Laparoscopic Cholecystectomy in Hiv Positive Patients: A Case Series
We retrospectively reviewed 801 consecutive patients undergoing a laparoscopic cholecystectomy. These were performed in a single institution between January 2006 and December 2008. Of these patients, 18 were HIV positive. Of the 18 HIV positive patients, 11 were actively taking HAART medication. The CD4 count was available in 14 patients (mean 264, range 33-500). 3… Continue Reading
Laparoscopic Cholecystectomy Poses Physical Injury Risk to Surgeons: Analysis of Hand Technique and Standing Position
Introduction: This study compares the effects of surgical techniques (one-handed versus two-handed) and surgeon’s standing position (side-standing versus between-standing) during laparoscopic cholecystectomy (LC) and its outcomes on surgeons’ learning, performance, and ergonomics. There is little homogeneity in how to perform and train for LC. Variations in standing position (“American” or side-standing technique where the surgeon… Continue Reading
Laparoscopic Cholecystectomy Using Intraoperative Fluorescent Cholangiography
OBJECTIVE: Although intraoperative cholangiography (IOC) has been recommended for avoiding bile duct injury during laparoscopic cholecystectomy (LC), radiographic IOC is time-consuming and the procedure itself may cause bile duct injury. We have developed a novel fluorescent cholangiography technique by applying the principle that indocyanine green (ICG) is excreted into bile and emits light with a… Continue Reading
- Topic:
- HPB
Laparoscopic Colectomy with Radical Lymph Node Dissection for Transverse Colon Cancer
Background and Aim: While use of laparoscopic colorectal surgery has spread in the last two decades, application of it to transverse colon cancer, particularly in cases requiring radical lymph node dissection, is still controversial. This study was designed to retrospectively investigate the feasibility of laparoscopic colectomy with radical lymph node dissection for transverse colon cancer.Patients… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Laparoscopic Common Bile Duct Exploration and Current Management of Common Bile Duct Stones. Experience At the Universitary Hospital of Caracas-venezuela
Objective: To report our experience in laparoscopic common bile duct exploration. Department of General Surgery 3. Universitary Hospital of Caracas Patients and methods: This is a descriptive, prospective and longitudinal study. 25 patients with indication of laparoscopic common bile duct exploration were included. The techniques for transcystic and choledochotomy approaches are described. Both of them… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Laparoscopic Completion Radical Cholecystectomy
LAPAROSCOPIC COMPLETION RADICAL CHOLECYSTECTOMYWe describe a of a case of 60 years old female who underwent laparoscopic cholecystectomy elsewhere and incidentally on histopathology was diagnosed as adenocarcinomas of gall bladder with invasion up to the serosa. She was referred to our institute for laparoscopic completion radical cholecystectomy. Method :- Five ports were placed with camera… Continue Reading
- Topic:
- HPB
Laparoscopic Component Separation for Incisional Hernia Repair and Removal of Infected Mesh
For patients who have previously undergone ventral hernia repair with synthetic mesh, options are limited once they represent with infected mesh. Removal of the mesh leaves a significant defect. Bridging fascial defects with biologic mesh tend to have higher recurrences than using biologics in an underlay fashion. Open separation of components is an option for… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Abdominal Wall Hernias
Laparoscopic Conversion of Laparoscopic Adjustable Gastric Banding (lagb) to Sleeve Gastrectomy (lsg) for Morbid Obesity
Background: We present a case of a laparoscopic conversion of a LAGB to a LSG. Case Report: A 54-year-old female with a history of prior LAGB for morbid obesity presented with failure of weight loss, recurrent nausea, vomiting and weight regain. Upper GI series revealed posterior slippage of the stomach and a small hiatal hernia… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Laparoscopic D2 Lymph Node Dissection with Total Gastrectomy and Hunt Lawrenc Jejunal Pouch Reconstruction for Carcinoma Stomach
Introduction:D2 lymph node dissection for early gastric cancer was popularized by the Japanese, though it is still controversial. The adequacy of laparoscopic node harvest remains doubtful. In this video, we present a laparoscopic D2 dissection with total gastrectomy and jejunal pouch anastamosis. Methods: The patient is placed supine with legs apart so that the surgeon… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Duodenal Polypectomy with Intraoperative Endoscopy in Peutz-jeghers Syndrome
We present a video of a laparoscopic resection of a 6cm hamartomatous polyp arising from the 3rd part of the duodenum and intraoperative endoscopy in a 15 year old female with Peutz-Jeghers syndrome. The patient has a history of multiple small hamartomatous polyps removed endoscopically. She now presents with symptoms of intermittent postprandial abdominal pain.… Continue Reading
- Topic:
- Colorectal
Laparoscopic Extirpation of a Fork From the Duodenum
BACKROUND: A woman who had accidentally swallowed a fork during a dinner party was admitted to our Department of General and Abdominal surgery. Different techniques have been described for removing foreign bodies (FB) from the stomach or the duodenum. Endoscopical techniques are widely and successfully used, but not in each case. Here, we present the… Continue Reading
- Topic:
- Minimally Invasive Other
Laparoscopic Fellowship Does Not Affect General Surgery Resident Experience
Introduction: With the advent of clinical fellowships in general surgery, there has been a continual debate over the effect on general surgical resident training. Will the fellowship interfere with chief resident experience or case volume? We hypothesize that the presence of an advanced laparoscopic fellow in our tertiary care hospital and residency has had no… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Laparoscopic Fundoplication for Gastro-esophageal Reflux Disease: A 10 Year Experience
Laparoscopic fundopliction(LF) has become the treatment of choice for patients who need surgery for gastroesophageal reflux disease(GERD). In this retrospective study, we outline our experience with laparoscopic fundoplication over a 10 year period.Materials and Methods: From 1999 to 2008, 62 patients underwent a LF for GERD. Pre-operative evaluation consisted of endoscopy, a barium swallow, esophageal… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Fundoplication for Gerd; Experience From a Tertiary Care Hospital in India.
Objective: Surgical management for Gastroesophageal reflux disease (GERD) is indicated for reflux uncontrolled on medical therapy. Although laparoscopic fundoplication is considered to be the standard surgical procedure for GERD, very few studies have evaluated laparoscopic fundoplication in Indian population. The study was designed to evaluate Laparoscopic fundoplication in proven cases of GERD and to compare… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Gastrectomy for Cancer
Background. Laparoscopic surgery has limited application in the surgical management of gastric neoplasms, worldwide. In our department the laparoscopic approach is used mainly for staging of gastric neoplasms, but also with curative intent in selected cases. Material and Methods During the last two years we performed: i) 10 laparoscopies for staging of gastric adenocarcinoma, ii)… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery