Short Term Outcome After Laparoscopic Radical Cholecystectomy for Carcinoma of the Gall Bladder
Introduction:Role of laparoscopy in management of carcinoma of the gall bladder is still controversial. Unlike other gastro intestinal cancers, only few reports of radical cholecystectomy are available.Method:Retrospective analysis of 22 cases of radical cholecystectomy for carcinoma gall bladder from Jan 2003 to Dec 2007 was performed. All were stage I disease diagnosed by pre-operative imaging.… 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
Single Incision Laparoscopic Partial Hepatectomy
Introduction: Hepatocellular carcinoma is one of the most common tumors worldwide, commonly arising in the presence of hepatitis with or without cirrhosis. Open and laparoscopic approaches to resection have been described. We report a case of a hepatocellular carcinoma completely resected laparoscopically via a single incision approach.Methods: A 58-year-old female with past medical history significant… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- HPB
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
Single-stage Laparoscopic Cbd Exploration Improves the Outcome of Lc in Current Laparoscopic Era.
OBJECTIVES: Common bile duct stones are found in approximately 16% of patients undergoing laparoscopic cholecystectomy (LC). The probability that a patient has CBD stones is a key factor in determining treatment strategies. Clinical models are inaccurate in predicting common bile duct (CBD) stones for patients who will undergo cholecystectomy for lithiasis. Prior to the development… Continue Reading
Staple Line Reinforcement in Laparoscopic Distal Pancreatectomy
Objectives: Several series document that laparoscopic distal pancreatectomy is as safe as the traditional open approach. However, pancreatic leaks and peri-pancreatic fluid collections remain common morbidities. This report analyzes three methods of staple line reinforcement following laparoscopic distal pancreatectomy, with and without splenic preservation, with regards to post-operative pancreatic fistulas and peri-pancreatic fluid collections. Methods:… Continue Reading
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
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
Total Laparoscopic Whipples Pancreaticoduodenectomy -early Experience with 3 Cases
Objective:Laparoscopic Whipples Pancreaticoduodenectomy considered to be technically difficult operation. A video of the Laparoscopic procedure of one of the cases done at our center is presented hereMethod&Results:Three patients with Periampullay carcinoma underwent Total Laparoscopic Whipples Pancreaticoduodenectomy during the period Nov2008-Aug2009 .5ports were used. Mobilisation and reconstruction was done as in open Whipples procedure. The stomach… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- HPB
Totally Laparoscopic Hepatectomy for Hepatolithiasis
Introduction: To evaluate the feasibility of laparoscopic hepatectomy for patients with intrahepatic stones, we conducted a retrospective review of this approach performed in our institute. Laparoscopic management of the intrahepatic stones was challenging for the dilated bile duct with stones inside as well as the possible perihepatic adhesion after previous biliary tree infection. Additional common… Continue Reading
Totally Laparoscopic Isolated Caudate Hepatectomy with Selective Inflow Control – Case Report
Introduction: Laparoscopic hepatectomy is the latest development of minimally invasive surgery. Traditional indications for laparoscopic hepatectomy include lesions in the anterior-inferior and left lateral aspect of the liver. For lesions in the caudate lobe, the left lateral section of liver frequently interferes the surgical exposure and mandates lateral sectionectomy occasionally in traditional open hepatectomy. In… Continue Reading
Trans-umbilical Single Incision Laparoscopic Cholecystectomy Considered About Economic Efficiency
Trans-umbilical single incision laparoscopic surgery is attracting attention as a next generation laparoscopic surgery as it gives an excellent cosmetic result. However, there is a shortcoming in the method; the surgical cost jumps when using a highly flexible forceps or using a small-head port. In the present study, we introduced a method of trans-umbilical single… 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
Use of Covered Metallic Stents in the Management of Benign Biliary Strictures
Introduction: Chronic pancreatitis (CP), inflammatory conditions, anastomotic strictures from liver transplantation and choledocholithiasis, among other conditions, can cause benign biliary strictures (BBS). Serious and irreversible complications such as recurrent cholangitis, secondary biliary cirrhosis, and end-stage liver disease can be the result of BBS so promptness on treating this condition is essential. The definitive treatment for… Continue Reading
Utilities of Preoperative Assessment of Abdominal Adhesions Using Ultrasound Scans in the Laparoscopic Hepatectomy
INTRODUCTION In patients with a previous history of abdominal surgeries or loco-regional treatments for hepatic tumors, abdominal adhesions may interrupt the performance of subsequent therapy using the laparoscopic approach. We have been attempting the preoperative detection of abdominal wall adhesion, using ultrasound in order to achieve a safer Laparoscopic hepatectomy (LH) for liver tumors. METHODS… Continue Reading