Comparision of Outcomes After Laparoscopic and Open Distal Pancreatectomies
Introduction: The objective of our study is to compare results of Laparoscopic Distal Pancreatectomy (LDP) and Open Pancreatectomies (OP) performed at Staten Island University Hospital. Despite the first case (LDP) being reported over a decade ago, fewer than 300 cases have been added to the world literature. The largest series to date is the multicenter… Continue Reading
Laparoscopic Cholecystectomy (lc) and Common Bile Duct Exploration (cbde) in Patients with a Previous Gastric Resection
Background: An increased incidence of cholelithiasis is reported after truncal vagotomy and gastric resection. Adhesions from previous gastric surgery are often considered a contraindication to laparoscopic surgery. Aim was to evaluate the feasibility and long-term results after LC and CBDE in patients with a previous gastric resection.Methods: from April 1991 to February 2007, CBD stones… Continue Reading
Laparoscopic Approach in the Distal Pancreatic Tumor Surgery
Introduction: Laparoscopic resection of the body and tail of the pancreas for benign lesions is an accepted technique but published series are still few. Aim is to evaluate the results of the laparoscopic approach for distal pancreatic tumors. Methods: From January 1993 to June 2008 18 patients (pts) underwent laparoscopic enucleation (EN) (8 pts, 2… Continue Reading
Novel System Improves Accuracy of Needle Placement for Ablation Procedures
This study demonstrates improved accuracy in needle placement for ablation procedures using a novel 3D ultrasound trajectory system. Ultrasound guidance can be difficult and require years of experience to master. In addition it does not provide a real time trajectory to the target. This system creates an advanced, real-time stereoscopic image when added to standard… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
Single Incision Laparoscopic Cholecystectomy: Short-term Outcomes
Objective of the study: To analyze short term results of a new technique i.e. Single Incision Laparoscopic Cholecystectomy. Methods: As opposed to conventional laparoscopic cholecystectomies using four access ports, we perform the Single Incision Laparoscopic Cholecystectomy (procedure termed SILC) using a 5 mm flexible laparoscope, endo-roticulating instruments and 5 mm endo-clips. A vertical incision is… Continue Reading
Laparoscopic Versus Open Liver Resection for Hepatocellular Carcinoma: A Comparative Study
LAPAROSCOPIC VERSUS OPEN LIVER RESECTION FOR HEPATOCELLULAR CARCINOMA: A COMPARATIVE STUDYIbrahim DAGHER, Giuseppe DI GIURO, Panagiotis LAINAS, Helene AGOSTINI, Alessio CARLONI, Dominique FRANCODepartment of General Surgery, Antoine Béclère Hospital, AP-HP, Clamart, F-92140, France; Univ Paris-Sud, Orsay, F-91405, France. Objective of the study: Laparoscopic liver resection for hepatocarcinoma, especially in cirrhotic patients, has recently been developed… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
Predicting That Occult Metastatic (stage Iv) Disease Will Be Discovered with Diagnostic Laparoscopy and Peritoneal Lavage Cytology in Locally-Advanced Pancreatic Cancer
Background: In a group of 74 patients where computed tomography (CT) showed locally extending but not metastatic pancreatic cancer, we have demonstrated (Surg Endosc 2005;19:638-42) that 1/3 will have occult metastatic disease using diagnostic laparoscopy and peritoneal lavage for cytology (DL-PLC). Using a larger cohort, we asked if there are predictive factors that increase the… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
Lessons Learned in Single Incision Laparoscopic Cholecystectomy
Background:Since the first surgical procedure of this type in 1997, single incision surgery for biliary tract disease has been slow to gain popularity. Recent descriptions of SILSTM and SPATM have shown great potential to revolutionize minimally invasive procedures. The average general surgeon still has to face a significant learning curve and to decide how to… Continue Reading
2mm Laparoscopic Cholecystectomy: The Correct First Step Before Advancing to NOTES
Background: The laparoscopic cholecystectomy (LC) has been the standard of care for two decades. LC is usually preformed with two 10-12mm ports and two 5mm ports. Some investigators have looked to improve the procedure by limiting the port sizes to improve outcomes. In our Department, a single surgeon and his trainees have been performing 2mm… Continue Reading
Laparoscopic Hepatectomy
Backgrounds and Purposes ; Recently, the laparoscopic resection on solid organs is performed in standard operation style with the improvement of the laparoscopic instrument and the developing operation technique. Still, it is not easy to perform liver exploration by using the laparoscope. Because there are still other problems, such as the styptic matter against bleeding,… Continue Reading
Laparoscopic Common Bile Duct Exploration(lcbde) in Cbd Stones
Introduction : With the progress of gastrofiberscopy, the endoscopic sphincterotomy have been performed as a standard therapy for CBD stones. But in the recent studies, the primary laparoscopic CBD exploration is superior or not inferior than endoscopic sphincterotomy in the clearance rate and morbidity rate. And also, there have been many studies about the advantages… Continue Reading
Are We Following Guidelines for the Management of Acute Pancreatitis?
Background: In 1998 the British Society of Gastroenterolgy (BSG) published guidelines for the management of acute pancreatitis, which were further revised in 2003. These guidelines include 11 audit criteria, which allow individual units to appraise their performance, and allow for national comparison. The aim of the study was to assess the adherence of BSG guidelines… Continue Reading
Single Incision Laparoscopic Cholecystectomy, Initial Evaluation of a Large Series of Patients
Introduction: Single Incision Laparoscopic Cholecystectomy (SILC) has been found to be feasible and safe. We have pioneered and mastered a two trocar SILC technique at UT Southwestern. Here we present our initial data using this technique on fifty patients. Methods: Following an institutional review board, patients with symptomatic gallbladder disease were recruited from January until… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
Minimally Invasive Pancreatic Debridement: Intracavitary and Transperitoneal Debridement
Pancreatic debridement is necessary for treatment of infected pancreatic necrosis but is associated with significant morbidity that includes a high incidence of wound complications and enterocutaneous fistulae. We demonstrate two minimally invasive techniques of pancreatic debridement: catheter-guided intracavitary debridement and laparoscopic transperitoneal debridement. In the first patient, fine needle aspiration of a heterogeneous lesser sac… Continue Reading
- Topic:
- HPB
Analysis of 9 Cases of Pancreaticobiliary Ductal Maljunction Without Common Bile Duct Dilatation Based on Intraoperative Cholangiography During Laparoscopic Cholecystectomy
OBJECTIVE OF THIS STUDY: In order to diagnose pancreaticobiliary maljunction (PBM), it is necessary to perform direct fluoroscopic examinations of the biliary tract system. However, for patients without symptoms, these examinations are performed only in selected cases. For some cases, it is not until intraoperative cholangiography (IOCG) during laparoscopic cholecystectomy (LC) is performed that a… Continue Reading