Roux En Y Intrahepatico-jejunostomy After Common Bile Duct Injury.
We present a case of a 20 year old female, who underwent a laparoscopic cholecystectomy for symptomatic gallstones.Patient was discharged home the same day and returned to the hospital 48 hours after surgery complaining of abdominal pain. A CT scan performed showed a large abdominal fluid collection compatible with a biloma. An ERCP showed an… Continue Reading
- Topic:
- HPB
Single Incision Laparoscopic Cholecystectomy, Initial Evaluation of a Large Series of Patients
Introduction: Single Incision Laparoscopic Cholecystectomy (SILC) has been found to be feasible and safe. We have pioneered and mastered a two trocar SILC technique at UT Southwestern. Here we present our initial data using this technique on fifty patients. Methods: Following an institutional review board, patients with symptomatic gallbladder disease were recruited from January until… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
Single Incision Laparoscopic Cholecystectomy: Short-term Outcomes
Objective of the study: To analyze short term results of a new technique i.e. Single Incision Laparoscopic Cholecystectomy. Methods: As opposed to conventional laparoscopic cholecystectomies using four access ports, we perform the Single Incision Laparoscopic Cholecystectomy (procedure termed SILC) using a 5 mm flexible laparoscope, endo-roticulating instruments and 5 mm endo-clips. A vertical incision is… Continue Reading
Single Port Access (spa) Cholecystectomy: a Comparison to Standard Mutliport Cholecystectomy
Over the last two years the field of minimally invasive surgery has seen the emergence of single port laparoscopic techniques. In May 2007, we performed our first Single Port Access (SPA) cholecystectomy. This technique provides an alternative approach to accessing the abdominal cavity for minimal access procedures. Additionally, it enhances cosmesis and decreases skin incisions.… Continue Reading
Single Port Access (spatm) Cholecystectomy: Preservation of the Critical View
The Single Port Access (SPATM) technique utilizes the umbilicus as a single portal of entry into the abdominal cavity. The goal of this access technique is to maintain the current, safe dissection of standard multiport laparoscopic cholecystectomy while performing the entire operation through one incision concealed within the umbilicus.The critical view is a proven paradigm… Continue Reading
Single Port Cholecystectomy
Objective: As the paradigm of Single Incision Laparoscopic Surgery (SILS) and Natural Orifice Translumenal Endoscopic Surgery (NOTES) advances, novel techniques and equipment are necessary for its progress. There have been various techniques for SILS cholecystectomy. Specifically, there has been no description of a single fascial incision without the addition of other ports or instruments for… Continue Reading
Technique for Laparoscopic-Assisted Formal Right Hepatectomy, Deconstructed
BACKGROUND: Laparoscopic formal right hepatectomy remains a technical challenge. We propose that the procedure can be accomplished efficiently with standard laparoscopic techniques, in ordered sequence, using smaller incisions, and having identical outcomes as the open procedure. METHOD: We reviewed 25 consecutive video recordings of formal laparoscopic right hepatectomy performed over a 4 month period. Instruments… Continue Reading
The Effect of Colectomy on Pancreatic Infections in a Model of Experimentally Induced Acute Pancreatitis.
Introduction; Prevention and treatment of secondary pancreatic infection is currently the main goal of treatment for acute necrotizing pancreatitis. The colon has been considered a major source of bacteria causing infection of pancreatic necrosis in acute pancreatitis. Our aim is to study the role of near total colectomy in reducing bacterial translocation and infection of… 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
The Therapeutic Use of Laparoscopy in the Icu
INTRODUCTION: Early diagnosis and treatment of intraabdominal illness is a challenge in the ICU patient and any delay may have devastating consequences. The aim of this study is to study the role of laparoscopy as a therapeutic tool in the ICU. There are a few studies in the literature describing laparoscopy as a diagnostic tool,… Continue Reading
The Use of Intraoperative Cholangiography in Patients with Empyema of the Gallbladder
INTRODUCTION: In difficult cases involving the gallbladder, the use of intraoperative cholangiography has been shown to be beneficial. The inflammatory reaction that is associated with empyema of the gallbladder is frequently quite severe making laparoscopic cholecystectomy difficult. We present our experience with intraoperative cholangiography in cases which presented with empyema of the gallbladder.METHODS AND PROCEDURES:… Continue Reading
Totally Laparoscopic Liver Resection for Hepatocellular Carcinoma Located in All Segments of the Liver
Introduction: Laparoscopic liver resection (LLR) is still not a well established treatment modality for hepatocelluar carcinoma (HCC). Moreover, most of reported cases have been limited to the anterolateral segments (segments 2, 3, 4b, 5, 6). We evaluate the clinical and oncologic outcome after LLR for HCC including the lesions located in the posterosuperior segments (segments… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
Treatment of Liver Tumors Using a Novel Bipolar Radiofrequency Ablation Device
Background: Laparoscopic ablation and resection of liver tumors is rapidly gaining momentum. Well over a decade ago, monopolar RFA devices were introduced and replaced cryoablation as the preferred modality for ablating liver tumors. Bipolar RFA technology which requires placement of two probes works fast and can be used for two distinct purposes. We describe our… Continue Reading
True Day Case Laparoscopic Cholecystectomy in a Dgh: Outcomes and Factors Leading to Overnight Admisssion
Introduction: A prospective audit was undertaken of true day case laparoscopic cholecystectomies performed by a single surgeon in a DGH. The audit aims primarily to ascertain the outcome of the operation and patients’ satisfaction with the experience. Data was analysed to identify factors that led to overnight admissions. Methods: Data collected using audit proformas. Collected… Continue Reading
Usefulness of Laparoscopic Hepatectomy for Extrahepatic Protruding-type Hepatocellular Carcinoma
Background: Hepatectomy is the treatment of choice for hepatocellular carcinoma, but liver function disorders in many cases limit the resectability. Recently, ablation therapy such as radio waves and microwaves are progressing, and the number of nonoperative cases are increasing. However, for protruding-type tumors, the risk of tumor rupture or dissemination has been pointed out. For… Continue Reading