Effect of Physiologic CCK Administration in HIDA Results
James B Depew, MD, Gage Ochsner, MD, FACS Memorial Health University Medical Center, Mercer University School of Medicine Introduction: Biliary dyskinesia, or dysfunctional gallbladder bile ejection, can be measured through the use of a cholescintigraphy (HIDA) scan. A reduced ejection fraction (EF) of <35% suggests that cholecystectomy will result in symptom relief in the setting… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
Evaluation of Avascular ‘holy Plane’ Based Cold Dissection Technique in Consecutive Unselected Laparoscopic Cholecystectomies: Results of 7 Year Experience
Brij B Agarwal, MD, Sneh Agarwal, MD, Manish K Gupta, Dr, Nayan Agarwal, Mr, Dhruv Agarwal, Dr, Karan Goyal, Dr, Satish Saluja, MD, Krishan C Mahajan, MD, Krishna A Agarwal, Dr, Himanshu Pandey, MD Sir Ganga Ram Hospital, Dr. Agarwal's Surgery, New Delhi, India INTRODUCTION-This study was undertaken to evaluate the existence, accessibility, surgical definition… Continue Reading
Evaluation of Clinical Outcome of Early Laparoscpic Cholecystectomy for Acute Calculus Cholecystitis
P N Agarwal, MS, FICS, Sushant Verma, MS MAMC AND LNH DELHI INDIA INTRODUCTION: The aim of this randomized study was to evaluate the safety and feasibility of early laparoscopic cholecystectomy for acute cholecystitis and to compare the results with delayed laparoscopic cholecystectomy. METHODS AND PROCEDURES: Between August 2010 and March 2012, 30 patients with… Continue Reading
Experience with single-incision laparoscopic cholecystectomy in patients with previous upper abdominal surgery
Nana Makino, MD, Nobumi Tagaya, PhD, Yawara Kubota, MD, Kazuyuki Saito, MD, Takashi Okuyama, PhD, Yoshitake Sugamata, PhD, Hidemaro Yoshiba, PhD, Masatoshi Oya, PhD Department of Surgery, Dokkyo Medical University Koshigaya Hospital Background: Single-incision laparoscopic cholecystectomy (SILC) is an emerging procedure developed to decrease parietal trauma and improve esthetic outcomes. However, in general, the patients… Continue Reading
Fluorescence Imaging of Indocyanine Green During Laparoscopic an atomical Hepatectomy.
Hitoshi Inagaki, MD, PhD, Hajime Kawagoe, MD, Satomi Uno, MD, Toshihiko Kajima, MD Department of Surgery, Gifu Central Hospital, Gifu, Japan Introduction: Mapping of the liver segment is extremely useful for anatomical liver resection. Conventional hepatic segment identification requires the puncture of segmental portal branch under the intraoperative ultrasonography and stain by blue dye injection.… Continue Reading
Fluorescent cholangiography in laparoscopic cholecystectomy : experience in Argentina
Pedro Ferraina, Fernando Dip, Lisandro Alle, Mario Nahmod, Luis Sarotto, Francisco Suarez Anzorena Sanatorio Anchorena In Argentina the frequency of laparoscopic cholecystectomies has increased in the last few years. The use of intraoperative methods for the detection of bile ducts such as the intraoperative cholangiography varies within the country but it is a routinely procedure… Continue Reading
Is Elective Laparoscopic Cholecystectomy a Safe Supervised Teaching Procedure?
H. Rodolfo Scaravonati, MD, Carlos Augusto Cutini, MD, Silvina Lucia Milletari, MD, Patricio E. Donnelly, MD, Nicolas Ortiz, MD, Rodrigo Moran Azzi, MD, FACS, Victor Hugo Serafini, MD, FACS, Gintaras Antanavicius, MD, FACS Sanatorio Guemes Introduction: Laparoscopic cholecystectomy for symptomatic cholecystolithiasis is a standard procedure and the most common laparoscopic intervention in general surgery. During… Continue Reading
Is Laparoscopic Common Bile Duct Exploration Feasible without Choledochoscopy?
