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
A PROSPECTIVE RANDOMISED STUDY OF INTRA-PERITONEAL INSTILLATION OF ROPIVACAINE VERSUS BUPIVACAINE IN REDUCTION OF POST-OPERATIVE PAIN AFTER LAPAROSCOPIC CHOLECYSTECTOMY
Goldendeep Singh, Bimaljot Singh, Ashwani Kumar, PROFESSOR. Government Medical College PatialaIntroduction: The study was conducted to compare the efficacy of intraperitoneal instillation of Ropivacaine versus Bupivacaine for post operative pain relief after laparoscopic cholecystectomy and to compare the analgesic requirement and overall morbidity in patients with either of two interventions. Material and Method: This prospective… Continue Reading
ADVANTAGES AND LIMITATIONS ABOUT EARLY LAPAROSCOPIC CHOLECYSTECTOMY: EXPERIENCE IN A DISTRICT HOSPITAL
Susanna Mazzocato, MD1, Angela Maurizi, MD2, Damiana Mandriani, MD2, Fernando De Rose, MD2, Roberto Campagnacci, MD, PhD2. 1Department of General Surgery, Università Politecnica delle Marche, 60126 Ancona, Italy, 2General Surgery, ASUR Regione Marche, "Carlo Urbani" Hospital, Jesi, ItalyINTRODUCTION: The standard treatment for lithiasic acute cholecystitis remains the laparoscopic cholecystectomy despite the timing of surgery is… Continue Reading
Antegrade method of laparoscopic cholecystectomy for Left-sided gallbladder
Kwang Yeol Paik, WonKyung Kang, Prof. Catholic University of Korea, Yeouido St. Mary's HospIntroduction: The gallbladder (GB) placed in the left side (LS) of liver bed is a rare anatomy. This variation makes operator hard to perform cholecystectomy. Despite it is important to apprehend the detailed anatomy of bile duct and GB and understand how… Continue Reading
As small as it gets: micro-invasive laparoscopic cholecystectomy using only two 5mm trocars and a needle grasper
Hugo Bonatti, MD. University of Maryland Community Medical GroupBackground: 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 114 LCs performed from 6/2014 - 4/2017, 109 (96%) were done using three instruments… Continue Reading
Association of Biliary Disease and Reflux
Melanie Boyle, Daivyd Palencia, Philip Leggett. Houston Northwest Medical CenterBackground: There are very few studies assessing the relationship between gastroesophageal reflux and biliary disease. This is surprising as they share presenting symptoms as well as risk factors, particularly obesity. Our group previously produced a review of 36 patients in our practice who had undergone some… Continue Reading
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
Choledochal cyst excision in adults: Experience by laparoscopic approach
Sarrath Sutthipong, MD, Panot Yimcharoen, MD, Poschong Suesat, MD. Bhumibol Adulyadej HospitalBackground: Choledochal cyst (CC) is a rare disease, characterized by dilatations of the extra- or/and intrahepatic bile ducts. CCs occur most frequently in Asian and female populations. CC is associated with biliary lithiasis and considered at risk of malignant transformation. Todani’s classification dividing CC… Continue Reading
Current State of Complex Minimally Invasive Biliary Surgery
Shadi Aboudi1, Samer Kawak2, Katherine Su3, Tyrone Rogers3, Eugene E Ceppa3. 1St. Vincent Medical Group, Indiana University Health, 2Beaumont Health, 3Indiana University school of medicineIntroduction: Although minimally invasive surgery is a well-recognized part of modern surgery, the adoption of complex minimally invasive biliary procedures (MIBP) is unknown. Methods: A comprehensive literature search of MIBP from… Continue Reading
Development of the endoscopic treatment for bile duct injury-the method of direct closure using bioabsorbable polymer at the part of bile duct perforation-
Mitsuo Miyazawa, MD, FACS1, Masayasu Aikawa, MD2, Yasumitsu Hirano1, Kaizo Taniguchi1, Shozo Fujino1. 1Teikyo University Mizonokuchi Hospital, 2Saitama Medical University International Medical CenterBackground and aim: In recent years, due to the spread of laparoscopic cholecystectomy, bile duct injury as its complication has been reported at a certain frequency. Current surgical treatments include 1) suturing and… Continue Reading
DOES SELECTIVE USE OF HEPATOBILIARY SCINTIGRAPHY (HIDA) SCAN FOR DIAGNOSIS OF ACUTE CHOLECYSTITIS, FOLLOWING EQUIVOCAL NON-DIAGNOSTIC GALLBLADDER ULTRASONOGRAPHY, AFFECT OUTCOMES
Fahad Ali, BA, Amir Aryaie, MD, Eneko Larumbe, PhD, Mark Williams, MD, Edwin Onkendi, MD. Texas Tech University Health Sciences CenterIntroduction: Acute cholecystitis (AC) is diagnosed by characteristic gallbladder ultrasonographic findings (high specificity, low sensitivity). Hepatobiliary scintigraphy (HIDA) may be needed to confirm AC (higher sensitivity and specificity). The aim of this study was to… Continue Reading
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
Endoscopic Retrograde Cholangiopancreatogram (ERCP) Stent Occlusion After Sphincterotomy Due to Bleeding and Clot Formation
Shinban Liu, DO, David Parizh, DO, Vadim Meytes, DO, Mohan Kilaru, MD. NYU Langone Hospital - BrooklynIntroduction: Acute cholangitis is an ascending infection of the biliary tree secondary to obstruction and can be severe if proper intervention and treatment are not performed in a timely fashion. The most common management of cholangitis with ductal obstruction… Continue Reading
ENDOSCOPIC TRANS-PAPILLARY GALLBLADDER DRAINAGE (ETGBD) IN ACUTE CHOLECYSTITIS: A SINGLE CENTER EXPERIENCE
Arun Kritsanasakul, Chotirot Angkurawaranon, Jerasak Wannapraset, Thawee Rattanachu-ek, Kannikar Laohavichitra. Rajavithi HospitalBackground: Surgery is the mainstay of treatment for cholecystitis, however, it may not be safe or feasible in some circumstances such as severe cholecystitis or cholecystitis in extremely high-risk patients. Gallbladder drainage may be an appropriate alternative or a bridging option prior to cholecystectomy.… Continue Reading
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