CT-guided Vs. Laparoscopic Radiofreqnecy Ablation (rfa): A Comparison of Morbidity and Hospital Cost
Background: CT-guided radiofrequency ablation (CT-RFA) is presumed to be less morbid and less costly than laparoscopic RFA (L-RFA). CT-RFA, however, has a higher treatment failure rate than L-RFA. This analysis looks at the 30-day morbidity and financial data for CT-RFA versus L-RFA for hepatocellular cancer (HCC) and colorectal liver metastases (CRLM). Methods: All patients with… Continue Reading
Laparoscopic Roux-en-Y Cystjejunostomy and Choledochojejunostomy for a Pancreatic Pseudocyst with Biliary Obstruction
The minimally-invasive management of uncomplicated chronic pancreatic pseudocysts has been shown to be safe and effective with laparoscopy becoming the preferred surgical modality in many patients. Complicated pancreatic pseudocysts, however, continue to pose a challenge to the surgeon, and the ideal surgical treatment remains unclear. We are reporting the first case to our knowledge of… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- HPB
Comparison of Laparoscopic Hepaticojejunostomy and Open Hepaticojejunostomy in Benign Extra Hepatic Biliary Tree Pathologies
ABSTRACT BackgroundStrictures of common bile duct and other extra hepatic biliary tree pathologies are sometimes encountered in surgical practice. The aim of the study is to provide in data to establish whether laparoscopic approach for hepaticojejunostomy is better than open hepaticojejunostomy. MethodThe data presented in this paper is obtained from a single centre and performed… Continue Reading
Is Laparoscopic Surgery As Safe As Open Resection for Liver Tumors?
Introduction: Laparoscopic liver resection (LLR) for benign and malignant liver tumors has become a popular modality over the last decade in many centers. The reports from the high volume centers suggest that LLR has shorter hospital stay, lower hospital charge and lower complication rate compared to open charge. We wanted to validate the safety, in-hospital… 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
Laparoscopic Assisted Anatomical Liver Resection Utilizing the Hanging Technique
PURPOSE:@The purpose of this work was to evaluate the short term results of the laparoscopic-assisted anatomical liver resections utilizing the hanging technique.METHODS AND PROCEDURES: From August 2006 to July 2008, there were 13 laparoscopic-assisted anatomical liver resection for treatment of primary and metastatic neoplasm of liver@i4 hepatocellular carcinoma, one cholangiocellular carcinoma, 7 metastasis of colon… Continue Reading
The Immediate Re- Resection of T1b Incidental Gallbladder Carcinoma- Indication or Overtreatment
Introduction: The indication for an immediate re-resection (IRR) in T1b incidental gallbladder carcinoma (IGBC) is debated in the literature, and different recommendations are often drawn based on data collected from only small groups. But the management of IGBC is difficult, because there are no established guidelines.A IRR is recommended in cases of T2 tumours and… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
Laparoscopic Management of Type Vi Choledochal Cysts
Introduction: Choledochal cysts are rare cystic dilatations of the biliary tree. Though their etiology is uncertain, these cysts are usually referred for surgical resection because of their association with developing malignancy. Traditionally, choledochal cysts have been classified under five main types. Not included in this classification are cysts of the cystic duct (“Type VI”), a… Continue Reading
Laparoscopic Hepatectomy Results in Decreased Vegf Expression in Residual Hepatoma Cells When Compared to Open Resection
INTRODUCTION: Vascular endothelial growth factor (VEGF) is upregulated in hepatocellular carcinoma (HCC), and its level of expression in these tumors has been shown to impact tumor growth. We hypothesized that when compared to open liver resection, laparoscopic hepatectomy would result in decreased local angiogenic response in residual tumor cells.MATERIALS AND METHODS: Right and left lobe… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
Comparative Clinical Analysis of 111 Cases Conversed to Open Procedure During Laparoscopic Cholecystectomy of 2,523 Cases
PURPOSE: While laparoscopic cholecystectomy is successfully performed on majority of patients, conversion to open procedure is yet necessary in certain cases in the perioperative period. The purpose of this study is to identify the discerning factors that help determine the conversion into open cholecystectomy. METHOD: A retrospective review was conducted on the data of 2,523… Continue Reading
Intraperitoneal Ropivacaine Washout for Reduction of Pain After Laparoscopic Cholecystectomy : A Prospective Randomized Study
Introduction: There is controversy about the effectiveness of intraperitoneal local anesthesia in laparoscopic surgery. We designed a prospective randomized clinical trial to evaluate the efficacy of intraperitoneal ropivacaine washout (IRW) in the early recovery period after laparoscopic cholecystectomy.Methods: A total of 62 consecutive patients undergoing laparoscopic cholecystectomy due to uncomplicated symptomatic gallstones were randomized to… Continue Reading
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
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
Laparoscopic Hepatic Resection for Patients with Hepatocellular Carcinoma: Comparative Analysis of Short-term Results
Background/Aims: Recently, laparoscopic hepatectomy (LH) has been a feasible option for hepatic tumors such as hepatocellular carcinoma (HCC) and intrahepatic cholangioma (Surg Endosc. 2001) (Surg Endosc. 2002). Herein, we evaluate the benefits of LH versus open hepatectomy (OH) for HCC patients.Methods: From 2005, 9 consecutive patients with HCC who underwent LH were compared in a… Continue Reading
Clinical Outcomes of Laparoscopic Pylorus Preserving Pancreaticoduodenectomy (l-pppd): Comparison of Laparoscopic Assisted Pppd to Totally Laparoscopic Ppppd
Even though most surgeons are reluctant against L-PPPD for malignant lesion of pancreas head because of oncologic point of view yet, if technical feasibility and safety are verified, L-PPPD can be accepted as an alternative option for open pancreaticduodenectomy. (Purpose) The purpose of this report is to present the clinical outcomes of the L-PPPD to… Continue Reading