Outsized approaches in the diagnosis of biliary pancreatitis.
I. Fedoriv, MD, V. Myesoyedova, MD. Dpt. of Surgery. Ivano-Frankivsk national medical university. UkraineThe purpose of the study was to determine the differences in the dynamics of glycemia in the first few minutes after glucose loading, because in that time the diagnostically valuable indicators that would show a statistically proven correlation with the severity of… Continue Reading
Pancreatic Necrosectomy: Predicting the morbidity and mortality of pancreatic debridment
Noah J Swann, MD, Nobel Letendre, BS, Brian Cox, MD, James Recabaren, MD, FACS. Huntington HospitalIntroduction: Debridement of pancreatic necrosis is traditionally considered a morbid procedure. Previous multi-center studies using 2007 data have demonstrated 6.8% 30-day mortality for pancreatic necrosectomy; Laparoscopic and percutaneous management of pancreatic and peri-pancreatic necrosis have become increasingly prevalent, but haven’t… Continue Reading
Pancreaticojejunostomy reconstruction for small pancreatic duct in totally laparoscopic pancreaticoduodenectomy
Hariruk Yodying, MD. Department of surgery, HRH Princess Maha Chakri Sirindhorn Medical Center (MSMC) Hospital, Srinakharinwirot UniversityBACKGROUND: Laparoscopic pancreaticoduodenectomy (LPD) is a complex procedure that has been cautiously regarded as feasible and safe for resection and reconstruction. Postoperative pancreatic fistula (POPF) remains the major complication after pancreaticoduodenectomy. Risk factors commonly reported to increase the risk of… Continue Reading
- Topic:
- Biliary
Porcelain Gallbladder Adherent to Proximal Bile Duct; Robotic Cholecystectomy Guided by Indocyanine Green Cholangiography
Adel Alhaj Saleh, MD, MRCS, Edwin Onkendi, MBChB. Texas Tech University Health Sciences CenterA 52 year-old female presented to an outside institution with 1 year history of right upper abdominal pain She also had unintentional weight loss. CT scan with contrast showed a porcelain gall bladder A laparoscopic cholecystectomy was attempted at that institution. Intraoperatively,… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary
Possible Variables to Develop a Scoring System to Predict Preoperative Diagnosis of Acute Cholecystitis
Theophilus Pham, MBA1, Daron Jacob, BS1, Chanaka Kahathuduwa, PhD2, Adel Alhaj Saleh, MD, MRCS1, Amir H Aryaie, MD, FACS1. 1Texas Tech University Health Sciences Center, 2Texas Tech UniversityIntroduction: Cholecystitis and symptomatic cholelithiasis are two diseases that can present with very similar general symptoms making it difficult to distinguish between them based solely on clinical findings.… Continue Reading
RE- LAPAROSCOPY IN LOW INSERTION REMNANT CYSTIC DUCT CALCULI WITH TYPE 1 MIRRIZZI SYNDROME
Manoj K Choudhury, MS, FMAS, Hrishikesh Deka, MS. Nemcare Superspeciality HospitalObjective: Re-laparoscopy in gall bladder or cystic duct remnant with calculous disease is a technically difficult approach. It carries increased conversion and biliary complications. But the morbidity is significantly reduced if performed successfully. Our objective is to reduce the morbidity of the patient. Method &… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary
Recurrent Right Upper Quadrant Pain and Complications of Progression
Zachary Walker, Kejal Shah, MD, Michael P Meara, MD, MBA, FACS. The Ohio State University Wexner Medical CenterBackground: Complicated Cholelithiasis can result in episodes of cholangitis and Mirizzi syndrome, extrinsic compression of the common hepatic duct by a stone in the cystic duct or gallbladder. Endoscopic retrograde cholangiopancreatography (ERCP) can be used for diagnosis and… Continue Reading
Remnant Cholecystectomy with ICG Infrared Cholangiography
Saeed Arefanian, MD, Margaret Frisella, RN, L. Michael Brunt, MD. Washington University in St. LouisBackground: subtotal cholecystectomy has been advocated for difficult operative situations for a long time in the surgery and different types of it have been described. Occasionally recurrence of symptomatic cholelithiasis and choledocholithiasis requieres the need for reoperation and completeion of the cholecystectomy. Presentation:… Continue Reading
