Laparoscopic Liver Resection for Hepatocellular Carcinoma
Introduction: Laparoscopic liver resection has been widening the indications, even for the cancer treatment options. But laparoscopic liver resection has various concerning on the procedure per se and oncologic points or view. In the first place, gas embolism and appropriate bleeding control were the technical problems. Secondly, port site implantations and tumor cell seeding under… 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 Liver Resection Using Vascular Staplers in the Porcine Model
The aim of this study was to assess the feasibility and safety of laparoscopic hepatectomy using the stapler technique in a porcine model. Method: Fourteen female pigs weighting more than 25kg were used. Five trocars (10mm) were used for the introduction of the video camera and the other laparoscopic instruments. With the porta hepatis not… Continue Reading
Laparoscopic Liver Resections Including Major Hepatectomies- A Tertiary Centre Experience
Aim: Liver resection is considered as one of the most formidable surgeries and laparoscopic resections for the same is considered as the last frontier in laparoscopy. We would demonstrate the feasibility of laparoscopic liver resections emphasizing the excellent morbidity profile. Methods: Since 2006 we have performed 54 laparoscopic liver resections for malignant and non malignant… 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 Management of Cbd Stones: An Indian Experience
IntroductionIndia has a high incidence of gall stones and consequently of CBD stones (CBDS) which are very different from that seen in the west. It is not infrequent to see multiple, large, impacted stones in a hugely dilated CBD. Therefore many of these patients have been managed by open CBD exploration, even after advent of… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
Laparoscopic Management of Symptomatic Cystic Disease of the Liver
Background: Benign cystic diseases of the liver have recently been treated by non-surgical procedures such as alcohol injection and trans arterial embolization (TAE); however symptomatic or complicated cysts often need surgery. Traditionally, laparotomy is the procedure of choice. We present our experiences with laparoscopic management of both symptomatic multiple liver cysts and polycystic liver disease.… 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
Laparoscopic Radical Cholecystectomy and Roux-en-Y Choledochojejunostomy for Gallbladder Cancer
Introduction: The majority of early gallbladder cancers are diagnosed upon final pathology after laparoscopic cholecystectomy, however, controversy exists as to what procedure should be done when gallbladder cancer is suspected preoperatively. Some authors recommend laparoscopic cholecystectomy with intra-operative frozen section analysis followed by conversion to an open approach if gallbladder cancer is confirmed. Alternatively, some… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- HPB
Laparoscopic Redo Hepatico-jejunostomy for Biliary Stricture After Open Hepaticojejunostomy for Cbd Injury
Introduction:This video illustrates the key aspects of laparoscopic redo hepatico-jejunostomy (HJ) for anastomotic biliary stricture. We present the case of a 43 year-old female who was referred to us after an open HJ for a CBD injury during laparoscopic cholecystectomy. The patient was found to have a biliary stricture and developed multiple episodes of cholangitis.… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- HPB
Laparoscopic Repair of a Common Bile Duct Injury
In this video, we present a laparoscopic repair of an inadvertent common bile duct injury during laparoscopic cholecystectomy in a 16 year old female. This patient had chronic cholecystits. She was brought to the operating room for a laparoscopic cholecystectomy. During dissection, the common bile duct was mistaken for the cystic duct and was ligated.… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- HPB
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
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
Laparoscopic Subtotal Cholecystectomy. A Safe Alternative!
Background: Laparoscopic cholecystectomy is a hazardous operation when anatomy of triangle of Calot is distorted by acute or chronic inflammation. In these difficult situations, laparoscopic subtotal cholecystectomy (LSTC) is an alternative to conversion to open surgery. Methods: Retrospective analysis of data obtained from a prospective database on patients who underwent LSTC in the past three… 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