Laparoscopic Completion Cholecystectomy
Ramesh M Punjani. Fortis Hospital, MumbaiLaparoscopic Cholecystectomy (Lap Chole) for acute cholecystitis is a standard treatment. However, in some cases it is tricky. One has to be very close to gall bladder during dissection. We did lap chole in such setting. It appeared quite satisfactory, till 2 1/2 months when patient presented with pain &… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary
LAPAROSCOPIC RADICAL CHOLECYSTECTOMY FOR GALLBLADDER CARCINOMA
Shashikiran J Nanjakla, Hemanga Bhattacharjee, Praveen Kumar, Manjunath Bale, Ajit Oberoi, Suhani Suhani, Rajinder Parshad. All India Institute of Medical Sciences,New DelhiINTRODUCTION: Gallbladder malignancy is the most prevalent biliary tract malignancy in India. Laparoscopy was restricted only for staging purposes initially in view of concerns regarding feasibility of achieving an adequate Liver margin, lymph node yield… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary
A Case for the Robot: the Difficult Gallbladder
Priya Rajdev, MD, Ankit D Patel, MD, FACS. Emory UniversityOver the last several decades, laparoscopic cholecystectomy has become the standard approach to operative diseases of the gallbladder. Now, as more surgeons are training in and adopting robotics around the world, the robotic approach to cholecystectomy is gaining popularity due to ability to gain finer dissection and… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary
Complex Cases of Choledochlithiasis: Robotic CBD Exploration
Adel Alhaj Saleh, MD, MRCS, Edwin O Onkendi, MBChB. Texas Tech University, Health Sciences CenterPost-operative Course: The patient recovered smoothly and was gradually advanced to full diet and was discharged on POD#1 He was seen in the clinic 2 weeks after the procedure had no issues. Pathology was benign The CBD stent was removed 4… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary
Fluorescent Cholangiography as a Tool to identify a Hypoplastic Gallbladder and Critical Structures
Joel S Frieder, MD, Abraham Betancourt, MD, Fernando Dip, MD, Maria Fonseca Mora, MD, Cristian Milla Matute, MD, Emanuele Lo Menzo, MD, PhD, FACS, FASMBS, Samuel Szomstein, MD, FACS, FASMBS, Raul Rosenthal, MD, FACS, FASMBS. Cleveland Clinic FloridaIndocyanine Green (ICG) has proven to aid in the intraoperative identification of biliary structures. The main advantages of… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary
Video Presentation: Laparoscopic Central Pancreatectomy with Pancreaticogastrostomy
Chaya Shwaartz, MD1, Mor Aharoni, MD1, Joe Kim, MD2, Motti Cordova, MS1, Yuri Goldes, MD1. 1Sheba Medical Center, 2Summit Medical GrouupThis is a case of a 45 years old female with no significant past medical history who was diagnosed with non functional PNET at the neck of the pancreas. On imaging the mass was the… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary
Mirizzi Sindrome type III – IV, Non anastomosis laparoscopic resolution
Rene M Gordillo, MD, FACS, Amber R Andrade, MD, Wilson H Vasquez, MD. Ecuadorean Institute of Social SecurityObjective: To report a case of Mirizzi syndrome type III, which was resolved laparoscopically. Materials and Methods: Mirizzi Syndrome, a benign extrinsic compression of the common hepatic duct by a stone impacted in the cystic duct or the… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary
LAPAROSCOPIC RESECTION OF COMMON BILE DUCT CYST WITH ADVANCED BILIARY RECONSTRUCTION
Daniel Gomez, MD, FACS1, Luis F Cabrera, MD, General Surgeon2, Andres Mendoza, MD, General Surgeon2, Ricardo Villarreal, MD2, Mauricio Pedraza2, Jean Pulido2, Eric E Vinck, MD2, Sebastian Sanchez2. 1CPO, 2Bosque UniversityIntroduction: Common bile duct cysts are infrequent pathologic anomalies of the biliary system. When present they cause significant signs and symptoms ranging from abdominal pain… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary
Early cholecystectomy (<8 weeks) following percutaneous cholecystostomy tube placement is associated with higher morbidity
Maria S Altieri, MD, MS1, Jie Yang, PhD2, Donglei Yin, MS2, Konstantinos Spaniolas, MD2, Michael Brunt, MD1, Mark Talamini, MD, MBA2, Aurora Pryor, MD2. 1Washington University School of Medicine, 2Stony Brook University HospitalIntroduction: Percutaneous cholecystostomy tube (PCT) placement is often the initial management approach to severe acute cholecystitis in the unstable patient. However, the timing… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Biliary
Laparoscopic Whipple in a South American Public Hospital
Ramon Diaz, MD1, Gerardo Davalos, MD1, Daniel A Guerron, MD1, Andres Marambio, MD2, Jose Galindo2. 1Duke University, 2Hospital La Florida - ChileWhipple procedures have been historically considered one of the most technically demanding operations in surgery. The introduction of the laparoscopic Whipple represents an even greater challenge, that only highly trained and selected centers in… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary
Laparoscopic Bile Duct Excision
Ammiel Arra, Dr, N Bascombe, Dr, M Bartholomew, Dr, D Dan, Prof. San Fernando General HospitalObjective: Due to the risk of malignancy, the established management of choledochal cysts mandates bile duct excision and biliary reconstruction. While the reconstructive procedure of choice for most surgeons has traditionally been hepatico-jejunostomy, this may not be feasible in selected… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary
Minimal invasive drainage of a large a large pancreatic pseudocyst
Ionut Bogdan I Diaconescu, Matei Razvan Bratu, Dragos Ene, Mircea Beuran. Carol Davila University of Medicine and PharmacyIntroduction: Laparoscopic cystogastrostomy is an suitable procedure for the drainage of pancreatic pseudocysts if the cysts is present in the lesser sac (retro-gastric). Methods: We present 2 consecutive cases where transmural drainage was tried, but for two cases… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary
Robot-Assisted Laparoscopic Subtotal Cholecystectomy and Common Bile Duct Exploration
Subhashini Ayloo, MD, MPH, Jacob Schwartzman, MD. Rutgers, New Jersey Medical SchoolObjective: To demonstrate the safety and feasibility of minimally invasive robot-assisted bile duct exploration and subtotal cholecystectomy for Mirizzi syndrome. Materials and Methods: A 42 year old woman presented with abdominal pain, cholangitis, and elevated LFT’s. Ultrasound confirmed cholelithiasis/choledocholithiasis. Two attempts of ERCP with… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary
Robotic Parenchyma Sparing Central Pancreatectomy for a Mucinous Lesion of the Head and Neck of the Pancreas
Roberto Bustos, MD, Valentina Valle, MD, Alberto Mangano, MD, Sam Papasotiriou, Pier C Giulianotti, MD, FACS. University of Illinois at ChicagoIntroduction: Central pancreatectomy is among the techniques available for the treatment of pancreatic neck tumors. It is indicated for benign or low-grade malignant neoplasms. This pancreas-sparing technique was developed to avoid exocrine and/or endocrine insufficiency that… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary
Laparoscopic treatment of choledochal cyst with stapled hepaticojejunostomy
Sarfaraz Baig, MS, FRCS. Belle Vue ClinicLaparoscopic treatment of choledochal cyst is technically challenging. Leak stays the major cause of morbidity. With time, we have changed our technique of hepaticojejunostomy to include the use of staplers. With this technique, we are able to reduce the tension on the anastomosis as well as have makes the… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary