Hand-Assisted Laparoscopic and Total Laparoscopic Partial Hepatectomy for Hepatocellular Carcinoma – a Comparative Study
INTRODUCTIONLaparoscopic liver resection has become possible with the availability of new instrumentation that allows a relatively bloodless liver transection. It can be performed via hand-assisted approach or total laparoascopic approach. However, it is still unclear which is superior in outcome. The aim of the present study was to compare the short term outcome of these… Continue Reading
How Reliable Is Laparoscopic Cholecystectomy in Elderly Patients? a Retrospective Analysis of Outcomes.
AIM: Patient population admitting to surgical clinics is getting older in accordance with the aging world. Being one of the most common surgical procedures, laparoscopic cholecystectomy (LC) is also being performed in older population than it was used to. The aim of this study is to compare younger population with elderly (65 and older) patients… Continue Reading
Impact of Health Insurance on Complicated Choledocholithiasis and Same-Admission Interventions
Background: Disparities in management and outcomes of biliary disease have been linked to sources of payment for healthcare services. The objective of this study was to evaluate the impact of insurance status on the cumulative incidence of inpatient admission for complicated choledocholithiasis (CMPCDL) and the proportion of patients who underwent a related intervention during that… Continue Reading
In Laparoscopic Distal Pancreatectomy, Pancreatic Resection Using Harmonic Scalpel
BACKGROUD: Laparoscopic pancreatic surgery still is not a common procedure worldwide and the role of mini-invasive surgery in pancreatic surgery is still being debated. Indication and results are still controversial. Sometimes, due to a thick pancreas, the application of vascular Endo-GIA stapler has been difficult. Also after pancreatic resection, postoperative complications such as a pancreatic… Continue Reading
Initial Experiences in 70 Cases of Totally Laparoscopic Liver Resection for Hcc
Initial experiences in 70 cases of Totally Laparoscopic Liver resection for HCC BackgroundLaparoscopic surgery now is commonly applied for several kinds of different operations, but laparoscopic liver resection is still under survey. The objective of this study was to evaluate the feasibility and safety of this technique for HCCPatients and methodsPerspective and descriptive study. From… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
Intraductal Papillary Mucinous Carcinoma with a Rare Atypical Fistulization to Adjacent Structures
Abstract:Intraductal papillary mucinous neoplasms (IPMN) are mucin producing cystic neoplasms of the pancreas. IPMN can rarely present with atypical manifestation such as fistulization into neighboring organs and anatomic structures. We present two cases of IPMN presenting with pancreatico-biliary and pancreatico-duodenal fistulizations. Methods:In our unit, two patients both presenting with signs and symptoms of obstructive Jaundice… Continue Reading
Is the Use of T-tube Necessary After Laparoscopic Choledochotomy?
Background. Traditionally, the common bile duct (CBD) is closed with T-tube drainage after choledochotomy and removal of CBD stones. However, the insertion of a T-tube is not without complication. Aim of Work. This randomized study was designed to compare the use of T-tube and primary closure of choledochotomy after laparoscopic choledochotomy to determine whether primary… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
Lap Management of Various Pancreatic Tumors
LAPAROSCOPIC REMOVAL OF VARIOUS TYPES OF PANCREATIC TUMORS Background:-Berneim, Meyo-Bug, Cushieri, Ishida 1911 proposed the role of laparoscopy as a staging tool for pancreatic diseases. But yet usage of laparoscopy in pancreatic tumor has been very slow. Material & Methods:-We retrospectively studied use of laparoscopy for various pancreatic tumors in our institution from July 2005-june… 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
Laparoscopic Cholecystectomy in Hiv Positive Patients: A Case Series
We retrospectively reviewed 801 consecutive patients undergoing a laparoscopic cholecystectomy. These were performed in a single institution between January 2006 and December 2008. Of these patients, 18 were HIV positive. Of the 18 HIV positive patients, 11 were actively taking HAART medication. The CD4 count was available in 14 patients (mean 264, range 33-500). 3… Continue Reading
Laparoscopic Cholecystectomy Using Intraoperative Fluorescent Cholangiography
OBJECTIVE: Although intraoperative cholangiography (IOC) has been recommended for avoiding bile duct injury during laparoscopic cholecystectomy (LC), radiographic IOC is time-consuming and the procedure itself may cause bile duct injury. We have developed a novel fluorescent cholangiography technique by applying the principle that indocyanine green (ICG) is excreted into bile and emits light with a… Continue Reading
- Topic:
- HPB
Laparoscopic Completion Radical Cholecystectomy
LAPAROSCOPIC COMPLETION RADICAL CHOLECYSTECTOMYWe describe a of a case of 60 years old female who underwent laparoscopic cholecystectomy elsewhere and incidentally on histopathology was diagnosed as adenocarcinomas of gall bladder with invasion up to the serosa. She was referred to our institute for laparoscopic completion radical cholecystectomy. Method :- Five ports were placed with camera… Continue Reading
- Topic:
- HPB
Laparoscopic Hepaticoduodenostomy
INTRODUCION: Rapid weight loss following bariatric surgery can result in cholelithiasis and related complications, including choledocholithiasis. Furthermore, a Roux-en-Y gastric bypass can complicate the management of choledocholithiasis. CASE HISTORY: Here, we present the case of a 72 year-old woman with a history of morbid obesity who underwent a Roux-en-Y gastric bypass and a cholecystectomy for… Continue Reading
- Topic:
- HPB
Laparoscopic Left Hepatectomy Without Inflow Occlusion Using Modified Anterior Approach
INTRODUCTION: Laparoscopic liver surgery requires high degree of anatomical knowledge, laparoscopic skills and technical know how of latest state of the art haemostatic and parenchymal split instruments, more so for major hepatic procedures like right hepatectomy .We describe the technique of laparoscopic left hepatectomy by anterior approach performed by single surgeon using two hand technique.METHOD:… Continue Reading
- Topic:
- HPB
Laparoscopic Liver Resection: A Single Center Experience
ABSTRACT(Background): Since the first report of laparoscopic liver resection, by Gagner et al. in 1992, an increasing number of small prospective studies have been published. They have shown encouraging results for the feasibility and safety of the procedure. This paper retrospectively evaluated the results of a single center’s experience with elective laparoscopic liver resections.(Methods): From… Continue Reading