SILS(SINGLE INCISION LAPAROSCOPIC SURGERY )
Lakshman Agarwal, Mbbs, MS. Swai man singh medical college, jaipur , rajasthan , indiaGall stones(cholelithiasis) are common condition . Advent of ultra sonography has increased its detection in a large way. The exact number of cholecystectomy performed in india is difficult to know as there is no standard national registery for it. We are practising SILS since last 4 years and the number exceed 600. Langenbuch in 1882 did first open cholecystectomy, Conventional four port laparoscopic cholecystectomy(Philippe Mouret 1987) , Single incision… Continue Reading
GANGRENOUS CHOLECYSTITIS: DELAYS IN SURGICAL EVALUATION AND OUTCOMES IN THE ERA OF MINIMALLY INVASIVE SURGERY
Rebecca C Gologorsky, MD1, Justin Tse, MD2, Dylan Wolman, MD2, Aya Kamaya, MD2. 1University of California San Francisco-East Bay, 2Stanford UniversityIntroduction: Gangrenous cholecystitis (GC) is a highly morbid complication of acute cholecystitis (AC). Risk factors for gangrenous progression are poorly described, as are pre-operative clinical features and post-operative outcomes in the era of minimally invasive surgery.… Continue Reading
An Unusual Presentation of Acute Cholecystitis: Gallbladder Volvulus
Elizabeth E Price, DO, Luciano Dimarco, DO. UPMC Pinnacle Community Osteopathic HospitalGallbladder volvulus is an uncommon disease caused by torsion of the gallbladder around its mesentery along the axis of the cystic duct and artery, ultimately leading to gallbladder ischemia and obstruction of biliary drainage. The etiology of the condition is unknown; however, hypothesized contributory… Continue Reading
Laparoscopic Management of Gastro Intestinal Stromal Tumours
Ajay H Bhandarwar, MS, FMAS, FIAGES, FAIS, FICS, FBMS1, Jalbaji P More, MS1, Amol N Wagh, MS, FMAS, FIAGES, FAIS, FICS, FBMS1, Shekhar A Jadhav, MS, FMAS1, Amarjeet E Tandur, MS1, Priyanka Saha, MBBS1, Khushboo Kadakia, MBBS1, Soumya Chatnalkar, MBBS1, Ruchira Bhattacharya, MBBS1, Shraddha R Gajbhiye, MBBS, MD Associate Professor2. 1Grant Government Medical College &… Continue Reading
The outcome of Laparoscopic Cholecystectomy in Situs Inversus Totalis: Technique and Anatomical Variation. case report
Omar A Ibrahim, MD, Surgical Resident, Tahir I Yunus, General Surgery and Bariatric Consultant, Ahmed M Mai, MD, Surgical Resident. International Medical CenterSitus inversus totalis (SIT) is an rare medical condition where thoracic and abdominal organs are in the mirror-image reversal of their natural position. Many difficulties faces surgeons to diagnose and manage chronic cholecystitis… Continue Reading
Single incision laparoscopic cholecystectomy (SILC) for emergency and elective cases: Eight-year experience in more than 250 patients.