- Topic:
- Biliary
RESULTS IN THE ENDOSCOPIC MANAGEMENT OF GIANT COMMON BILE DUCT STONES: STENT AND PNEUMATIC DILATATION
Carlos Leal, MD, General Surgery, Gastroenterology1, Andres Mendoza, MD, General Surgery1, Luis Cabrera, MD, General Surgery1, Mauricio Pedraza1, Sebastian Sanchez1, Jean Pulido1, Daniel Gomez, MD, FACS2. 1Bosque University, 2CPOBackground: The endoscopic management of choledocholithiasis remains a challenge for the general surgeon due to the complications that can arise from it. Traditional management has been surgical, but in recent… Continue Reading
Robot-Assisted Laparoscopic Repair of Hepatic Duct Stricture
Subhashini Ayloo, MD, MPH, Jacob Schwartzman, MD. Rutgers, New Jersey Medical SchoolObjective: To demonstrate the safety and feasibility of minimally invasive robot-assisted repair of an indeterminate hepatic duct stricture. Materials and Methods: A 57 year old woman presents with abdominal pain, obstructive jaundice, and elevated LFTs. Diagnostic imaging showed cholelithiasis, choledocholithiasis and a CHD stricture. … Continue Reading
- Topic:
- Biliary
Robot-Assisted Laparoscopic Subtotal Cholecystectomy and Common Bile Duct Exploration
Subhashini Ayloo, MD, MPH, Jacob Schwartzman, MD. Rutgers, New Jersey Medical SchoolObjective: To demonstrate the safety and feasibility of minimally invasive robot-assisted bile duct exploration and subtotal cholecystectomy for Mirizzi syndrome. Materials and Methods: A 42 year old woman presented with abdominal pain, cholangitis, and elevated LFT’s. Ultrasound confirmed cholelithiasis/choledocholithiasis. Two attempts of ERCP with… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary
Robotic Choledochoduodenostomy for Refractory Benign Biliary Stricture
Michael P Meara, MD, MBA, FACS, Andrei Manilchuk, MD, Cole Rodman, Sophia Roberts. The Ohio State University Wexner Medical CenterCholedochoduodenostomy remains a treatment option for individuals with benign biliary stricture either acquired secondary to intrinsic damage, secondary to previous instrumentation, or anastomosis. Exclusion of malignant causes is imperative prior to operative biliary bypass. Our patient is… Continue Reading
- Topic:
- Biliary
Robotic Completion Cholecystectomy Following Laparoscopic Reconstitutive Subtotal Cholecystectomy
Donald M Moe, MD, Vance Y Sohn, MD. Madigan Army Medical CenterSubtotal cholecystectomy has long been described as a bail out or damage-control alternative to cholecystectomy when performing a difficult cholecystectomy. However, subtotal cholecystectomy requires completion cholecystectomy in 4-9% of cases. These reoperative surgeries are highly morbid and while there are case reports of minimally-invasive… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary
Robotic Completion Cholecystectomy Following Unsuccessful Operative Intervention For Severe Acute Cholecystitis
Jordan A Wilkerson, MD, Cory Banaschak, DO, Jessica Belchos, MD, Bianca Kenyon, MD, Kyle Suedeal, MD, Kirpal Singh, MD. St. Vincent HospitalThis is a video abstract submission detailing a robotic completion cholecystectomy in a 56 year-old female that was performed for recurrent subhepatic abscesses and chronic symptoms following unsuccessful operative intervention for initial severe acute… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary
Robotic laparoscopic assisted cystic duct ligation for persistent postoperative bile leak in Roux-en-Y gastric bypass patient
Baongoc Nasri, MD, PhD1, Jordan Wilkerson, MD1, Jamie Schutle, MD1, Marius Calin2, Timothy Glass, MD1. 1St VincentHospital, 2Virtua HospitalIntroduction: Cystic duct leak is an uncommon complication following cholecystectomy. Endoscopy is considered safe and effective therapy. However, ERCP in post gastric bypass can be technical challenges. Robotic assisted cystic duct exploration can be an option for… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary