In Laparoscopic Distal Pancreatectomy, Pancreatic Resection Using Harmonic Scalpel
BACKGROUD: Laparoscopic pancreatic surgery still is not a common procedure worldwide and the role of mini-invasive surgery in pancreatic surgery is still being debated. Indication and results are still controversial. Sometimes, due to a thick pancreas, the application of vascular Endo-GIA stapler has been difficult. Also after pancreatic resection, postoperative complications such as a pancreatic… Continue Reading
Total Laparoscopic Whipples Pancreaticoduodenectomy -early Experience with 3 Cases
Objective:Laparoscopic Whipples Pancreaticoduodenectomy considered to be technically difficult operation. A video of the Laparoscopic procedure of one of the cases done at our center is presented hereMethod&Results:Three patients with Periampullay carcinoma underwent Total Laparoscopic Whipples Pancreaticoduodenectomy during the period Nov2008-Aug2009 .5ports were used. Mobilisation and reconstruction was done as in open Whipples procedure. The stomach… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- HPB
Gasless Single Port Laparoscopic Cholecystectomy
Background: Recently, single port laparoscopic cholecystectomy (SPLC) was gradually penetrated. Minimally abdominal scar provides better cosmetic result. High laparoscopic skill will make it possible to perform SPLC. Methods: We experienced SPLC in 6 patients between 1997 November and 1998 May. Their mean age was 58 years (range: 39-73), one male and 5 females, and preoperative… Continue Reading
Minimally Invasive Pancreatic Necrosectomy – How to Choose the Best Approach?
IntroductionSevere acute pancreatitis with infected necrosis is one of the most morbid diseases. Surgical debridement is needed for majority of patients. With increasing technology and experience, it is now possible to do necrosectomy by minimally invasive techniques. Several minimally invasive approaches to pancreas have been described, such as Laparoscopic, Retroperitoneoscopic and Endoscopic. Variations in the… Continue Reading
Feasibility of Laparoscopic Portal Vein Ligation Prior to Major Liver Resection
INTRODUCTION. In a case of major hepatectomy, an inadequate volume of liver remnant is necessary and pre operative assessment to be induced hypertrophy of future liver remnant is considered to be candidates for percutaneus transhepatic portal vein embolization. It is difficult to use the transhepatic route in a case with giant liver tumor or multiple… Continue Reading
Laparoscopic Pancreatic Surgery
Background: Laparoscopic pancreatic surgery for pancreatic disorders includes enucleation, distal pancreatectomy, pancreatoduodenectomy, and cystgastrostomy. However, these procedures are still uncommon, with limited indications. If postoperative complications such as a pancreatic leakage occur, they can be potentially serious. Methods: During recent ten years, we experienced six consecutive laparoscopic pancreatic surgeries. Preoperative diagnoses are islet cell tumors… Continue Reading
Real-time Fluorescence Imaging of Biliary Anatomy During Laparoscopic Cholecystectomy
Background: We evaluate real-time fluorescence imaging of biliary anatomy using indocyanine green (ICG) during laparoscopic cholecystectomy. Patients and Methods: This study enrolled eight patients who underwent laparoscopic cholecystectomy. ICG was injected 2 hours before exploration. Under general anesthesia, we observed biliary tract under the guidance of real-time fluorescence imaging produced by prototype laparoscope. The flow… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
A Prospective Cohort Study for Simple New Technique Two-incision Laparoscopic Cholecystectomy :
Background : Laparoscopic cholecystectomy ( LC ) has clearly become the procedure of choice for routine gallbladder removal. The advantages of this approach include decreased scarring, decreased incisional pain, shorter hospitalization and faster functional recovery.The recent years, many investigators have attempted to further improve on the established technique of LC. Generally, the goal has been… Continue Reading
Single Port Laparoscopic Cholecystectomy Without the Induction of Pneumoperitoneum
(Introduction)Single-port laparoscopic surgery is predicted to be the next generation of minimally invasive surgery. We have devised an alternative laparoscopic cholecystectomy approach by inserting a single port at the umbilicus and without establishing pneumoperitoneum by using the abdominal wall-lifting method.(Surgical technique)A 2~3 cm curvilinear supraumbilical incision was made, and lapprotector ® was inserted into the… Continue Reading
Laparoscopic Liver Resection for Hepatocellular Carcinoma in Patients with Liver Cirrhosis
Purpose: The application of minimally invasive surgery to liver malignancies remains controversial and difficult, especially in case of liver cirrhosis. We report the preliminary experience of 24 consecutive laparoscopic hepatectomies for patients with hepatocellular carcinoma(HCC) and liver cirrhosis to assess the feasibility and initial surgical outcome of laparoscopic liver resection.Materials and Methods: Patients with HCC… Continue Reading
Laparoscopic Surgery for Biliary Tract Cancer
PURPOSE: The purpose of this study was to evaluate short term results of the laparoscopic surgery for biliary tract cancer.METHODS AND PROCEDURES: From May 2007 to September 2009, there were 11 laparoscopic surgeries for biliary tract cancer carried out at our hospital. Laparoscopic-assisted pylorus preserving pancreaticoduodenectomy was performed for one ampulla vater carcinoma and three… Continue Reading
Bouveret\’s Syndrome: Gallstone Ileus of the Duodenum
Introduction: This is a case of a 59 year old female with Bouveret’s syndrome. An initial endoscopic approach to management is described. Gallstone ileus occurs when a gallstone passes from a cholecystoduodenal fistula or a choledochoduodenal fistula into the GI tract and causes obstruction, usually at the ileocecal valve. Bouveret’s syndrome is a variant of… Continue Reading
Single Incision Laparoscopic Cholecystectomy with Routine Cholangiogram: Report of 30 Cases
Introduction: One concern with the single incision technique for cholecystectomy is that inferior retraction and triangulation could cause injuries of the common bile duct. One method of minimizing the chance for a missed CBD injury is to employ routine cholangiography. There are no reports in the literature of routine cholangiograms being performed with SILS cholecystectomy.… Continue Reading
USIL CCX
Introduction: The development of NOTES procedures and its clinical application has raised the possibility of modified laparoscopic approaches with less incisions for the performance of cholecystectomy. Our objective is to present our initial experience with an umbilical single incision laparoscopic (USIL) technique to perform cholecystectomy. Methods: within a research protocol with IRB and approval of… Continue Reading
Laparoscopic Resection of the Left Liver: Technical Refinements for Standardization
[Background]Laparoscopic left lateral segmentectomy (Lap-LLS) is good indication of laparoscopic liver surgery that is possible to be standardized as a safety and feasible procedure. In addition to the procedure of Lap-LLS, basic techniques such as encircling of left Glissonean pedicle at hepatic hilum and middle+left hepatic vein (MLHV) facilitate laparoscopic left hepatic lobectomy (Lap-LL) easily.… Continue Reading