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Priya Gupta,Vishakha Kalikar,Roy Patankar,Advait Patankar 소화기인터벤션의학회 2023 International journal of gastrointestinal interven Vol.12 No.1
Mirizzi syndrome was previously considered an absolute contraindication for laparoscopic cholecystectomy. However, with advances in radiology and increasing familiarity with the pathophysiology, the successful laparoscopic management of Mirizzi syndrome is now increasingly reported. The presence of cirrhosis and periportal collaterals increases the difficulty of performing laparoscopic cholecystectomy. Intraoperative indocyanine green (ICG) imaging is very helpful in these complex situations. We present the first published report of ICG-assisted laparoscopic cholecystectomy in type 1 Mirizzi syndrome with Child-Pugh A cirrhosis.
Giant leiomyoma in distal, intra-thoracic oesophagus: Is laparoscopic approach feasible?
Pratik Biswas,Vishakha Kalikar,Tanveer Majeed,Roy Patankar 소화기인터벤션의학회 2021 International journal of gastrointestinal interven Vol.10 No.3
Leiomyomas are the most common benign tumor of the oesophagus. symptomatic patients are candidates for excision, we have discussed a case report of a 43-year-old male patient who had complains of progressive dysphagia. Imaging studies suggested a distal oesophageal mass with calcific foci. The tumor was enucleated laparoscopically with an operative time of 160 minutes. The patient was gradually started on oral feeds from the 3rd postoperative day after an upper gastrointestinal contrast study. The patient was discharged on the 5th postoperative day. We found this minimally invasive approach to be effective with a shorter hospital stay and a faster recovery as compared to a thoraco abdominal approach.
Giant leiomyoma in distal, intra-thoracic oesophagus: Is laparoscopic approach feasible?
Pratik Biswas,Vishakha Kalikar,Tanveer Majeed,Roy Patankar 소화기인터벤션의학회 2021 Gastrointestinal Intervention Vol.10 No.3
Leiomyomas are the most common benign tumor of the oesophagus. symptomatic patients are candidates for excision, we have discussed a case report of a 43-year-old male patient who had complains of progressive dysphagia. Imaging studies suggested a distal oesophageal mass with calcific foci. The tumor was enucleated laparoscopically with an operative time of 160 minutes. The patient was gradually started on oral feeds from the 3rd postoperative day after an upper gastrointestinal contrast study. The patient was discharged on the 5th postoperative day. We found this minimally invasive approach to be effective with a shorter hospital stay and a faster recovery as compared to a thoraco abdominal approach.
Per-oral cholangioscopy via a gastric access loop for the management of recurrent hepatolithiasis
Sneha Lad,Suryaprakash Bhandari,Hardik Rajesh Shah,Nilesh Doctor,Roy Patankar,Smita Bhandari 소화기인터벤션의학회 2022 International journal of gastrointestinal interven Vol.11 No.4
This is a case report of the successful management of recurrent large intrahepatic stones using per-oral cholangioscopy via a gastric access loop created surgically during Roux-en-Y hepaticojejunostomy (HJ). A 55-year-old male presented with acute cholangitis. Radiodiagnostic imaging suggested hepatolithiasis in the left hepatic duct. He had experienced similar events on three occasions in the past, for which preliminary conventional endoscopic retrograde cholangiopancreatography and percutaneous transhepatic biliary drainage approaches proved only supportive. Hence definitive surgical treatment was performed with the patient`s consent during his third admission in the form of cholecystectomy, intraoperative retrieval of hepatolithiasis using a rigid ureteroscope, and Roux-en-Y HJ with gastric access loop formation. The gastric conduit facilitated prompt and convenient endoscopic access to enter the intrahepatic ducts and achieve complete ductal clearance using cholangioscopy-guided laser lithotripsy of the large intrahepatic stones. The patient remained asymptomatic at subsequent follow-up visits.
Per-oral cholangioscopy via a gastric access loop for the management of recurrent hepatolithiasis
Sneha Lad,Suryaprakash Bhandari,Hardik Rajesh Shah,Nilesh Doctor,Roy Patankar,Smita Bhandari 소화기인터벤션의학회 2022 Gastrointestinal Intervention Vol.11 No.4
This is a case report of the successful management of recurrent large intrahepatic stones using per-oral cholangioscopy via a gastric access loop created surgically during Roux-en-Y hepaticojejunostomy (HJ). A 55-year-old male presented with acute cholangitis. Radiodiagnostic imaging suggested hepatolithiasis in the left hepatic duct. He had experienced similar events on three occasions in the past, for which preliminary conventional endoscopic retrograde cholangiopancreatography and percutaneous transhepatic biliary drainage approaches proved only supportive. Hence definitive surgical treatment was performed with the patient`s consent during his third admission in the form of cholecystectomy, intraoperative retrieval of hepatolithiasis using a rigid ureteroscope, and Roux-en-Y HJ with gastric access loop formation. The gastric conduit facilitated prompt and convenient endoscopic access to enter the intrahepatic ducts and achieve complete ductal clearance using cholangioscopy-guided laser lithotripsy of the large intrahepatic stones. The patient remained asymptomatic at subsequent follow-up visits.