Totally Laparoscopic Isolated Caudate Hepatectomy with Selective Inflow Control – Case Report
Introduction: Laparoscopic hepatectomy is the latest development of minimally invasive surgery. Traditional indications for laparoscopic hepatectomy include lesions in the anterior-inferior and left lateral aspect of the liver. For lesions in the caudate lobe, the left lateral section of liver frequently interferes the surgical exposure and mandates lateral sectionectomy occasionally in traditional open hepatectomy. In… Continue Reading
Totally Laparoscopic Hepatectomy for Hepatolithiasis
Introduction: To evaluate the feasibility of laparoscopic hepatectomy for patients with intrahepatic stones, we conducted a retrospective review of this approach performed in our institute. Laparoscopic management of the intrahepatic stones was challenging for the dilated bile duct with stones inside as well as the possible perihepatic adhesion after previous biliary tree infection. Additional common… Continue Reading
Preoperative Pancreatic Stenting Prior to Pancreatectomy for Chronic Pancreatitis: A Combined Endoscopic and Surgical Approach
Introduction: There are two predominant approaches to chronic pancreatitis: ductal decompression and pancreatic resection. At our institution, we have adopted a hybrid approach of preoperative endoscopic pancreatic duct stenting (PDS) with subsequent partial pancreatectomy in persistently symptomatic patients. Therapeutic PDS for chronic pancreatitis is less invasive but, felt to be less efficacious than surgical approaches.… Continue Reading
Gallbladder Perforation: Increased Risk in a Va Population Associated with Lower Body Mass Index (bmi)
Introduction: The purpose of this study was to determine the incidence of gallbladder perforation in a VA patient population presenting with acute cholecystitis and evaluate the impact of multiple risk factors including BMI on the risk of perforation. Methods: This is a retrospective study of patients identified by a computer database (CPRS) undergoing cholecystectomy between… Continue Reading
Laparoscopic Liver Surgery in Cancer Patients-experience At a National Cancer Institute
Introduction: The oncological adequacy and safety of major liver resections is still uncertain. The aim of this retrospective analysis was to compare intraoperative data with final pathology and short-term clinical outcome.Methods:Patients undergoing laparoscopic liver surgery were retrospectively analysed using our tumor registry. Surgical and postsurgical outcomes were compared with final pathology. The data were statistically… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- HPB
Laparoscopic Vs Open Left (distal) Pancreatectomy- A Case-matched Comparative Study.
Objectives: Laparoscopic left pancreatectomy (LLP) is increasingly being performed with technical advancements in minimally invasive surgery. We reviewed our institutional series of left pancreatectomy cases and present a case-matched study evaluating the outcomes of LLP compared to matched patients undergoing OLP. Methods: All institutional left pancreatectomy procedures performed from June 2002 to June 2009 were… Continue Reading
Staple Line Reinforcement in Laparoscopic Distal Pancreatectomy
Objectives: Several series document that laparoscopic distal pancreatectomy is as safe as the traditional open approach. However, pancreatic leaks and peri-pancreatic fluid collections remain common morbidities. This report analyzes three methods of staple line reinforcement following laparoscopic distal pancreatectomy, with and without splenic preservation, with regards to post-operative pancreatic fistulas and peri-pancreatic fluid collections. Methods:… Continue Reading
Needlescopic Surgery: The Cosmetic Alternative to SILS
Introduction: Minimally invasive procedures have revolutionized the art of surgical practice. Laparoscopic cholecystectomy (LC) is the gold standard for management of gall bladder disease. In an attempt to further improve on the benefits of the standard multiple incision LC, less invasive methods have been described, including smaller incisions, fewer incisions, and use of single incisions.… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- HPB
Laparoscopic Splen-pancreatectomy, for Mucinous Pancreatic-cyst
BACKGROUND: Among pancreatic cysts, mucinous cystadenoma, and intraductal papillary mucinous neoplasms have the potential for malignant transformation. Differentiation between benign and potentially malignant cysts remains difficult at the preoperative time. Majority of these tumors must be resected and the laparoscopic approach is nowadays a valid option. OBJECTIVE of this presentation was to show in a… Continue Reading
- Topic:
- HPB
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
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
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
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
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
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