Early cholecystectomy (<72 hours) is associated with lower rate of complications and bile duct injury: a study of 109,862 cholecystectomies in the state of New York
Maria S Altieri, MD, MS1, L. Michael Brunt, MD1, Jie Yang, PhD2, Chencan Zhu, MS2, Mark Talamini, MD, MBA2, Aurora Pryor, MD2. 1Washington University School of Medicine, 2Stony Brook University HospitalIntroduction: Cholecystectomy is the standard of care for patients with acute cholecystitis. Timing of cholecystectomy has been debated, as recently early cholecystectomy (<72 hours) has been… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Biliary
Efficacy of pancreatic enzyme replacement therapy in the treatment of pancreatic exocrine insufficiency following pancreatic surgery, a systematic review
Alysha R Keehn, MD, MSc, candidate1, Stephen N Quigley, MD, FRCSC2, Elijah Dixon, MD, MSc, FRCSC1. 1University of Calgary, Department of Surgery, 2Memorial University, Department of SurgeryBackground: Mortality from pancreatic surgery has decreased over the years, however morbidity remains high. 45% of patients demonstrate pancreatic exocrine insufficiency prior to surgery with post-operative incidences ranging form… Continue Reading
Endoscopic and Laparoscopic Management of a Case of Bouveret Syndrome
Branden Hawara, MS1, Ryan D Horsley, DO2. 1Geisinger Commonwealth School of Medicine, 2Geisinger Community Medical CenterWe present a unique case of an 86 year-old male with multiple comorbidities including, but not limited to, chronic kidney disease, cirrhosis, atrial fibrillation, coronary artery disease, and cholecystitis. Over one year prior he underwent percutaneous transhepatic cholecystostomy tube placement… Continue Reading
- Topic:
- Biliary
Endoscopic Biliary Intervention Following Orthotopic Liver Transplantation
Krishnaraj Mahendraraj, MD, Guillermo Medrano Del Rosal, MD, Michelle Kruse, BS. Lincoln Medical CenterIntroduction: Biliary tract complications that require endoscopic decompression represent a greater challenge after liver transplantation than in non transplanted patients. Immunosuppressive therapy predisposes patients to a greater risk of infections and poor healing process. This comparative study analyzes risk factors and outcomes in… Continue Reading
Endoscopic management of the difficult hepatic biliary duct stone with digital direct cholangiography
Renzo Pinto, Efrain J Isaacs, Laura Quintero, Luis F Cabrera, General Surgeon, Daniel Gomez, MD, FACS, Mauricio Pedraza, Jean Pulido. Bosque UniversityIntroduction:Digital direct cholangiography or Spyglass (Boston Scientific Corp., Natick, MA, USA) is a modern and simplified technique, which allows a single endoscopist a better visualization of the biliary tract and equipment maneuverability. Using this… Continue Reading
Endoscopic Transpapillary Stenting for the Management of Acute Cholecystitis
Danielle Hayes, MD, Gary Lucas, MD, Bryce French, MD, Andrew Discolo, MD, Rajnish Mishra, MD, Sean Wells, MD. Swedish Medical Center - First HillIntroduction: Cholecystectomy is the gold standard treatment of acute cholecystitis. Patients with multiple comorbidities who are considered high-risk surgical candidates are commonly recommended to undergo percutaneous cholecystostomy tube placement; however, long-term external drainage… Continue Reading
Fluorescent Cholangiography as a Tool to identify a Hypoplastic Gallbladder and Critical Structures
Joel S Frieder, MD, Abraham Betancourt, MD, Fernando Dip, MD, Maria Fonseca Mora, MD, Cristian Milla Matute, MD, Emanuele Lo Menzo, MD, PhD, FACS, FASMBS, Samuel Szomstein, MD, FACS, FASMBS, Raul Rosenthal, MD, FACS, FASMBS. Cleveland Clinic FloridaIndocyanine Green (ICG) has proven to aid in the intraoperative identification of biliary structures. The main advantages of… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary
Gallbladder Perforation with Hemoperitoneum Secondary to Ulceration from Densely Packed Gallstones in a Minimally Symptomatic Patient
Elizabeth A Verrico, DO1, Lindsay Tse, DO2, Justin Sargent, DO1, Fred Wolodiger, MD3, Steven Shikiar, MD1. 1Hackensack Meridian Health Palisades Medical Center, 2Houston Methodist Hospital, 3Englewood Hospital and Medical CenterAcute cholecystitis is one of the most common general surgery pathologies. Perforated cholecystitis is a rare potentially life threatening complication of acute cholecystitis. It is often… Continue Reading
GANGRENOUS CHOLECYSTITIS: DELAYS IN SURGICAL EVALUATION AND OUTCOMES IN THE ERA OF MINIMALLY INVASIVE SURGERY
Rebecca C Gologorsky, MD1, Justin Tse, MD2, Dylan Wolman, MD2, Aya Kamaya, MD2. 1University of California San Francisco-East Bay, 2Stanford UniversityIntroduction: Gangrenous cholecystitis (GC) is a highly morbid complication of acute cholecystitis (AC). Risk factors for gangrenous progression are poorly described, as are pre-operative clinical features and post-operative outcomes in the era of minimally invasive surgery.… Continue Reading
Hyperkinetic gallbladder: an indication for cholecystectomy?
