Laparoscopic hepatic cyst fenestration with biliary leak repair
Usah Khrucharoen, Yen-Yi Juo, Andrew Scott, Erik Dutson. UCLAIn this video, we present a patient with progressive polycystic liver disease undergoing laparoscopic hepatic cyst fenestration. The patient had previously undergone 4 prior laparoscopic hepatic cyst fenestration, yet her abdominal pain and distension recurred due to disease progression. The aim of this operation is to reduce the total… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary
Laparoscopic Cholecystectomy and CBD Exploration using Choledocotomy and Primary Closure following failed ERCP: A novel 3-port Technique
Daniel Gomez, MD, FACS1, Luis F Cabrera, General Surgeon2, Andres Mendoza, General Surgeon2, Ricardo Villarreal2, Mauricio Pedraza2, Jean Pulido2, Eric E Vinck2, Sebastian Sanchez2. 1CPO, 2Bosque UniversityIntroduction: Laparoscopy has many known advantages, including shorter hospital stay and less risk of surgical site infection, however, when applied to Mirizzi Syndrome, due to the technical challenges, the… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary
RE- LAPAROSCOPY IN LOW INSERTION REMNANT CYSTIC DUCT CALCULI WITH TYPE 1 MIRRIZZI SYNDROME
Manoj K Choudhury, MS, FMAS, Hrishikesh Deka, MS. Nemcare Superspeciality HospitalObjective: Re-laparoscopy in gall bladder or cystic duct remnant with calculous disease is a technically difficult approach. It carries increased conversion and biliary complications. But the morbidity is significantly reduced if performed successfully. Our objective is to reduce the morbidity of the patient. Method &… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary
Robotic Completion Cholecystectomy Following Unsuccessful Operative Intervention For Severe Acute Cholecystitis
Jordan A Wilkerson, MD, Cory Banaschak, DO, Jessica Belchos, MD, Bianca Kenyon, MD, Kyle Suedeal, MD, Kirpal Singh, MD. St. Vincent HospitalThis is a video abstract submission detailing a robotic completion cholecystectomy in a 56 year-old female that was performed for recurrent subhepatic abscesses and chronic symptoms following unsuccessful operative intervention for initial severe acute… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary
Robotic laparoscopic assisted cystic duct ligation for persistent postoperative bile leak in Roux-en-Y gastric bypass patient
Baongoc Nasri, MD, PhD1, Jordan Wilkerson, MD1, Jamie Schutle, MD1, Marius Calin2, Timothy Glass, MD1. 1St VincentHospital, 2Virtua HospitalIntroduction: Cystic duct leak is an uncommon complication following cholecystectomy. Endoscopy is considered safe and effective therapy. However, ERCP in post gastric bypass can be technical challenges. Robotic assisted cystic duct exploration can be an option for… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary
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
The Endoscopic Correction of Anastomotic Strictures after Liver Transplantation.
