Laparoscopic Cystgastrostomy
Introduction:Laparoscopic drainage is a definitive and effective treatment for symptomatic pancreatic pseudocysts. Pancreatic pseudocysts are pancreatic fluid collections that develop a defined fibrous wall without a true epithelial lining. These are usually caused by acute or chronic pancreatitis or trauma with disruption of the pancreatic duct. 85% resolve spontaneously in six weeks. Large pseudocysts can… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- HPB
Laparoscopic Liver Resection and the Use of Torsional Ultrasound Dissectors for Parenchymal Liver Dissection
Background:Recent advances in laparoscopic surgical equipment is one of the most significant factors in the expansion of laparoscopic liver resections (LLR) by increasing its feasibility, safety and efficiency.Ultrasonic dissectors are the main instrument used for the parenchymal dissection part of a laparoscopic liver resection. Most of the commercially available brands of ultrasonic dissectors use a… Continue Reading
laparoscopic Liver Resection for Localized Primary Intrahepatic Bile Duct Dilatation
LAPAROSCOPIC LIVER RESECTION FOR LOCALIZED PRIMARY INTRAHEPATIC BILE DUCT DILATATIONIbrahim DAGHER, Papa Saloum DIOP, Alessio CARLONI, Panagiotis LAINAS, Dominique FRANCODepartment of General Surgery, Antoine Béclère Hospital, AP-HP, Clamart, F-92140, France; Univ Paris-Sud, Orsay, F-91405, France. Objective of the study: Primary intrahepatic bile duct dilatation (IHBD) may present as a localized form, in which resection of… Continue Reading
Laparoscopic Central Pancreatectomy for Pancreatic Body Lesions: Report of 6 Cases Including Totally Intracorporeal Technique
Introduction) Laparoscopic surgery has been gaining wide acceptance currently especially in distal pancreatectomy, but few study has been reported about laparoscopic central pancreatectomy (LCP) for pancreatic body lesions. So, we herein report our evolving experiences of LCP.Methods) From Sept 2007 to June 2008, 6 cases of LCP were performed for pancreatic body lesion at our… Continue Reading
Clipless Minilaparoscopic Cholecystectomy: A Comparative Cost Study for a Minimally Invasive and Cost Effective Procedure.
INTRODUCTION: For the surgical treatment of gallbladders diseases, the laparoscopic cholecystectomy has been accepted as the gold standard all over the world. Although, it seems to be clear that the needlescopic procedure, called minilaparoscopic cholecystectomy (MLC) is superior in many aspects when it is compared not only to open surgery, but also compared to the… Continue Reading
Robot-Assisted Biliary Reconstruction – Short-term Outcomes with Minimally-invasive Roux-en-Y Hepaticojejunostomy
Objective: A minimally invasive approach to hepatobiliary reconstruction can be technically difficult due to the need to suture a fine structure in an enclosed space, intimately related to critical vascular structures, often with significant adhesions or fibrosis. Using the da Vinci surgical system can aid in visualization and maneuverability, facilitating the dissection and anastomosis in… Continue Reading
Single Port Access (spatm) Cholecystectomy: Preservation of the Critical View
The Single Port Access (SPATM) technique utilizes the umbilicus as a single portal of entry into the abdominal cavity. The goal of this access technique is to maintain the current, safe dissection of standard multiport laparoscopic cholecystectomy while performing the entire operation through one incision concealed within the umbilicus.The critical view is a proven paradigm… Continue Reading
Laparoscopic Enucleation of Pancreas Tail or Head Lesion: Report of 13 Cases
Introduction) Laparoscopic enucleation of pancreas (LEP) can be best treatment option avoiding resection or pancreatic anastomosis, if performed appropriately and safely. But reports regarding LEP have been rare and mainly case report. So, we herein report the largest series of LEP to date.Method) From April 2006 to Aug 2008, total 13 cases of LEP were… Continue Reading
Laparoscopic Near Infrared Fluorescence Imaging of Biliary Tree Anatomy
Objective of the study: The primary goal of this study was the successful intraoperative near infrared fluorescence (NIRF) imaging of extra and intra hepatic bile ducts using the SPY and laparoscopic SPY2 scope systems (Novadaq Technologies Inc.) after parenteral administration of Indocyanine Green (ICG). Optimal NIRF imaging of biliary anatomy occurs when sufficient amount of… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
Laparoscopic Intervention for Massive, Rapidly Progressive Pancreatic Pseudocyst Disease with Endocrine and Exocrine Dysfunction
Introduction: Therapeutic interventions for pancreatic pseudocyst disease are most often based on symptoms, lesion size, and in particular duration of the lesion. Conventional wisdom typically avoids early surgical therapy for “immature” pseudocysts, citing concerns of cyst wall thickness, durability, and ability to hold suture material for a secure anastomosis. We present a case of a… Continue Reading
- Topic:
- HPB
Single Port Access (spa) Cholecystectomy: a Comparison to Standard Mutliport Cholecystectomy
Over the last two years the field of minimally invasive surgery has seen the emergence of single port laparoscopic techniques. In May 2007, we performed our first Single Port Access (SPA) cholecystectomy. This technique provides an alternative approach to accessing the abdominal cavity for minimal access procedures. Additionally, it enhances cosmesis and decreases skin incisions.… Continue Reading
Microwave Ablation with 915 Mhz Vs 2.45 Ghz. What Is the Difference?
We present preliminary results from an upcoming prospective, non-randomized comparison of patients with liver tumors treated with either a 915 MHz or a 2.45 GHz microwave ablation system. Results from this institution using a commercially available 915 MHz microwave ablation system (ValleyLab, Boulder, CO) for malignant tumors in the liver have been previously published, using… Continue Reading
Single Incision Laparoscopic Cholecystectomy: Short-term Outcomes
Objective of the study: To analyze short term results of a new technique i.e. Single Incision Laparoscopic Cholecystectomy. Methods: As opposed to conventional laparoscopic cholecystectomies using four access ports, we perform the Single Incision Laparoscopic Cholecystectomy (procedure termed SILC) using a 5 mm flexible laparoscope, endo-roticulating instruments and 5 mm endo-clips. A vertical incision is… Continue Reading
Minimally Invasive Pancreatic Debridement: Intracavitary and Transperitoneal Debridement
Pancreatic debridement is necessary for treatment of infected pancreatic necrosis but is associated with significant morbidity that includes a high incidence of wound complications and enterocutaneous fistulae. We demonstrate two minimally invasive techniques of pancreatic debridement: catheter-guided intracavitary debridement and laparoscopic transperitoneal debridement. In the first patient, fine needle aspiration of a heterogeneous lesser sac… Continue Reading
- Topic:
- HPB
Single Incision Laparoscopic Cholecystectomy, Initial Evaluation of a Large Series of Patients
Introduction: Single Incision Laparoscopic Cholecystectomy (SILC) has been found to be feasible and safe. We have pioneered and mastered a two trocar SILC technique at UT Southwestern. Here we present our initial data using this technique on fifty patients. Methods: Following an institutional review board, patients with symptomatic gallbladder disease were recruited from January until… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB