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 Subtotal Cholecystectomy For Difficult Acute Calcular Cholecystitis
Hamdy Abdallah, PhD. Faculty Of Medicine, Tanta University, EgyptBackground: When the critical view of safety can't be obtained during dissection of Calot’s triangle in difficult gallbladder, conversion to open surgery is recommended to prevent bile duct injury. Several “damage control” techniques, such as cholecystostomy and subtotal cholecystectomy (SC), aim to decrease the conversion rate and… Continue Reading
SUBTOTAL CHOLECYSTECTOMY: SAFE, TOLERATED, BUT WITH INCREASED NEED FOR RE-INTERVENTION
Jennifer A Rich, BS, Guillaume S Chevrollier, MD, Andrew Brown, MD, Emanual Okolo, BS, Adam Berger, MD, Ernest L Rosato, MD, Francesco Palazzo, MD, Michael J Pucci, MD. Sidney Kimmel Medical College of Thomas Jefferson UniversityINTRODUCTION: Subtotal cholecystectomy (SC) is a standard operation utilized to prevent bile duct injury (BDI) when the Critical View of… Continue Reading
A PROSPECTIVE RANDOMISED STUDY OF INTRA-PERITONEAL INSTILLATION OF ROPIVACAINE VERSUS BUPIVACAINE IN REDUCTION OF POST-OPERATIVE PAIN AFTER LAPAROSCOPIC CHOLECYSTECTOMY
Goldendeep Singh, Bimaljot Singh, Ashwani Kumar, PROFESSOR. Government Medical College PatialaIntroduction: The study was conducted to compare the efficacy of intraperitoneal instillation of Ropivacaine versus Bupivacaine for post operative pain relief after laparoscopic cholecystectomy and to compare the analgesic requirement and overall morbidity in patients with either of two interventions. Material and Method: This prospective… Continue Reading
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
Surgeon Procedure Volume Strongly Associated with Adverse Events Post Laparoscopic Cholecystectomy
Yazen Qumsiyeh1, Curtis T Adams, MD1, Sean Wrenn, MD2, Ashley Deeb1, Charles Maclean, MDCM, FACP3, Wasef Abu-Jaish, MD, FACS, FASMBS2. 1University of Vermont Larner College of Medicine, 2University of Vermont Medical Center, Department of Surgery, 3University of Vermont Medical Center, Department of medicineIntroduction: Recent studies have reported mixed outcomes when comparing surgeon case volume and Laparoscopic… Continue Reading
THE EFFECT OF PRIOR ULTRASOUND ON OUTCOMES IN ACUTE VERSUS ELECTIVE LAPAROSCOPIC CHOLECYSTOMY
Young Lee, MD, MSc, Arjun Chandrasekaran, MD, MSMPh, Gonzalo Ausqui, MD, Connor McGinley, BS, Pratibha Vemulapalli, MD, FACS, Luca Milone, MD, PhD. The Brooklyn Hospital CenterPatients who received ultrasound prior to admission for acute cholecystitis were compared with patients who presented electively for LC. Laparoscopic cholecystectomy (LC) is the gold standard operation for gallbladder disease.… Continue Reading
TOBACCO USE DOES NOT CONTRIBUTE TO COMPLICATIONS AFTER CHOLECYSTECTOMY: A RETROSPECTIVE CHART REVIEW
Julia F Kohn, BS1, Alexander Trenk, MD2, Kristine Kuchta, MS2, 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: Laparoscopic cholecystectomy is an extremely common procedure in the United States, with over 700,000 cases performed annually. Despite the… Continue Reading
PATIENTS PRIORITIZE SAFETY FIRST: OPINIONS OF TRANSFER OF CARE FOR UNEXPECTED FINDINGS VERSUS BILE DUCT INJURY IN LAPAROSCOPIC CHOLECYSTECTOMY
Shanley B Deal, MD1, Jennifer A Rich, BS2, Elizabeth Carlson, MD1, Guillaume S Chevrollier, MD2, Michael J Pucci, MD2, Adnan A Alseidi, MD, EdM1. 1Virginia Mason Medical Center, 2Sidney Kimmel Medical College of Thomas Jefferson UniversityINTRODUCTION: Surgeons often assume patients may be dissatisfied if their operation were stopped due to suspicious intraoperative findings or injury… Continue Reading
As small as it gets: micro-invasive laparoscopic cholecystectomy using only two 5mm trocars and a needle grasper
Hugo Bonatti, MD. University of Maryland Community Medical GroupBackground: The majority of surgeons use four ports including for laparoscopic cholecystectomy (LC). Multiple efforts have been made to reduce number and size of ports. left upper quadrant (LUQ). Patients and methods: Of 114 LCs performed from 6/2014 - 4/2017, 109 (96%) were done using three instruments… Continue Reading
Robotic-Assisted Completion Cholecystectomy: A Safe and Effective Minimally Invasive Approach to a Challenging Surgical Scenario
William B Lyman, MD, Michael Passeri, MD, David A Iannitti, MD, FACS, Dionisios Vrochides, MD, PhD, FACS, FRCSC, Erin H Baker, MD, FACS, John B Martinie, MD, FACS. Carolinas Medical CenterBackground: Housed in a high volume tertiary referral center, our division receives a large amount of transfers and referrals from outside institutions for patients who… 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
THE EFFECT OF INTRAOPERATIVE BILE SPILLAGE ON OPERATIVE DECISIONS AND SURGICAL OUTCOMES IN LAPAROSCOPIC CHOLECYSTECTOMY
Young Lee, MD, MSc, Arjun Chandrasekaran, MD, MSMPh, Gonzalo Ausqui, MD, Connor McGinley, BS, Pratibha Vemulapalli, MD, FACS, Luca Milone, MD, PhD. The Brooklyn Hospital CenterIntroduction: The effect of intraoperative bile spillage during laparoscopic cholecystectomy (LC) on operative time (OR time), length of stay (LOS), postoperative complication rates, and 30 day readmission rates was analyzed.… Continue Reading
VASCULAR SURPRISES IN CALOT’S TRIANGLE DURING LAPROSCOPIC CHOLEYSTECTOMY
Tariq Nawaz, MD. Rawalpindi Medical UniversityStudy Design: Prospective and observational study. Place and Duration: From January, 2012 to July 2017. Surgical Unit ll, Holy Family Hospital, Rawalpindi. Patients and Methods: Thousand patients with a diagnosis of cholithiasis were included. Exclusion criteria are patient younger than 12 year and older than 80 year. Calot’s triangle dissection was done… 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