Experience with single-incision laparoscopic cholecystectomy
Nobumi Tagaya, PhD, Musashi Takada, MD, Shunya Miyazaki, MD, Mayuka Uchida, MD, Natsuki Yamaguchi, MD, Yuhei KHakozaki, MD, Yoshikiyo Matsunaga, MD, Kosuke Hirano, MD, Yoshitake Sugamata, PhD, Masatoshi Oya, PhD. Department of Surgery, Dokkyo Medical University Koshigaya HospitalIntroduction: We herein report our own single-incision laparoscopic cholecystectomy (SILC) technique using several useful devices in order to… Continue Reading
- Topic:
- Biliary
Fluorescence Cholangiography: ICG Spells Safety
Jonathan C DeLong, MD, Shingle Liu, MD, Domingo Montalvo, MD, Toshiaki Suzuki, MD, Ran B Luo, MD, Jessica L Reynolds, MD, Garth R Jacobsen, MD, Bryan J Sandler, MD, Michael Bouvet, MD, Santiago Horgan, MD. UC San DiegoFluorescence cholangiography provides a roadmap for safe dissection during laparoscopic cholecystectomy. Optimization of the technique is dependent upon… Continue Reading
- Topic:
- Biliary
Gallstones and Reflux Disease – more frequently associated than we thought?
Seeyuen J Lee, MD, MPH, Ping Pan, MD, Philip L Leggett, MD. UT HealthBackground: There have been surprisingly few studies assessing the relationship between gastroesophageal reflux and biliary disease, considering they overlap presenting symptoms and risk factors, particularly obesity. Published results to date have been conflicting. The goal of our study is to document the… Continue Reading
- Topic:
- Biliary
Gauze Sign: A New Technique in Difficult Laparoscopic Cholecystectomy Cases
Gretel B Puzon, MD, Michael Dennis I dela Paz, MD, Rafael Alexis Resurreccion, MD, Carlos Ejercito, MD. Asian Hospital and Medical CenterLaparoscopic cholecystectomy has replaced open cholecystectomy as the standard of care for benign diseases of the gallbladder. Through the years, the contraindications of laparoscopic cholecystectomy have narrowed down, subsequently increasing the exposure of the… Continue Reading
- Topic:
- Biliary
Hepatic Teratoma Masquerading as a Post-Deployment Echinococcal Cyst: A Case Report and Literature Review
Tommy A Brown, CPT, MD, Chonna L Kendrick, MAJ, MD, Kelly A Haeusler, Capt, MD, John D Ritchie, MAJ, MD, Shawnn D Nichols, Lt, Col, MD, AFMSA. SAMMCHepatic Echinococcal cysts in native-born US citizens and hepatic mature cystic teratomas are both rare entities and can present similarly due to mass effect. Less than forty cases… Continue Reading
- Topic:
- Biliary
Impact of obesity on short-term outcomes of single incision laparoscopic cholecystectomy
Daisuke Azuma, MD, Masaki Fukunaga, Tetu Hukunaga, Kunihiko Nagakari, Yosihito Iida, Seiichiro Yosikawa, Goutaro Katsuno, Masakazu Ouchi, Yoshinori Hirasaki, Shintarou Kohama, Jun Nomoto. Department of Surgery, Juntendo Urayasu Hospital, Juntendo UniversityBackground: In recent years, single port surgery (SPS) has gained great interest and popularity. Actually, single incision laparoscopic cholecystectomy (SLC) can be safely completed in… Continue Reading
- Topic:
- Biliary
Increasing common bile duct injury and decreasing utilization of Intra-operative cholangiogram and Common Bile Duct exploration over 14 years. An analysis of outcomes in New York State.
