Background: Although it has been 25 years since the introduction of laparoscopy to cholecystectomy, outcomes remain largely unchanged, with rates of bile duct injury higher in the modern age than in the era of open surgery. The SAGES Safe Cholecystectomy Task Force (SCTF) initiative seeks to encourage a culture of safety in laparoscopic cholecystectomy (LC) and reduce biliary injury. An expert consensus study was conducted to identify interventions thought to be most effective in pursuit of t
Background. Laparoscopic common bile duct exploration had been proved to be a safe, efficient and cost-effective option for management of common bile duct stones. There are two guiding methods during LCBDE; fluoroscopic or choledochoscopic guidance. Most surgeons prefer the use of flexible choledochoscopy at LCBDE but it is a fragile, delicate and expensive instrument. The aim of this work is to report our experience in fluoroscopically-guided LCBDE.
Methods. A retrospective review of all patie
In laparoscopic splenectomy, a giant spleen is usually cut down by using an electric morcellator or is manually crushed for extracting it from the abdominal cavity. However, cases of morcellator-related injury are often noted. In cases where the spleen has a malignant lesion, blind crushing may be undesirable, to avoid the proliferation of the malignant specimen and to obtain an appropriate specimen for pathology examination. In the present report, we describe a new technique for safely extracti
INTRODUCTION – Laparoscopic adrenalectomy has become the standard of care for a variety of benign adrenal pathology. One hundred and eleven consecutive adrenalectomies were performed using the lateral transperitoneal or posterior retroperitoneal approaches, each with their own inherent benefits and shortcomings. The authors compared the effectiveness and safety of posterior retroperitoneal adrenalectomy (PRA) with that of lateral transperitoneal adrenalectomy (LTA).
METHODS AND PROCEDURES – Me
Background: Hand-assisted laparoscopic splenectomy (HALS) was introduced to provide an alternative minimally invasive approach to open splenectomy (OS) and extend the benefits of laparoscopic splenectomy (LS) to a larger patient population. Although initially offered as a bridge from open to laparoscopic surgery for seasoned surgeons, the role of HALS within the current surgical armamentarium has been primarily relegated to large spleens (>1000 gm). The aim of this study is to document and comp