Bolatbek Baimakhanov, Prof, PhD, MD, Yerlan Abdirashev, MD, Maksat Doskhanov, MD, Nurken Abdiyev, MD. JSC “National Scientific center of surgery named after A.N. Syzganov’s”Background/Aims: The purpose is a retrospective analysis of endoscopic treatment (ET) of anastomotic strictures (AS) after LDLT and DDLT. Methods: In the period from December 2015 to August 2018, we analyzed 107… Continue Reading
Laparoscopy versus transmural endoscopic drainage of a pancreatic pseudocyst
Ionut Bogdan I Diaconescu, MD, PhD, Matei Razvan Bratu, Madalina Ilie, Gabriel Constantinescu, Mircea Beuran. Carol Davila University of Medicine and PharmacyIntroduction: Laparoscopic cystogastrostomy is an suitable procedure for the drainage of pancreatic pseudocysts if the cysts is present in the lesser sac (retro-gastric). Methods: We present a series of 7 consecutive cases. First… Continue Reading
The Impact of Clostridium Difficile Infection on Treatment Outcomes Among Patients with Acute Pancreatitis: A Nationwide Analysis
Heather Peluso, DO1, Wesley B Jones, MD1, Marwan S Abougergi, MD2. 1Greenville Health System, 2Catalyst Medical Consulting, LLCIntroduction: Antibiotics are frequently used to treat acute pancreatitis before the presence of infected necrosis is established, which predisposes patients to Clostridium Difficile Infection (CDI). We sought to determine the impact of CDI on mortality, 30-day readmission, morbidity… Continue Reading
LAPAROSCOPIC MANAGEMENT OF TYPE II (RARE TYPE ) CHOLEDOCHAL CYST
Sumita A Jain, Senior Professor. SMS Hospital and Medical CollegeCholedochal cysts (CCs) are rare medical conditions with an incidence in the western population of 1 in 100 000–150 000 live births. 50%–80% are type I, 2% type II, 1.4%–4.5% type III, 15%–35% type IV 20% type V. The etiology of CCs is still unclear. Babbitt’s theory… Continue Reading
Comparison of long-term outcomes between laparoscopic and open liver resection in combined hepatocellular carcinoma and intrahepatic cholangiocarcinoma
So Hyun Kang, Woohyung Lee, Youngrok Choi, Ho-Seong Han, Yoo-Seok Yoon, Jai Young Cho, Kilhwan Kim, In-Gun Hyun, Sunjong Han. Seoul National University Bundang HospitalIntroduction: Combined hepatocellular carcinoma and cholagiocarcinoma (HCC-CCC) is a rare primary hepatic neoplasm with incidence reporting up to 3.5%. Liver resection is still the preferred method for curative treatment. With the… Continue Reading
SURGICAL RESPONSE IN PATIENTS WITH NORMOKINETIC BILIARY COLIC
Robert C Wright, MD, FACS, Rachel Robles, Haley Peffer, Nina Thach, Robert J Wright. Meridian Surgery CenterBACKGROUND: Clinical response of patients with symptomatic biliary colic but with atypical findings of gallbladder polyps, hyper-dynamic gallbladder and otherwise negative biliary work up are underrepresented in the literature. METHODS: A clinical outcome study with a retrospective design compared the pre-operative… Continue Reading
Less invasive single port laparoscopic cholecystectomy with 2 fine needle forceps
Junko Takita, MD, Norihiro Haga, MD, Norihiro Masuda, MD, Yuta Shibasaki, MD. NHO Utsunomiya National HospitalIntroduction: Single port surgery (SPS) has been reported to reduce the abdominal wall damages. To reduce the length of umbilical scar and to keep the triangulation, we use 2 additional fine needle forceps for laparoscopic cholecystectomy (LC). Patients and Methods:… Continue Reading
Endoscopic Biliary Intervention Following Orthotopic Liver Transplantation
Krishnaraj Mahendraraj, MD, Guillermo Medrano Del Rosal, MD, Michelle Kruse, BS. Lincoln Medical CenterIntroduction: Biliary tract complications that require endoscopic decompression represent a greater challenge after liver transplantation than in non transplanted patients. Immunosuppressive therapy predisposes patients to a greater risk of infections and poor healing process. This comparative study analyzes risk factors and outcomes in… Continue Reading
Efficacy of pancreatic enzyme replacement therapy in the treatment of pancreatic exocrine insufficiency following pancreatic surgery, a systematic review
Alysha R Keehn, MD, MSc, candidate1, Stephen N Quigley, MD, FRCSC2, Elijah Dixon, MD, MSc, FRCSC1. 1University of Calgary, Department of Surgery, 2Memorial University, Department of SurgeryBackground: Mortality from pancreatic surgery has decreased over the years, however morbidity remains high. 45% of patients demonstrate pancreatic exocrine insufficiency prior to surgery with post-operative incidences ranging form… Continue Reading