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
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 Treatment for Hepatolithiasis
Backgrounds and Purposes: The Hepatolithiasis treatment is widely being used for stone removal with the improvement of conservative treat by the development in operations and endoscope. Hepatolithiasis, however, has still a problem which is highly possible in a relapse. Furthermore, it also can be the factor giving rise to cholangitis and cholangiocarcinoma. On this, we… Continue Reading
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
Technique for Laparoscopic-Assisted Formal Right Hepatectomy, Deconstructed
BACKGROUND: Laparoscopic formal right hepatectomy remains a technical challenge. We propose that the procedure can be accomplished efficiently with standard laparoscopic techniques, in ordered sequence, using smaller incisions, and having identical outcomes as the open procedure. METHOD: We reviewed 25 consecutive video recordings of formal laparoscopic right hepatectomy performed over a 4 month period. Instruments… 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
Single Port Cholecystectomy
Objective: As the paradigm of Single Incision Laparoscopic Surgery (SILS) and Natural Orifice Translumenal Endoscopic Surgery (NOTES) advances, novel techniques and equipment are necessary for its progress. There have been various techniques for SILS cholecystectomy. Specifically, there has been no description of a single fascial incision without the addition of other ports or instruments for… Continue Reading
Laparoscopic Liver Resection and the Use of Torsional Ultrasound Dissectors for Parenchymal Liver Dissection
Background:Recent advances in laparoscopic surgical equipment is one of the most significant factors in the expansion of laparoscopic liver resections (LLR) by increasing its feasibility, safety and efficiency.Ultrasonic dissectors are the main instrument used for the parenchymal dissection part of a laparoscopic liver resection. Most of the commercially available brands of ultrasonic dissectors use a… Continue Reading
laparoscopic Liver Resection for Localized Primary Intrahepatic Bile Duct Dilatation
LAPAROSCOPIC LIVER RESECTION FOR LOCALIZED PRIMARY INTRAHEPATIC BILE DUCT DILATATIONIbrahim DAGHER, Papa Saloum DIOP, Alessio CARLONI, Panagiotis LAINAS, 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: Primary intrahepatic bile duct dilatation (IHBD) may present as a localized form, in which resection of… 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
Clipless Minilaparoscopic Cholecystectomy: A Comparative Cost Study for a Minimally Invasive and Cost Effective Procedure.
INTRODUCTION: For the surgical treatment of gallbladders diseases, the laparoscopic cholecystectomy has been accepted as the gold standard all over the world. Although, it seems to be clear that the needlescopic procedure, called minilaparoscopic cholecystectomy (MLC) is superior in many aspects when it is compared not only to open surgery, but also compared to the… Continue Reading
Robot-Assisted Biliary Reconstruction – Short-term Outcomes with Minimally-invasive Roux-en-Y Hepaticojejunostomy
Objective: A minimally invasive approach to hepatobiliary reconstruction can be technically difficult due to the need to suture a fine structure in an enclosed space, intimately related to critical vascular structures, often with significant adhesions or fibrosis. Using the da Vinci surgical system can aid in visualization and maneuverability, facilitating the dissection and anastomosis in… Continue Reading
Single Port Access (spatm) Cholecystectomy: Preservation of the Critical View
The Single Port Access (SPATM) technique utilizes the umbilicus as a single portal of entry into the abdominal cavity. The goal of this access technique is to maintain the current, safe dissection of standard multiport laparoscopic cholecystectomy while performing the entire operation through one incision concealed within the umbilicus.The critical view is a proven paradigm… Continue Reading
Laparoscopic Enucleation of Pancreas Tail or Head Lesion: Report of 13 Cases
Introduction) Laparoscopic enucleation of pancreas (LEP) can be best treatment option avoiding resection or pancreatic anastomosis, if performed appropriately and safely. But reports regarding LEP have been rare and mainly case report. So, we herein report the largest series of LEP to date.Method) From April 2006 to Aug 2008, total 13 cases of LEP were… Continue Reading
Single Port Access (spa) Cholecystectomy: a Comparison to Standard Mutliport Cholecystectomy
Over the last two years the field of minimally invasive surgery has seen the emergence of single port laparoscopic techniques. In May 2007, we performed our first Single Port Access (SPA) cholecystectomy. This technique provides an alternative approach to accessing the abdominal cavity for minimal access procedures. Additionally, it enhances cosmesis and decreases skin incisions.… Continue Reading