Loop versus suture closure of the gall bladder stump during sub-total cholecystectomy – A retrospective analysis.
Sunay Bhat1, Gokul Kruba Shanker1, Vadiraj Hunnur1, N.Subrahmaneswara Babu2, Balu Kuppusamy3. 1Dept.of Surgical Gastroenterology,VGM Gastro Care,Coimbatore, 2Dept. of Surgical Gastroenterology,JIPMER, Pondicherry., 3Dept. of Surgical Gastroenterology,GEM Hospital,CoimbatoreINTRODUCTION: Laparoscopic subtotal cholecystectomy is widely accepted as a safe alternative to the conventional laparoscopic cholecystectomy in case of acute cholecystitis with frozen calot’s triangle. The remnant stump of the… 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
CHOLECYSTECTOMY FOLLOWING PERCUTANEOUS CHOLECYSTOSTOMY TUBE PLACEMENT LEADS TO HIGHER RATE OF CBD INJURIES
Maria S Altieri, MD, MS, Jie Yang, PhD, Donglei Yin, MS, Salvatore Docimo, MD, Konstantinos Spaniolas, MD, Mark Talamini, MD, MBA, Aurora Pryor, MD. Stony Brook University HospitalIntroduction: Percutaneous cholecystostomy tube (PCT) placement is often the initial management of severe acute cholecystitis in the unstable patient. PCT can be later reversed and cholecystectomy performed. The… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Biliary
26 years of experience in laparoscopic common bile duct exploration a single institution experience at Texas Endosurgery Institute.
Paulina Bajonero Canónico, MD1, Morris Franklin jr, MD2, Miguel A Hernandez, MD2, Dolores Lopez-Garnica, MD1, Montserrat Guraieb-Trueba, MD1. 1Tecnologico de Monterrey, 2Texas Endosurgery InstituteIntroduction: Routine use of intraoperative cholangiogram (IOC) in laparoscopic cholecystectomy leads to identification of patients with choledocholithiasis. Traditionally a surgical team performed its management, but advances in technology of endoscopic retrograde cholangiopancreatography… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Biliary
The Impact of Cholangiography on 30-Day Readmissions After Laparoscopic Cholecystectomy
Andrew Lambour, MD, Karissa Tauber, Jesse Columbo, MD, Byron F Santos, MD. Dartmouth-Hitchcock Medical CenterBackground: The benefits of intra-operative cholangiography (IOC) during laparoscopic cholecystectomy have been widely studied. The impact on readmissions has yet to be fully determined. We hypothesized that surgeon confidence in lack of bile duct injury or retained stones afforded with IOC… Continue Reading
- Topic:
- Biliary
THE LESSER OF TWO EVILS: DEALING WITH COMPLICATIONS AFTER LAPAROSCOPIC SUBTOTAL CHOLECYSTECTOMY
Guillaume S Chevrollier, MD, Danica N Giugliano, MD, Jennifer A Rich, BS, Jonathan M Stem, MD, Andrew M Brown, MD, Francesco Palazzo, MD, Michael J Pucci, MD. Sidney Kimmel Medical College of Thomas Jefferson University, Department of SurgeryWe present a video case presentation of a patient who developed cholecystolithiasis, choledocholithiasis, and a cystocutaneous fistula after… Continue Reading
- 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
Dome-Down Laparoscopic Cholecystectomy in Acute Cholecystitis
Kamthorn Yolsuriyanwong, MD, Eric Marcotte, MD, Bipan Chand, MD. Loyola University Chicago, Stritch School of MedicineBackground: In normal situations, laparoscopic cholecystectomy (LC) usually starts with dissection from the triangle of Calot upwards towards the dome of the gallbladder. However, the surgeon may encounter a difficult LC, which loss of anatomical details particularly in the triangle… Continue Reading
- Topic:
- Biliary
Totally laparoscopic management in complicated case of choledochal cyst
Hariruk Yodying, MD1, Sermsri Pongratanakul, MD1, Vichit Viriyaroj, MD1, Thammanij Rookkachart, MD1, Thanatorn Sricharoen, MD2. 1Department of surgery ,Sirindhorn medical center Hospital , Srinakharinwirot University, 2Department of radiology ,Sirindhorn medical center Hospital , Srinakharinwirot UniversityBackground: Choledochal cysts typically are a surgical problem of childhood, but some of the patients can have delay presentation in adult. The… Continue Reading
- Topic:
- Biliary
Type I Choledochal Cyst. Laparoscopic Excision and Roux en Y Hepaticojejunostomy
Mauro Andrés Perdomo Pérez, MD, Pablo Valsangiácomo, Martin Bentancur, Cecilia Chambon, Daniel Gonzalez, Luis Ruso Martinez. Hospital MacielCase presentation of a Todani´s type Ia choledochal cyst. Totally laparoscopic excision and Roux en Y hepaticojejunostomy video. 45-year-old female, presented with right upper quadrant abdominal pain and obstructive jaundice. Laparoscopic cholecistectomy 17 years ago. Seven-year history of… 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
ROBOT-ASSISTED REPAIR OF E1-BILIARY DUCTAL INJURY WITH ROUX-EN-Y HEPATICOJEJUNOSTOMY
Subhashini Ayloo, MD, MPH, FACS, Chetan Merchant, MD, Gregory Grimberg, MD, Jacob Schwartzman, MD. Rutgers New Jersey Medical SchoolObjective: To demonstrate the safety and feasibility of minimally invasive robot-assisted early repair of E1 bile duct transection post laparoscopic cholecystectomy. Materials & Methods: A 36 year old woman with previous laparoscopic cholecystectomy eight days prior was… Continue Reading
- Topic:
- Biliary
Extrahepatic Bile Duct Anomalies:a case series using fluorescent cholangiography
Scott W Schimpke, MD, Jin Yoo, MD, Sugong Chen, MD, Matthew Davis, MD, Chan Park, MD, Keri Seymour, DO, Ranjan Sudan, MD, Dana Portenier, MD, Camila B Ortega, MD, Alfredo D Guerron, MD. Duke UniversityEvery surgeon should be able to identify extrahepatic bile duct anomalies and thus avoid a complication during a laparoscopic cholecystectomy. We… Continue Reading
- Topic:
- Biliary
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
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