Laparoscopic Liver Resection for Hepatocellular Carcinoma
Introduction: Laparoscopic liver resection has been widening the indications, even for the cancer treatment options. But laparoscopic liver resection has various concerning on the procedure per se and oncologic points or view. In the first place, gas embolism and appropriate bleeding control were the technical problems. Secondly, port site implantations and tumor cell seeding under… Continue Reading
Intraductal Papillary Mucinous Carcinoma with a Rare Atypical Fistulization to Adjacent Structures
Abstract:Intraductal papillary mucinous neoplasms (IPMN) are mucin producing cystic neoplasms of the pancreas. IPMN can rarely present with atypical manifestation such as fistulization into neighboring organs and anatomic structures. We present two cases of IPMN presenting with pancreatico-biliary and pancreatico-duodenal fistulizations. Methods:In our unit, two patients both presenting with signs and symptoms of obstructive Jaundice… Continue Reading
Laparoscopic Hepaticoduodenostomy
INTRODUCION: Rapid weight loss following bariatric surgery can result in cholelithiasis and related complications, including choledocholithiasis. Furthermore, a Roux-en-Y gastric bypass can complicate the management of choledocholithiasis. CASE HISTORY: Here, we present the case of a 72 year-old woman with a history of morbid obesity who underwent a Roux-en-Y gastric bypass and a cholecystectomy for… Continue Reading
- Topic:
- HPB
Synchronous Laparoscopic Treatment of Liver Hydatid Cysts and Cholelithiasis After Obstructive Icterus
BACKGROUND: Hydatid disease is a parasitic infection caused by Echinococcus granulosus, and the most frequently affected organ is the liver. The laparoscopic approach to liver echinococcosis represent a last frontier in surgical treatment.CASE REPORT: A 58-year old female patient was admitted in hospital due to jaundice and pain in right upper quadrant. Lab findings show… Continue Reading
Clinical Outcomes of Laparoscopic Cholecystectomy (without Energised Dissection) Performed By a Basic Surgical Trainee or a Consultant-double Blind Randomized Control Study
Objective of Study Avascular anatomical planes guided surgery is an important prerequisite for expeditious & safe procedure. These so called “holy planes” are of help in performing Laparoscopic cholecystectomy (LC). We have earlier reported technique of LC without any energised dissection (ED) and its replication by a higher surgical trainee (HST). The HST had an… Continue Reading
The Critical View of Safety During Single Incision Laparoscopic Cholecystectomy
Background: Single incision laparoscopic surgery (SILS) has been indicated for benign diseases of the gallbladder for recent several years. However, achievement of “the critical view of safety” during SILS cholecystectomy has not been evaluated. Objective: To evaluated the achievement of the critical view during SILS cholecystectomy. Surgical technique: Three 5mm traditional ports or SILS™ port… Continue Reading
Laparoscopic Radical Cholecystectomy and Roux-en-Y Choledochojejunostomy for Gallbladder Cancer
Introduction: The majority of early gallbladder cancers are diagnosed upon final pathology after laparoscopic cholecystectomy, however, controversy exists as to what procedure should be done when gallbladder cancer is suspected preoperatively. Some authors recommend laparoscopic cholecystectomy with intra-operative frozen section analysis followed by conversion to an open approach if gallbladder cancer is confirmed. Alternatively, some… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- HPB
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
Laparoscopic Resection of the Left Liver: Technical Refinements for Standardization
[Background]Laparoscopic left lateral segmentectomy (Lap-LLS) is good indication of laparoscopic liver surgery that is possible to be standardized as a safety and feasible procedure. In addition to the procedure of Lap-LLS, basic techniques such as encircling of left Glissonean pedicle at hepatic hilum and middle+left hepatic vein (MLHV) facilitate laparoscopic left hepatic lobectomy (Lap-LL) easily.… Continue Reading
USIL CCX
Introduction: The development of NOTES procedures and its clinical application has raised the possibility of modified laparoscopic approaches with less incisions for the performance of cholecystectomy. Our objective is to present our initial experience with an umbilical single incision laparoscopic (USIL) technique to perform cholecystectomy. Methods: within a research protocol with IRB and approval of… Continue Reading
Single Incision Laparoscopic Cholecystectomy with Routine Cholangiogram: Report of 30 Cases
Introduction: One concern with the single incision technique for cholecystectomy is that inferior retraction and triangulation could cause injuries of the common bile duct. One method of minimizing the chance for a missed CBD injury is to employ routine cholangiography. There are no reports in the literature of routine cholangiograms being performed with SILS cholecystectomy.… Continue Reading
Bouveret\’s Syndrome: Gallstone Ileus of the Duodenum
Introduction: This is a case of a 59 year old female with Bouveret’s syndrome. An initial endoscopic approach to management is described. Gallstone ileus occurs when a gallstone passes from a cholecystoduodenal fistula or a choledochoduodenal fistula into the GI tract and causes obstruction, usually at the ileocecal valve. Bouveret’s syndrome is a variant of… Continue Reading
Laparoscopic Surgery for Biliary Tract Cancer
PURPOSE: The purpose of this study was to evaluate short term results of the laparoscopic surgery for biliary tract cancer.METHODS AND PROCEDURES: From May 2007 to September 2009, there were 11 laparoscopic surgeries for biliary tract cancer carried out at our hospital. Laparoscopic-assisted pylorus preserving pancreaticoduodenectomy was performed for one ampulla vater carcinoma and three… Continue Reading
Laparoscopic Liver Resection for Hepatocellular Carcinoma in Patients with Liver Cirrhosis
Purpose: The application of minimally invasive surgery to liver malignancies remains controversial and difficult, especially in case of liver cirrhosis. We report the preliminary experience of 24 consecutive laparoscopic hepatectomies for patients with hepatocellular carcinoma(HCC) and liver cirrhosis to assess the feasibility and initial surgical outcome of laparoscopic liver resection.Materials and Methods: Patients with HCC… Continue Reading
Single Port Laparoscopic Cholecystectomy Without the Induction of Pneumoperitoneum
(Introduction)Single-port laparoscopic surgery is predicted to be the next generation of minimally invasive surgery. We have devised an alternative laparoscopic cholecystectomy approach by inserting a single port at the umbilicus and without establishing pneumoperitoneum by using the abdominal wall-lifting method.(Surgical technique)A 2~3 cm curvilinear supraumbilical incision was made, and lapprotector ® was inserted into the… Continue Reading