Maria Altieri, MD, Jie Yang, PhD, Chencan Zhu, MS, Nabeel Obeid, MD, Andrew Bates, MD, Mark Talamini, MD, Aurora Pryor, MD. Stony Brook Medical CenterSince the introduction of laparoscopy, laparoscopic cholecystectomy (LC) has become the most commonly performed general surgical procedure. Whereas during open cholecystectomy intra-operative cholangiogram (IOC) and common bile duct (CBD) exploration are… Continue Reading
- Topic:
- Biliary
Intraoperative EST for CBD stone
Takumi Yamaguchi, Satoru Takayama, Masaki Sakamoto, Ryohei Matsui, Toru Imagami. Nagoya Tokushukai General HospitalAIMS:There are various approaches for the treatment of cholecystocholedocholithiasis. Laparoscopic cholecystectomy after endoscopic sphincterotomy (EST) is standard methodology now a day. However, compared with such metachronous strategy, simultaneous endoscopic sphincterotomy with cholecystectomy is favorable. And we usually perform it by rendezvous technique… Continue Reading
- Topic:
- Biliary
Introduction of a Japan-Korea-Taiwan Collaborative Project: Defining the Surgical Difficulty During Laparoscopic Cholecystectomy
Taizo Hibi, MD, PhD1, Yukio Iwashita2, Tetsuji Ohyama2, Goro Honda3, Masahiro Yoshida4, Tadahiro Takada5, Ho-Seong Han6, Tsann-Long Hwang7, Go Wakabayashi8, Masakazu Yamamoto9. 1Keio University School of Medicine, 2Oita University Faculty of Medicine, 3Tokyo Metropolitan Komagome Hospital, 4International University of Health and Welfare, 5Teikyo University School of Medicine, 6Seoul National University Bundang Hospital, 7Lin-Kou Chang Gung… Continue Reading
- Topic:
- Biliary
Laparoscopic Bile Duct Exploration in the Managmente of Choledocholithiasis during pregnancy
Erwin Buckel, MD1, Pablo Achurra, MD2, Eduardo Viñuela, MD1, Julian Varas, MD2, Alfonso Diaz, MD1, Rose Marie Mege, MD1, Cristian Diaz, MD1, Constanza Godoy, MD1, Marcel Sanhueza, MD1. 1Centro Asistencial Hospital Sotero del Rio, 2Pontificia Universidad Catolica de ChileIntroduction: The management of symptomatic choledochal stones in pregnant women is a complex and divisive issue. There… Continue Reading
- Topic:
- Biliary
laparoscopic CBD exploration- an experience of more than 250 cases at a single centre
Krishna Asuri, MS, Bansal Virinder, MS, Misra Mahesh, MS. all india institute of medical sciencesIntroduction: The optimum management of patients with concomitant gall stones and common bile duct (CBD) stones is debatable. ERCP followed by cholecystectomy is the preferred method of management at present. Although randomized trials have shown single stage cholecystectomy and laparoscopic CBD… Continue Reading
- Topic:
- Biliary
Laparoscopic CBD exploration with choledochoduodenostomy for bileduct stones in a patient with situs inversus totalis
P Senthilnathan, R Parthasarathi, S Rajapandian, P Praveen Raj, Anand Vijai, V P Nalankilli, G Srivatsan, Sandeep Sabnis, C Palanivelu. GEM Hospital & Research Centre76 year lady, a known case of Situs inversus totalis underwent open cholecystectomy elsewhere 6 months back. Follow up at our centre for pain abdomen revealed common bile duct calculi and… Continue Reading
- Topic:
- Biliary
Laparoscopic cholecystectomy with indocyanine green (ICG) fluorescence
Lindsey G Kahan, BS, Sara Feaman, MS, CCRP, Wen Hui Tan, MD, Jared M McAllister, MD, Jeffrey A Blatnik, MD. Washington University in St. LouisPre-operative intravenous injection of indocyanine green (ICG) dye aids visualization of critical structures in the biliary system through its exclusive excretion by the liver, highlighting the cystic duct and common bile… Continue Reading
- Topic:
- Biliary
Laparoscopic choledochoduodenostomy as a rescue and reliable procedure for failed ERCP and complicated bile duct stones
P Senthilnathan, R Parthasarathi, S Rajapandian, Anand Vijay, V P Nalankilli, C Palanivelu. GEM Hospital & Research CentreBackground/Rationale: Conventionally, removal of common bile duct stones (CBDS) by endoscopic retrograde cholangiopancreaticography (ERCP) is the standard of care. In failed ERCP due to multiple large CBD calculi or inaccessibility, Laparoscopic common bile duct exploration(LCBDE) is an established… Continue Reading
- Topic:
- Biliary
Laparoscopic Common Bile Duct Exploration in a Patient with Previous Total Gastrectomy
Mostafa El-Beheiry1, Steven MacLellan2. 1Western University, 2University of TorontoThis is a case of a laparoscopic common bile duct exploration in a patient who is status post total gastrectomy with Roux-Y reconstruction for T2N0 gastric cancer. He presented to the emergency department with epigastric pain and tenderness and elevated liver enzymes. MRCP demonstrated a distal CBD… Continue Reading
- Topic:
- Biliary