LAPAROSCOPIC MANAGEMENT OF TYPE II (RARE TYPE ) CHOLEDOCHAL CYST
Sumita A Jain, Senior Professor. SMS Hospital and Medical CollegeCholedochal cysts (CCs) are rare medical conditions with an incidence in the western population of 1 in 100 000–150 000 live births. 50%–80% are type I, 2% type II, 1.4%–4.5% type III, 15%–35% type IV 20% type V. The etiology of CCs is still unclear. Babbitt’s theory… Continue Reading
The Impact of Clostridium Difficile Infection on Treatment Outcomes Among Patients with Acute Pancreatitis: A Nationwide Analysis
Heather Peluso, DO1, Wesley B Jones, MD1, Marwan S Abougergi, MD2. 1Greenville Health System, 2Catalyst Medical Consulting, LLCIntroduction: Antibiotics are frequently used to treat acute pancreatitis before the presence of infected necrosis is established, which predisposes patients to Clostridium Difficile Infection (CDI). We sought to determine the impact of CDI on mortality, 30-day readmission, morbidity… Continue Reading
Laparoscopy versus transmural endoscopic drainage of a pancreatic pseudocyst
Ionut Bogdan I Diaconescu, MD, PhD, Matei Razvan Bratu, Madalina Ilie, Gabriel Constantinescu, 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 a series of 7 consecutive cases. First… Continue Reading
The Endoscopic Correction of Anastomotic Strictures after Liver Transplantation.
Bolatbek Baimakhanov, Prof, PhD, MD, Yerlan Abdirashev, MD, Maksat Doskhanov, MD, Nurken Abdiyev, MD. JSC “National Scientific center of surgery named after A.N. Syzganov’s”Background/Aims: The purpose is a retrospective analysis of endoscopic treatment (ET) of anastomotic strictures (AS) after LDLT and DDLT. Methods: In the period from December 2015 to August 2018, we analyzed 107… Continue Reading
ADENOMYOMATOUS HYPERPLASIA OF DISTAL COMMON BILE DUCT: A CASE REPORT AND REVIEW OF THE LITERATURE
Paul S Chandler, MD, Jonathan Harris, Danny Sherwinter, MD. Maimonides Medical CenterAdenomyomatous hyperplasia (AH) is commonly found in the gallbladder and is considered a tumor-like inflammatory lesion arising from Rokitansky-Aschoff sinus. It is extremely rare in the extrahepatic bile duct and only 15 cases have been reported to date. We describe a 63-year-old male patient… Continue Reading
Total laparoscopic cholecystectomy in moderate to severe acute cholecystitis: still a safe procedure
Juan D Hernandez, MD, FACS1, Gabriela L Larios, MD, FACS2, Diana C Quintero2, Gabriel Herrera, MD, FACS1, Roosevelt Fajardo, MD, FACS1, Felipe Perdomo, MD3, Francisco J Diaz, MD1, Ricardo M Nassar, MD3. 1Hospital Universitario Fundacion Santa Fe de Bogota, Universidad de los Andes School of Medicine, 2Universidad de los Andes School of Medicine, 3Hospital Universitario… Continue Reading
LAPAROSCOPIC BILE DUCT INJURY.EFFECT OF SURGICAL REPAIR.
Shahidur Rahman, Professor. Bangobandhu Sheikh Mujib Medical UniversityIntroduction: The aim of this study was to analyze the surgical treatment results of major bile duct injuries. A single institution prospective analysis of 30 patients with bile duct injuries , underwent surgical repair. Methods: From January 2004 to september 2018, a prospective records of all patients with a BDI… Continue Reading
The Application of Laparoscopy in Staged and Redo Surgery in Children with Choledochal Cysts
Mei Diao, Professor, Long Li, Professor. Department of Pediatric Surgery, Capital Institute of PediatricsPurpose: Conventionally, staged and redo surgeries are thought to be contra-indications for laparoscopy in children with choledochal cysts (CDC) because of adhesions, deranged anatomy, and demanding techniques. The current study is to assess the efficacy of laparoscopic staged and redo surgeries in… Continue Reading
Clinical, Radiological and Pathological Presentation of Intramural Intraductal Papillary Mucinous Neoplasm of the Gallbladder.
