Laparoscopic Cholecystectomy with Only One Port (clop)
Our surgical group makes endoscopic cholecystectomy with technique of an umbilical port since 1997. We have integrated other procedures with this technique like: appendectomy, hysterectomy, ovarian cystectomy, inguinal hernia repair, bile ducts exploration. The Purpose of this study is to prove that this technique is a viable choice in gallbladder surgery.Method. Prospective study. A thousand… Continue Reading
Laparoscopic distal pancreatectomy
INTRODUCTION: A laparoscopic approach to pancreatic disease is increasingly performed although its ultimate benefit is yet to be confirmed. Laparoscopic distal pancreatectomy with or without splenectomy is gradually gaining acceptance as an alternative to open resection in selected patients. The aim of this study is to report our initial institution experience with laparoscopic distal pancreatectomy… Continue Reading
Laparoscopic Distal Pancreatectomy-Splenectomy for Insulinoma
This video illustrates our laparoscopic technique for removal of an insulinoma in the tail of the pancreas. Because of the distal location of the lesion in the tail of the pancreas, distal pancreatectomy with splenectomy was required. The video also shows how bleeding from a splenic vessel was controlled laparoscopically. A hand port was required… Continue Reading
- Topic:
- HPB
Laparoscopic Duodenopancreatectomy
INTRODUCTIONSince the first report of laparoscopic pancreatic resections in the early 1990’s, laparoscopic resection of pancreatic tail tumors has become increasingly more common in the surgical treatment of both benign and malignant tumors. The minimally invasive approach to duodenopancreatectomies, however, is still only being performed in highly specialized centers. This is principally because of concerns… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
Laparoscopic fenestration of liver cysts in patients with polycystic liver disease results in syptomatic improvement and volume reduction.
Introduction: Patients with polycystic liver disease (PCLD) may develop symptoms due to increased liver volume. Laparoscopic liver cyst fenestration is a technique used to reduce liver volume and relieve symptoms. This study was performed to evaluate the safety and efficacy of laparoscopic liver cyst fenestration in patients with PCLD. Patients & Methods: We performed a… Continue Reading
Laparoscopic liver resection including the lesion located in posterior and superior part
Background: Despite the increasing experience of laparoscopic and hepatic surgery, laparoscopic liver resection is still limited to lesions localized on the antero-lateral segments of the liver. The aim of this study is to evaluate the feasibility of laparoscopic liver resection for tumors located in the postero-superior segments of the liver (Segments I, VII, VIII, and… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
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
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 Spleen Preserving Distal Pancreatectomy
Introduction:Minimally invasive distal pancreatectomy for cystic lesions located in the body and tail of the pancreas is usually achieved with splenectomy. We report a case of a laparoscopic distal pancreatectomy with spleen preservation .Materials:A 52 year old woman presented with a cystic lesion of the body of the pancreas. Preoperative workup including MRI , CT… Continue Reading
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- HPB
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 Ultrasound with Radiofrequency Ablation of Hepatic Tumors in Cirrhotic Patients
National Liver Institute, Monouphyia University, Shibin El kom, Egypt. Abstract Background: The optimal treatment for hepatocellular carcinoma (HCC) is surgical resection. However, only a small percentage of patients are operative candidates due to associated liver cirrhosis. Recent advances in laparoscopic ultrasound and Laparoscopy have greatly improved the accuracy in detecting intrahepatic tumors nodules, many of… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- HPB
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
Minimizing Complications and Conversions in Laparoscopic Cholecystectomy using a Systematic Dissection Algorithm and Laparoscopic Biliary Ultrasound
Background: Laparoscopic Cholecystectomy (LC) is performed by an astonishing variety of techniques, yet the frequency of biliary injury remains high, and up to 25% of urgent cholecystectomies are performed by open approach. Laparoscopic biliary intraoperative ultrasound (IOUS) allows for identification of biliary anatomy before division of or damage to any structure, but is underutilized. The… Continue Reading
Near total laparoscopic pancreatic resection for chronic pancreatitis
In the past, a minimally invasive technique in pancreatic surgery was only used for diagnostic laparoscopy in evaluating periampullary malignancy. Recent advances in operative techniques and instrumentation have empowered surgeons to perform all procedures in the pancreas surgery, including the Whipple procedure. Some of these tecniques represent the most sophisticated application of minimally invasive surgery.A… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
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