Learning Theme: Biliary

Teaching the Next Generation of Surgeons the Art of Bile Duct Exploration.

Title: Reclaiming Our Surgical Heritage: Teaching the Next Generation of Surgeons the Art of Bile Duct Exploration. Presenter: Eric Hungness, MD Session: Postgraduate Course: Common Bile Duct Stones – Intraoperative Cholangiography (IOC) to Laparoscopic Common Bile Duct Exploration (LCBDE) SAGES 2016 Keyword(s): Alvin H. Baum Clinical Simulation Research Grant, bilirubin, CBDS, chief resident, cholangiography, choledocholithiasis, […]

Intraoperative Evaluation of the Common Bile Duct – Cholangiogram tips, tricks, results

Title: Intraoperative Evaluation of the Common Bile Duct – Cholangiogram tips, tricks, results Presenter: Edward Phillips, MD Session: Postgraduate Course: Common Bile Duct Stones – Intraoperative Cholangiography (IOC) to Laparoscopic Common Bile Duct Exploration (LCBDE) SAGES 2016 Keyword(s): ampullary spasm, angiocath, balloon tip catheter, BDI, biliary tree, butterfly catheter, C-arm, CBDS, cholangiogram catheter, cholangiography, cholecystogram, […]

Open Common Bile Duct Exploration – Tips, Tricks, Results

Title: Open Common Bile Duct Exploration – Tips, Tricks, Results Presenter: David Rattner, MD Session: Postgraduate Course: Common Bile Duct Stones – Intraoperative Cholangiography (IOC) to Laparoscopic Common Bile Duct Exploration (LCBDE) SAGES 2016 Keyword(s): absorbable sutures, ampulla, basket, bile leak, biliary bypass, bilirubin, Blake drain, Bookwalter, cannulation, cautery, CBDE, CBDS, CCX, cholangitis, choledochoduodenostomy, choledocholithiasis, […]

Adjuncts to Common Bile Duct Exploration – Biliary Stents or Ampullary Dilation

Title: Adjuncts to Common Bile Duct Exploration – Biliary Stents or Ampullary Dilation Presenter: Benjamin Poulose, MD, MPH Session: Postgraduate Course: Common Bile Duct Stones – Intraoperative Cholangiography (IOC) to Laparoscopic Common Bile Duct Exploration (LCBDE) SAGES 2016 Keyword(s): ampulla, ampulllary dilation, anatomy, balloon, biliary stents, cannulation, CBDS, central line, cholangiogram catheter, choledochotomy, endoloop, ERC, […]

Routine Single-Stage Management of Choledocholithiasis – From Idea to Institutional Reality

Title: Routine single-Stage Management of Choledocholithiasis – From Idea to Institutional Reality Presenter: Ahmad Mirza, MD Session: Postgraduate Course: Common Bile Duct Stones – Intraoperative Cholangiography (IOC) to Laparoscopic Common Bile Duct Exploration (LCBDE) SAGES 2016 Keyword(s): acute cholecystitis, acute pancreatitis, biliary colic, biliary drain, biliary emergencies, biliary stent, CBDS, cholangitis, choledocholithiasis, choledochoscope, choledochotomy, EAES, […]

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 http://www.ncbi.nlm.nih.gov/pubmed/?term=23892759 non leaking vs leaking BDI–6:02 safety measures–7:30 http://www.ncbi.nlm.nih.gov/pubmed/20610259 http://www.ncbi.nlm.nih.gov/pubmed/8338094 http://www.ncbi.nlm.nih.gov/pubmed/?term=15912491 http://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, […]