Indraneil Mukherjee, Aleksandr Demin, DO, Ian Provancha, Jocelyn Villanueva, Anupma Agarwal. Staten IslandINTRODUCTION: The clinicopathologic characteristics of epithelial neoplasms of the gallbladder is limited, due to its rarity and because of the variability in terminology. The World Health Organization classification of 2010 added Mucinous cystic neoplasms as a separate entity. The Category of lntracystic papillary neoplasm… Continue Reading
Single-incision laparoscopic cholecystectomy in patients with previous upper abdominal surgery
Junpei Suzuki, Nobumi Tagaya, Horoshi Kusaba, Yuichi Obana, Yuhei Nakano, Masako Mizoguchi, Yukino Yoshimura, Takashi Arai, Yako Hasegawa, Junichi Suzuki, Tomoki Kido, Koji Matsushita, Nobuhisa Teranishi, Toshifumi Arai, Tetsuya Kurosaki, Masayuki Hatanaka. Itabashi Chuo General HospitalIntroduction: Single-incision laparoscopic cholecystectomy (SILC) has become a treatment of choice for symptom gallbladder diseases. However, its indication is still… Continue Reading
Possible Variables to Develop a Scoring System to Predict Preoperative Diagnosis of Acute Cholecystitis
Theophilus Pham, MBA1, Daron Jacob, BS1, Chanaka Kahathuduwa, PhD2, Adel Alhaj Saleh, MD, MRCS1, Amir H Aryaie, MD, FACS1. 1Texas Tech University Health Sciences Center, 2Texas Tech UniversityIntroduction: Cholecystitis and symptomatic cholelithiasis are two diseases that can present with very similar general symptoms making it difficult to distinguish between them based solely on clinical findings.… Continue Reading
Impact of On-Table ERCP in the Acute Setting on Length of Stay at a Tertiary Care Center
Samantha R Witte, MD, Katelin Mirkin, MD, Jerome Lyn-Sue, MD. Penn State HealthIntroduction: The management of acute complicated cholecystitis with choledocholithiasis diagnosed either during the initial workup or in the operating room by cholangiogram can be a complex and challenging problem to manage. We compared outcomes between patients who underwent preoperative ERCP followed by delayed… Continue Reading
Live QA, live image sharing and grading to evaluate the CVS in cholecystitis
Kathryn S Sobba, MD, Adolfo Fernandez, MD, Stephen Mcnatt, MD, Myron Powell, MD, Andrew Nunn, MD, Amy Hildreth, MD, Clancy Clark, MD, Barbara Yoza, PhD, Lauren Mccormack, MD, Amit Saha, PhD, Jessica Gross, MD, Preston Miller, MD, Carl Westcott, MD, Matthew Tufts, MD. Wake Forest Baptist Medical CenterOBJECTIVE: The Critical View of safety is a… Continue Reading
SAFETY AND FEASIBILITY OF DAY CARE LAPAROSCOPIC CHOLECYSTECTOMY IN A TERTIARY CARE UNIVERSITY HOSPITAL – A RANDOMIZED CONTROLLED STUDY
Anubhav Vindal, MS, DNB, MRCSEd, FRCSGlas, FACS, FAIS, Saurav Kumar, MBBS, Pawanindra Lal, MS, DNB, FRCSEd, FRCSGlas, FACS, FAIS. Division of Minimal Access Surgery, Department of Surgery, Maulana Azad Medical College, New Delhi, IndiaBackground: Day care laparoscopic cholecystectomy (DCLC) is increasingly replacing inpatient cholecystectomy in the developed nations. Early mobilization and return to normal activities has… Continue Reading
Outsized approaches in the diagnosis of biliary pancreatitis.
I. Fedoriv, MD, V. Myesoyedova, MD. Dpt. of Surgery. Ivano-Frankivsk national medical university. UkraineThe purpose of the study was to determine the differences in the dynamics of glycemia in the first few minutes after glucose loading, because in that time the diagnostically valuable indicators that would show a statistically proven correlation with the severity of… Continue Reading