Laparoscopic Treatment of Hydatid Cyst of the Liver: A Single Institutional Experience
Ibrahim Abdelkader Salama M.D1, Mohammed helmy Abdelrahman M.D2, Elamir Mahmoud Amir M.D3.Department of Hepatobiliary Surgery1. National Liver Institute, Menophyia University,EgyptDepartment of Pathology2. National Liver Institute, Menophyia University,Egypt Department of Parasitology3. National Liver Institute, Menophyia University,Egypt ABSTRACT Objective: The aim of this study was to evaluate the safety and efficacy of laparoscopic ally treated hydatid cysts… 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
Laparoscopic Versus Open Liver Resection for Hepatocellular Carcinoma: A Comparative Study
LAPAROSCOPIC VERSUS OPEN LIVER RESECTION FOR HEPATOCELLULAR CARCINOMA: A COMPARATIVE STUDYIbrahim DAGHER, Giuseppe DI GIURO, Panagiotis LAINAS, Helene AGOSTINI, Alessio CARLONI, 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: Laparoscopic liver resection for hepatocarcinoma, especially in cirrhotic patients, has recently been developed… Continue Reading
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- Podium Presentations
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- HPB
Laparoscpic Choledochal Cyst Resection with Hepaticojejunostomy
28 year Old female presented with right upper quadrant pain since November 2007 and on workup was found to have Type 1 Choledocal cyst. This is a Video presentation of Laparoscopic Choledochal Cyst resection with hepaticojejunostomy. Session: Podium Video Presentation Program Number: V032 Continue Reading
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- HPB
Lessons Learned in Single Incision Laparoscopic Cholecystectomy
Background:Since the first surgical procedure of this type in 1997, single incision surgery for biliary tract disease has been slow to gain popularity. Recent descriptions of SILSTM and SPATM have shown great potential to revolutionize minimally invasive procedures. The average general surgeon still has to face a significant learning curve and to decide how to… Continue Reading
Magnetic Resonance Guided Laparoscopic Liver Resection in a High Field Open Mr
Objectives:Intraoperative visualization of liver vessels and tumor margins is an important tool during minimal invasive liver surgery. Aim of this study was to evaluate a high field open MR for intraoperative real time imaging as an alternative to laparoscopic ultrasound. In order to realize minimal invasive liver surgery under MR guidance we developed and applied… 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
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
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Novel System Improves Accuracy of Needle Placement for Ablation Procedures
This study demonstrates improved accuracy in needle placement for ablation procedures using a novel 3D ultrasound trajectory system. Ultrasound guidance can be difficult and require years of experience to master. In addition it does not provide a real time trajectory to the target. This system creates an advanced, real-time stereoscopic image when added to standard… Continue Reading
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- Podium Presentations
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- HPB
Predicting That Occult Metastatic (stage Iv) Disease Will Be Discovered with Diagnostic Laparoscopy and Peritoneal Lavage Cytology in Locally-Advanced Pancreatic Cancer
Background: In a group of 74 patients where computed tomography (CT) showed locally extending but not metastatic pancreatic cancer, we have demonstrated (Surg Endosc 2005;19:638-42) that 1/3 will have occult metastatic disease using diagnostic laparoscopy and peritoneal lavage for cytology (DL-PLC). Using a larger cohort, we asked if there are predictive factors that increase the… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
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
Prospective Evaluation of the Oncologic Outcome After Laparoscopic Resection of Malignant Liver Tumors
BACKGROUND: Current literature on laparoscopic liver resection has focused on technical aspects and peri-operative morbidity. The aim of this study was to prospectively analyze oncologic outcome in a group of patients with malignant liver tumors.METHODS: Within a 2.5-year period, fifteen patients with malignant liver tumors underwent laparoscopic liver resection using a variety of techniques. These… Continue Reading
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
Retrospectýve Analays of 12 Cases Polyps of the Gall Bladder
Objective: The nature of the polypoid lesions of the gallbladder is difficult to determine preoperatively and indications for surgical treatment still remain controversial. The aim of this study is to review the clinicopathological features of patients with gallbladder polyps.Material-Method: Patients with preoperative diagnosis of gallbladder polyp, between January 1995 and June 2003, were evaluated retrospectively… 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