Laparoscopic common bile duct exploration, long-term follow-up at Texas Endosurgery Institute
Morris E Franklin Jr., MD, FACS, Miguel A Hernandez, MD, Jeffrey L Glass, MD, FACS, Matthew Brown, MD, Jaime Diaz, MD. Texas Endosurgery InstituteRoutine use of intraoperative cholangiogram (IOC) in laparoscopic cholecystectomy leads to identification of patients with choledocholitiasis. Traditionally a surgical team performed its management, but the advance in technology of endoscopic retrograde cholangio-pancreatography… Continue Reading
- Topic:
- Biliary
LAPAROSCOPIC COMMON BILE DUCT EXPLORATION: Trans- Cystic and Trans- Choledochal in the Management of Patients with Choledocholithiasis.
Sergio Rojas-ortega, MD, Emina Pasic, MD, Gerardo Reed, MD, Anuar Flores-simon, Cris Gomez, RN, Rachid Cesin, MD. HOSPITAL ANGELES PUEBLAManagement of patients with common bile duct stones should be in only one session. For the past two decades this has been our practice in the majority of cases of patients undergoing laparoscopic cholecystectomy (LC). Only… Continue Reading
- Topic:
- Biliary
Laparoscopic Exploration of Common Bile Duct with Primary Closure after Failed ERCP
Daniel Gomez, MD. ENDOOLAPIntroduction:CBD exploration are still performed by laparotomy with choledochotomy plus T tube placement after CBD stones removal subsequiently to failed ERCP in a large number of cases due to the technical challenges in the laparoscopic approach. Methods: From January 2014 to August 2016, 49 consecutive patients with common bile duct stones (CBDS)… Continue Reading
- Topic:
- Biliary
Laparoscopic four-duct hepatojejunal anastomosis in severe Mirizzi syndrome
Pablo Achurra1, Erwin Buckel1, Eduardo Viñuela2, Julian Varas1, Rose Marie Mege2, Alfonso Diaz2, Nicolas Jarufe1, Sanhueza Marcel1. 1Department of Gastrointestinal Surgery, Pontificia Universidad Católica de Chile, 2Hospital Sotero del Río, Santiago, ChileBackground: Mirizzi Syndrome is a rare complication of gallbladder stones that results in compression, stenosis and often inflammatory destruction of the common bile duct.… Continue Reading
- Topic:
- Biliary
Laparoscopic resection of solid pseudopapillary tumour of the pancreas: A case series of 19 consecutive patients from a tertiary care institute
P Senthilnathan, R Parthasarathi, S Rajapandian, Anand Vijay, V P Nalankilli, Sandeep Sabnis, Kailash Chandra dhaker, C Palanivelu. GEM Hospital & Research CentreBackground: Solid pseudopapillary tumour (SPT) of the pancreas, which predominantly affects young women, is a relatively indolent entity with favourable prognosis. The aim of this study is to describe laparoscopic surgical management of… Continue Reading
- Topic:
- Biliary
Laparoscopic stricturoplasty for tight hepaticojejunostomy stricture following laparoscopic pylorus preserving pancreaticoduodenectomy in solid pseudopapillary neoplasm
P Senthilnathan, R Parthasarathi, S Rajapandian, P Praveen Raj, Anand Vijai, V P Nalankilli, G Srivatsan, Sandeep Sabnis, C Palanivelu. GEM Hospital & Research CentreAfter pancreaticoduodenectomy surgery hepaticojejunostomy (HJ) stricture is a rare condition and seen in undilated ducts. Usually, management is conservative while operative revision is only rarely performed and by doing laparoscopically is… Continue Reading
- Topic:
- Biliary
Laparoscopically Assisted Transgastric Endoscopic Retrograde Cholangiopancreatography: Large Single Center Experience
Andrew T Strong, MD1, Matthew T Allemang, MD1, S. Julie-Ann Lloyd, MD, PhD1, Matthew Dong, MD, MPH2, A. Daniel Guerron, MD3, John H Rodriguez, MD1, Jeffrey L Ponsky, MD1, Matthew Kroh, MD1. 1Section of Surgical Endoscopy, Dept. of General Surgery, Cleveland Clinic, 2The Mount Sinai Hospital, Department of Surgery, 3Duke Center for Metabolic and Weight… Continue Reading
- Topic:
- Biliary
Management of Choledocholithiasis after Roux En Y Gastric Bypass at Tertiary Care Center
Laura E Grimmer, MD, Shaina Eckhouse, MD, Arghavan Salles, PhD, MD, Michael Awad, J. Christopher Eagon, MD, Michael L Brunt, MD. Washington UniversityIntroduction: Numerous options exist for managing choledocholithiasis in patient with prior Roux-en-y gastric bypass (RYGB), including percutaneous, endoscopic, laparoscopic and open approaches. While many studies describe the results of a single preferred management… Continue Reading
- Topic:
- Biliary
Manometric measurement of the sphincter of Oddi in patients with common bile duct stones: a consecutive study of the Han population of China
Xiaoxing Chen, PhD1, Yadong Feng1, Jie Zhang2, Hong Zhu1, Shunfu Xu1, Wenfang Cheng1, Jinliang Ni1, Bin Xiao3. 1Department of Gastroenterology, First Affiliated Hospital with Nanjing Medical University, 2Department of Radiology, Xuzhou Central Hospital, 3Department of Pancreatic Centre, First Affiliated Hospital with Nanjing Medical UniversityBackground: Dysfunction of the sphincter of Oddi (SO) may be involved in… Continue Reading
- Topic:
- Biliary
Massive Biliary Dilation after Roux-en-Y Gastric Bypass: Is it Ampullary Achalasia?
