FACTORS AFFECTING COVERSION OF LAPAROSCOPIC CHOLECYSTECTOMY TO OPEN SURGERY
Papot Charutragulchai, MD, Chotirot Angkurawaranon, MD, Kannikar Laohavichitra, MD, Jerasak Wannapraset, MD, Thawee Rattanachu-ek, MD, Siripong Sirikurnpiboon, MD. Department of Surgery, Rajavithi Hospital, Bangkok, Thailand, 10400Background: Laparoscopic cholecystectomy (LC) is the standard procedure for cholecystectomy. However, in some patients, LC cannot be successfully performed requiring conversion to open cholecystectomy (OC). This study was to analyze the… Continue Reading
FLUORESCENCE CHOLANGIOGRAPHY BY DIRECT GALLBLADDER INJECTION OF INDOCYANINE GREEN DURING LAPAROSCOPIC CHOLECYSTECTOMY
Sora Ely, MD1, Claire Graves, MD2, Olajire Idowu, MD3, Sunghoon Kim, MD3. 1UCSF East Bay, 2UCSF, 3UCSF Benioff Children's Hospital of OaklandOver the last several years, fluorescence cholangiogragraphy has been developed as an alternative method of intraoperative cholangiography (IOC), which was traditionally performed with radiocontrast fluid under fluoroscopy. This new method has utilized timed preoperative… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary
GALLBLADDER DUPLICATION: INTRAOPERATIVE DIAGNOSIS USING ICG
Andres E Giovannetti, MD1, Michael Prendergast, MD2. 1UIC-MGH General Surgery Residency, 2Presence St Francis Hospital EvanstonINTRODUCTION: Biliary anatomy is variable and its knowledge is key in the surgical management of our patients. Gallbladder duplication is a rare finding with an incidence estimated of 1:4,000 cases. Was first described in a Roman Emperor’s slave autopsy. Management… Continue Reading
- Topic:
- Biliary
How to learn the laparoscopic cholecystectomy (LC)? : A learning curve of one surgical resident for initial 151 cases
Yun Kyung Jung, Dongho Choi, Hwon Kyum Park, Kyeong Geun Lee. College of Medicine, Hanyang UniversityIntroduction: Laparoscopic cholecystectomy (LC) has been widely performed for the treatment of gallbladder disease. However, it has potential fatal complications like bile duct injury which are correlated with inexperience. Therefore, surgical training for safe and exact LC technique is important… Continue Reading
Identifying factors contributing to morbidity in recurrent cholangitis
Emanuel A Shapera, MD1, Matteusz Lapucha, MD1, Lauren Baumgarten, MD1, Steven Kaspick, MD1, Cyrus Rahnema, MD1, Matthew Johnson, MD, MMS, FACS2, Paul Nelson, MD, FACS1. 1Mountain View Hospital, 2Desert Surgical AssociatesIntroduction: Recurrent Cholangitis can be caused by parasitical, calculous or malignant disease. We sought to determine clinical factors associated with recurrent cholangitis in two Las… Continue Reading
IMPACT OF TIMING OF INTERVAL CHOLECYSTECTOMY, FOLLOWING PERCUTANEOUS CHOLECYSTOSTOMY TUBE FOR ACUTE CHOLECYSTITIS, ON OPERATIVE AND PATIENT OUTCOMES
Usman Asad, BS, Amir Aryaie, MD, Eneko Larumbe, PhD, Mark Williams, MD, Edwin Onkendi, MD. Texas Tech University Health Sciences CenterBackground: Percutaneous cholecystostomy tube (PCT) has been used as a bridge treatment for grade II-III moderate to severe acute cholecystitis (AC) to “cool” the gallbladder down over several weeks and allow the inflammation to resolve… Continue Reading
INDOCYANINE GREEN USE IN LAPAROSCOPIC CHOLECYSTECTOMY: POTENTIAL SHIFT IN STANDARD OF CARE?
Jenny Lam, MD, Toshiaki Suzuki, MD, Carlos T Maeda, MD, David Bernstein, MD, Thach Pham, Garth R Jacobsen, MD, FACS, Bryan J Sandler, MD, Santiago Horgan, MD, FACS. University Of California - San DiegoObjective: This study aims to evaluate the utility and efficiency of ICG as an alternative to routine intraoperative cholangiogram in patients undergoing… Continue Reading
Is high morbidity and cost associated with tube cholecystostomy worth it? A paradigm shift
Steven Schulberg, DO, Jonathan Gumer, DO, Matt Goldstein, Vadim Meytes, DO, George Ferzli, MD. NYU Langone Hospital - BrooklynIntroduction: Acute cholecystitis is a common surgical disease with roughly 500,000 cholecystectomies performed in the US annually. The current dogma revolves around the “72 hour rule” advocating early cholecystectomy if within the window, and if beyond 72… Continue Reading
Is Hyperkinetic Gallbladder an Indication for Cholecystectomy?
