Total Laparoscopic Resection of Pancreatic Glucagonoma- case report.
Tumors of the body or tail of the pancreas are uncommon. A large number of these lesions when they present may not be resectable. More recently, laparoscopic distal pancreatectomy and splenectomy has been performed using a hand assisted and less commonly a total laparoscopic resection. We report a total laparoscopic resection of a glucaganoma arising… Continue Reading
Laparoscopic Treatment of a Perforated Hydatic Cyst
Echinococcosis is a zoonosis transmitted by dogs and accidentally affects man. Worldwide, Echinococcus granulosus occurs most frequently. This relatively benign parasitic disease is characterised by slowly growing cysts, most commonly in the liver, less frequently in lungs and rarely elsewhere in the body. Seeding of cyst content into the peritoneal cavity is a serious secondary… Continue Reading
Laparoscopic Liver Resection with Prior Vascular Control
INTRODUCTION: The magnification of laparoscopy allows a very precise dissection of the portal pedicles. The aim of this study was to evaluate the effect of prior vascular control (PVC) on parenchymal dissection in 105 consecutive patients undergoing laparoscopic liver resections.METHODS: Between 1999 and 2006 we have performed 105 laparoscopic liver resections. Portal vessels and the… Continue Reading
Comparison of Laparoscopic versus Open Liver Resection: A Case-Controlled Study
Background: Although there is data in the literature about the safety and efficacy of laparoscopic liver resections, there are not many studies comparing laparoscopic versus open approaches in a case-matched design. The purpose of this study is to compare the perioperative outcome of laparoscopic versus open liver resections from a single institution.Methods: Twenty-two patients underwent… Continue Reading
Laparoscopic Versus Open Left Lateral Liver Sectionectomy: A Comparative Study
Background: Although the feasibility of laparoscopic liver resections has been demonstrated, a very few studies comparing the laparoscopic approach to open surgery have been published. The left lateral sectionectomy (resection of segments II and III) was the first formal liver resection performed by laparoscopy. We developed a laparoscopic procedure very similar to open surgery, with… Continue Reading
The efficacy of laparoscopic radiofrequency ablation (Lap- RFA) for small hepatocellular carcinomas
PURPOSE: To assess the effectiveness of laparoscopic radio frequency ablation therapy (Lap-RFA) for small hepatocellular carcinomas (HCCs) located beneath the diaphragm or on the surface of the liver. MATERIALS AND METHODS: Lap-RFA indication was as follows; smaller than 3cm in a diameter and less than three in the number, no vascular invasion, general condition available… Continue Reading
Injury to the accessory duct of Luschka requiring emergent laprotomy. A rare complication following laparoscopic cholecystectomy.
Introduction: Laparoscopic cholecystectomy (LC) has become the mainstay for treatment of gallbladder disease. Although biliary injuries are well described in LC, these are mainly associated with common bile duct injuries. There are scant reports related to complications involving the accessory ducts of Luschka (ADL). Case presentations: We present three patients that presented with persistent abdominal… Continue Reading
Noninvasive Method of Acute Pancreatitis Treatment Using Roentgenendovascular Procedure
Acute pancreatitis (AP) is one of the important problem of the urgent surgery, often registrated in surgical patients. The today’s situation occurs in treatment of patients with AP seemes to be far from satisfactory. One of the main problem of the contemporary surgery is to perform out the new ways of how to treat AP… Continue Reading
Totally Laparoscopic Right Hepatectomy
Laparoscopy is slowly becoming an established technique for liver resection. This procedure still is limited to centers with experience in both hepatic and laparoscopic surgery. Preliminary reports include mainly minor resections for benign liver conditions or hand assisted resections and show some advantage in terms of postoperative recovery. The authors present their video with laparoscopic… Continue Reading
- Type:
- Podium Presentations
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- HPB
New laparoscopic \”antero-lateral\”transperitoneal approach for ultra-splenomagaly
BACKGROUND: Laparoscopic splenectomy (LS) has been considered as the standard approach to remove a normal-sized spleen, but sometimes involves various troubles when applied to splenomegaly. To get good view for performing splenectomy for ultra-splenomegaly in Banti syndrome, for example, we developed "antero-lateral approach" with hand-assisted maneuver. We present our new methods in our recent cases… Continue Reading
Needlescopic Cholecystectomy As an Efficient, Safe and Cost-effective Alternative to N.o.t.e.s. Cosmetic Results – A Study of 815 Cases.
BACKGROUND: The advent of NOTES, surgery without skin scarring, is now challenging every surgeon to improve the esthetic results for patients. Needlescopic Cholecystectomy (NC) represents a refinement in laparoscopic surgery, potentially as cosmetically effective as NOTES. Nevertheless, because of the increased cost and difficulty in managing equipment, NC has not yet been widely accepted by… Continue Reading
Laparoscopic Modified Pancreaticojejunostomy for Chronic Pancreatitis
IntroductionLaparoscopic surgery of the pancreas is still not fully developed. Several laparoscopic pancreatic procedures have been described. The most frequent is diagnostic laparoscopy for staging pancreatic neoplasm and, less frequently, treatment of pancreatic pseudocyst and resection of benign lesions of the pancreas. We report a laparoscopic modified Roux-en-Y pancreaticojejunostomy for chronic pancreatitis.Case reportA 39-year-old man,… Continue Reading
Laparoscopic-Assisted Hepatectomy for Metastatic Liver Tumor.
Introduction: As laparoscopic surgery has come into more widespread use in recent years, especially for colorectal cancer, we consider that laparoscopic minimal invasive approach for metastatic liver tumors is one of the useful modalities as a multidisciplinary therapy for colorectal cancer. However the results of this technique are still not certain.Aims & Methods: In this… Continue Reading
Surgical strategies in difficult laparoscopic cholecystectomy
Background: Difficult laparoscopic cholecystectomy can be anticipated based on the pre-operative and intra-operative factors such as old age, male sex, history of multiple attacks of recent origin or repeated admissions, diabetes mellitus, previous upper abdominal surgery, cirrhotic pancreatitis and patients presenting with cholangitis. Laparoscopic cholecystectomy has become the gold standard for all the gall bladder… Continue Reading
Laparoscopic assisted hepatic resection for hepatocellular carcinoma in patients with severely-impaired hepatic function
Background and Objectives: Laparoscopic assisted hepatic resection (LAHR) is one of the newly-developed surgical procedures, and requires highly specialized competencies of surgeons for coping with operative bleeding and other complicated difficulties caused by impaired hepatic function. We reviewed our experiences in the LAHR to evaluate whether it was safe and feasible for the treatment of… Continue Reading