Baongoc Nasri, MD, PhD1, Brian Gilchrist, MD2, Timothy Glass, MD1, Jonathan Saxe, MD1. 1St. Vincent Hospital, 2New York University Winthrop HospitalBackground: The main indications for laparoscopic cholecystectomy are stone related diseases in adults. With a normal abdominal ultrasound (US), a hepatobiliary iminodiacetic acid (HIDA) scan with ejection fraction (EF) is recommended to evaluate gallbladder function.… Continue Reading
Impact of On-Table ERCP in the Acute Setting on Length of Stay at a Tertiary Care Center
Samantha R Witte, MD, Katelin Mirkin, MD, Jerome Lyn-Sue, MD. Penn State HealthIntroduction: The management of acute complicated cholecystitis with choledocholithiasis diagnosed either during the initial workup or in the operating room by cholangiogram can be a complex and challenging problem to manage. We compared outcomes between patients who underwent preoperative ERCP followed by delayed… Continue Reading
Intraoperative fluoroscopic-guided balloon choledocholithotomy and laparoscopic cholecystectomy : A new technique for the treatment of choledocholithiasis
Yasunobu Kobayashi, MD1, Hironori Ohdaira, MDPhD1, Mutsumi Kaji, MD1, Norihiko Suzuki, MD1, Satoshi Narihiro, MD1, Taigo Hata, MD1, Soujun Hoshimoto, MDPhD1, Masashi Yoshida, MDPhD1, Jun Horiguchi, MDPhD1, Eigoro Yamanouchi, MDPhD2, Masaki Kitajima, MDPhD1, Yutaka Suzuki, MDPhD1. 1Dept of Surgery, International University of Health and Welfare, 2Dept of Radiology, International University of Health and WelfareBackground: Patients with… Continue Reading
Laparoscopic Bile Duct Excision
Ammiel Arra, Dr, N Bascombe, Dr, M Bartholomew, Dr, D Dan, Prof. San Fernando General HospitalObjective: Due to the risk of malignancy, the established management of choledochal cysts mandates bile duct excision and biliary reconstruction. While the reconstructive procedure of choice for most surgeons has traditionally been hepatico-jejunostomy, this may not be feasible in selected… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary
LAPAROSCOPIC BILE DUCT INJURY.EFFECT OF SURGICAL REPAIR.
Shahidur Rahman, Professor. Bangobandhu Sheikh Mujib Medical UniversityIntroduction: The aim of this study was to analyze the surgical treatment results of major bile duct injuries. A single institution prospective analysis of 30 patients with bile duct injuries , underwent surgical repair. Methods: From January 2004 to september 2018, a prospective records of all patients with a BDI… Continue Reading
Laparoscopic cholecystectomy: a review of operative timing and complications
Chetna Bakshi, MD, Gainosuke Sugiyama, MD, FACS, Charles Choy, MD, FACS, Gene Coppa, MD, FACS, Antonio Alfonso, MD, FACS, Paul Chung, MD. Zucker School of Medicine at Hofstra/NorthwellBackground: Laparoscopic cholecystectomy is one of the most common operations performed in general surgery in the United States. It has been suggested that increased operative time (OT) is correlated… Continue Reading