VASCULAR SURPRISES IN CALOT’S TRIANGLE DURING LAPROSCOPIC CHOLEYSTECTOMY
Tariq Nawaz, MD. Rawalpindi Medical UniversityStudy Design: Prospective and observational study. Place and Duration: From January, 2012 to July 2017. Surgical Unit ll, Holy Family Hospital, Rawalpindi. Patients and Methods: Thousand patients with a diagnosis of cholithiasis were included. Exclusion criteria are patient younger than 12 year and older than 80 year. Calot’s triangle dissection was done… Continue Reading
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
Two port laparoscopic cholecystectomy in a pregnant woman
Hugo Bonatti, MD. University of Maryland Community Medical GroupBackground: Laparoscopic cholecystectomy during advanced pregnancy is challenging due to the limited intraabdominal space. Patients may be at increased risk for developing trocar site hernia. Case report: A 35 year old Hispanic female in her 22th week of pregnancy came to the ER with acute right upper… Continue Reading
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
TOBACCO USE DOES NOT CONTRIBUTE TO COMPLICATIONS AFTER CHOLECYSTECTOMY: A RETROSPECTIVE CHART REVIEW
Julia F Kohn, BS1, Alexander Trenk, MD2, Kristine Kuchta, MS2, Woody Denham, MD2, John Linn, MD2, Stephen Haggerty, MD2, Ray Joehl, MD2, Michael Ujiki, MD2. 1University of Illinois at Chicago; NorthShore University HealthSystem, 2NorthShore University HealthSystemINTRODUCTION: Laparoscopic cholecystectomy is an extremely common procedure in the United States, with over 700,000 cases performed annually. Despite the… Continue Reading
Three Month Interval Laparoscopic Cholecystectomy Using Endoscopic Gallbladder Stenting for Severe Acute Cholecystitis
Norimasa Koide, MD, Takehiko Enomkoto, MD, Kazuyoshi Suda. Department of Surgery, Niigatakensaiseikai Sanjyo HospitalIntroduction: The Tokyo guideline for acute cholecystitis (AC) recommends percutaneous transhepatic gallbladder drainage (PTGBD) followed by cholecystectomy for severe AC. But the optimal timing for the subsequent laparoscopic cholecystectomy remains unclear. And if PTGBD is performed, it appears to increase hospital stay… Continue Reading
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
THE INFLUENCE OF OBESITY DURING SINGLE-INCISION LAPAROSCOPIC CHOLECYSTECTOMY
Nobumi Tagaya, PhD, Yoshitake Sugamata, PhD. Department of Surgery, Dokkyo Medical University Koshigaya HospitalIntroduction: Obesity has been influenced the outcomes of laparoscopic surgery. Here we investigate the influence of obesity during single-incision laparoscopic cholecystectomy (SILC). Patients and methods: We performed SILC in 298 patients, comprising 146 males and 152 females with a mean age of… Continue Reading
The Impact of Cholangiography on 30-Day Readmissions After Laparoscopic Cholecystectomy
Andrew Lambour, MD, Karissa Tauber, Jesse Columbo, MD, Byron F Santos, MD. Dartmouth-Hitchcock Medical CenterBackground: The benefits of intra-operative cholangiography (IOC) during laparoscopic cholecystectomy have been widely studied. The impact on readmissions has yet to be fully determined. We hypothesized that surgeon confidence in lack of bile duct injury or retained stones afforded with IOC… Continue Reading
- Topic:
- Biliary
THE EFFECT OF PRIOR ULTRASOUND ON OUTCOMES IN ACUTE VERSUS ELECTIVE LAPAROSCOPIC CHOLECYSTOMY
Young Lee, MD, MSc, Arjun Chandrasekaran, MD, MSMPh, Gonzalo Ausqui, MD, Connor McGinley, BS, Pratibha Vemulapalli, MD, FACS, Luca Milone, MD, PhD. The Brooklyn Hospital CenterPatients who received ultrasound prior to admission for acute cholecystitis were compared with patients who presented electively for LC. Laparoscopic cholecystectomy (LC) is the gold standard operation for gallbladder disease.… Continue Reading
THE EFFECT OF INTRAOPERATIVE BILE SPILLAGE ON OPERATIVE DECISIONS AND SURGICAL OUTCOMES IN LAPAROSCOPIC CHOLECYSTECTOMY
Young Lee, MD, MSc, Arjun Chandrasekaran, MD, MSMPh, Gonzalo Ausqui, MD, Connor McGinley, BS, Pratibha Vemulapalli, MD, FACS, Luca Milone, MD, PhD. The Brooklyn Hospital CenterIntroduction: The effect of intraoperative bile spillage during laparoscopic cholecystectomy (LC) on operative time (OR time), length of stay (LOS), postoperative complication rates, and 30 day readmission rates was analyzed.… Continue Reading
The application of supine position in ERCP: Is it as safe and effective as prone position?
Luyang Zhang, MD, Minhua Zheng, MD, Zhihai Mao, MD. Department of General Surgery, Rui Jin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Minimally Invasive Surgery Center, Shanghai, ChinaObjective: To investigate if ERCP (endoscopic retrograde cholangiopancreatography)conducted with patient in supine position is as safe and effective as in traditional prone position. Methods: 52 consecutive… Continue Reading
SURGICAL OUTCOMES FOLLOWING PERCUTANEOUS CHOLECYSTOSTOMY PLACEMENT: A RETROSPECTIVE CHART REVIEW
Julia F Kohn, BS1, Alexander Trenk, MD2, Kristine Kuchta, MS2, Woody Denham, MD2, John Linn, MD2, Stephen Haggerty, MD2, Ray Joehl, MD2, Michael Ujiki, MD2. 1University of Illinois at Chicago; NorthShore University HealthSystem, 2NorthShore University HealthSystemINTRODUCTION: Laparoscopic cholecystectomy is a common procedure in the United States, and is safe even in patients with acute disease. … Continue Reading
Surgeon Procedure Volume Strongly Associated with Adverse Events Post Laparoscopic Cholecystectomy
Yazen Qumsiyeh1, Curtis T Adams, MD1, Sean Wrenn, MD2, Ashley Deeb1, Charles Maclean, MDCM, FACP3, Wasef Abu-Jaish, MD, FACS, FASMBS2. 1University of Vermont Larner College of Medicine, 2University of Vermont Medical Center, Department of Surgery, 3University of Vermont Medical Center, Department of medicineIntroduction: Recent studies have reported mixed outcomes when comparing surgeon case volume and Laparoscopic… Continue Reading
SUBTOTAL CHOLECYSTECTOMY: SAFE, TOLERATED, BUT WITH INCREASED NEED FOR RE-INTERVENTION
Jennifer A Rich, BS, Guillaume S Chevrollier, MD, Andrew Brown, MD, Emanual Okolo, BS, Adam Berger, MD, Ernest L Rosato, MD, Francesco Palazzo, MD, Michael J Pucci, MD. Sidney Kimmel Medical College of Thomas Jefferson UniversityINTRODUCTION: Subtotal cholecystectomy (SC) is a standard operation utilized to prevent bile duct injury (BDI) when the Critical View of… Continue Reading