In laparoscopic distal pancreatectomy with splenectomy, extension of the wound is needed to extract the spleen, as the spleen is larger than the pancreas. In the present report, we describe a new technique for safe extraction of the distal pancreas along with the spleen, wherein the spleen is stored in the bag under air insufflation and the pancreas and spleen are then laparoscopically divided. This technique was employed in three cases. The patients were placed in the split-leg position and gen
BACKGROUND Patients with advanced gastrointestinal cancer are difficult management and therapeutic choices are limited, celiac neurolysis complex is offered as an option for pain control for these patients.
METHODS Is described below the laparoscopic technique neurolysis of the celiac plexus. Patient is placed in French position, the surgeon is located between the patient’s legs and the assistant on the right. The 10 mm umbilical trocar is placed, another 10 mm trocar in the right flank, and a
INTRODUCTION
With the advent of laparoscopic procedures, laparoscopic common bile duct exploration (LCBDE) has played an important role in the treatment of CBDS. To avoid bile-originated complications, T tube is usually used during LCBDE in Western countries. However, in Japan C-tube is often used for bile drainage after hepato-biliaric surgery. The aim of the current study was to show the role of C-tube during LCBDE in our institute.
METHODS
C-tube is a type of bile drainage tube, produced
Introduction: Several variations in the anatomy of the biliary tree have been described in the literature. One such variation is a wandering gallbladder that is typically attached to surrounding structures only by the cystic duct and its mesentery. Its characteristic propensity for torsion places it at risk for necrosis and may present as an acute abdomen. There have been less than 10 reports of wandering gallbladder in the literature. The case of a 51-year-old male with right upper quadrant pai
Introduction
Postoperative morbidity and mortality are more frequent in the ageing than in the young population due to reasons such as decreased organ function, accompanying disorders, and malnutrition. Laparoscopic interventions on the elderly patients can be additional causes of morbidity and mortality The purpose of this study was to assess the safety of laparoscopic cholecystectomy (LC) in the aged and the very aged patients
Materials and Method
The patients were studied in 3 groups based