INTRODUCTION:Controversy over the management of barrett’s esophagus has been difficult to resolve due to the low incidence of progression to adenocarcinoma. A prospective study comparing thousands of patients with barretts esophagus randomized either into PPI or antireflux surgery group is costly and no likely to be perfomed. This study examined possible clinical outcomes of the […]
Background: Benign cystic diseases of the liver have recently been treated by non-surgical procedures such as alcohol injection and trans arterial embolization (TAE); however symptomatic or complicated cysts often need surgery. Traditionally, laparotomy is the procedure of choice. We present our experiences with laparoscopic management of both symptomatic multiple liver cysts and polycystic liver disease. […]
Background: Although biliary tract injuries are lethal, many difficulties in identifying it have been encountered during laparoscopic surgery. We report a novel method of biliary tract identification using an endoscopic device with fluorescent imaging of indocyanine green. Method: During operation 1.0-2.0 ml of 0.25% ICG had been intravenously injected in a patient with multiple liver […]
Introduction: Laparoscopic gastrectomy (LAG) with limited lymph node dissection has been used for the treatment of early gastric cancer as a clinical trial and the number of cases has been increasing. Although, recently, LAG with complete D2 lymph node dissection has been reported, it is usually performed only in experienced institutions and there is little […]
Objective of StudyIntra-peritoneal onlay mesh (IPOM) is the gold standard technique of laparoscopic ventral hernia repair (LVHR), a ‘standard of care’ day care procedure. We have reported vest over pant closure of defect (VOPCOD) preceding IPOM in LVHR raising debate of anatomical restoration for functional compliance versus compromise with the ‘tension free repair’ principle. Hence […]