Laparoscopic Cholecystectomy: A Retrospective Analysis of Hospital Costs and Clinical Outcomes in Patients Undergoing Conventional, Single Port, and Micro-laparoscopic Surgery
Edward Chekan, MD FACS, Mathew Moore, MHA, Tina Hunter, PhD, Candace Gunnarsson, EdD. Ethicon Endo-Surgery, Inc Cincinnati, Ohio; S2 Statistical Solutions, Inc Cincinnati, Ohio Introduction: This study compares hospital costs and clinical outcomes for traditional laparoscopic (LC), single port surgery (SPS) and micro-laparoscopic (MLC) cholecystectomy procedures from Premier hospitals across the United States. Methods:… Continue Reading
Laparoscopic Pancreatectomy for Benign/low-malignant Lesions
T Misawa, MD PhD, K Furukawa, MD PhD, H Kitamura, MD, F Suzuki, MD, R Ito, MD, T Gocho, MD, H Shiba, MD PhD, Y Futagawa, MD, S Wakiyama, MD, Y Ishida, MD PhD, K Yanaga, MD. Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan Objective: We present the technical refinements… Continue Reading
Laparoscopic Liver Resection With Selective Prior Vascular Control
Hadrien Tranchart, MD, Giuseppe Di Giuro, MD, Panagiotis Lainas, MD, Guillaume Pourcher, MD, Gabriel Perlemuter, MD PhD, Dominique Franco, MD, Ibrahim Dagher. Department of General Surgery, Antoine Béclère Hospital, AP-HP, Clamart Introduction: Vascular inflow control in laparoscopic liver resections can reduce blood loss and transfusion rates. Selective clamping, in contrast to hepatic pedicle clamping,… Continue Reading
A Retrospective Analysis of the Safety of Outpatient Percutaneous Liver Biopsy in Patients With Von Willebrand Disease
P Patrick Basu, MD MRCP MACG AGAF, Krishna Rayapudi, MD, Niraj James Shah, MD, Nithya Krishnaswamy, MD, Thankam Nair, MD, Sakina Farhat, MD, Robert Brown, MD MPH. Columbia College of Physicians and Surgeons, NY, North Shore University Hospital at Forest Hills, NY INTRODUCTION: Liver biopsy remains the gold standard for the diagnosis of chronic… Continue Reading
Community Hospital Experience With SILS Cholecystectomy
Kimberly N Weaver, MS, James W Valuska, MD, Thomas V Lheureau, MD, Pablo G Giuseppucci, MD, Miles L Weaver, MD. UPMC Passavant and UPMC Horizon Background This is a report of a community hospital group practice experience with single-incision laparoscopic cholecystectomy. Patients and methods From July 2009 to August 2011, 300 patients (225 female… Continue Reading
The Approach for Standardization of Pure Laparoscopic Hepatectomy ~standardization of Pure Laparoscopic and Single Port Lateral Sectionectomy~
F Hirokawa, M Hayashi, Y Miyamoto, M Asakuma, K Komeda, Y Inoue. Department of General and Gastroenterological Surgery Osaka Medical College Introduction: Recently, pure laparoscopic hepatectomy (PLH) has been spreading explosively. But the level of difficulty is various according to the tumor location. On the other hand, single port hepatectomy has been introduced recently.… Continue Reading
Laparoscopic Pancreatic Surgery
Nobumi Tagaya, PhD, Yawara Kubota, MD, Asami Suzuki, MD, Yoshitake Sugamata, PhD, Hidemaro Yoshiba, PhD, Masatoshi Oya, PhD. First Department of Surgery, Dokkyo Medical University Koshigaya Hospital 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… Continue Reading
Experience With Real-time Fluorescence Imaging of Biliary Anatomy During Single-incision Laparoscopic Cholecystectomy
Nobumi Tagaya, PhD, Yawara Kubota, MD, Asami Suzuki, MD, Nana Makino, MD, Kosuke Hirano, MD, Shinichiro Kouketsu, PhD, Emiko Takeshita, PhD, Yoshitake Sugamata, PhD, Hidemaro Yoshiba, PhD, Shinichi Sameshima, PhD, Masatoshi Oya, PhD. First Department of Surgery, Dokkyo Medical University Koshigaya Hospital Background: We evaluate the real-time fluorescence imaging of biliary anatomy using indocyanine… Continue Reading
