Endoscopic Transpapillary Stenting for the Management of Acute Cholecystitis
Danielle Hayes, MD, Gary Lucas, MD, Bryce French, MD, Andrew Discolo, MD, Rajnish Mishra, MD, Sean Wells, MD. Swedish Medical Center - First HillIntroduction: Cholecystectomy is the gold standard treatment of acute cholecystitis. Patients with multiple comorbidities who are considered high-risk surgical candidates are commonly recommended to undergo percutaneous cholecystostomy tube placement; however, long-term external drainage… 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
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
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
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
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
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
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
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 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
ADENOMYOMATOUS HYPERPLASIA OF DISTAL COMMON BILE DUCT: A CASE REPORT AND REVIEW OF THE LITERATURE
Paul S Chandler, MD, Jonathan Harris, Danny Sherwinter, MD. Maimonides Medical CenterAdenomyomatous hyperplasia (AH) is commonly found in the gallbladder and is considered a tumor-like inflammatory lesion arising from Rokitansky-Aschoff sinus. It is extremely rare in the extrahepatic bile duct and only 15 cases have been reported to date. We describe a 63-year-old male patient… Continue Reading
Total laparoscopic cholecystectomy in moderate to severe acute cholecystitis: still a safe procedure
Juan D Hernandez, MD, FACS1, Gabriela L Larios, MD, FACS2, Diana C Quintero2, Gabriel Herrera, MD, FACS1, Roosevelt Fajardo, MD, FACS1, Felipe Perdomo, MD3, Francisco J Diaz, MD1, Ricardo M Nassar, MD3. 1Hospital Universitario Fundacion Santa Fe de Bogota, Universidad de los Andes School of Medicine, 2Universidad de los Andes School of Medicine, 3Hospital Universitario… Continue Reading
LAPAROSCOPIC BILE DUCT INJURY.EFFECT OF SURGICAL REPAIR.
Shahidur Rahman, Professor. Bangobandhu Sheikh Mujib Medical UniversityIntroduction: The aim of this study was to analyze the surgical treatment results of major bile duct injuries. A single institution prospective analysis of 30 patients with bile duct injuries , underwent surgical repair. Methods: From January 2004 to september 2018, a prospective records of all patients with a BDI… Continue Reading
The Application of Laparoscopy in Staged and Redo Surgery in Children with Choledochal Cysts
Mei Diao, Professor, Long Li, Professor. Department of Pediatric Surgery, Capital Institute of PediatricsPurpose: Conventionally, staged and redo surgeries are thought to be contra-indications for laparoscopy in children with choledochal cysts (CDC) because of adhesions, deranged anatomy, and demanding techniques. The current study is to assess the efficacy of laparoscopic staged and redo surgeries in… Continue Reading
Clinical, Radiological and Pathological Presentation of Intramural Intraductal Papillary Mucinous Neoplasm of the Gallbladder.
Indraneil Mukherjee, Aleksandr Demin, DO, Ian Provancha, Jocelyn Villanueva, Anupma Agarwal. Staten IslandINTRODUCTION: The clinicopathologic characteristics of epithelial neoplasms of the gallbladder is limited, due to its rarity and because of the variability in terminology. The World Health Organization classification of 2010 added Mucinous cystic neoplasms as a separate entity. The Category of lntracystic papillary neoplasm… Continue Reading