Background: We evaluate real-time fluorescence imaging of biliary anatomy using indocyanine green (ICG) during laparoscopic cholecystectomy. Patients and Methods: This study enrolled eight patients who underwent laparoscopic cholecystectomy. ICG was injected 2 hours before exploration. Under general anesthesia, we observed biliary tract under the guidance of real-time fluorescence imaging produced by prototype laparoscope. The flow […]
BACKGROUND: Laparoscopic approach has gained acceptance in the surgical treatment of Crohn’s disease. In some cases a laparoscopically completed operation requires enlargement of the extraction site to exteriorize a large or inflamed specimen. The effects of this increase of incision length on perioperative outcomes have not been previously investigated. MATERIALS AND METHODS: Data from 266 […]
Aims. Laparoscopic cholecystectomy (LC) in day – surgery (DS) settings has become the gold standard for treatment of chronic calculosis cholecystitis. The authors report their 4-year experience with LC to determine its safety, applicability, feasibility for selected patients. The aims of this study were to evaluate the outcome of LC for the patients with ASA […]
INTRODUCTION: Insufflation with carbon dioxide (CO2) instead of air during colonoscopy minimizes bowel distension therefore better enabling simultaneous colonoscopic and laparoscopic procedures. Precise localization of intestinal lesions permits more limited, safer resections. In the case presented, a benign-appearing submucosal lesion may have required a segmental colectomy with anastomosis, but use of a combined procedure allowed […]
IntroductionSevere acute pancreatitis with infected necrosis is one of the most morbid diseases. Surgical debridement is needed for majority of patients. With increasing technology and experience, it is now possible to do necrosectomy by minimally invasive techniques. Several minimally invasive approaches to pancreas have been described, such as Laparoscopic, Retroperitoneoscopic and Endoscopic. Variations in the […]