Approaching The Difficult Gallbladder: Preoperative Decision-Making
Dr. Steven Schwaitzberg, MD disclosures–43 sec are you a master at CCX?–1:50 optimizing the difficult case–4:05 anticipating problems–4:33 acute cholecystitis–13:35 chronic cholecystitis–14:20 cirrhosis–15:10 know when to call for help–15:55 optimizing outcomes–16:09 Keyword(s): ABS, acute cholecystitis, chronic cholecystitis, cirrhosis, conversion rate, CT, CVS, dilated CBD, ERCP, GB, GB disease, GBP, hydrox, imaging, informed consent, IOCs, jaundice, […]
Bile Duct Injury: Now What?
Dr. Horacio Asbun, MD timing of discovery–1:28 dx–2:18 Delphi results–4:18 procedural video–5:29 discovery of CBDI post-op–7:59 work-up–8:33 MRC–8:51 mechanisms of injury–9:05 surgical repair–10:32 conclusion–13:47 Keyword(s): biliary tree, CBDI, drain, ERCP, hepatectomy, hepaticojejunostomy, jaundice, LC, MRC, MRCP, MRI, OC, PTCH, T-tube, Triangle of Calot, US
Approaching The Difficult Gallbladder: Intraoperative Techniques
Dr. Benjamin Poulose, MD disclosures–37 sec general rules–56 sec biliary tree anatomy–1:57 arterial anatomy–5:35 pathology–6:42 practical algorithm–7:28 is there anatomy or path present requiring a different approach?–8:09 cystic duct ID–9:30 will GB separate from fossa easily?–9:45 bailout maneuvers–10:08 pt cases–1:28 Keyword(s): aberrant anatomy, biliary colic, biliary dyskinesia, biliary tree, CCX, cholecystitis, cholecystostomy tube, chronic biloma, […]
Additional Considerations: The Community Surgeon Perspective
Dr. Jeffrey Crooms, MD personal background–2:03 surgical indications–2:17 surgery timing–2:32 surgical techniques–3:12 cholangiography–4:46 special considerations–5:18 complications–6:24 prevention–6:54 community buy in–8:03 ask help–8:50 summary–9:52 Keyword(s): bile leak, CBDI, cholecystitis, cholecystostomy tube, cholelithiasis, cirrhosis, community surgeon, CVS, FLS, gallstone pancreatitis, IOCs, morbid obesity, NOTES, pediatric, recertification, robotic CCX, single incision CCX, tertiary care, US
Mechanisms of Bile Duct Injury
Dr. Abe Fingerhut, MD causes of injury–1:07 mis-ID–1:29 Strasberg classification–2:27 ATOM–2:56 https://www.ncbi.nlm.nih.gov/pubmed/?term=23892759 non leaking vs leaking BDI–6:02 safety measures–7:30 https://www.ncbi.nlm.nih.gov/pubmed/20610259 https://www.ncbi.nlm.nih.gov/pubmed/8338094 https://www.ncbi.nlm.nih.gov/pubmed/?term=15912491 https://www.ncbi.nlm.nih.gov/pubmed/25559890 imaging–8:29 technical errors–9:31 common mistakes–9:45 ID of cystic & hepatic arteries–10:31 tenting effect–11:15 traction–11:28 beware of monopolar energy–13:12 human factors–13:27 essential steps–14:05 thought process–15:24 Keyword(s): ATOM, CBDI, COSIC, CVS, cystic duct, EAES, […]
Imaging Techniques in Biliary Surgery
Dr. Daniel Deziel, MD overview–32 sec methods for intra-op bile duct imaging–40 sec IOCs–53 sec https://www.ncbi.nlm.nih.gov/pubmed/12165830 https://www.ncbi.nlm.nih.gov/pubmed/?term=23982367 https://www.ncbi.nlm.nih.gov/pubmed/?term=14570952 LUS–7:47 https://www.ncbi.nlm.nih.gov/pubmed/?term=18528611 https://www.ncbi.nlm.nih.gov/pubmed/?term=24074430 fluorescence cholangiography–9:48 https://www.ncbi.nlm.nih.gov/pubmed/?term=24986018 conclusion–11:21 Keyword(s): BDI, bile duct imaging, CCX, fluorescence cholangiography, ICG, inflammation, IOCs, IVA, LC, LUS, Medicare, NIRFC, obesity, population studies
The Critical View Of Safety: What Is It, Hot To Achieve It, Why It Works
Dr. Steven Strasberg, MD CVS definition–1:12 target ID–1:24 citations–2:42 https://www.ncbi.nlm.nih.gov/pubmed/8000648 https://www.ncbi.nlm.nih.gov/pubmed/20610259 https://www.ncbi.nlm.nih.gov/pubmed/11129816 infundibular technique–5:22 evidence for the CVS–6:37 https://www.ncbi.nlm.nih.gov/pubmed/18942628 https://www.ncbi.nlm.nih.gov/pubmed/?term=19009323 https://www.ncbi.nlm.nih.gov/pubmed/16021365 https://www.ncbi.nlm.nih.gov/pubmed/17206564 https://www.ncbi.nlm.nih.gov/pubmed/20535578 https://www.ncbi.nlm.nih.gov/pubmed/24439739 why the CVS works–8:16 a problem with the CVS–9:56 https://www.ncbi.nlm.nih.gov/pubmed/21887779 https://www.ncbi.nlm.nih.gov/pubmed/24440064 criteria for scoring doublet photo–11:06 warning–11:37 citation–13:05 https://www.ncbi.nlm.nih.gov/pubmed/16183501 COSIC–13:24 https://www.youtube.com/watch?v=sHsA7fR-GhI Keyword(s): BDI, biliary injury, COSIC, CVS, cystic duct, cystic plate, […]
Emergency Department Visits After Cholecystectomy: The NY State Experience
Dr. Dana Telem, MD background–1:04 data–1:40 https://www.ncbi.nlm.nih.gov/pubmed/24006552 value based medicine–1:57 NY data–2:30 what does this mean?–3:44 what can we do?–5:58 Keyword(s): abdominal pain, analgesia, CCX, CMS, CVS timeout, ED utilization, HCUP, LC, MEPS, phlebitis, readmissions, self-pay, SPARCS, value based medicine
The Critical View Of Safety: Is This It?
Dr. Robert Fanelli, MD disclosures–1:10 doublet photographs–1:40 CVS grading exercise–1:51 doublet grading review–2:34 https://www.ncbi.nlm.nih.gov/pubmed/?term=24440064 quiz–3:56 doublet photo review–4:33 concluding discussion–11:36 Keyword(s): CCX, CVS, cystic plate, doublet photographs, hepatocystic triangle
Art Innovative Design
ART INNOVATIVE DESIGN James D. Geiger, MD disclosures–1:06 innovation definition–1:18 clinical immersion–4:49 opportunity discovery–5:54 solution creation–6:46 innovation pathway–7:39 educational programs–8:12 M-PED consortium–10:17 commercialization programs–10:46 citation–11:24 https://www.uofmhealth.org/news/archive/201305/baby%E2%80%99s-life-saved-groundbreaking-3d-printed-device achieving biomedical innovation for peds–11:41 could simple be better?–13:22 you have an idea, now what?–14:49 Keyword(s): clinical immersion, commercialization programs, da Vinci, device development, device trials, educational programs, fellowship, […]