The patient is an 87 year old male with abdominal pain and abnormal LFTs. On workup, two large common bile duct stones were found on MRCP that were not amenable to endoscopic removal. He therefore underwent laparoscopic choledochotomy and stone retrieval.
69 year old female with a history of an open whipple procedure in 2006 for a large duodenal diverticulum with inspissated bile which caused an obstruction at the ampulla of vater; presented now with nausea, vomiting and worsening epigastric pain. CT showed a large pancreatic duct stone and dilated pancreatic duct, which caused her symptoms. Due to two unsuccessful ERCP attempts to retrieve the stone, she underwent a laparoscopic lateral pancreaticojejunostomy and roux-en-y reconstruction for ret
Serous Cystadenoma at the tail of the pancreas is not uncommon. The case presented demonstrates a minimally invasive approach for splenic vessels- and spleen-preserving distal pancreatectomy for serous cystadenoma at the tail of the pancreas with highlighted steps of the procedure.
We present two cases related cbd injuries which occurred after laparoscopic cholecystectomy. We repaired these injuries with end to end anastomosis by laparoscopic techniques. We aim to share our experience of laparoscopic CBD injuries type E2.
In the first case; there were fourteen clips in the field. CBD was incised totaly, and closed with clips. All clips were removed except the artery clips. Both cut ends of the CBD was explored in the field. You have to draw the ends to touch each other ea
In this video we are presenting our technique for complete robotic-assisted pancreatico-duodenectomy (RAPD). We believe that the high definition 3D camera of the robotic system and unparalleled dexterity of the robotic arms improves patient safety and outcomes as opposed to the open or laparoscopic techniques. Specific steps in which these features are particularly helpful are the retroperitoneal dissection and the pancreatico-jejunostomy and choledocho-jejunostomy anastomoses. RAPD requ