INTRODUCTION – We report the feasibility and safety of performing laparoscopic cholecystectomy and ERCP as a single-stage procedure in comparison to performing these procedures sequentially as two separate procedures for the management of choledocholithiasis. The option for performing these procedures under the same anesthetic is often overlooked. Guidelines for management of choledocolithiasis that omit the option for simultaneous laparoscopic cholecystectomy and ERCP include those endorsed by:
In a previous study we showed that diagnostic ERCP performed either before or after laparoscopic cholecystectomy (LC) had a significant rate of pancreatitis and unnecessary procedures. Therefore, we have begun using intra-operative ERCP in the event of positive cholangiography to limit the use of diagnostic ERCP. To aid in cannulation of the ampulla a wire was passed down the cystic duct into the duodenum at the time of LC. We hypothesized that this would lead to shorter total operative times,
Introduction: Laparoscopic common bile duct exploration (LCBDE) at the time of cholecystectomy remains an underutilized treatment for choledocholithiasis, despite demonstrated clinical advantages over the two-stage approach of ERCP plus laparoscopic cholecystectomy. In order to better understand the etiology of this underutilization, we surveyed surgeons regarding their experience with LCBDE and barriers that prevent them from performing the procedure.
Methods: Attending surgeons were surveyed
(Background)
The aim of this study is to introduce some operative skills of laparoscopic unroofing of liver cysts by 2 incision, and its utility compared with single incisional surgery in the treatment of huge liver cysts.
(Operating method)
Single incisional unroofing of liver cysts: The patients were placed in left hemi-lateral decubitus position for right lobe lesion of liver cysts. On the one hand, the patients were placed in dorsal position for left lobe lesion. Umbilical fold was cut ab
Introduction: Sphincter of Oddi dysfunction (SOD) is a rare disorder which can be difficult to diagnose and treat. It has been identified in patients who have undergone gastric bypass. Many times, testing is negative for any significant abnormalities, yet significant upper abdominal pain and interruption of daily life occurs frequently. We sought to query a large national database to better characterize patients with SOD with a focus on patients who have had weight loss surgery.
Methods: The NI