Among intraoperative complications of total laparoscopic hepatectomy (TLH), venous hemorrhage is the most frequent and difficult-to-treat complication. We developed hepatocyte crush method: (HeCM) using a monopolar soft-coagulation devices for not only hemostasis, but also detachment of blood vessels. The aim of this prospective, nonrandomized study was to investigate the potential contribution of a monopolar soft-coagulation device to the limitation of intraoperative blood loss in patients unde
Minimally Invasive whipple has been offered at selective centers with results comparable to the open technique.Adoption of robotic surgery in HPB is still limited and viewed with skepticism.In this study, the early results of operative outcomes are compared for open (OW) and robotic whipples (RW) at a single HPB practice.
Methods:After the completion of robotic training in July 2013, every consecutive whipple case was compared for both techniques at a single practice until September 2014.RW wer
INTRODUCTION: Laparoscopic methods with their low morbidity have nearly replaced open surgical methods including the treatment of hepatic hydatid disease. Numbers of cases have been reported for successful laparoscopic management of hepatic cyst including laparoscopic management of complex and parasitic cyst.
METHODS AND PROCEDURES: Twenty one consecutive patients with liver hydatid cyst were considered for laparoscopic treatment from April 2007 to April 2012. Preoperative work up included abdo
Background There is an increasing interest in laparoscopic pancreaticoduodenectomy (LPD), but it is still performed in “expert” hands at selected centers. One issue to promote LPD widespread is how to simply the procedure in a scientific manner to shorten the operative time, which may need an attempt to perfect the surgical steps adjusted to the view of laparoscopy.
Methods A novel approach with the advantages of visual field ‘below-up’ around the axis of the mesenteric-portal vein was perfor
Introduction:Elective Laparoscopic Cholecystectomy (LC) is an ambulatory or day care surgery. Postoperative morbidity can prolong hospitalisation upsetting the fasttrack clinical pathways.We studied the impact of using surgical energy (USE) in LC on existing fasttrack LC clinical pathway protocols.
METHODS AND PROCEDURES -An open ended triple blind randomized study of consecutive unselected consenting LC candidates for standard ambulatory (discharge ability < 4hours) clinical pathway protocol.