Laparoscopic Transgastric Cyst Gastrostomy for an Unresectable Mucinous Cyst Adenoma of the Pancreas
IntroductionCystic neoplasms of pancreas represent less than 10 percent of all cystic lesions and less than 1 percent of all exocrine pancreatic neoplasms. They can be benign or malignant. Mucinous cystic neoplasms are the most common cystic pancreatic tumors accounting for 45 to 50 percent. These neoplasms have a natural evolution from benign to malignant… 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
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
Laparosocpic Management of Cystic Neoplasm of Pancreas
Introduction: Laparoscopic pancreatic resections for cystic neoplasms of pancreas are limited to small retrospective case series as these neoplasms are rare. We critically analyzed the indications for and outcomes after laparoscopic resection of pancreatic cystic neoplasm a tertiary referral centre in South India over 8 year period. Methods :A retrospective analysis of data collected on… Continue Reading
Long Term Follow Up After Laparoscopic Non-malignant Pancreatic Tumor Surgery
Introduction: Laparoscopic pancreatic surgery has gained acceptance but few data are available concerning the long term results. Aim of this study was to evaluate the safety and long term results of the laparoscopic approach for treatment of non-malignant pancreatic lesions. Materials and Methods: From January 1993 to June 2008, 18 patients (pts) underwent laparoscopic enucleation… Continue Reading
Minimally Invasive Pancreatic Necrosectomy – How to Choose the Best Approach?
IntroductionSevere acute pancreatitis with infected necrosis is one of the most morbid diseases. Surgical debridement is needed for majority of patients. With increasing technology and experience, it is now possible to do necrosectomy by minimally invasive techniques. Several minimally invasive approaches to pancreas have been described, such as Laparoscopic, Retroperitoneoscopic and Endoscopic. Variations in the… Continue Reading
Necessity of Intraoperative Cholangiography During Laparoscopic Cholecystectomy Based on Analysis of Cases of Pancreaticobiliary Ductal Maljunction Without Common Bile Duct Dilatation
OBJECTIVE: In order to diagnose pancreaticobiliary maljunction (PBM) appropriately, direct fluoroscopic examinations of the biliary tract system is necessary. However, for patients without symptoms, these examinations are performed only in selected cases. For some cases, it is not until intraoperative cholangiography (IOCG) during laparoscopic cholecystectomy (LC) is performed that a patient of PBM without common… Continue Reading
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
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
On Demand Trocar Insertion for Laparoscopic Cholecystectomy: Two, Three or Four?
According to the classical definition, laparoscopic cholecystectomy (LC) is performed using four trocars. This study aims to answer the question if this number can be decreased or not. The results of consecutive 40 patients who underwent LC were prospectively analyzed. For all patients, the operation began with the intent to complete the procedure with minimum… Continue Reading
Preliminary Experience of Laparoscopic Hepatectomy in Hepatocellular Carcinoma
Introduction: Laparoscopic liver resection has gained much popularity in the recent years, but relatively few centers have performed hepatectomies in hepatocellular carcinoma (HCC) patients due to the technical difficulties faced with underlying liver cirrhosis. We herein present the initial experience of laparoscopic liver resection in HCC performed in a single institution.Methods: From October 2003 until… 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
Real-time Fluorescence Imaging of Biliary Anatomy During Laparoscopic Cholecystectomy
Background: We evaluate real-time fluorescence imaging of biliary anatomy using indocyanine green (ICG) during laparoscopic cholecystectomy. Patients and Methods: This study enrolled eight patients who underwent laparoscopic cholecystectomy. ICG was injected 2 hours before exploration. Under general anesthesia, we observed biliary tract under the guidance of real-time fluorescence imaging produced by prototype laparoscope. The flow… Continue Reading
- Type:
- Podium 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
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