New laparoscopic \”antero-lateral\”transperitoneal approach for ultra-splenomagaly
BACKGROUND: Laparoscopic splenectomy (LS) has been considered as the standard approach to remove a normal-sized spleen, but sometimes involves various troubles when applied to splenomegaly. To get good view for performing splenectomy for ultra-splenomegaly in Banti syndrome, for example, we developed "antero-lateral approach" with hand-assisted maneuver. We present our new methods in our recent cases… Continue Reading
Noninvasive Method of Acute Pancreatitis Treatment Using Roentgenendovascular Procedure
Acute pancreatitis (AP) is one of the important problem of the urgent surgery, often registrated in surgical patients. The today’s situation occurs in treatment of patients with AP seemes to be far from satisfactory. One of the main problem of the contemporary surgery is to perform out the new ways of how to treat AP… Continue Reading
Primary and Overall Success Rate and Clinical Outcomes for Laparoscopic, Endoscopic and Open Pancreatic Cystgastrostomy for Pancreatic Pseudocysts
Introduction: The purpose of this study is to evaluate the primary and overall success rate for laparoscopic, endoscopic and open pancreatic cystgastrostomy for pancreatic pseudocysts.Methods: Records of 83 patients (M:F, 46:37) undergoing laparoscopic (LAP; n=16), endoscopic (ENDO; n=45) and open (OPEN; n=22) pancreatic cystgastrostomy from 3/99-8/07 were analyzed on an intention-to-treat basis from an IRB-approved… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
Retroperitoneoscopic Necrosectomy and Drainage for Infected Pancreatic Necrosis
Background: Infected pancreatic necrosis is an indication for drainage and debridement, which has traditionally been treated by percutaneous drainage or open necrosectomy. However, percutaneous drainage is often unsuccessful because of difficulty in managing the particulate debris through small catheters. Open necrosectomy involves major morbidity and a high rate of repeated surgery for abdominal sepsis. Recently… Continue Reading
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
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
Surgical strategies in difficult laparoscopic cholecystectomy
Background: Difficult laparoscopic cholecystectomy can be anticipated based on the pre-operative and intra-operative factors such as old age, male sex, history of multiple attacks of recent origin or repeated admissions, diabetes mellitus, previous upper abdominal surgery, cirrhotic pancreatitis and patients presenting with cholangitis. Laparoscopic cholecystectomy has become the gold standard for all the gall bladder… Continue Reading
The efficacy of laparoscopic radiofrequency ablation (Lap- RFA) for small hepatocellular carcinomas
PURPOSE: To assess the effectiveness of laparoscopic radio frequency ablation therapy (Lap-RFA) for small hepatocellular carcinomas (HCCs) located beneath the diaphragm or on the surface of the liver. MATERIALS AND METHODS: Lap-RFA indication was as follows; smaller than 3cm in a diameter and less than three in the number, no vascular invasion, general condition available… 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
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
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
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
Totally Laparoscopic Right Hepatectomy
Laparoscopy is slowly becoming an established technique for liver resection. This procedure still is limited to centers with experience in both hepatic and laparoscopic surgery. Preliminary reports include mainly minor resections for benign liver conditions or hand assisted resections and show some advantage in terms of postoperative recovery. The authors present their video with laparoscopic… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
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
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