Introduction: Many HPB experts and the Tokyo guidelines recommend delaying cholecystectomy for advanced acute cholecystitis, given an increased risk of complications, and operating when in a chronic phase. Therefore, our goal was to use national data to examine risk of post-operative complications following laparoscopic cholecystectomy (LC) for acute vs. chronic cholecystitis.
Methods and Procedures: The ACS NSQIP database was queried for all LC from 2005-2013. Two cohorts were defined by diagn
INTRODUCTION: Distal pancreatectomy (DP) is a standard procedure for the treatment of malignant, premalignant, and certain benign lesions arising from the pancreatic body and tail. Laparoscopic DP has become popular in the past several years.
One of the difficulties with this approach is ligating the splenic artery and vein before transection of the pancreas. The purpose of this study was to examine the usefulness of the modified lasso technique for laparoscopic DP.
METHODS AND PROCEDURES: We
INTRODUCTION: Laparoscopic left lateral sectionectomy (LLLS) is one of the widely accepted procedures for laparoscopic liver resection (LLR). In general, LLLS requires two-step stapling transection. One is for Glissonian pedicles to Segment II/III, the other is for left hepatic vein (LHV). Here, we report the new technique of en-bloc stapling, transect both Glissonian pedicles and LHV simultaneously.
METHODS: Between December 2002 and September 2015, 193 LLR were performed and 38 LLLS (20% of
Introduction: Laparoscopic cholecystectomy is the most commonly performed general surgical procedure worldwide. Bile duct injury rates have not decreased despite increased experience and training with this procedure. Laparoscopic fluorescent cholangiography using Indocyanine Green (ICG) for real-time intraoperative near infrared (NIR) imaging of the extrahepatic biliary system has potential to help identify anatomy and may possibly decrease rates of inadvertent biliary injury. Here we present
OBJECTIVE: To determine the effect of enteral glutamine in the outcome of SAP.
METHODS: 62 patients (35 males) with mean age 42.11±13.44 years with SAP were randomised into study group (32 patients) who received enteral glutamine for two weeks and control group (30 patients). The 2 groups were followed till discharge/death. Biochemical, hematological parameters and serum albumin, were measured on day 0, 7, 14 and 28 and CRP on day 0, 7, and 14. Clinical outcome was compared between 2 groups.
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