Single Site Laparoscopic Cholecystectomy with Common Bile Duct Exploration
Indraneil Mukherjee, Aleksandr Demin, Thomas Kania, Andrey Mironenko, Karen E Gibbs. Staten Island University HospitalIntroduction: The approach for management of common bile duct stones has been evolving with advances in technology and surgical skills. The superiority of any option remains a matter of debate. Traditional laparoscopic or Open common bile duct explorations are prone to cause strictures of the… Continue Reading
- Topic:
- Biliary
Total Laparoscopic Pancreaticoduodenectomy
Narong Boonyagard, MD. BMA General HospitalTotal laparoscopic pancreaticoduodenectomy(TLPD) is one of the most advance abdominal operation due to the anatomical location and the surrounding major vasculature. Although laparoscopic surgery for oncology is rapidly growing in worldwide, laparoscopic surgery for pancreaticoduodenectomy has been slower than with other abdominal procedures because of the complexity and longer operative… Continue Reading
- Topic:
- Biliary
Total laparoscopic excision of Type 1 Choledochal cyst with Roux-en-y reconstruction.
S Velmurugan, HOD of Dept of GI and Lap Surgery, R Archana, MBBS, B Kasi Viswanath, MBBS. Kauvery Hospital, Trichy, Tamilnadu, INDIA22yr old female presented with epigastric and right upper quadrant abdominal pain. Examination showed mild tenderness in epigastrium and right hypochondrium. There was no palpable mass. Serum amylase and liver enzymes were elevated. Ultrasound… Continue Reading
- Topic:
- Biliary
LAPAROSCOPIC HEPATICO-DUODENOSTOMY FOR CHOLEDOCHAL CYSTS IN ADULTS
Ajay H Bhandarwar, MS, FMAS, FIAGES, FAIS, FICS, FBMS, FLCS1, Ravindra Ramadwar, MS, MCH, DNB, FRCS, Paed, surgery2, Nidhisha Sadhwani, MBBS1, Shivang D Shukla, MBBS3, Amol Wagh, MS, FAIS, FMAS, FBMS, FALS, FIAGES, FICS1, Eham Arora, MSDNB1, Shekhar Jadhav, MS, FMAS1, Amarjeet Tandur, MS1. 1Grant Government Medical College & Sir J.J. Group of Hospitals, Mumbai,… Continue Reading
- Topic:
- Biliary
Robot-Assisted Laparoscopic Repair of Hepatic Duct Stricture
Subhashini Ayloo, MD, MPH, Jacob Schwartzman, MD. Rutgers, New Jersey Medical SchoolObjective: To demonstrate the safety and feasibility of minimally invasive robot-assisted repair of an indeterminate hepatic duct stricture. Materials and Methods: A 57 year old woman presents with abdominal pain, obstructive jaundice, and elevated LFTs. Diagnostic imaging showed cholelithiasis, choledocholithiasis and a CHD stricture. … Continue Reading
- Topic:
- Biliary
Laparoscopic cholecystectomy for Mirizzi syndrome
Mitchell R Price, MD1, Dimitar S Ranev, MD2. 1Staten Island University Hospital, 2Lenox Hill HospitalThe surgical video shows a challenging laparoscopic cholecystectomy in a 17 year old female patient with Type 1 Mirizzi syndrome. It shows how the operative approach has to be adapted to the altered anatomy - the common hepatic duct and cystic… Continue Reading
- Topic:
- Biliary
LAPAROSCOPIC CHOLEDOCHAL CYST EXCISION IN A PATIENT WHO UNDERWENT A PRIOR CHOLEDOCHODUDENOSTOMY
Srikanth Gadiyaram, Dr, Gaurav Singh, Dr, Yashas H Ramegowda, Dr. Sahasra Hospitals, Centre of Excellence for Gastroenterology, Bangalore, IndiaBackground: Laparoscopic excision of the extrahepatic biliary apparatus with bilio-enteric reconstruction has become standard of care for type 1 choledochal cyst in many centres world wide. Revisional surgery done laparoscopically for excising a choledochal cyst following a… Continue Reading
- Topic:
- Biliary
LAPAROSCOPIC DEROOFING OF HYDATID CYST OF LIVER USING A 150MM, 12MM XCEL® TROCAR
Aditya Kumar, Hemanga K Bhattacharjee, Manjunath Bale, Suhani Suhani, Rajinder Parshad. All India Institute of Medical SciencesIntroduction: Hydatid disease is a rare zoonotic disease, still prevalent in some parts of the world including India. Open surgery is still common worldwide, but minimal access techniques are gaining momentum. Several techniques have been described in literature and… Continue Reading
