Pylephlebitis Following Infected Choledocholithiasis, Endoscopic Retrograde Cholangiopancreatography and Cholecystecomy.
TITLE CASE REPORT:PYELPHLEBITIS FOLLOWING INFECTED CHOLEDOCHOLITIASIS ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY AND OPEN CHOLECYSTECTOMY. WIEMAN E.A., MD; KOBBERMAN A., MD; KENNEY R., MD: ANDRESEN K., MD; MARGOLIN D., MD. UMKC Department of Surgery, Saint-Lukes Hospital, Kansas City. ObjectiveSuppurative pylephlebitis or chronic thrombophlebitis of the portal vein is an uncommon but serious complication of intra-abdominal infection. Once common… Continue Reading
Alternative Treatment of Acute Pancreatitis
The contemporary approach to treatment of acute pancreatitis (AP) is far from satisfactory. This resulted in the increased number of AP patients as well as increased number of cases that developed complications. Our idea is not an original one since we strictly followed the guidelines of the World and European Pancreatic Societies that recommend obtaining… Continue Reading
Laparoscopic Cholecystectomy in Situs Inversus Abdominis
Report of case: A 41 year old woman was referred by a gastroenterologist for chronic abdominal pain of six months' duration. She described pain that occurred frequently throughout the day, ypically lasting between 30 minutes and two hours. The pain was mainly epigastric but had a colicky right upper quadrant component also. She described severe… Continue Reading
Laparoscopic Treatment of Intrasplenic Pancreatic Pseudocyst
Introduction:Although pseudocyst formation is common following pancreatitis, their erosion into the spleen is a rare, but potentially life threatening event. We report a case of intrasplenic pancreatic pseudocyst treated laparoscopically with distal pancreatectomy and splenectomy. Methods:A 50 year old African American male, with a past medical history significant for chronic alcohol induced pancreatitis, presented with… Continue Reading
Treatment of Liver Tumors Using a Novel Bipolar Radiofrequency Ablation Device
Background: Laparoscopic ablation and resection of liver tumors is rapidly gaining momentum. Well over a decade ago, monopolar RFA devices were introduced and replaced cryoablation as the preferred modality for ablating liver tumors. Bipolar RFA technology which requires placement of two probes works fast and can be used for two distinct purposes. We describe our… Continue Reading
A Prospective Randomized Trial Comparing Single Stage Versus Two Stage Management of Patients with Gall Stones and Cbd Stones
The optimal management of patients with concomitant gall stones and CBD calculi is controversial. The options for management include either a single stage approach of laparoscopic cholecystectomy along with laparoscopic common bile duct exploration or a two stage approach which includes preoperative endoscopic stone extraction followed by laparoscopic cholecystectomy. This prospective randomized trial was done… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- HPB
Comparison of Laparoscopic Cbd Exploration,ercp and Open Choledocholithotomy for Large Cbd Calculi
ABSTRACTBACKGROUNDCBD calculi is a common complication of cholelithiasis. ERCP and open choledocholithotomy are the two common procedures used to deal with this problem.Laparoscopic choledocholithotomy is technically demanding procedure because itrequires fine endo suturing but at the same time more beneficial and result oriented than the other two methods. In this study laparoscopic CBD exploration was… Continue Reading
True Day Case Laparoscopic Cholecystectomy in a Dgh: Outcomes and Factors Leading to Overnight Admisssion
Introduction: A prospective audit was undertaken of true day case laparoscopic cholecystectomies performed by a single surgeon in a DGH. The audit aims primarily to ascertain the outcome of the operation and patients’ satisfaction with the experience. Data was analysed to identify factors that led to overnight admissions. Methods: Data collected using audit proformas. Collected… Continue Reading
Usefulness of Laparoscopic Hepatectomy for Extrahepatic Protruding-type Hepatocellular Carcinoma
Background: Hepatectomy is the treatment of choice for hepatocellular carcinoma, but liver function disorders in many cases limit the resectability. Recently, ablation therapy such as radio waves and microwaves are progressing, and the number of nonoperative cases are increasing. However, for protruding-type tumors, the risk of tumor rupture or dissemination has been pointed out. For… Continue Reading
Preoperative Evaluation of the Accessory Hepatic Ducts in the Calot Triangle with the 3-dimensional CT Image of Cholangiogram (3d-dic-ct) to Avoid Its Injury At Laparoscopic Cholecystectomy.
Introduction: Bile duct injury is one of the common problems which should be avoided in the Laparoscopic cholecystectomy. Endoscopic retrograde cholangiogram (ERC) is useful to find them, but it force to the patient burden and pain for more than 20 minutes. For the sake, we have been trying to figure out clear 3 dimensional (3D)… Continue Reading
Laparoscopic Right Portal Vein Ligation for Metastatic Liver Tumors
In the case of an extended hepatectomy, percutaneous transhepatic portal vein embolization (PTPE) is necessary for a metastatic liver tumor, in order to enlarge the remnant liver. In a case with a giant tumor occuping the right lobe, PTPE would unavoidably injury the remnant liver. There is a method to perform portal vein branch ligation… Continue Reading
Single Port Cholecystectomy
Objective: As the paradigm of Single Incision Laparoscopic Surgery (SILS) and Natural Orifice Translumenal Endoscopic Surgery (NOTES) advances, novel techniques and equipment are necessary for its progress. There have been various techniques for SILS cholecystectomy. Specifically, there has been no description of a single fascial incision without the addition of other ports or instruments for… Continue Reading
Laparoscopic Roux-en-Y Hepatico- or Choledocho-jejunostomy in the Era of Laparoscopic Surgery
Background: With rapid development and wide application of laparoscopic procedure in biliary surgery, laparoscopic Roux-en-Y hepatico- or choledo-chojejunostomy is being performed more frequently than ever since our first report on 2004. Method: Between February 1997 and September 2008, 36 patients underwent laparoscopic biliary-enteric anastomosis with the diagnosis of choledochal cyst, recurrent CBD stone, intrahepatic duct… Continue Reading
Laparoscopic Choledochotomy in Patients with Previous Open Choledochotomy
BACKGROUND. Choledochotomy in patients with previous choledochotomy is technically difficult. Open surgery is usually the first choice in these patients. Laparoscopic choledochotomy seems to be feasible in expert hands.OBJECTIVES. Evaluate the safety and efficacy of laparoscopic choledochotomy in patients with previous open choledochotomy.PATIENTS & METHOD. This is a retrospective study of 40 patients who had… Continue Reading
Laparoscopic Treatment for Hepatolithiasis
Backgrounds and Purposes: The Hepatolithiasis treatment is widely being used for stone removal with the improvement of conservative treat by the development in operations and endoscope. Hepatolithiasis, however, has still a problem which is highly possible in a relapse. Furthermore, it also can be the factor giving rise to cholangitis and cholangiocarcinoma. On this, we… Continue Reading