In Laparoscopic Distal Pancreatectomy, Pancreatic Resection Using Harmonic Scalpel
BACKGROUD: Laparoscopic pancreatic surgery still is not a common procedure worldwide and the role of mini-invasive surgery in pancreatic surgery is still being debated. Indication and results are still controversial. Sometimes, due to a thick pancreas, the application of vascular Endo-GIA stapler has been difficult. Also after pancreatic resection, postoperative complications such as a pancreatic… Continue Reading
Clinical Outcomes Compared Between Laparoscopic and Open Distal Pancreatectomy for Benign Tumors
(Introduction) Though laparoscopic distal pancreatectomy for benign conditions was first described in the early 1990s, there is limited information on the outcomes of the laparoscopic surgery compared with open surgery. Therefore, this study aimed to investigate the clinical outcomes and to evaluate efficacy of laparoscopic distal pancreatectomy compared with open distal pancreatectomy in the benign… Continue Reading
Trans-umbilical Single Incision Laparoscopic Cholecystectomy Considered About Economic Efficiency
Trans-umbilical single incision laparoscopic surgery is attracting attention as a next generation laparoscopic surgery as it gives an excellent cosmetic result. However, there is a shortcoming in the method; the surgical cost jumps when using a highly flexible forceps or using a small-head port. In the present study, we introduced a method of trans-umbilical single… Continue Reading
A Prospective Cohort Study for Simple New Technique Two-incision Laparoscopic Cholecystectomy :
Background : Laparoscopic cholecystectomy ( LC ) has clearly become the procedure of choice for routine gallbladder removal. The advantages of this approach include decreased scarring, decreased incisional pain, shorter hospitalization and faster functional recovery.The recent years, many investigators have attempted to further improve on the established technique of LC. Generally, the goal has been… Continue Reading
Laparoscopic Redo Hepatico-jejunostomy for Biliary Stricture After Open Hepaticojejunostomy for Cbd Injury
Introduction:This video illustrates the key aspects of laparoscopic redo hepatico-jejunostomy (HJ) for anastomotic biliary stricture. We present the case of a 43 year-old female who was referred to us after an open HJ for a CBD injury during laparoscopic cholecystectomy. The patient was found to have a biliary stricture and developed multiple episodes of cholangitis.… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- HPB
Laparoscopic Cholecystectomy in Hiv Positive Patients: A Case Series
We retrospectively reviewed 801 consecutive patients undergoing a laparoscopic cholecystectomy. These were performed in a single institution between January 2006 and December 2008. Of these patients, 18 were HIV positive. Of the 18 HIV positive patients, 11 were actively taking HAART medication. The CD4 count was available in 14 patients (mean 264, range 33-500). 3… Continue Reading
Lap Management of Various Pancreatic Tumors
LAPAROSCOPIC REMOVAL OF VARIOUS TYPES OF PANCREATIC TUMORS Background:-Berneim, Meyo-Bug, Cushieri, Ishida 1911 proposed the role of laparoscopy as a staging tool for pancreatic diseases. But yet usage of laparoscopy in pancreatic tumor has been very slow. Material & Methods:-We retrospectively studied use of laparoscopy for various pancreatic tumors in our institution from July 2005-june… Continue Reading
Is the Use of T-tube Necessary After Laparoscopic Choledochotomy?
Background. Traditionally, the common bile duct (CBD) is closed with T-tube drainage after choledochotomy and removal of CBD stones. However, the insertion of a T-tube is not without complication. Aim of Work. This randomized study was designed to compare the use of T-tube and primary closure of choledochotomy after laparoscopic choledochotomy to determine whether primary… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
Single-stage Laparoscopic Cbd Exploration Improves the Outcome of Lc in Current Laparoscopic Era.
OBJECTIVES: Common bile duct stones are found in approximately 16% of patients undergoing laparoscopic cholecystectomy (LC). The probability that a patient has CBD stones is a key factor in determining treatment strategies. Clinical models are inaccurate in predicting common bile duct (CBD) stones for patients who will undergo cholecystectomy for lithiasis. Prior to the development… Continue Reading
Laparoscopic Completion Radical Cholecystectomy
LAPAROSCOPIC COMPLETION RADICAL CHOLECYSTECTOMYWe describe a of a case of 60 years old female who underwent laparoscopic cholecystectomy elsewhere and incidentally on histopathology was diagnosed as adenocarcinomas of gall bladder with invasion up to the serosa. She was referred to our institute for laparoscopic completion radical cholecystectomy. Method :- Five ports were placed with camera… Continue Reading
- Topic:
- HPB
Laparoscopic Subtotal Cholecystectomy. A Safe Alternative!
Background: Laparoscopic cholecystectomy is a hazardous operation when anatomy of triangle of Calot is distorted by acute or chronic inflammation. In these difficult situations, laparoscopic subtotal cholecystectomy (LSTC) is an alternative to conversion to open surgery. Methods: Retrospective analysis of data obtained from a prospective database on patients who underwent LSTC in the past three… Continue Reading
Laparoscopic Cholecystectomy Using Intraoperative Fluorescent Cholangiography
OBJECTIVE: Although intraoperative cholangiography (IOC) has been recommended for avoiding bile duct injury during laparoscopic cholecystectomy (LC), radiographic IOC is time-consuming and the procedure itself may cause bile duct injury. We have developed a novel fluorescent cholangiography technique by applying the principle that indocyanine green (ICG) is excreted into bile and emits light with a… Continue Reading
- Topic:
- HPB
Emergency Laparoscopic Common Bile Duct Exploration in Acute Cholangitis with Common Bile Duct Stone Patients.
INRTODUCTION There is many modalities in the treatment of common bile duct (CBD) stone. Among the patients who were performed cholecystectomies due to gall bladder stone with acute cholecystitis, about 3-14% cases were accompanied by CBD stone. Under the unavailable situation of ERCP, especially in emergency circumstances, laparoscopic cholecystectomy, choledochotomy, CBD exploration, CBD stone removal,… Continue Reading
Laparoscopic Liver Resection: A Single Center Experience
ABSTRACT(Background): Since the first report of laparoscopic liver resection, by Gagner et al. in 1992, an increasing number of small prospective studies have been published. They have shown encouraging results for the feasibility and safety of the procedure. This paper retrospectively evaluated the results of a single center’s experience with elective laparoscopic liver resections.(Methods): From… Continue Reading
Not Just Little Stones in Little Adults: Biliary Microlithiasis in Children Is Successfully Managed with Endoscopic Ultrasound and Laparoscopic Cholecystectomy
Objective: The objective of this study is to review the results of laparoscopic cholecystectomy to treat endoscopic ultrasound (EUS) diagnosed biliary microlithiasis in a pediatric case series. Biliary microlithiasis is an uncommon but recognized cause of upper abdominal pain, cholecystitis, cholangitis, and pancreatitis in adults. Gallstones smaller than 3 mm may not be seen on… Continue Reading