography
Scott W Schimpke, MD, Jin Yoo, MD, Sugong Chen, MD, Matthew Davis, MD, Chan Park, MD, Keri Seymour, DO, Ranjan Sudan, MD, Dana Portenier, MD, Camila B Ortega, MD, Alfredo D Guerron, MD. Duke UniversityEvery surgeon should be able to identify extrahepatic bile duct anomalies and thus avoid a complication during a laparoscopic cholecystectomy. We… Continue Reading
- Topic:
- Biliary
LAPAROSCOPIC HEPATICOJEJUNOSTOMY FOR OBSTRUCTED BILIARY STENT
Sugong Chen, MD, Scott Schimpke, MD, Matthew Davis, MD, Camila Ortega, Chan Park, MD, Jin Yoo, MD, Keri Seymour, MD, Alfredo D Guerron, MD, Sudan Ranjan, MD, Kunoor Jain-Spangler, Dana Portenier, MD. Duke University Department of SurgeryA 38 year old Hispanic Female was lost to follow up after biliary stent placement for choledocholithiasis, and this… Continue Reading
- Topic:
- Biliary
Role of intraoperative cholangiography for detecting residual stones after biliary pancreatitis: still useful? A retrospective study.
Laura Meiler, DO1, Justin Gusching, DO1, Dwayne North, DO1, Courtney Pisano, DO1, Kristen Conrad-Schnetz, DO2, Christian Massier, MD1. 1South Pointe Hospital, 2Metro HealthIntroduction: Intraoperative cholangiography (IOC) may detect residual stones in the common bile duct (CBD) after acute biliary pancreatitis (ABP). The aim of the present study is to analyze the utility of IOC in… Continue Reading
Robotic-Assisted Completion Cholecystectomy: A Safe and Effective Minimally Invasive Approach to a Challenging Surgical Scenario
William B Lyman, MD, Michael Passeri, MD, David A Iannitti, MD, FACS, Dionisios Vrochides, MD, PhD, FACS, FRCSC, Erin H Baker, MD, FACS, John B Martinie, MD, FACS. Carolinas Medical CenterBackground: Housed in a high volume tertiary referral center, our division receives a large amount of transfers and referrals from outside institutions for patients who… Continue Reading