Shireesh Saurabh, MD, Benjamin Green, DO. Mercy Iowa CityINTRODUCTION: Most studies recommend cholecystectomy for patients with biliary dyskinesia, defined by gallbladder ejection fraction (GBEF) of less than 35 – 40% on HIDA scan. There are no recommendations regarding management of hyperkinetic gallbladder defined by GBEF of more than 80% on HIDA scan. The aim of… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Biliary
IS ROUTINE HISTOPATHOLOGY NECESSARY FOR ALL GALLBLADDER SPECIMENS?
Andrea Zaw, MD, Farrukh A Khan, MD, Prashanth Ramachandra, MD, Piotr Krecioch, MD, Leslie Anewenah, MD. Mercy Catholic Medical CenterIntroduction: Benign gallbladder disease is commonly treated with Laparoscopic cholecystectomy (LC). Gallbladder cancer (GBC) is a rare malignancy characterized by high invasiveness and poor survival. In our institution, all gallbladder specimens are routinely sent to pathology,… Continue Reading
Klatskin Tumor in the light of ICD-O-3. A Population-Based Clinical Outcome Study Involving 1,144 Patients from the Surveillance Epidemiology and End Result (SEER) Database (2001-2012).
Abdul Waheed, MD, Jill S Motl, MD, Justin Kelly, MD, FRCS, Rebecca Rowen, MD, John R Monson, MD, FACS, FRCS, FASCRS. Surgical Health Outcomes Consortium, Florida Hospital Medical Center, Orlando, FL, USAIntroduction: Klatskin tumors (KT) occur at the confluence of right and left extrahepatic ducts and classified based on their anatomical and histological code in… Continue Reading
Laparoscopic cholecystectomy in left-sided gallbladder
Yun Kyung Jung, Dongho Choi, Hwon Kyum Park, Kyeong Geun Lee. College of Medicine, Hanyang UniversityIntroduction: Left-sided gallbladder (LSGB) is one of rare congenital anomalies in gallbladder and defined as a gallbladder located on left side of falciform ligament without situs inversus. Although there has been remarkable development on diagnostic imaging tools, almost left-sided gallbladder… Continue Reading
LAPAROSCOPIC HEPATICOJEJUNOSTOMY FOR OBSTRUCTED BILIARY STENT
Sugong Chen, MD, Scott Schimpke, MD, Matthew Davis, MD, Camila Ortega, Chan Park, MD, Jin Yoo, MD, Keri Seymour, MD, Alfredo D Guerron, MD, Sudan Ranjan, MD, Kunoor Jain-Spangler, Dana Portenier, MD. Duke University Department of SurgeryA 38 year old Hispanic Female was lost to follow up after biliary stent placement for choledocholithiasis, and this… Continue Reading
- Topic:
- Biliary
Laparoscopic Management of Intra-hepatic Gall Bladder Perforation
Ajay Bhandarwar, MS, FICS, FBMS, FALS, FMAS1, Tejas Nikumbh, DNB1, Gajanan Wagholikar, MS, MCh, DNB, FACS, FICS2, Amol Wagh, MS, FMAS, FBMS, FALS, FIAGES1, Eham Arora, MS1, Shubham Gupta, MS1, Jasmine Agarwal1, Gagandeep Talwar1. 1Grant Government Medical College & Sir JJ Group of Hospitals, India, 2Deenanath Mangeshkar Hospital & Research Centre, Pune, IndiaCholecystohepatic communication, i.e.… Continue Reading
- Topic:
- Biliary
Laparoscopic Narrow Band Imaging for Intraoperative Diagnosis of Tumor Invasiveness in Gallbladder Carcinoma: A Preliminary Study
Yukio Iwashita, Hiroki Uchida, Teijiro Hirashita, Yuichi Endo, Kazuhiro Tada, Kunihiro Saga, Hiroomi Takayama, Masayuki Ohta, Masafumi Inomata. Oita University Faculty of MedicineIntroduction: Determining tumor invasiveness before operation is one of the most important unsolved issues in the management of gallbladder cancer. We hypothesized that the assessment of irregular vessels on the gallbladder wall may… Continue Reading