Laparoscopic Enucleation of Pancreas Tail or Head Lesion: Report of 13 Cases
Introduction) Laparoscopic enucleation of pancreas (LEP) can be best treatment option avoiding resection or pancreatic anastomosis, if performed appropriately and safely. But reports regarding LEP have been rare and mainly case report. So, we herein report the largest series of LEP to date.Method) From April 2006 to Aug 2008, total 13 cases of LEP were… Continue Reading
Laparoscopic Enucleation of Pancreatic Tumors
Introduction: In an attempt to reduce the incidence of development of pancreatic insufficiency following subtotal pancreatectomy, lesser procedures (central pancreatectomy, enucleation) are advocated for selected patients. Enucleation of pancreatic tumors carries the risk of pancreatic duct leakage or inadequate resection. We have performed laparoscopic enucleation of pancreatic tumors in selected patients since 1992. We present… Continue Reading
Laparoscopic Hepatectomy
Backgrounds and Purposes ; Recently, the laparoscopic resection on solid organs is performed in standard operation style with the improvement of the laparoscopic instrument and the developing operation technique. Still, it is not easy to perform liver exploration by using the laparoscope. Because there are still other problems, such as the styptic matter against bleeding,… Continue Reading
Laparoscopic Hepatectomy Results in Decreased Vegf Expression in Residual Hepatoma Cells When Compared to Open Resection
INTRODUCTION: Vascular endothelial growth factor (VEGF) is upregulated in hepatocellular carcinoma (HCC), and its level of expression in these tumors has been shown to impact tumor growth. We hypothesized that when compared to open liver resection, laparoscopic hepatectomy would result in decreased local angiogenic response in residual tumor cells.MATERIALS AND METHODS: Right and left lobe… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
Laparoscopic Hepatic Resection for Patients with Hepatocellular Carcinoma: Comparative Analysis of Short-term Results
Background/Aims: Recently, laparoscopic hepatectomy (LH) has been a feasible option for hepatic tumors such as hepatocellular carcinoma (HCC) and intrahepatic cholangioma (Surg Endosc. 2001) (Surg Endosc. 2002). Herein, we evaluate the benefits of LH versus open hepatectomy (OH) for HCC patients.Methods: From 2005, 9 consecutive patients with HCC who underwent LH were compared in a… Continue Reading
Laparoscopic Intervention for Massive, Rapidly Progressive Pancreatic Pseudocyst Disease with Endocrine and Exocrine Dysfunction
Introduction: Therapeutic interventions for pancreatic pseudocyst disease are most often based on symptoms, lesion size, and in particular duration of the lesion. Conventional wisdom typically avoids early surgical therapy for “immature” pseudocysts, citing concerns of cyst wall thickness, durability, and ability to hold suture material for a secure anastomosis. We present a case of a… Continue Reading
- Topic:
- HPB
Laparoscopic Liver Resection and the Use of Torsional Ultrasound Dissectors for Parenchymal Liver Dissection
Background:Recent advances in laparoscopic surgical equipment is one of the most significant factors in the expansion of laparoscopic liver resections (LLR) by increasing its feasibility, safety and efficiency.Ultrasonic dissectors are the main instrument used for the parenchymal dissection part of a laparoscopic liver resection. Most of the commercially available brands of ultrasonic dissectors use a… Continue Reading
Laparoscopic Management of Patients with Early Forms of Gallbladder Cancer
INTRODUCTION: Laparoscopy can represent an useful tool in the management of patients undergoing reoperation for gallbladder cancer detected after the study of the cholecystectomy specimen. The aim of this study is to evaluate the feasibility and outcome of a series of patients undergoing initial laparoscopic management . METHODS AND PROCEDURES : According a prospective protocol,… Continue Reading
Laparoscopic Management of Type Vi Choledochal Cysts
Introduction: Choledochal cysts are rare cystic dilatations of the biliary tree. Though their etiology is uncertain, these cysts are usually referred for surgical resection because of their association with developing malignancy. Traditionally, choledochal cysts have been classified under five main types. Not included in this classification are cysts of the cystic duct (“Type VI”), a… Continue Reading
Laparoscopic Near Infrared Fluorescence Imaging of Biliary Tree Anatomy
Objective of the study: The primary goal of this study was the successful intraoperative near infrared fluorescence (NIRF) imaging of extra and intra hepatic bile ducts using the SPY and laparoscopic SPY2 scope systems (Novadaq Technologies Inc.) after parenteral administration of Indocyanine Green (ICG). Optimal NIRF imaging of biliary anatomy occurs when sufficient amount of… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
Laparoscopic Pancreatoduodenectomy:safety and Efficacy of Radical Resection
Aim: To prove that radical laparoscopic pancreatoduodenectomy for malignancy can be safely performed, adhering to sound oncological principles. Methods: From March 1998 to January 2008, we retrospectively reviewed 52 patients undergoing laparoscopic pancreatoduodenectomy with nodal clearance for malignancy, and present a step-by-step video demonstration. Results: Mean age was 62 years and the types were ampullary,… Continue Reading
- Topic:
- HPB
Laparoscopic Right Portal Vein Ligation for Metastatic Liver Tumors
In the case of an extended hepatectomy, percutaneous transhepatic portal vein embolization (PTPE) is necessary for a metastatic liver tumor, in order to enlarge the remnant liver. In a case with a giant tumor occuping the right lobe, PTPE would unavoidably injury the remnant liver. There is a method to perform portal vein branch ligation… Continue Reading
Laparoscopic Roux-en-Y Cystjejunostomy and Choledochojejunostomy for a Pancreatic Pseudocyst with Biliary Obstruction
The minimally-invasive management of uncomplicated chronic pancreatic pseudocysts has been shown to be safe and effective with laparoscopy becoming the preferred surgical modality in many patients. Complicated pancreatic pseudocysts, however, continue to pose a challenge to the surgeon, and the ideal surgical treatment remains unclear. We are reporting the first case to our knowledge of… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- HPB
Laparoscopic Roux-en-Y Hepatico- or Choledocho-jejunostomy in the Era of Laparoscopic Surgery
Background: With rapid development and wide application of laparoscopic procedure in biliary surgery, laparoscopic Roux-en-Y hepatico- or choledo-chojejunostomy is being performed more frequently than ever since our first report on 2004. Method: Between February 1997 and September 2008, 36 patients underwent laparoscopic biliary-enteric anastomosis with the diagnosis of choledochal cyst, recurrent CBD stone, intrahepatic duct… Continue Reading
Laparoscopic Treatment for Hepatolithiasis
Backgrounds and Purposes: The Hepatolithiasis treatment is widely being used for stone removal with the improvement of conservative treat by the development in operations and endoscope. Hepatolithiasis, however, has still a problem which is highly possible in a relapse. Furthermore, it also can be the factor giving rise to cholangitis and cholangiocarcinoma. On this, we… Continue Reading