Laparoscopic versus Open Excision of Choledochal Cyst in Neonates; surgical methods and outcomes.
Jung-Man Namgoong, MD, JuYeon Lee, MD, SeongChul Kim, MD, PhD, DaeYeon Kim, MD, PhD. Department of Pediatric Surgery, Asan Medical Center Children's Hospital, University of Ulsan College of Medicine, Seoul, KoreaPurpose: Laparoscopic excision of choledochal cyst (LEC) can be performed preferably in pediatrics and adults. However, LEC is not performed well in neonates because the… Continue Reading
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
Reduced-port laparoscopic cholecystectomy for young surgeons
Shuichi Iwahashi, Mitsuo Shimada, Satoru Imura, Yuji Morine, Tetsuya Ikemoto, Yu Saito, Hiroki Teraoku. Department of Surgery, Tokushima UniversityIntroduction: Laparoscopic cholecystectomy (Lap-C) is the standard operation for the benign diseases. We have reported reduced port Lap-C (RPL-C) was safely and comparable method to SILS-C and conventional Lap-C (SAGES 2017). In this time, we examined the… Continue Reading
Endoscopic Retrograde Cholangiopancreatogram (ERCP) Stent Occlusion After Sphincterotomy Due to Bleeding and Clot Formation
Shinban Liu, DO, David Parizh, DO, Vadim Meytes, DO, Mohan Kilaru, MD. NYU Langone Hospital - BrooklynIntroduction: Acute cholangitis is an ascending infection of the biliary tree secondary to obstruction and can be severe if proper intervention and treatment are not performed in a timely fashion. The most common management of cholangitis with ductal obstruction… Continue Reading
Choledochal cyst excision in adults: Experience by laparoscopic approach
Sarrath Sutthipong, MD, Panot Yimcharoen, MD, Poschong Suesat, MD. Bhumibol Adulyadej HospitalBackground: Choledochal cyst (CC) is a rare disease, characterized by dilatations of the extra- or/and intrahepatic bile ducts. CCs occur most frequently in Asian and female populations. CC is associated with biliary lithiasis and considered at risk of malignant transformation. Todani’s classification dividing CC… Continue Reading
The application of supine position in ERCP: Is it as safe and effective as prone position?
Luyang Zhang, MD, Minhua Zheng, MD, Zhihai Mao, MD. Department of General Surgery, Rui Jin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Minimally Invasive Surgery Center, Shanghai, ChinaObjective: To investigate if ERCP (endoscopic retrograde cholangiopancreatography)conducted with patient in supine position is as safe and effective as in traditional prone position. Methods: 52 consecutive… Continue Reading
ENDOSCOPIC TRANS-PAPILLARY GALLBLADDER DRAINAGE (ETGBD) IN ACUTE CHOLECYSTITIS: A SINGLE CENTER EXPERIENCE
Arun Kritsanasakul, Chotirot Angkurawaranon, Jerasak Wannapraset, Thawee Rattanachu-ek, Kannikar Laohavichitra. Rajavithi HospitalBackground: Surgery is the mainstay of treatment for cholecystitis, however, it may not be safe or feasible in some circumstances such as severe cholecystitis or cholecystitis in extremely high-risk patients. Gallbladder drainage may be an appropriate alternative or a bridging option prior to cholecystectomy.… Continue Reading
LONG-TERM OUTCOMES AFTER SUBTOTAL CHOLECYSTECTOMY: A RETROSPECTIVE CASE SERIES
Julia F Kohn, BS1, Alexander Trenk, MD2, Woody Denham, MD2, John Linn, MD2, Stephen Haggerty, MD2, Ray Joehl, MD2, Michael Ujiki, MD2. 1University of Illinois at Chicago; NorthShore University HealthSystem, 2NorthShore University HealthSystemINTRODUCTION: Subtotal cholecystectomy, where the infundibulum of the gallbladder is transected to avoid dissecting within a heavily inflamed triangle of Calot, has been… 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
Outcomes of Laparoscopic-Assisted ERCP in Gastric Bypass Patients at a Community Hospital Center
Benefsha Mohammad, MD1, Michele Richard, MD1, Steve Brandwein, MD2, Keith Zuccala, MD3. 1Danbury Hospital, 2Danbury Hospital Department of Gastroenterology, 3Danbury Hospital Department of SurgeryIntroduction: Obesity is a prevalent issue in today’s society, which has increased the number of gastric weight loss surgeries. This presents an anatomical challenge to biliary disease requiring endoscopic retrograde cholangiopancreatography (ERCP).… Continue Reading
Recurrent bile duct stones after endoscopic sphincterotomy in 2255 patients
Ahmed Elgeidie, Elsayed Adel. Gastrointestinal Surgery CenterBackground: Endoscopic sphincterotomy (ES) is an effective therapeutic procedure for common bile duct (CBD) stone clearance but it carries a substantial risk of recurrent stones at long-term outcome. Aim of the study: To evaluate the rate of CBD stones recurrence after primary complete endoscopic clearance, and to identify the risk… Continue Reading
Two port laparoscopic cholecystectomy in a pregnant woman
Hugo Bonatti, MD. University of Maryland Community Medical GroupBackground: Laparoscopic cholecystectomy during advanced pregnancy is challenging due to the limited intraabdominal space. Patients may be at increased risk for developing trocar site hernia. Case report: A 35 year old Hispanic female in her 22th week of pregnancy came to the ER with acute right upper… 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
Three Month Interval Laparoscopic Cholecystectomy Using Endoscopic Gallbladder Stenting for Severe Acute Cholecystitis
Norimasa Koide, MD, Takehiko Enomkoto, MD, Kazuyoshi Suda. Department of Surgery, Niigatakensaiseikai Sanjyo HospitalIntroduction: The Tokyo guideline for acute cholecystitis (AC) recommends percutaneous transhepatic gallbladder drainage (PTGBD) followed by cholecystectomy for severe AC. But the optimal timing for the subsequent laparoscopic cholecystectomy remains unclear. And if PTGBD is performed, it appears to increase hospital stay… Continue Reading
Splenic Abscess Arising After Routine Laparoscopic Cholecystectomy
Kevin Bain, DO, Vadim Meytes, DO, David Parizh, DO, Sampath Kumar, MD. NYU Langone Hospital - BrooklynIntroduction: Splenic abscess is a rare, potentially lethal condition, with autopsy studies showing incidence rates between 0.14 - 0.7%. Mortality rates ranging from 47-100% making early diagnosis and prompt intervention vital. Several case reports have documented post surgical splenic… Continue Reading