Noble G Jones, MS, Andrew T Strong, MD, John H Rodriguez, Matthew Kroh, Jeffrey L Ponsky, MD. Section of Surgical Endoscopy, Dept. of General Surgery, Cleveland ClinicBackground: Symptomatic biliary dilation commonly follows an obstructive process. However, in the absence of an obvious structural lesion, a functional etiology may be sought. Biliary dilation has been described… Continue Reading
- Topic:
- Biliary
Myth Debunked: The ICG Cholecystectomy 1 Hour Rule
Jonathan C DeLong, MD, Shanglei Liu, MD, Domingo Montalvo, MD, Toshiaki Suzuki, MD, Ran B Luo, MD, Jessica L Reynolds, MD, Garth R Jacobsen, MD, Michael Bouvet, MD, Santiago Horgan, MD, Bryan J Sandler, MD. UC San DiegoNear infrared fluorescence laparoscopy is used in general surgery to perform fluorescence cholangiography. For optimal results indocyanine green… Continue Reading
- Topic:
- Biliary
Outcomes of Laparoscopic-Assisted ERCP after Roux-en-Y Gastric Bypass: Safe and Effective for Management of Sphincter of Oddi Dysfunction
David May, MD, David M Parker, MD, Ellen D Vogels, DO, Daaron McField, MD, James Dove, Marcus Fluck, Anthony T Petrick, MD, Jon Gabrielsen, MD. Geisinger Medical CenterIntroduction: Roux-en-Y gastric bypass (RYGB) anatomy presents a challenge should access to the biliary tree be required. In 2014 Grimes reported a series of 42 LAERCP patients, 36… Continue Reading
- Topic:
- Biliary
Outcomes of Laparoscopic-Assisted ERCP after Roux-en-Y Gastric Bypass: Safe and Effective for Management of Sphincter of Oddi Dysfunction
David May, DO, David M Parker, MD, Ellen D Vogels, DO, Daaron McField, MD, Anthony T Petrick, MD, Jon Gabrielsen, MD. Geisinger Medical CenterIntroduction: Biliary access following Roux-en-Y gastric bypass (RYGB) anatomy presents a significant challenge. Long term outcomes of Laparoscopic assisted trans-gastric ERCP (LAERCP) including Sphincter of Oddi Dysfunction (SOD) subtypes have not been… Continue Reading
- Topic:
- Biliary
Pattern and Out Comes of Cholecystectomy in the First Three Years of Introduction of Laparascopic Cholecystectomy in Saint Paul Hospital Millenium Medical Collage, Addis Ababa, Ethiopia
Hana Gebreselassie, MD, Surgery Resident, Mahteme Bekele, MD, Assistant Proffesor of Surgery. St. Paul Hospital Millenium Medical CollageIntroduction: This study is aimed to determine the pattern of cholecystectomy and to compare open and laparoscopic cholecystectomy in terms of operation time, post op hospital stay, morbidity and mortality in St. Paul Hospital Millennium Medical Collage, Addis… Continue Reading
- Topic:
- Biliary
Percutaneous Cholangioscopy for Managing Common Bile Duct Stones Post Roux-En-Y Gastric Bypass
Rebecca Zener, MD, FRCPC, Eran Shlomovitz, MD, FRCPC, FRCSC. University Health NetworkA 68-year-old man with a history of Roux-en-Y gastric bypass presented with cholangitis secondary to obstructive choledocholithiasis. Percutaneous cholangioscopy and lithotripsy were selected as an ultra minimally-invasive approach to manage the common bile duct (CBD) stone. Acute decompression and drainage were performed percutaneously with… Continue Reading
- Topic:
- Biliary