Laparoscopic Distal Pancreatectomy-Splenectomy for Insulinoma
This video illustrates our laparoscopic technique for removal of an insulinoma in the tail of the pancreas. Because of the distal location of the lesion in the tail of the pancreas, distal pancreatectomy with splenectomy was required. The video also shows how bleeding from a splenic vessel was controlled laparoscopically. A hand port was required… Continue Reading
- Topic:
- HPB
Day case laparoscopic cholecystectomy in the elderly
INTRODUCTION: Laparoscopic cholecystectomy (LC) is the gold standard treatment for cholelithiasis, and surgeons are increasingly looking towards day case procedures. However, only 6% of UK LCs are performed as day case (DC) (i.e. same day discharge without overnight stay) or extended day case ( 80 years old. 46% of patients stayed longer than 23 hours.… Continue Reading
Laparoscopic liver resection including the lesion located in posterior and superior part
Background: Despite the increasing experience of laparoscopic and hepatic surgery, laparoscopic liver resection is still limited to lesions localized on the antero-lateral segments of the liver. The aim of this study is to evaluate the feasibility of laparoscopic liver resection for tumors located in the postero-superior segments of the liver (Segments I, VII, VIII, and… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
Single Center Experience of Laparoscopic Distal Pancreatectomy
Bakground: Although an increasing number of reports on laparoscopic distal pancreatectomy (LDP) have recently been documented, it has not achieved worldwide acceptance yet. The aim of this study is to analyze our experiences of LDP and evaluate its usefulness. Methods: Thirty-two patients underwent LDP from June 2004 to July 2007 in Seoul national University Bundang… Continue Reading
Laparoscopic Spleen Preserving Distal Pancreatectomy
Introduction:Minimally invasive distal pancreatectomy for cystic lesions located in the body and tail of the pancreas is usually achieved with splenectomy. We report a case of a laparoscopic distal pancreatectomy with spleen preservation .Materials:A 52 year old woman presented with a cystic lesion of the body of the pancreas. Preoperative workup including MRI , CT… Continue Reading
- Topic:
- HPB
Single-stage laparoscopic operations for choledocholithiasis
Introduction. Aim of study was to compare the long-term results of laparoscopic (one-stage procedures) and endoscopic (two-stage procedures) methods of common bile duct (CBD) exploration.Methods and procedures. Among 5307 patients who underwent laparoscopic cholecystectomy from 1992 till 2006, 580 patients had choledocholithiasis. There were 215 males and 365 females with mean age of 60,9 ±… Continue Reading
ERCP in situs inversus totalis: report of two cases
Background: Situs inversus totalis (SIT) is a rare entity which has been estimated to occur in the range of 1:10000 to 1: 20000. We present two cases of situs inversus totalis who successfully underwent ERCP and subsequent laparoscopic cholecystectomy.Case 1: A 45 year-old male patient with known situs inversus totalis was admitted to emergency department… Continue Reading
Incidence of Symptomatic Recurrent Choledocholithiasis After Preoperative ERCP and Interval Laparoscopic Cholecystectomy Without Intraoperative Cholangiography
INTRODUCTION: The incidence of common bile duct (CBD) stones on intraoperative cholangiography (IOC) during laparoscopic cholecystectomy (LC) after preoperative ERCP and successful stone extraction as documented on completion endoscopic cholangiography is approximately 17%. The purpose of this study is to determine the incidence of symptomatic CBD stones after preoperative ERCP and a negative completion endoscopic… Continue Reading
The Routine Use of Laparoscopic Ultrasound Decreases Bile Duct Injury
Objective: Laparoscopic ultrasound (LUS) has been used to diagnose bile duct (BD) stones and delineate anatomy during laparoscopic cholecystectomy (LC) for over 10 years. LUS as a modality to prevent BD injury has not been reported in a large series. This study proposes to determine the effect of LUS on preventing BD injury. Methods: A… Continue Reading
Minimizing Complications and Conversions in Laparoscopic Cholecystectomy using a Systematic Dissection Algorithm and Laparoscopic Biliary Ultrasound
Background: Laparoscopic Cholecystectomy (LC) is performed by an astonishing variety of techniques, yet the frequency of biliary injury remains high, and up to 25% of urgent cholecystectomies are performed by open approach. Laparoscopic biliary intraoperative ultrasound (IOUS) allows for identification of biliary anatomy before division of or damage to any structure, but is underutilized. The… Continue Reading
Conservative treatment for acute cholecystitis: Predictors of failure
Objective: To identify risk factors for failure of conservative treatment for acute cholecystitis and thus identify earlier patients who will require percutaneous drainage.Summary Background: Current treatment options for acute calculus cholecystitis include either early cholecystectomy, or conservative treatment consisting of intra-venous antibiotics and an interval cholecystectomy several weeks later. Percutaneous drainage of the gallbladder is… Continue Reading
Laparoscopic fenestration of liver cysts in patients with polycystic liver disease results in syptomatic improvement and volume reduction.
Introduction: Patients with polycystic liver disease (PCLD) may develop symptoms due to increased liver volume. Laparoscopic liver cyst fenestration is a technique used to reduce liver volume and relieve symptoms. This study was performed to evaluate the safety and efficacy of laparoscopic liver cyst fenestration in patients with PCLD. Patients & Methods: We performed a… Continue Reading
Total Laparoscopic Resection of Pancreatic Glucagonoma- case report.
Tumors of the body or tail of the pancreas are uncommon. A large number of these lesions when they present may not be resectable. More recently, laparoscopic distal pancreatectomy and splenectomy has been performed using a hand assisted and less commonly a total laparoscopic resection. We report a total laparoscopic resection of a glucaganoma arising… Continue Reading
Laparoscopic Treatment of a Perforated Hydatic Cyst
Echinococcosis is a zoonosis transmitted by dogs and accidentally affects man. Worldwide, Echinococcus granulosus occurs most frequently. This relatively benign parasitic disease is characterised by slowly growing cysts, most commonly in the liver, less frequently in lungs and rarely elsewhere in the body. Seeding of cyst content into the peritoneal cavity is a serious secondary… Continue Reading
Laparoscopic Liver Resection with Prior Vascular Control
INTRODUCTION: The magnification of laparoscopy allows a very precise dissection of the portal pedicles. The aim of this study was to evaluate the effect of prior vascular control (PVC) on parenchymal dissection in 105 consecutive patients undergoing laparoscopic liver resections.METHODS: Between 1999 and 2006 we have performed 105 laparoscopic liver resections. Portal vessels and the… Continue Reading