Pancreaticojejunostomy reconstruction for small pancreatic duct in totally laparoscopic pancreaticoduodenectomy
Hariruk Yodying, MD. Department of surgery, HRH Princess Maha Chakri Sirindhorn Medical Center (MSMC) Hospital, Srinakharinwirot UniversityBACKGROUND: Laparoscopic pancreaticoduodenectomy (LPD) is a complex procedure that has been cautiously regarded as feasible and safe for resection and reconstruction. Postoperative pancreatic fistula (POPF) remains the major complication after pancreaticoduodenectomy. Risk factors commonly reported to increase the risk of… 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
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
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 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
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 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
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
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
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
Robotic Repair of Choledocho- right hepatic arterial fistula
Adel Alhaj Saleh, MD, MRCS, Edwin Onkendi, MBChB. Texas Tech University Health Sciences CenterThe patient is a 53-year-old female who was transferred to us from another instituition. Two weeks ago, she presented with abdominal pain and work-up showed a large common bile duct stone. She was seen by a gastroenterologist locally who performed ERCP, but… Continue Reading
- Topic:
- Biliary
Tips for Single-Incision Laparoscopic Cholecystectomy
Eijiro Harada, MD, Yuki Suehiro, MD, Naruji Kugimiya, MD, Yoshihiro Takemoto, MD, Atsushi Suga, MD, Kimikazu Hamano, MD. Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, JapanSingle-incision laparoscopic cholecystectomy (SILS-C) has been developed as an alternative method to multi-port laparoscopic cholecystectomy. However, SILS-C has some difficulties due to limited triangulation and… Continue Reading
- Topic:
- Biliary
Approach to Safe Laparoscopic Cystic Duct Remnant Resection: More Than Just Careful Dissection
Essa M Aleassa, MD, MSc, Kevin M El-Hayek, MD. Section of Hepatopancreatobiliary Surgery, General Surgery, Cleveland Clinic FoundationIntroduction: Presentation of recurrent symptoms of calculous biliary disease after remote cholecystectomy should hint at the presence of a retained cystic duct remnant stone. While non-surgical options should be attempted first, they can be unsuccessful. This video demonstrates… Continue Reading
- Topic:
- Biliary
Unexpected Finding of Gallbladder Torsion Resulting in Ischemia: A Rare Diagnosis
Jordan Wilkerson, MD, Cory Banaschak, DO, Amelie Lueders, MD, Viney Mathavan, MD. St. Vincent HospitalThis video abstract submission demonstrates an unexpected intra-operative finding of gallbladder torsion resulting in ischemia which was identified at the time of laparoscopic cholecystectomy. The patient presented is a 91 year-old male who presented with concern for acute cholecystitis based on… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary
Laparoscopic left lateral hepatic segmentectomy
Usah Khrucharoen, Yen-Yi Juo, Yijun Chen, Erik Dutson. UCLAIn this video, we present a patient with a 5-cm solid mass in liver segments 2 and 3. The patient had a history of oral contraceptive use and her tumor's MRI appearance was consistent with hepatocellular adenoma, hepatocyte nuclear factor (HNF) 1 alpha-inactivated subtype, the second most common… Continue Reading
- Topic:
- Biliary