Fernando Arias, MD, FACS1, Gabriel Herrera, MD1, Camilo Cetares, MD2, Manuel Arrieta, MD3. 1University Hospital Fundación Santa Fe de Bogota - University of the Andes, Bogotá Colombia, 2University Hospital Fundacion Santa Fe de Bogota, 3University of Sabana, Bogota, ColombiaIntroduction: Single incision laparoscopic cholecystectomy has gained increasing attention over conventional technique due to the potential benefits… Continue Reading
Gallbladder Perforation with Hemoperitoneum Secondary to Ulceration from Densely Packed Gallstones in a Minimally Symptomatic Patient
Elizabeth A Verrico, DO1, Lindsay Tse, DO2, Justin Sargent, DO1, Fred Wolodiger, MD3, Steven Shikiar, MD1. 1Hackensack Meridian Health Palisades Medical Center, 2Houston Methodist Hospital, 3Englewood Hospital and Medical CenterAcute cholecystitis is one of the most common general surgery pathologies. Perforated cholecystitis is a rare potentially life threatening complication of acute cholecystitis. It is often… Continue Reading
Recurrent Right Upper Quadrant Pain and Complications of Progression
Zachary Walker, Kejal Shah, MD, Michael P Meara, MD, MBA, FACS. The Ohio State University Wexner Medical CenterBackground: Complicated Cholelithiasis can result in episodes of cholangitis and Mirizzi syndrome, extrinsic compression of the common hepatic duct by a stone in the cystic duct or gallbladder. Endoscopic retrograde cholangiopancreatography (ERCP) can be used for diagnosis and… Continue Reading
Cholelithiasis in Sickle Cell Disease
Prachi Mahajan, MS, FRCS, FMAS, FIAGES. Mahajan ortho and surgical hospitalVidarbha region of Central India hosts a large population suffering from sickle cell disease ( SCD). Patients may be divided into 2 categories depending upon whether they harbour the sickle cell trait ' SA' pattern or ' SS' haemoglobinopathy. 25% of people suffering from either… Continue Reading
RESULTS IN THE ENDOSCOPIC MANAGEMENT OF GIANT COMMON BILE DUCT STONES: STENT AND PNEUMATIC DILATATION
Carlos Leal, MD, General Surgery, Gastroenterology1, Andres Mendoza, MD, General Surgery1, Luis Cabrera, MD, General Surgery1, Mauricio Pedraza1, Sebastian Sanchez1, Jean Pulido1, Daniel Gomez, MD, FACS2. 1Bosque University, 2CPOBackground: The endoscopic management of choledocholithiasis remains a challenge for the general surgeon due to the complications that can arise from it. Traditional management has been surgical, but in recent… Continue Reading
Endoscopic management of the difficult hepatic biliary duct stone with digital direct cholangiography
Renzo Pinto, Efrain J Isaacs, Laura Quintero, Luis F Cabrera, General Surgeon, Daniel Gomez, MD, FACS, Mauricio Pedraza, Jean Pulido. Bosque UniversityIntroduction:Digital direct cholangiography or Spyglass (Boston Scientific Corp., Natick, MA, USA) is a modern and simplified technique, which allows a single endoscopist a better visualization of the biliary tract and equipment maneuverability. Using this… Continue Reading
Intraoperative fluoroscopic-guided balloon choledocholithotomy and laparoscopic cholecystectomy : A new technique for the treatment of choledocholithiasis
Yasunobu Kobayashi, MD1, Hironori Ohdaira, MDPhD1, Mutsumi Kaji, MD1, Norihiko Suzuki, MD1, Satoshi Narihiro, MD1, Taigo Hata, MD1, Soujun Hoshimoto, MDPhD1, Masashi Yoshida, MDPhD1, Jun Horiguchi, MDPhD1, Eigoro Yamanouchi, MDPhD2, Masaki Kitajima, MDPhD1, Yutaka Suzuki, MDPhD1. 1Dept of Surgery, International University of Health and Welfare, 2Dept of Radiology, International University of Health and WelfareBackground: Patients with… Continue Reading
Hyperkinetic gallbladder: an indication for cholecystectomy?
Baongoc Nasri, MD, PhD1, Brian Gilchrist, MD2, Timothy Glass, MD1, Jonathan Saxe, MD1. 1St. Vincent Hospital, 2New York University Winthrop HospitalBackground: The main indications for laparoscopic cholecystectomy are stone related diseases in adults. With a normal abdominal ultrasound (US), a hepatobiliary iminodiacetic acid (HIDA) scan with ejection fraction (EF) is recommended to evaluate gallbladder function.… Continue Reading
Laparoscopic cholecystectomy: a review of operative timing and complications
Chetna Bakshi, MD, Gainosuke Sugiyama, MD, FACS, Charles Choy, MD, FACS, Gene Coppa, MD, FACS, Antonio Alfonso, MD, FACS, Paul Chung, MD. Zucker School of Medicine at Hofstra/NorthwellBackground: Laparoscopic cholecystectomy is one of the most common operations performed in general surgery in the United States. It has been suggested that increased operative time (OT) is correlated… Continue Reading
Determinant of quality of life after laparoscopic cholecystectomy
Heba A Elghalban, MD1, Nagwa Nashat, MD1, Rami R Mustafa, MD2, Hatem Soltan, MD3, Hala Shaheen, MD1, Taghreed Farahat, MD1. 1Family Medicine Department, Faculty of Medicine, Menoufia University, 2Department of surgery, Cleveland Medical Center, University Hosptals, 3Department of surgery, Faculty of medicne, Menoufia UniversityIntroduction: cholecystitis is a striking public health issue with high socioeconomic impact.… Continue Reading