Experience With Needlescopic Cholecystectomy in 160 Patients
Nobumi Tagaya, PhD, Yawara Kubota, MD, Asami Suzuki, MD, Nana Makino, MD, Kosuke Hirano, MD, Shinichiro Kouketsu, PhD, Emiko Takeshita, PhD, Yoshitake Sugamata, PhD, Hidemaro Yoshiba, PhD, Shinichi Sameshima, PhD, Masatoshi Oya, PhD. First Department of Surgery, Dokkyo Medical University Koshigaya Hospital Background: Laparoscopic cholecystectomy with needlescopic instruments has been progressed. However, this… Continue Reading
Single-incision Needlescopic Cholecystectomy
Nana Makino, MD, Nobumi Tagaya, PhD, Yawara Kubota, MD, Asami Suzuki, MD, Kousuke Hirano, MD, Shinichiro Kouketsu, PhD, Emiko Takeshita, PhD, Yoshitake Sugamata, PhD, Hidemaro Yoshiba, PhD, Shinichi Sameshima, PhD, Masatoshi Oya, PhD. First Department of Surgery, Dokkyo Medical University Koshigaya Hospital Background: In single-incision laparoscopic cholecystectomy (SILC), the additional needlescopic instrument was… Continue Reading
Laparoscopic Hepatic Resection for Hepatocellular Carcinoma: Comparative Analysis of Short and Long Term Results
Satoru Imura, MD, Mitsuo Shimada, MD PhD, Tohru Utsunomiya, MD PhD, Yuji Morine, MD, Tetsuya Ikemoto, MD, Hiroki Mori, MD, Jun Hanaoka, MD, Mami Kanamoto, MD, Koji Sugimoto, MD, Hidenori Miyake, MD PhD. Tokushima University INTRODUCTION: With progress of surgical technique and devices, laparoscopic hepatectomy (LH) became a realizable option for patients with hepatocellular… Continue Reading
Laparoscope-Assisted Hepatic Resection for Gallbladder Cancer
Masato Yoshikawa, Mitsuo Shimada, MD PhD, Tohru Utsunomiya, MD PhD, Satoru Imura, MD, Yuji Morine, MD, Tetsuya Ikemoto, MD, Hiroki Mori, MD, Jun Hanaoka, MD, Mami Kanamoto, MD, Hidenori Miyake, MD PhD. Tokushima University INTRODUCTION: The majority of early gallbladder cancers are diagnosed at the final pathology after laparoscopic cholecystectomy. However, when the preoperative… Continue Reading
How to Overcome the Learning Curve of Single-incision Laparoscopic Cholecystectomy
Stephen Ky Chang, FRCS, Chee Wei Tay, MRCSEd, Iyer Shridhar Ganpathi, FRCS, Victor Tswen Wen Lee, FRCS, Krishnakumar Madhavan, FRCS. National University Health System, Singapore INTRODUCTIONSingle-incision laparoscopic cholecystectomy (SILC) has been increasingly performed for benign gallbladder disease over the last few years with comparable operative results with conventional 4 ports laparoscopic cholecystectomy (CLC). As… Continue Reading
Laparoscopic Splenectomy Plus Preoperative Splenic Artery Embolization Versus Laparoscopic Splenectomy Alone for Massive Splenomegaly: Comparison of Treatment Outcome and Literature Review
Zhong W, Jin Zhou, Bing Peng. W Abstract:Introduction: Although laparoscopic splenectomy has been gradually regarded as an acceptable therapeutic approach in patients with massive splenomegaly, intraoperative blood loss remains an important complication. In an effect to reduce this risk, we evaluate the clinical outcome of a combined treatment of preoperative splenic artery embolization plus… Continue Reading
The Efficacy and Safety of Urgent Laparoscopic Common Bile Duct Exploration(lcbde) Using C- Tube for Critical Abdominal Conditions.
Yoshihide Chino, PhD, Masaki Fujimura, PhD, Isao Sato, MD, Seiji Masuda, MD, Makoto Mizutani, PhD, Tomotake Tabata, MD, Atsushi Okita, PhD, Reina Shimoshiro, MD, Minoru Iida, PhD. Daiichi Towakai Hospital Endoscopic Surgery Center INTRODUCTION The laparoscopic management of common bile duct exploration (LCBDE) is widely accepted throughout the medical world. However, urgent LCBDE within… Continue Reading