Usefulness of the laparoscopic approach for liver resection of multi-site lesions
Masayasu Aikawa, Kenichiro Takase, Yukihiro Watanabe, Katsuya Okada, Kojun Okamoto, Shinichi Sakuramoto, Shigeki Yamaguchi, Isamu Koyama. Saitama medical university, international medical centerIntroduction: The laparoscopic liver resection (LLR) has become widespread because it is less invasive. However, the evidence of its less invasiveness has not been reported in multiple resections for hepatomas. We investigated the less… Continue Reading
Biliary Hyperkinesa: Is it a true indication for cholecystectomy?
Ratnakishore Pallapothu, MD, FACS, FASMBS1, Matthew Protas, MSIII2, Todd Prier, MD, FACS3, Jerome Brustein, MD3, Nirupama Anne, MD, FACS1. 1Our Lady of Lourdes Memorial Hospital, Binghamton, NY. SUNY Upstate Medical University, Binghamton Clinical Campus, Clinical Assistant Professor of Surgery., 2SUNY Upstate Medical University Syracuse NY, 3Our Lady of Lourdes Memorial Hospital, Binghamton, NYBackground: Biliary hyperkinesia is… Continue Reading
THE USE OF INDOCYANINE GREEN(ICG) FOR IMAGE-GUIDED LAPAROSCOPIC CHOLECYSTECTOMY. COMPARISON OF TWO METHODS OF ICG ADMINISTRATION
Nikolaos Antoniou, Orestis Ioannidis, Ioannis Mantzoros, Stathis Kotidis, Loukiani Kitsikosta, Dimitris Konstantaras, Konstantinos Tsalis. Aristotle UniversityLaparoscopic cholecystectomy is one of the most commonly performed operations worldwide. Bile duct injury (BDI) is a rare but very serious complication of of the procedure, with a significant impact on quality of life and overall survival. The high frequency… Continue Reading
SIMPLIFIED LAPAROSCOPIC BILE DUCT RECONSTRUCTION USING A DOUBLE-OMEGA: AN 18 PATIENT CASE SERIES INTRODUCING A NOVEL SURGICAL APPROACH
Daniel Gomez, MD, FACS1, Luis F Cabrera, MD2, Ricardo Villarreal2, Andres Urrutia3, Eric Vinck2, Mauricio Pedraza2, Sebastian Sanchez2, Jean Pulido2. 1Military University, 2Bosque University, 3Universidad Pedagógica y Tecnológica de TunjaIntroduction: The management of Laparoscopic from the benign bile duct pathologies has become a mainstay approach because of the advantages offered to patients. Even though patients… Continue Reading
A case report of Double gallbladder and Choledochal cyst in a single patient.
Abdulaziz A Arishi, MD, Amin M Ahmad, MD, Wesley C Judy, David Heidt, MD. University of Toledo Medical CenterIntroduction: Double gallbladder is an uncommon condition. The incidence of Double gallbladder alone is about 1 in 3000-4000 cases where the incidence of choledochal cyst is ranging from 1 in 13 000 persons to 1 in 200 000… Continue Reading
Laparoscopic Common Bile Duct Decompression with Primary Closure for CBD stones following failed ERCP: a case series
Daniel Gomez, MD, FACS1, Luis F Cabrera, General Surgeon2, Andres Mendoza2, Ricardo Villarreal2, Mauricio Pedraza2, Jean Pulido2, Eric Vinck2, Sebastian Sanchez2. 1CPO, 2Bosque UniversityBackground: Despite studies showing the effectiveness of common bile duct surgery (CBD) using laparoscopy in the international literature, In Colombia there are no series detailing the benefits and advantages of this approach… Continue Reading
Pancreatic Necrosectomy: Predicting the morbidity and mortality of pancreatic debridment
Noah J Swann, MD, Nobel Letendre, BS, Brian Cox, MD, James Recabaren, MD, FACS. Huntington HospitalIntroduction: Debridement of pancreatic necrosis is traditionally considered a morbid procedure. Previous multi-center studies using 2007 data have demonstrated 6.8% 30-day mortality for pancreatic necrosectomy; Laparoscopic and percutaneous management of pancreatic and peri-pancreatic necrosis have become increasingly prevalent, but haven’t… Continue Reading
Comparison between transpapillary vs. transduodenal biliary decompression for biliary obstruction: a meta-analysis
Aaron Pinnola, DO, Yuan Du, Paula Veldhuis, Sebastian De La Fuente. Institute for Surgical Advancement, Florida Hospital OrlandoIntroduction: The effectiveness of transpapillary endoscopic retrograde cholangiopancreatography (ERCP) with stenting for palliative relief of biliary obstruction is well established. Recently, technical advances have led to the development of transduodenal endoscopic ultrasound guided biliary drainage (EUS-BD) for use in… Continue Reading
Scoring system for preoperative diagnosis of gangrenous cholecystitis
Rebecca C Gologorsky, MD1, Justin R Tse, MD2, Aya Kamaya, MD2. 1University of California San Francisco-East Bay, 2Stanford University Gangrenous cholecystitis is a severe complication of acute cholecystitis and is associated with high morbidity and mortality. There are few characteristic clinical indicators of gangrenous cholecystitis, making preoperative diagnosis difficult. Previously published algorithms involve extensive mathematics… Continue Reading
NSQIP DATABASE ANALYSIS DOES NOT SUPPORT PREOPERATIVE ANTIBIOTIC USE FOR OUTPATIENT LAPAROSCOPIC CHOLECYSTECTOMY
Sora Ely, MD1, Rebecca C Gologorsky, MD1, Michelle R Huyser, MD1, Genna Beattie, MD1, C K Chang, MD2. 1UCSF East Bay Surgery, 2Kaiser Permanente Oakland Medical CenterIntroduction: Debate continues regarding utility and safety of routine antibiotic prophylaxis for elective laparoscopic cholecystectomy. Several small, randomized controlled trials have failed to demonstrate benefit, while a handful of… Continue Reading
The benefits of our glove method for single port laparoscopic cholecystectomy
Noriaki Kameyama, MD, PhD, Yuki Mae, MD, Masashi Yahagi, MD, Kenta Inomata, MD, Tomoko Takesue, MD, Yoshinobu Akiyama, MD, PhD. KKR Tachikawa HospitalBackground: We introduced single port laparoscopic surgery at our hospitals in May 2009 and our experiences of single port laparoscopic surgery now number more than 1000 as of March 2018. Single port laparoscopic surgery… Continue Reading
OUTCOME OF LAPAROSCOPIC COMMON BILE DUCT EXPLORATION AFTER FAILED ERCP. A COMPARATIVE STUDY.
Davide Di Mauro1, Edoardo Ricciardi1, Leandro Siragusa2, Antonio Manzelli1. 1Royal Devon and Exeter NHS Foundation Trust, Exeter, UK, 2Tor Vergata University Hospital, Rome, ItalyIntroduction: Common bile duct stones (CBDS) are treated with endoscopic retrograde cholangiopancreatography (ERCP) followed by laparoscopic cholecystectomy (LC) or with the single-stage laparoscopic common bile duct exploration (LCBDE) and LC. Multiple ERCP attempts… Continue Reading
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