- Topic:
- Biliary
Endoscopic and Laparoscopic Management of a Case of Bouveret Syndrome
Branden Hawara, MS1, Ryan D Horsley, DO2. 1Geisinger Commonwealth School of Medicine, 2Geisinger Community Medical CenterWe present a unique case of an 86 year-old male with multiple comorbidities including, but not limited to, chronic kidney disease, cirrhosis, atrial fibrillation, coronary artery disease, and cholecystitis. Over one year prior he underwent percutaneous transhepatic cholecystostomy tube placement… Continue Reading
- Topic:
- Biliary
Outcomes Following Cholecystectomy Performed for Cholangitis
Andrew C Discolo, MD, Shelby Reiter, MD, Bryce French, MD, Danielle Hayes, MD, Gary Lucas, MD, Lancy Tan, Ryan Martinez, MD. Swedish Medical Center First HillPurpose: Early cholecystectomy following gallstone pancreatitis is data supported, however there is minimal literature regarding optimal timing for cholecystectomy following cholangitis. Our study sought to assess the ideal timing for laparoscopic… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Biliary
Common Bile Duct Injuries: Why are they still common?
Reid Fletcher, MD, MPH1, Chandler Cortina, MD1, Hannah Kornfeld, MD1, Ruojia Li, MD1, Antonios Varelas1, Lauren Willoughby1, Benjamin Veenstra, MD1, Steven Bonomo, MD2. 1Rush University, 2John H. Stroger Hospital of Cook CountyIntroduction: The incidence of bile duct injury (BDI) during laparoscopic cholecystectomy has not changed significantly in the past 2 decades despite increased operative experience and… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Biliary
Early cholecystectomy (<8 weeks) following percutaneous cholecystostomy tube placement is associated with higher morbidity
Maria S Altieri, MD, MS1, Jie Yang, PhD2, Donglei Yin, MS2, Konstantinos Spaniolas, MD2, Michael Brunt, MD1, Mark Talamini, MD, MBA2, Aurora Pryor, MD2. 1Washington University School of Medicine, 2Stony Brook University HospitalIntroduction: Percutaneous cholecystostomy tube (PCT) placement is often the initial management approach to severe acute cholecystitis in the unstable patient. However, the timing… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Biliary
Early cholecystectomy (<72 hours) is associated with lower rate of complications and bile duct injury: a study of 109,862 cholecystectomies in the state of New York
Maria S Altieri, MD, MS1, L. Michael Brunt, MD1, Jie Yang, PhD2, Chencan Zhu, MS2, Mark Talamini, MD, MBA2, Aurora Pryor, MD2. 1Washington University School of Medicine, 2Stony Brook University HospitalIntroduction: Cholecystectomy is the standard of care for patients with acute cholecystitis. Timing of cholecystectomy has been debated, as recently early cholecystectomy (<72 hours) has been… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Biliary
Laparoscopic liver resection versus open liver resection for intrahepatic cholangiocarcinoma: 3-year outcomes of a cohort study
So Hyun Kang, Woohyung Lee, Youngrok Choi, Ho-Seong Han, Yoo-Seok Yoon, Jai Young Cho, Kilhwan Kim, In-Gun Hyun, Sunjong Han. Seoul National University Bundang HospitalIntroduction: Laparoscopic liver resection (LLR) for intrahepatic cholangiocarcinoma is debatable due to technical challenges associated with major hepatectomy and lymph node dissection. Published studies regarding this issue is scarce due to… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Biliary
Long term outcomes after Roux-en-Y hepaticojejunostomy versus hepaticoduodenostomy following laparoscopic excision of choledochal cyst in children
Fanny Yeung, Patrick Ho Yu Chung, Adrian Chi Heng Fung, Kenneth Kak Yuen Wong, Paul Kwong Hang Tam, Professor. Queen Mary HospitalIntroduction: Choledochal cysts are congenital dilations of the biliary tree. Complete cyst excision and biliary-enteric reconstruction have been the standard operations for choledochal cyst. In our centre, more than 95% of choledochal cyst excision was… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Biliary