Necessity of Intraoperative Cholangiography During Laparoscopic Cholecystectomy Based on Analysis of Cases of Pancreaticobiliary Ductal Maljunction Without Common Bile Duct Dilatation
OBJECTIVE: In order to diagnose pancreaticobiliary maljunction (PBM) appropriately, direct fluoroscopic examinations of the biliary tract system is necessary. 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 patient of PBM without common… Continue Reading
Laparo-endoscopic Single Site (less) Pancreatic Cyst Enucleation
This video demonstrates LESS resection of an 8 cm mass arising from the pancreatic body. Three 5 mm trocars were placed through one 12 mm incision using a single multi-access port at the umbilicus. A deflectable tip laparoscope was placed after insufflation of the peritoneal cavity. Division of the gastro-colic omentum and short gastric vessels… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- HPB
Utilities of Preoperative Assessment of Abdominal Adhesions Using Ultrasound Scans in the Laparoscopic Hepatectomy
INTRODUCTION In patients with a previous history of abdominal surgeries or loco-regional treatments for hepatic tumors, abdominal adhesions may interrupt the performance of subsequent therapy using the laparoscopic approach. We have been attempting the preoperative detection of abdominal wall adhesion, using ultrasound in order to achieve a safer Laparoscopic hepatectomy (LH) for liver tumors. METHODS… Continue Reading
Effect of Yoga on the Speed of Convalescence After Uncomplicated Outpatient Laparoscopic Cholecystectomy – A Case Controlled Study
Objective of StudySpeedier convalescence, return to activity & improved health related quality of life (HrQoL) are indices of patient reported outcomes in laparoscopic cholecystectomy (LC). Improving patient reported outcomes by minimising multi-factorial post-operative pain & fatigue in LC demand a multi-pronged approach. Yoga improves HrQoL in many chronic fatigue & stress related inflammatory disorders. We… Continue Reading
Laparosocpic Distal Pancreatic Resection
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.METHODS:… Continue Reading
A New Application of Biliary Tract Identification Based on Indocyanine Green Fluorescent Imaging At Laparoscopic Surgery
Background: Although biliary tract injuries are lethal, many difficulties in identifying it have been encountered during laparoscopic surgery. We report a novel method of biliary tract identification using an endoscopic device with fluorescent imaging of indocyanine green. Method: During operation 1.0-2.0 ml of 0.25% ICG had been intravenously injected in a patient with multiple liver… Continue Reading
Laparoscopic Management of Symptomatic Cystic Disease of the Liver
Background: Benign cystic diseases of the liver have recently been treated by non-surgical procedures such as alcohol injection and trans arterial embolization (TAE); however symptomatic or complicated cysts often need surgery. Traditionally, laparotomy is the procedure of choice. We present our experiences with laparoscopic management of both symptomatic multiple liver cysts and polycystic liver disease.… Continue Reading
Laparoscopic Transgastric Cyst Gastrostomy for an Unresectable Mucinous Cyst Adenoma of the Pancreas
IntroductionCystic neoplasms of pancreas represent less than 10 percent of all cystic lesions and less than 1 percent of all exocrine pancreatic neoplasms. They can be benign or malignant. Mucinous cystic neoplasms are the most common cystic pancreatic tumors accounting for 45 to 50 percent. These neoplasms have a natural evolution from benign to malignant… Continue Reading
Common Bile Duct Exploration in Decline: Majority of These Procedures Are Done in Non-teaching Hospitals in the Us.
BACKGROUND: Common bile duct (CBD) exploration used to be one of the relatively frequent procedures in armamentarium of the general surgeon. With raise of minimally invasive techniques one may expect diminished needs and fewer indications for that surgery. OBJECTIVE: The purpose of this study was to determine nationwide trends of cholecystectomy and common bile duct… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
Use of Covered Metallic Stents in the Management of Benign Biliary Strictures
Introduction: Chronic pancreatitis (CP), inflammatory conditions, anastomotic strictures from liver transplantation and choledocholithiasis, among other conditions, can cause benign biliary strictures (BBS). Serious and irreversible complications such as recurrent cholangitis, secondary biliary cirrhosis, and end-stage liver disease can be the result of BBS so promptness on treating this condition is essential. The definitive treatment for… Continue Reading
Laparoscopic Management of Cbd Stones: An Indian Experience
IntroductionIndia has a high incidence of gall stones and consequently of CBD stones (CBDS) which are very different from that seen in the west. It is not infrequent to see multiple, large, impacted stones in a hugely dilated CBD. Therefore many of these patients have been managed by open CBD exploration, even after advent of… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
Repeated Laparoscopic Hepatectomy for the Recurrent Hepatocellular Carcinoma
We have pursued laparoscopic hepatectomy as a means of surgical therapy for hepatocellular carcinoma (HCC) since 1993. It has been reported that laparoscopic hepatectomy in the patient with HCC appears to be a viable surgical alternative providing less invasion in selected cases. This procedure is expected to develop further in the future as a new… Continue Reading
Single Incision Laparoscopic Partial Hepatectomy
Introduction: Hepatocellular carcinoma is one of the most common tumors worldwide, commonly arising in the presence of hepatitis with or without cirrhosis. Open and laparoscopic approaches to resection have been described. We report a case of a hepatocellular carcinoma completely resected laparoscopically via a single incision approach.Methods: A 58-year-old female with past medical history significant… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- HPB
Role of Laparoscopic Hepatectomy for Hepatocellular Carcinoma
Introduction: We have pursued laparoscopic hepatectomy as a means of surgical therapy for hepatocellular carcinoma (HCC) since 1993. Recent experience has persuaded us that there are great potential benefits in laparoscopic hepatectomy. In this paper, the outcomes of laparoscopic hepatectomy focus on HCC were analysed and compared with conventional open hepatectomy.Method and Procedure: Laparoscopic hepatectomies… Continue Reading
Conversion Factors in Laparoscopic Cholecystectomy
Introduction: Laparoscopic cholecystectomy is the treatment of choice for various gall bladder diseases. However in 5-10%, certain cases still require conversion to conventional cholecystectomy. The aim of this study is to identify the factors and likelihood of conversion rates in experienced surgeons when performing laparoscopic cholecystectomy. Methods A retrospective and prospective analysis of 3090 patients… Continue Reading