We found 3 results for Hepatobiliary Surgery in video
A 55yo lady undergoing open pancreaticoduodenectomy for duodenal adenocarcinoma was intra-operatively found to have macroscopic tumour involvement of the proper hepatic artery and its bifurcation. The diseased segment was resected and a novel technique for reconstruction was performed- the remnant common hepatic artery was anastomosed to the remnant right hepatic artery, and the left gastric to the remnant left hepatic artery. Doppler ultrasound confirmed patency of all anastomoses prior to closure. Synthetic function of the liver and bilirubin recovered to appropriate levels postoperatively, and the patient was planned for adjuvant chemotherapy.
Mirizzi syndrome, the mechanical obstruction of the common hepatic duct secondary to extrinsic compression of stones impacted in the gallbladder neck or the cystic duct, is a rare complication of cholelithiasis (0.2% to 1.5% of patients). Up to 50% of patients are diagnosed intra-operatively.
We describe technical tips of laparoscopic treatement of Mirizzi Syndrome, including laparoscopic cholecystectomy, common bile duct exploration and stone extraction. Often it is best to fashion the ductotomy over the palpable stone. T tube cholangiogram is also invaluable.
In conclusion, laparoscopic treatment may be used for Mirizzi Syndrome.
Contributor:Dr. Manish Parikh
Authors: Maja Odovic M.D, Dider Roulin M.D, Nermin Halkic PD MER Correspondence to: Maja Odovic M.D. Department of Visceral Surgery University Hospital of Lausanne (CHUV) E-mail: Maja.Odovic@chuv.ch Didier Roulin M.D Department of Visceral Surgery University Hospital of Lausanne (CHUV) E-mail: Dider.Roulin@chuv.ch Nermin Halkic PD MER Department of Visceral Surgery University Hospital of Lausanne (CHUV) E-mail: Nermin. Halkic@chuv.ch This is a video of surgical technique for laparoscopic pericystectomie. The video describes all the steps of the procedure and pays special attention to the pitfalls.
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