Laparoscopic Dormía Basket retrieval by choledochotomy plus primary closure using three ports: Case report of a hooked Dormía Basket during ERCP
Daniel Gomez, MD, FACS1, Luis F Cabrera, General Surgeon2, Andres Mendoza, General Surgeon2, Ricardo Villareal2, Mauricio Pedraza2, Jean Pulido2, Eric Vinck, MD2, Sebastian Sanchez2. 1CPO, 2Bosque UniversityIntroduction: ERCP with endoscopic sphincterotomy (EN) and stone extraction with Dormia Basket or balloon catheters, is the current approach for the management of choledocholithiasis. Recently, there have been some… Continue Reading
- Type:
- Video Loop Presentations
- 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
Robotic laparoscopic assisted cystic duct ligation for persistent postoperative bile leak in Roux-en-Y gastric bypass patient
Baongoc Nasri, MD, PhD1, Jordan Wilkerson, MD1, Jamie Schutle, MD1, Marius Calin2, Timothy Glass, MD1. 1St VincentHospital, 2Virtua HospitalIntroduction: Cystic duct leak is an uncommon complication following cholecystectomy. Endoscopy is considered safe and effective therapy. However, ERCP in post gastric bypass can be technical challenges. Robotic assisted cystic duct exploration can be an option for… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary
Robotic Completion Cholecystectomy Following Unsuccessful Operative Intervention For Severe Acute Cholecystitis
Jordan A Wilkerson, MD, Cory Banaschak, DO, Jessica Belchos, MD, Bianca Kenyon, MD, Kyle Suedeal, MD, Kirpal Singh, MD. St. Vincent HospitalThis is a video abstract submission detailing a robotic completion cholecystectomy in a 56 year-old female that was performed for recurrent subhepatic abscesses and chronic symptoms following unsuccessful operative intervention for initial severe acute… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary
RE- LAPAROSCOPY IN LOW INSERTION REMNANT CYSTIC DUCT CALCULI WITH TYPE 1 MIRRIZZI SYNDROME
Manoj K Choudhury, MS, FMAS, Hrishikesh Deka, MS. Nemcare Superspeciality HospitalObjective: Re-laparoscopy in gall bladder or cystic duct remnant with calculous disease is a technically difficult approach. It carries increased conversion and biliary complications. But the morbidity is significantly reduced if performed successfully. Our objective is to reduce the morbidity of the patient. Method &… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary
Laparoscopic Cholecystectomy and CBD Exploration using Choledocotomy and Primary Closure following failed ERCP: A novel 3-port Technique
Daniel Gomez, MD, FACS1, Luis F Cabrera, General Surgeon2, Andres Mendoza, General Surgeon2, Ricardo Villarreal2, Mauricio Pedraza2, Jean Pulido2, Eric E Vinck2, Sebastian Sanchez2. 1CPO, 2Bosque UniversityIntroduction: Laparoscopy has many known advantages, including shorter hospital stay and less risk of surgical site infection, however, when applied to Mirizzi Syndrome, due to the technical challenges, the… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary
Laparoscopic hepatic cyst fenestration with biliary leak repair
Usah Khrucharoen, Yen-Yi Juo, Andrew Scott, Erik Dutson. UCLAIn this video, we present a patient with progressive polycystic liver disease undergoing laparoscopic hepatic cyst fenestration. The patient had previously undergone 4 prior laparoscopic hepatic cyst fenestration, yet her abdominal pain and distension recurred due to disease progression. The aim of this operation is to reduce the total… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary
Laparoscopic treatment of choledochal cyst with stapled hepaticojejunostomy
Sarfaraz Baig, MS, FRCS. Belle Vue ClinicLaparoscopic treatment of choledochal cyst is technically challenging. Leak stays the major cause of morbidity. With time, we have changed our technique of hepaticojejunostomy to include the use of staplers. With this technique, we are able to reduce the tension on the anastomosis as well as have makes the… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary
Robotic Parenchyma Sparing Central Pancreatectomy for a Mucinous Lesion of the Head and Neck of the Pancreas
Roberto Bustos, MD, Valentina Valle, MD, Alberto Mangano, MD, Sam Papasotiriou, Pier C Giulianotti, MD, FACS. University of Illinois at ChicagoIntroduction: Central pancreatectomy is among the techniques available for the treatment of pancreatic neck tumors. It is indicated for benign or low-grade malignant neoplasms. This pancreas-sparing technique was developed to avoid exocrine and/or endocrine insufficiency that… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary
Robot-Assisted Laparoscopic Subtotal Cholecystectomy and Common Bile Duct Exploration
Subhashini Ayloo, MD, MPH, Jacob Schwartzman, MD. Rutgers, New Jersey Medical SchoolObjective: To demonstrate the safety and feasibility of minimally invasive robot-assisted bile duct exploration and subtotal cholecystectomy for Mirizzi syndrome. Materials and Methods: A 42 year old woman presented with abdominal pain, cholangitis, and elevated LFT’s. Ultrasound confirmed cholelithiasis/choledocholithiasis. Two attempts of ERCP with… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary
Minimal invasive drainage of a large a large pancreatic pseudocyst
Ionut Bogdan I Diaconescu, Matei Razvan Bratu, Dragos Ene, Mircea Beuran. Carol Davila University of Medicine and PharmacyIntroduction: Laparoscopic cystogastrostomy is an suitable procedure for the drainage of pancreatic pseudocysts if the cysts is present in the lesser sac (retro-gastric). Methods: We present 2 consecutive cases where transmural drainage was tried, but for two cases… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary
Laparoscopic Bile Duct Excision
Ammiel Arra, Dr, N Bascombe, Dr, M Bartholomew, Dr, D Dan, Prof. San Fernando General HospitalObjective: Due to the risk of malignancy, the established management of choledochal cysts mandates bile duct excision and biliary reconstruction. While the reconstructive procedure of choice for most surgeons has traditionally been hepatico-jejunostomy, this may not be feasible in selected… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary
Laparoscopic Whipple in a South American Public Hospital
Ramon Diaz, MD1, Gerardo Davalos, MD1, Daniel A Guerron, MD1, Andres Marambio, MD2, Jose Galindo2. 1Duke University, 2Hospital La Florida - ChileWhipple procedures have been historically considered one of the most technically demanding operations in surgery. The introduction of the laparoscopic Whipple represents an even greater challenge, that only highly trained and selected centers in… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary
LAPAROSCOPIC RESECTION OF COMMON BILE DUCT CYST WITH ADVANCED BILIARY RECONSTRUCTION
Daniel Gomez, MD, FACS1, Luis F Cabrera, MD, General Surgeon2, Andres Mendoza, MD, General Surgeon2, Ricardo Villarreal, MD2, Mauricio Pedraza2, Jean Pulido2, Eric E Vinck, MD2, Sebastian Sanchez2. 1CPO, 2Bosque UniversityIntroduction: Common bile duct cysts are infrequent pathologic anomalies of the biliary system. When present they cause significant signs and symptoms ranging from abdominal pain… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary
Laparoscopic three ports CBD exploration with primary closure and biliary fistula resection in a hostile abdomen after a failed ERCP
Daniel Gomez, MD, FACS1, Luis F Cabrera, General Surgeon2, Andrez Mendoza, General Surgeon2, Ricardo Villareal2, Mauricio Pedraza2, Jean Pulido2, Eric Vinck2, Sebastian Sanchez2. 1CPO, 2Bosque UniversityIntroduction: The laparoscopic biliary tract exploration it's a challenging procedure by itself, but in patients with a hostile abdomen due to multiple adhesions secondary to previous surgeries, increase the risk… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary