Treatment of Gallbladder Disease During Operations Iraqi Freedom and Enduring Freedom
INTRODUCTION: We examined the outcome after treatment for gallbladder disease in deployed military service members and the impact of instituting a clinical pathway to expedite return to duty (RTD). METHODS AND PROCEDURES: A retrospective chart review of 97 medically evacuated patients with gallbladder disease was analyzed. These patients were evacuated from the field to Landstuhl… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
Laparoscopic Cholecystectomy with Only One Port (clop)
Our surgical group makes endoscopic cholecystectomy with technique of an umbilical port since 1997. We have integrated other procedures with this technique like: appendectomy, hysterectomy, ovarian cystectomy, inguinal hernia repair, bile ducts exploration. The Purpose of this study is to prove that this technique is a viable choice in gallbladder surgery.Method. Prospective study. A thousand… Continue Reading
Comparative analysis on clinical outcomes between laparoscopic distal pancreatectomy and open distal pancreatectomy : single center, single operator, same period experience
Purpose) Laparoscopic pancreatic surgery on distal lesion is in development state now. However benefit of laparoscopic distal pancreatectomy over the open surgery is not well known yet. We compared the clinical data of the patients underwent laparoscopic distal pancreatectomy (LDP group) with the patients underwent open surgery (ODP group) on the base of same operator,… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
Concomitant Laparoscopic Splenectomy and Cholecystectomy in Children: Our Outcomes and Technical Standardization
[Objectives] Hereditary spherocytosis (HS) is the most common red blood cell membrane disorder and often is associated with hemolytic crisis and cholelithiasis. The aims of this study are to evaluate the safety and cosmetic result of concomitant laparoscopic splenectomy (LS) and cholecystectomy (LC), and to describe our current technique.[Methods] We evaluated 7 LS+LC procedures (HS… Continue Reading
Laparoscopic Duodenopancreatectomy
INTRODUCTIONSince the first report of laparoscopic pancreatic resections in the early 1990’s, laparoscopic resection of pancreatic tail tumors has become increasingly more common in the surgical treatment of both benign and malignant tumors. The minimally invasive approach to duodenopancreatectomies, however, is still only being performed in highly specialized centers. This is principally because of concerns… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
The Use of a Multiple Instrument Guide to Facilitate Lcbde; Report on 119 Cases
Objective: To analyze a large LCBDE experience in a community hospital and determine the efficacy of using a new device, the Multi-channel Instrument Guide (MIG) to achieve safe, practical and effective LCBDE techniques that are applicable to virtually all cases of choledocholithiasis.Methods: All cases of choledocholithiasis that presented to our surgical team were analyzed. An… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
Laparoscopic Cholecystectomy in Cirrhotic Patients
INTRODUCTION: The aim of this study was to evaluate the results of laparoscopic cholecystectomies in cirrhotic patients between 1995-2006 in Emergency County Hospital Moinesti.AIMS & METHODS: The paper represents a retrospective study, which includes 113 patients (4,21%) with hepatic cirrhosis and symptomatic gallstones disease from our experience of 2685 laparoscopic cholecystectomies performed. In most of… Continue Reading
Early Conversion in Gangrenous Cholecystitis
INTRODUCTION: Early conversion from laparoscopic to open cholecystectomy for patients with gangrenous cholecystitis has been advocated. This study investigated the impact of early conversion on patient outcome. AIMS & METHODS: Data from all patients with gangrenous cholecystitis undergoing laparoscopic cholecystectomy between 1995 and 2006 whose procedure had been converted to open surgery were collected and… Continue Reading
Near total laparoscopic pancreatic resection for chronic pancreatitis
In the past, a minimally invasive technique in pancreatic surgery was only used for diagnostic laparoscopy in evaluating periampullary malignancy. Recent advances in operative techniques and instrumentation have empowered surgeons to perform all procedures in the pancreas surgery, including the Whipple procedure. Some of these tecniques represent the most sophisticated application of minimally invasive surgery.A… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
Laparoscopic Ultrasound with Radiofrequency Ablation of Hepatic Tumors in Cirrhotic Patients
National Liver Institute, Monouphyia University, Shibin El kom, Egypt. Abstract Background: The optimal treatment for hepatocellular carcinoma (HCC) is surgical resection. However, only a small percentage of patients are operative candidates due to associated liver cirrhosis. Recent advances in laparoscopic ultrasound and Laparoscopy have greatly improved the accuracy in detecting intrahepatic tumors nodules, many of… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- HPB
Laparoscopic distal pancreatectomy
INTRODUCTION: A laparoscopic approach to pancreatic disease is increasingly performed although its ultimate benefit is yet to be confirmed. Laparoscopic distal pancreatectomy with or without splenectomy is gradually gaining acceptance as an alternative to open resection in selected patients. The aim of this study is to report our initial institution experience with laparoscopic distal pancreatectomy… Continue Reading
Use of Magnets in Laparoscopic Cholecystectomy with Only One Port
Our surgical group has performed laparoscopic cholecystectomy with a single port since 10 years ago using needles instead of attendance ports. From May to August of 2007, we have used in selected cases (5 cases), magnets for traction of the gallbladder fundus as an alternative for the use of the reins and to improve the… Continue Reading
Incidental gallbladder cancer – the problem of a complete and practical classification
Introduction: Incidental gallbladder carcinoma (IGBC) is a carcinoma first detected by the pathologist. The indication for the cholecystectomy was a benign disease. It is often supposed that the laparoscopic technique could deteriorate the prognosis of gallbladder cancer. In the literature there is a big variety of different 5 year survival curves for the different T-… Continue Reading
The immediate re- resection of T1 incidental gallbladder carcinoma- indication or over treatment
Introduction: The indication for an immediate re-resection (IRR) in T1b incidental gallbladder carcinoma (IGBC) is debated in the literature, and different recommendations are often drawn based on data collected from only small groups. But the management of IGBC is difficult, because there are no established guidelines.An IRR is recommended in cases of T2 tumours and… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
A retrospective analysis of the incidental gallbladder cancer and a review of the laparoscopic cholecystectomy.
BACKGROUND/PURPOSE: With the increasingly widespread acceptance of laparoscopic cholecystectomy (LC), the number of cases of incidental gallbladder cancer (IC) has increased. However, the surgical procedure for advanced cancer is still difficult to improve a prognosis. Otherwise, preoperative detecting early gallbladder cancer may be difficult in symptomatic patients with such as cholelithiasis. The present study aims… Continue Reading