INTRODUCTION: Minimally invasive pancreaticoduodenectomy (PD) remains an uncommon procedure, and the safety and efficacy remain uncertain beyond single institution case series. An analysis on national costs and outcomes of minimally invasive PD has yet to be studied. Fears persist that longer operative times and instrument costs make LPD cost-ineffective. The aim of this study is to compare outcomes and costs between laparoscopic (LPD) and open PD (OPD) using a large population-based database.
Background:Enucleation is an alternative procedure for treating benign or lowgrade malignant neoplasms of the pancreas. The studies on laparoscopic enucleation(LE) versus open enucleation(OE) have not been as readily available. This study aimed to compare perioperative outcomes of patients undergoing LE and OE and to assess the pancreatic function after LE.
Methods:A retrospective study was performed for patients who underwent LE or OE between 2001 and 2013. The patients’ demographic data, oper
Introduction:
Liver surgery in cirrhotic patients result in higher morbidity and mortality rates compared to non-cirrhotic patients. Recently, there is increased acceptance of laparoscopic approach in liver surgery. However, few reports have evaluated LLR for hepatocellular carcinoma (HCC) in cirrhotic patients. Most of these reports are limited to easily accessible lesions, and enrolled small number of patients. Furthermore, few reported long term outcomes.
The aim of this study is to evaluat
INTRODUCTION :
Since 1990’s the routine laparoscopic cholecystectomy (LC) has resulted in the decline of routine use of intra-operative cholangiography (IOC). The common bile duct (CBD) stones are being increasingly diagnosed pre-operatively by employing endoscopic retrograde cholangio-pancreaticography (ERCP) and magnetic resonance cholangio-pancreaticography (MRCP). We aimed to evaluate the routine use and clinical benefit of IOC during laparoscopic biliary surgery at a single high volume ded
INTRODUCTION: Treatment of ventral hernias in contaminated settings is currently an area of active discussion. Recent data suggests synthetic mesh can safely be used in clean-contaminated and contaminated fields. However, to date, there exists no consensus guiding surgeons how to treat ventral hernias in contaminated fields. The objective of this study is to evaluate how surgeons experienced in treatment of hernia currently treat ventral incisional hernias in the setting of contaminated fields,