Laparoscopic Spleen-Preserving Distal Pancreatectomy: A Single Institution Series
Yulia Zak, MD, George A Poultsides, MD, Brendan B Visser, MD. Stanford University Medical Center OBJECTIVES OF THE STUDY: Laparoscopic distal pancreatectomy with splenectomy is now the accepted approach for resection of benign pancreatic body and tail tumors. Interest in spleen-preserving pancreatectomy has grown over the recent years with the intent of preventing post-splenectomy sepsis,… Continue Reading
Laparoscopic Liver Resection: Lessons Learned From the First 105 Cases
Alejandro Mejia, MD, Tiffany Anthony, MD, Stephen S Cheng, MD. The Liver Institute at Methodist Dallas INTRODUCTION Laparoscopic Liver Resection (LLR) has become a routine part of HPB surgery. As the techniques evolve and more cases are done at different types of institutions, it is important to understand the indications, outcomes and limitations of these… Continue Reading
Biliary Dyskinesia: An Underdiagnosed Condition. Evaluation of Its Implications
Bala Thatigotla, MD MRCS. Bronx Lebanon Hospital Center, NY, USA ABSTRACT TITLE: Biliary dyskinesia: An underdiagnosed condition. Evaluation of its implications . INTRODUCTION: Biliary dyskinesia is a underdiagnosed condition. The lack of suspicion, leads to unnecessary investigations, and delay in diagnosis and operative management. METHODS: A retrospective evaluation of 33 consecutive patients diagnosed with biliary… Continue Reading
Feasibility of Laparoscopy-Assisted Resection for a Huge Mucinous Cystic Adenoma (MCA) of the Pancreas. A Case Report
Yoko Wada, MD, Hisashi Kasugai, MD, Yusuke Takehara, MD, Yoshio Deguchi, MD, Hitoshi Satodate, MD, Jun-ichi Tanaka, MD, Shin-ei Kudo, MD. Showa university Norther Yokohama Hospital Digestive Desease Center Introduction : In recent years, laparoscopic approach to the pancreatic lesion has been increasingly favored following several reports showing reductions in morbidity and hospital stay compared… Continue Reading
Single-Port Verses Two-Port Verses Traditional Four-Port Cholecystectomy: Outcomes and Cost Benefit Comparison Analysis
Michael W Parra, MD, Edgar B Rodas, MD, Mark L Christensen, MSIV, Jakub Bartnik, MSIV. Boward General Hospital, Fort Lauderdale, FL Abstract Introduction: In recent years new methods of laparoscopic cholecystectomy have evolved. Theoretically, these newer methods provide improved cosmetic results and a decrease in postoperative pain but a detailed comparative cost benefit analysis of… Continue Reading
Minimal Invasiveness of Laparoscopic Left Hepatic Lobectomy: A Special Reference to Systemic Inflammatory Response Syndrome
Tohru Utsunomiya, MD, Mitsuo Shimada, MD, Satoru Imura, MD, Yuji Morine, MD, Tetsuya Ikemoto, MD, Jun Hanaoka, MD, Shuichi i Iwahash, MD, Yu Saito, MD, Nobuhiro Kurita, MD, Hidenori Miyake, MD. Department of Surgery, The University of Tokushima [Background]We have reported in the 2010 SAGES Annual Meeting that both laparoscopic left lateral segmentectomy (Lap-LLS) and… Continue Reading
Comparison of Resection Techniques in Laparoscopic Hepatectomy
Koray Karabulut, MD, Federico Aucejo, MD, John Fung, MD PhD, Eren Berber, MD. Department of Endocrine Surgery, Endocrinology and Metabolism Institute, Cleveland Clinic, Cleveland, OH, USA. Department of Hepato-Pancreato-Biliary and Transplant Surgery, Digestive Disease Institute, Cleveland Clinic, Cleveland, OH, USA. Background: Precoagulation using radiofrequency (RF) has been advocated to decrease blood loss in laparoscopic liver… Continue Reading
Transumbilical Single-Incision Laparoscopic Choledocholithtomy Using Conventional Instruments: The First Five Cases
