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
ARTIFICIAL INTELLIGENCE IN SURGERY: ASSESSMENT OF THE CRITICAL VIEW OF SAFETY USING MACHINE LEARNING
Jin Sol Oh, MD1, Jennifer A Minneman, MD1, Anne P Ehlers, MD, MPH1, Shanley B Deal, MD2, Adnan A Alseidi, MD2, Andrew S Wright1. 1University of Washington, 2Virginia Mason Medical CenterIntroduction: Laparoscopic cholecystectomy (LC) is performed over 750,000 times each year in the U.S. with 0.3% risk of bile duct injury. The SAGES Safe Cholecystectomy… Continue Reading
- Topic:
- Biliary
Remnant Cholecystectomy with ICG Infrared Cholangiography
Saeed Arefanian, MD, Margaret Frisella, RN, L. Michael Brunt, MD. Washington University in St. LouisBackground: subtotal cholecystectomy has been advocated for difficult operative situations for a long time in the surgery and different types of it have been described. Occasionally recurrence of symptomatic cholelithiasis and choledocholithiasis requieres the need for reoperation and completeion of the cholecystectomy. Presentation:… Continue Reading
- Topic:
- Biliary
Robotic Transduodenal Ampullectomy for Adenoma: Surgical Tips and Technique
Michael T Lecompte, MD1, Walaa Abedelmoaty, MBChb2, Chet Hammill, MD1. 1Washington Unniversity St. Louis, 2Providence Portland Medical CenterIn this video, we present a case of a 42 year old male with an incidentally discovered ampullary mass on EGD. The patient elected to undergo resection with a robotic trasnduodenal ampullectomy. In this video, we present our… Continue Reading
- Topic:
- Biliary
Laparoscopic Management of complicated liver hydatid cyst extending into thorax
Ajay H Bhandarwar, MS, FMAS, FIAGES, FAIS, FICS, FBMS, Soumya Chatnalkar, MBBS, Amol N Wagh, MS, FMAS, FIAGES, FAIS, FICS, FBMS, Eham L Arora, MS, DNB, Shekhar Jadhav, MS, Amarjeet E Tandur, MS, Priyanka Saha, MBBS, Nidhisha Sadhwani, MBBS. Grant Government Medical College & Sir J.J. Group of Hospitals, Mumbai, IndiaHydatid disease is most common… Continue Reading
- Topic:
- Biliary
Robotic Choledochoduodenostomy for Refractory Benign Biliary Stricture
Michael P Meara, MD, MBA, FACS, Andrei Manilchuk, MD, Cole Rodman, Sophia Roberts. The Ohio State University Wexner Medical CenterCholedochoduodenostomy remains a treatment option for individuals with benign biliary stricture either acquired secondary to intrinsic damage, secondary to previous instrumentation, or anastomosis. Exclusion of malignant causes is imperative prior to operative biliary bypass. Our patient is… Continue Reading
- Topic:
- Biliary
Laparoscopic Common Bile Duct Exploration with the Choledocoscope by the MIS Fellow
Majid Kianmajd, DO, Patrick R Reardon, MD, Lee Morris, MD. Houston MethodistThe treatment algorithm for patients presenting with common bile duct stones are varied and most patients will be referred to ERCP prior to cholecystectomy. Aside from ERCP, there are multiple other laparoscopic techniques described for choledocholithiasis with the advantage of removing the stones concurrently… Continue Reading
- Topic:
- Biliary
ROBOTIC PANCREATICODUODENECTOMY AND CHOLECYSTECTOMY
Alexander S Rosemurgy, MD, Timothy Bourdeau, BS, Danielle K Craigg, MD, Sharona B Ross, MD, Jack Wecowski, MD, Iswanto Sucandy, MD. Digestive Health Institute Florida Hospital TampaThis video is of a robotic pancreaticoduodenectomy undertaken in a 61-year-old women who presented with a diagnosis of pancreatic adenocarcinoma treated with neoadjuvant therapy. Preoperative workup included a contrast… Continue Reading
- 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
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
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
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
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