Laparoscopic-assisted rectal surgery for rectal cancer using the simple Rectum Catcher device with an intra-operative colonoscopy: Results of our hospital study in 203 patients.
Akiyo Matsumoto, MD, Kaida Arita, MD. Tsuchiura Kyodo General HospitalBackground: The gold standard of rectal surgery is TME and DST anastomosis. The division of mesorectum in tumor specific mesorectal and total mesorectal excisions is one of the most difficult procedures of anterior dissection. We have developed a laparoscopic assisted anterior dissection technique using the simple… Continue Reading
Laparoscopic Assisted Retroperitoneal Debridement of the Morbidly Obese
Cici Zhang, MD, Jonathan Wong, MD. Lenox Hill HospitalThis is a 42 year-old morbidly obese male presented with severe necrotizing gallstone pancreatitis. The patient experienced continued clinical deterioration despite endoscopic decompression of the biliary duct. Given the retroperitoneal location and the walled off nature of the peripancreatic fluid collection, we elected to perform laparoscopic assisted… Continue Reading
- Topic:
- Liver and Pancreas
Laparoscopic Assisted Retroperitoneal Necrosectomy
Gillian Alex, MD, Sameer Gupta, MD, Benjamin Veenstra. Rush University Medical CenterNecrotizing pancreatitis with superimposed infection is associated with high rates of complication and mortality. Traditional surgical management has been open necrosectomy which is associated with a high morbidity, death rate of 11-39% and a long term risk of pancreatic insufficiency. Since 2010 a step-up… Continue Reading
- Topic:
- Case Presentations
Laparoscopic Bile Duct Exploration in the Managmente of Choledocholithiasis during pregnancy
Erwin Buckel, MD1, Pablo Achurra, MD2, Eduardo Viñuela, MD1, Julian Varas, MD2, Alfonso Diaz, MD1, Rose Marie Mege, MD1, Cristian Diaz, MD1, Constanza Godoy, MD1, Marcel Sanhueza, MD1. 1Centro Asistencial Hospital Sotero del Rio, 2Pontificia Universidad Catolica de ChileIntroduction: The management of symptomatic choledochal stones in pregnant women is a complex and divisive issue. There… Continue Reading
- Topic:
- Biliary
laparoscopic CBD exploration- an experience of more than 250 cases at a single centre
Krishna Asuri, MS, Bansal Virinder, MS, Misra Mahesh, MS. all india institute of medical sciencesIntroduction: The optimum management of patients with concomitant gall stones and common bile duct (CBD) stones is debatable. ERCP followed by cholecystectomy is the preferred method of management at present. Although randomized trials have shown single stage cholecystectomy and laparoscopic CBD… Continue Reading
- Topic:
- Biliary
Laparoscopic CBD exploration with choledochoduodenostomy for bileduct stones in a patient with situs inversus totalis
P Senthilnathan, R Parthasarathi, S Rajapandian, P Praveen Raj, Anand Vijai, V P Nalankilli, G Srivatsan, Sandeep Sabnis, C Palanivelu. GEM Hospital & Research Centre76 year lady, a known case of Situs inversus totalis underwent open cholecystectomy elsewhere 6 months back. Follow up at our centre for pain abdomen revealed common bile duct calculi and… Continue Reading
- Topic:
- Biliary
Laparoscopic cholecystectomy with indocyanine green (ICG) fluorescence
Lindsey G Kahan, BS, Sara Feaman, MS, CCRP, Wen Hui Tan, MD, Jared M McAllister, MD, Jeffrey A Blatnik, MD. Washington University in St. LouisPre-operative intravenous injection of indocyanine green (ICG) dye aids visualization of critical structures in the biliary system through its exclusive excretion by the liver, highlighting the cystic duct and common bile… Continue Reading
- Topic:
- Biliary
Laparoscopic choledochoduodenostomy as a rescue and reliable procedure for failed ERCP and complicated bile duct stones
P Senthilnathan, R Parthasarathi, S Rajapandian, Anand Vijay, V P Nalankilli, C Palanivelu. GEM Hospital & Research CentreBackground/Rationale: Conventionally, removal of common bile duct stones (CBDS) by endoscopic retrograde cholangiopancreaticography (ERCP) is the standard of care. In failed ERCP due to multiple large CBD calculi or inaccessibility, Laparoscopic common bile duct exploration(LCBDE) is an established… Continue Reading
- Topic:
- Biliary
Laparoscopic Colonic Resection and Stoma for Colonic Perforation
Seiichiro Yamamoto, Toshio Kanai, Kikuo Yo, Tomotaka Akatsu, Kiminori Takano, Taku Fujii, Mai Tsutsui, Yosuke Kobayashi, Yasushi Kaneko, Ryo Kaneko. Hiratsuka City HospitalIntroduction: Open colonic resection and stoma (CRS) without colonic anastomosis has traditionally and widely been used to treat patient with fecal peritonitis resulting from colon perforation. Recently, feasibility of the resection of the… Continue Reading
- Topic:
- Acute Care Surgery
Laparoscopic colorectal surgery in colorectal cancer patients with previous abdominal operations
Shinobu Ohnuma, Hideaki Karasawa, Kazuhiro Watanabe, Takahiro Tsuchiya, Hirofumi Imoto, Takeshi Aoki, Naoki Tanaka, Katsuyoshi Kudoh, Tomoya Abe, Munenori Nagao, Hiroaki Musha, Fuyuhiko Motoi, Takeshi Naitoh, Michiaki Unno. Tohoku University HospitalINTRODUCTION – Laparoscopic surgery in patients with previous abdominal operations is considered as a relative contraindication because of concern for the presence of adhesions and… Continue Reading
- Topic:
- Colorectal
Laparoscopic Common Bile Duct Exploration in a Patient with Previous Total Gastrectomy
Mostafa El-Beheiry1, Steven MacLellan2. 1Western University, 2University of TorontoThis is a case of a laparoscopic common bile duct exploration in a patient who is status post total gastrectomy with Roux-Y reconstruction for T2N0 gastric cancer. He presented to the emergency department with epigastric pain and tenderness and elevated liver enzymes. MRCP demonstrated a distal CBD… Continue Reading
- Topic:
- Biliary
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: Results from a Community Hospital
Theadore Hufford, MD1, Andres Giovanetti, MD1, Charles Gruner, MD2. 1UIC/MGH General Surgery Residency, 2Presence St. Francis HospitalINTRODUCTION: The approach to biliary disease has been traditionally treated with laparoscopic cholecystectomy (LC) in almost all settings but the approach to choledocholithiasis has not been so standardized. The use of pre-operative ERCP is common in most institutions, however… Continue Reading
- Topic:
- Outcomes and Quality
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 Complete Mesocolic Excision for Right-sided Colon Cancer Using a Cranial Approach: Embryological and Anatomical Consideration
Takeru Matsuda, Yasuo Sumi, Kimihiro Yamashita, Hiroshi Hasegawa, Masashi Yamamoto, Shingo Kanaji, Yoshiko Matsuda, Taro Oshikiri, Tetsu Nakamura, Satoshi Suzuki, Yoshihiro Kakeji. Kobe University Graduate School of MedicineWe focused on the anatomy and embryology of the transverse mesocolon to achieve complete mesocolic excision in laparoscopic right hemicolectomy. The usefulness of a cranial approach was also… Continue Reading
- Topic:
- Colorectal