Wu Shuo-Dong, Tian Yu, Chen Yong-Sheng, Su Yang, Chen Chun-Chih. Department of Biliary and Vascular Surgery, Shengjing Hospital, China Medical University Background/aim: Optimization of quality of life (QOL) is an important goal in the advanced surgery. Herein we share our five cases to demonstrate the feasibility of scarless transumbilical single-incision laparoscopic choledocholithtomy using conventional instruments… Continue Reading
Open Access Technique to Create Pneumoperitoneum and Use of ‘critical View of Safety’ As the Safest Way to Perform Laparoscopic Cholecystectomy
Konstantinos G Tsalis, PhD, George X Vrakas, MD, Zambia Koukouritaki, MD, George E Roidos, MD, Stavros Kalfadis, PhD, Konstantinos Bluchos, MD, Emmanouil C Christoforidis, PhD, Charalampos N Lazaridis, PhD. D' Surgical Department Aristotles University of Thessaloniki, Greece Introduction: The study aims to evaluate the use of "open access"(OA) technique to create pneumoperitoneum and "critical view… Continue Reading
Laparoscopic Or Thoracoscopic Liver Resection for Liver Cancer in Patients with Past History of Upper Laparotomy
Tadashi Tsukamoto, MD PhD, Akishige Kanazawa, MD PhD, Sadatoshi Shimizu, MD PhD, Satoshi Yamamoto, MD PhD, Shintaro Kodai, MD PhD, Yoshito Yamashita, MD PhD, Osamu Yamazaki, MD PhD. Department of Hepato-biliary-pancreatic surgery, Osaka City General Hospital Liver resection under laparotomy in patients with past history of upper abdominal open surgery would need extensive dissection of… Continue Reading
Pancreaticobiliary Anomalies: A Thirty Eight Year Analysis
John K Lam, MD, Charles E Lucas, MD, Rebecca C Bachusz, MD, Choichi Sugawa, MD. Wayne State University Introduction: Pancreaticobiliary anomalies are rare; interpreting their significance is a challenge. This study correlates these unusual anomalies with various biliary and pancreatic diseases, complications and treatment options.Methods: Pancreaticobiliary anomalies were reviewed at an urban medical center from… Continue Reading
Prospective Evaluation of Cholangiography in Single Incision Laparoscopic Cholecystectomy
Melissa S Phillips, MD, Raymond Onders, MD, Jeffrey M Marks, MD. University Hospitals, Case Medical Center, Cleveland, OH, USA Introduction: As new approaches for cholecystectomy develop from laparoscopy to single incision or even natural orifice techniques, efforts to maintain safe surgical methods must be maintained. Cholangiography has been shown to minimize the extent of associated… Continue Reading
Comparative Analysis of Clinical Outcomes Between Laparoscopic and Open Central Pancreatectomy : Case -Control Study
songcheol Kim, kibyung Song, Haeran Ha, Haeryun Seo, Jaebum Park, Yunghun Kim, duckjong Han, Yunbaik Choi. Depetment of surgery, Ulsan University College of Medicine and Asan Medical Center Aim : Despite recent advances in laparoscopic pancreatic surgery, few studies have compared laparoscopic central pancreatectomy (LCP) with open central pancreatectomy (OCP). This study aimed to compare… Continue Reading
Single Incision Laparoscopic Cholecystectomy: Overcoming the Learning Curve
Haris R Shaikh, MBBS FRCS, Mufaddal Mahesri, MBBS, Asad Abbas, MBBS, Hisham R Salahuddin, MBBS. Ziauddin University Hospital, Karachi, Pakistan Introduction: Over the last few years, Single Incision Laparoscopic surgery (SILS) has gained considerable acceptance among surgeons as it aims to transform minimally invasive surgery and is widely being seen as a safe alternative to… Continue Reading
Are Suction Drains Necessary After Laparoscopic Pancreatic Resection?
Fernando Rotellar, MD PhD, Fernando Pardo, MD, Alberto Benito, MD Ph D, Pablo Marti-Cruchaga, MD, Gabriel Zozaya, MD, Javier A Cienfuegos, MD PhD. University Clinic. University of Navarre. Pamplona. Spain. Introduction: A controversial issue in recent years on pancreatic surgery is about the use of suction drains. Nevertheless, there is scarce evidence about drainless distal… Continue Reading