Ahmed A Elgeidie gastroenterology surgical center, mansoura university Background: Laparoscopic common bile duct exploration (LCBDE) had been proved to be a safe, efficient and cost-effective option for management of common bile duct (CBD) stones. In general, there are two guiding methods during LCBDE; fluoroscopic or choledochoscopic guidance. Most surgeons prefer the use of flexible choledochoscopy… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
Is LCBDE a savior for failed endoscopic bile duct stone extraction
Bora Koc, MD, Servet Karahan, prof, Gokhan Tolga Adas, MD, Ayhan Ozsoy Department of Surgery, Okmeydan? Training and Research Hospital The ideal management of common bile duct stones remains controversial worldwide. Preoperative endoscopic retrograde cholangiopancreaticography (ERCP) is probably the most widely chosen option for the treatment of CBDS. Previous abdominal surgery especially Billroth II gastrectomy… Continue Reading
Is there a role for ampullectomy for refractory type 3 Sphincter of Oddi dyskinesia ?
Dominique Dempah, MD, Gabriel Arevalo, MD, Philip Karumen, MD, Kirpal Singh, MD, Maurice E Arregui, MD St Vincent Hospital, Indianapolis, Indiana Hypothesis: Sphincter of Oddi dyskinesia (SOD) refers to abnormal function of the sphincter of Oddi. Patients with symptoms consistent with SOD are traditionally classified in three types depending on the presence of a dilated… Continue Reading
Laparoendoscopic Management of the Common Bile Duct Stones
Jose Daniel Lozada Leon, MD, Angel Reyes Dorantes, MD, Clodoalda Durthley Lozada Leon, MD, Fret Carreto Arredondo, MD, Aide Colin Armenta, SN Santa Monica Hospital Cuernavaca, Morelos, Mexico INTRODUCTION:The aim of this video is to present a summary of different ways of common bile duct exploration. The Laparoendoscopic exploration of the common bile duct requires… Continue Reading
Laparoscopic Cholecystectomy for Left-sided Gallblader in Situs Inversus Totalis
Mingwei Ni, MD, PhD, Yi Chen, MD New York Hospital Medical Center of Queens Situs inversus totalis is a rare anatomical anomaly of internal viscera in the reversed position. It is estimated to occur in 1 in 5,000-20,000 birth annually. Symptomatic cholecystitis in patients with situs inversus totalis renders diagnostic and therapeutic challenges. Because the… Continue Reading
Laparoscopic cholecystectomy in a patient with congenital atrophy of the right hepatic lobe
Lionel van der Westhuizen, MD, Alfredo M Carbonell, DO, William S Cobb IV, MD Greenville Hospital System University Medical Center Congenital anomalies of the liver are rare. One of the rarest forms includes agenesis and atresia of the right hepatic lobe. Fewer than 100 cases have been described in the literature. This anomaly is associated… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- HPB
Laparoscopic Cholecystectomy in Octogenerians: Outcome Analysis of 48 Consecutive Cases by a Single Surgeon
R A Gamagami, MD, Paul Kozak, Natalia Sopiarz Department of Surgery; Silver Cross Hospital, New Lenox, Illinois Background: The aging population has led to an increase in the number of patients undergoing laparoscopic cholecystectomy (LC). Wide variations are reported in morbidity, mortality, and conversion rates involving multiple surgeons. Previous data have shown that the morbidity… Continue Reading
Laparoscopic cholecystectomy in situs inversus totalis: Feasibility and Review of Literature
Ibrahim A Salama, MDPhD, Mohammed H Abdullah, MD, Mohammed A Houseni Department of Hepatobilary Surgery (1), Department of Anesthesia (2), Department of Radiology (3) National Liver Institute, Menophyia University. Shiben Elkom, Egypt Situs inversus is a rare anomaly characterized by transposition of organs to the opposite site of the body. Laparoscopic cholecystectomy in these patients… Continue Reading