Establishing Nd:yag Laser Based Left Lateral Liver Resection: Comparison of Open, Laparoscopic and Hand Assisted Approach in a Porcine Model
Objectives:Aim of this study was to assess the feasibility and safety of a 1064 nm Nd:YAG laser for left lateral liver resection in a porcine model. Laparoscopy and hand assisted laparoscopic surgery were evaluated and compared to conventional open surgery. Methods:A group of 15 pigs were randomized for three different approaches of left lateral liver… Continue Reading
Fluorescent Cholangiography During Laparoscopic Cholecystectomy By Intravenous Injection of Indocyanine Green
Objective of the technique: To delineate bile duct anatomy during laparoscopic cholecystectomy (LC) using fluorescent cholangiography with preoperative intravenous injection of indocyanine green (ICG).Methods: Our fluorescent cholangiography technique is based on the principle that ICG is excreted into bile and that protein-bound ICG emits light with a peak wavelength of around 830 nm when illuminated… Continue Reading
Impact of Laparoscopic Cholecystectomy on Operative Time in the Elderly
OBJECTIVE OF THE STUDY: Laparoscopic cholecystectomy (LC) remains one of the most frequent surgical therapies for symptomatic gallstone disorders. Although associated with several comorbidities, LC became widely accepted even in the elderly. The aim of this study was to determine factors affecting the operative time of LC.METHODS AND PROCEDURES: Patient data were retrospectively analysed from… Continue Reading
In the Era of NOTES, a Cosmetic and Secure Approuch to Laparoscopic Cholecystectomy.
Background: Since 1993, our group has been doing Laparoscopic Cholecystectomy (LC) using a three-port approach with excellent results. Many papers showed that Needlescopic and two or three 5mm ports approaches may reduce the postoperative pain, but did not gained popularity.Aim: Describe a variant three-port approach with excellent cosmetic results without losing the benefits and security… Continue Reading
Intraperitoneal Ropivacaine Washout for Reduction of Pain After Laparoscopic Cholecystectomy : A Prospective Randomized Study
Introduction: There is controversy about the effectiveness of intraperitoneal local anesthesia in laparoscopic surgery. We designed a prospective randomized clinical trial to evaluate the efficacy of intraperitoneal ropivacaine washout (IRW) in the early recovery period after laparoscopic cholecystectomy.Methods: A total of 62 consecutive patients undergoing laparoscopic cholecystectomy due to uncomplicated symptomatic gallstones were randomized to… Continue Reading
Is Laparoscopic Surgery As Safe As Open Resection for Liver Tumors?
Introduction: Laparoscopic liver resection (LLR) for benign and malignant liver tumors has become a popular modality over the last decade in many centers. The reports from the high volume centers suggest that LLR has shorter hospital stay, lower hospital charge and lower complication rate compared to open charge. We wanted to validate the safety, in-hospital… Continue Reading
Laparoscopic and Endoscopic Management of Biliary Ascariasis on a 2 Year Old
Objective: To present a case report of a 2 year old female diagnosed with biliary ascariasis and was managed by laparoscopy and endoscopy. This is a case of a 2 year old female who presented with abdominal pain, fever and jaundice. On abdominal ultrasound, there was tubular echogenic structures at the common bile duct. Working… 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
Laparoscopic Assisted Anatomical Liver Resection Utilizing the Hanging Technique
PURPOSE:@The purpose of this work was to evaluate the short term results of the laparoscopic-assisted anatomical liver resections utilizing the hanging technique.METHODS AND PROCEDURES: From August 2006 to July 2008, there were 13 laparoscopic-assisted anatomical liver resection for treatment of primary and metastatic neoplasm of liver@i4 hepatocellular carcinoma, one cholangiocellular carcinoma, 7 metastasis of colon… Continue Reading
Laparoscopic Central Pancreatectomy for Pancreatic Body Lesions: Report of 6 Cases Including Totally Intracorporeal Technique
Introduction) Laparoscopic surgery has been gaining wide acceptance currently especially in distal pancreatectomy, but few study has been reported about laparoscopic central pancreatectomy (LCP) for pancreatic body lesions. So, we herein report our evolving experiences of LCP.Methods) From Sept 2007 to June 2008, 6 cases of LCP were performed for pancreatic body lesion at our… Continue Reading
Laparoscopic Cholecystectomy in Situs Inversus Abdominis
Report of case: A 41 year old woman was referred by a gastroenterologist for chronic abdominal pain of six months' duration. She described pain that occurred frequently throughout the day, ypically lasting between 30 minutes and two hours. The pain was mainly epigastric but had a colicky right upper quadrant component also. She described severe… 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 Choledochotomy in Patients with Previous Open Choledochotomy
BACKGROUND. Choledochotomy in patients with previous choledochotomy is technically difficult. Open surgery is usually the first choice in these patients. Laparoscopic choledochotomy seems to be feasible in expert hands.OBJECTIVES. Evaluate the safety and efficacy of laparoscopic choledochotomy in patients with previous open choledochotomy.PATIENTS & METHOD. This is a retrospective study of 40 patients who had… 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
Laparoscopic Cystgastrostomy
Introduction:Laparoscopic drainage is a definitive and effective treatment for symptomatic pancreatic pseudocysts. Pancreatic pseudocysts are pancreatic fluid collections that develop a defined fibrous wall without a true epithelial lining. These are usually caused by acute or chronic pancreatitis or trauma with disruption of the pancreatic duct. 85% resolve spontaneously in six weeks. Large pseudocysts can… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- HPB