Background: Iatrogenic biliary injuries are considered as the most serious complications during cholecystectomy. Better outcome of such injuries have been shown in cases managed in a specialized center.
Objective: Evaluatation of biliary injuries management in major referral hepatobiliary center.
Patients& Methods Four hundred seventy two consecutive patients with post-cholecystectomy biliary injuries were managed with multidisciplinary team (hepatobiliary surgeon, gastroenterologist and radio
Background:The studies on spleen-preserving laparoscopic distal pancreatectomy (SP-LDP) versus laparoscopic distal pancreatosplenectomy(LDPS) have not been as readily available. This study aimed to compare perioperative outcomes of patients undergoing SP-LDP and LDPS and to assess the function of spleen salvage.
Methods:A retrospective study was performed for patients who underwent SP-LDP or LDPS between 2004 and 2013. The patients’ demographic data, operative results, pathological reports, hos
Introduction
Characteristics of common bile duct stones (CBDS) seen in the Asian population are very different from those seen in the west. The stones are very frequently multiple, large in size, and impacted and the CBD is often hugely dilated. It is because of these reasons that extraction of these stones by the endoscopic modalities poses considerable challenge. We present our experience of laparoscopic CBD exploration over a 12 year period, which is the largest single centre experience from
25 y.o. female presenting with jaundice and right upper cuadrant abdominal pain. Liver function test with direct hyperbilirubinaemia and normal enzymes. (BD 2.5mg / dl, BI 0.7 mg / dl, AST 75 u., ALT 65 u., Alk P 80 u.) Ultrasound with microlithiasis and acute cholecystitis. During laparoscopy we found a “black liver” and performed cholangiography, cholecystectomy and liver biopsy.
HISTOPATHOLOGY :
Hereditary Hiperbilirubinaemia: DUBIN – JOHNSON Syndrome
PHOTOS: 1.- BLACK LIVER during Laparo
Ever since the advent of Laparoscopic Cholecystectomy, where in, it has established itself as the Gold Standard in the management of Gall Bladder disease, the effort has been to decrease the size of the incisions and the number of the ports . This is based on the fact that port site complications are directly proportional to the incision size and their number.
We, From Department of Surgery, Medical College Patiala, Punjab, India, will be presenting our technique of doing Laparoscopic Cholecyst