Needlescopic Surgery: The Cosmetic Alternative to SILS
Introduction: Minimally invasive procedures have revolutionized the art of surgical practice. Laparoscopic cholecystectomy (LC) is the gold standard for management of gall bladder disease. In an attempt to further improve on the benefits of the standard multiple incision LC, less invasive methods have been described, including smaller incisions, fewer incisions, and use of single incisions.… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- HPB
Staple Line Reinforcement in Laparoscopic Distal Pancreatectomy
Objectives: Several series document that laparoscopic distal pancreatectomy is as safe as the traditional open approach. However, pancreatic leaks and peri-pancreatic fluid collections remain common morbidities. This report analyzes three methods of staple line reinforcement following laparoscopic distal pancreatectomy, with and without splenic preservation, with regards to post-operative pancreatic fistulas and peri-pancreatic fluid collections. Methods:… Continue Reading
Laparoscopic Vs Open Left (distal) Pancreatectomy- A Case-matched Comparative Study.
Objectives: Laparoscopic left pancreatectomy (LLP) is increasingly being performed with technical advancements in minimally invasive surgery. We reviewed our institutional series of left pancreatectomy cases and present a case-matched study evaluating the outcomes of LLP compared to matched patients undergoing OLP. Methods: All institutional left pancreatectomy procedures performed from June 2002 to June 2009 were… Continue Reading
Laparoscopic Liver Surgery in Cancer Patients-experience At a National Cancer Institute
Introduction: The oncological adequacy and safety of major liver resections is still uncertain. The aim of this retrospective analysis was to compare intraoperative data with final pathology and short-term clinical outcome.Methods:Patients undergoing laparoscopic liver surgery were retrospectively analysed using our tumor registry. Surgical and postsurgical outcomes were compared with final pathology. The data were statistically… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- HPB
Gallbladder Perforation: Increased Risk in a Va Population Associated with Lower Body Mass Index (bmi)
Introduction: The purpose of this study was to determine the incidence of gallbladder perforation in a VA patient population presenting with acute cholecystitis and evaluate the impact of multiple risk factors including BMI on the risk of perforation. Methods: This is a retrospective study of patients identified by a computer database (CPRS) undergoing cholecystectomy between… Continue Reading
Preoperative Pancreatic Stenting Prior to Pancreatectomy for Chronic Pancreatitis: A Combined Endoscopic and Surgical Approach
Introduction: There are two predominant approaches to chronic pancreatitis: ductal decompression and pancreatic resection. At our institution, we have adopted a hybrid approach of preoperative endoscopic pancreatic duct stenting (PDS) with subsequent partial pancreatectomy in persistently symptomatic patients. Therapeutic PDS for chronic pancreatitis is less invasive but, felt to be less efficacious than surgical approaches.… Continue Reading
Totally Laparoscopic Hepatectomy for Hepatolithiasis
Introduction: To evaluate the feasibility of laparoscopic hepatectomy for patients with intrahepatic stones, we conducted a retrospective review of this approach performed in our institute. Laparoscopic management of the intrahepatic stones was challenging for the dilated bile duct with stones inside as well as the possible perihepatic adhesion after previous biliary tree infection. Additional common… Continue Reading
Totally Laparoscopic Isolated Caudate Hepatectomy with Selective Inflow Control – Case Report
Introduction: Laparoscopic hepatectomy is the latest development of minimally invasive surgery. Traditional indications for laparoscopic hepatectomy include lesions in the anterior-inferior and left lateral aspect of the liver. For lesions in the caudate lobe, the left lateral section of liver frequently interferes the surgical exposure and mandates lateral sectionectomy occasionally in traditional open hepatectomy. In… Continue Reading
Laparosocpic Distal Pancreatic Resection
INTRODUCTION: A laparoscopic approach to pancreatic disease is increasingly performed although its ultimate benefit is yet to be confirmed. Laparoscopic distal pancreatectomy with or without splenectomy is gradually gaining acceptance as an alternative to open resection in selected patients. The aim of this study is to report our initial institution experience with laparoscopic distal pancreatectomy.METHODS:… Continue Reading
Role of Laparoscopic Hepatectomy for Hepatocellular Carcinoma
Introduction: We have pursued laparoscopic hepatectomy as a means of surgical therapy for hepatocellular carcinoma (HCC) since 1993. Recent experience has persuaded us that there are great potential benefits in laparoscopic hepatectomy. In this paper, the outcomes of laparoscopic hepatectomy focus on HCC were analysed and compared with conventional open hepatectomy.Method and Procedure: Laparoscopic hepatectomies… Continue Reading
Single Incision Laparoscopic Partial Hepatectomy
Introduction: Hepatocellular carcinoma is one of the most common tumors worldwide, commonly arising in the presence of hepatitis with or without cirrhosis. Open and laparoscopic approaches to resection have been described. We report a case of a hepatocellular carcinoma completely resected laparoscopically via a single incision approach.Methods: A 58-year-old female with past medical history significant… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- HPB
Repeated Laparoscopic Hepatectomy for the Recurrent Hepatocellular Carcinoma
We have pursued laparoscopic hepatectomy as a means of surgical therapy for hepatocellular carcinoma (HCC) since 1993. It has been reported that laparoscopic hepatectomy in the patient with HCC appears to be a viable surgical alternative providing less invasion in selected cases. This procedure is expected to develop further in the future as a new… Continue Reading
Laparoscopic Management of Cbd Stones: An Indian Experience
IntroductionIndia has a high incidence of gall stones and consequently of CBD stones (CBDS) which are very different from that seen in the west. It is not infrequent to see multiple, large, impacted stones in a hugely dilated CBD. Therefore many of these patients have been managed by open CBD exploration, even after advent of… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
Use of Covered Metallic Stents in the Management of Benign Biliary Strictures
Introduction: Chronic pancreatitis (CP), inflammatory conditions, anastomotic strictures from liver transplantation and choledocholithiasis, among other conditions, can cause benign biliary strictures (BBS). Serious and irreversible complications such as recurrent cholangitis, secondary biliary cirrhosis, and end-stage liver disease can be the result of BBS so promptness on treating this condition is essential. The definitive treatment for… Continue Reading
Common Bile Duct Exploration in Decline: Majority of These Procedures Are Done in Non-teaching Hospitals in the Us.
BACKGROUND: Common bile duct (CBD) exploration used to be one of the relatively frequent procedures in armamentarium of the general surgeon. With raise of minimally invasive techniques one may expect diminished needs and fewer indications for that surgery. OBJECTIVE: The purpose of this study was to determine nationwide trends of cholecystectomy and common bile duct… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB