Laparoscopic treatment of recurrent pyogenic cholangitis

Abstract

Both LCD and HALS are safe, feasible, and effective treatments for patients with RPC.

An immunohistochemical study of osteopontin in hepatolithiasis

“…Several methods for the management of hepatolithiasis have been reported . However, obtaining a complete cure of hepatolithiasis is very difficult.…”

“…Several methods for the management of hepatolithiasis have been reported. [29][30][31] However, obtaining a complete cure of hepatolithiasis is very diffi cult. In addition, it is well known that hepatolithiasis is often associated with cholangiocarcinoma.…”

Approach to Manage the Complications of Choledochoduodenostomy

“…The definitive management of primary hepatolithiasis is to use a multidisciplinary approach, aiming to remove all biliary stones, to establish adequate drainage to the biliary system, and to resect nonfunctioning liver segments that harbor bacteria and serve as foci of infection. 3,4 Previously, side-to-side choledochoduodenostomy was regarded as one of the drainage procedures for RPC. [5][6][7] However, ascending cholangitis and the Sump syndrome are the main drawbacks commonly ascribed to side-to-side choledochoduodenostomy.…”

“…The previous side-to-side choledochoduodenostomy was not taken down. The distal CBD stump was closed with continuous intracorporeal sutures using size 3-0 Monocryl (Figs 4,5)…”

Minimally invasive operating suite in the 21st century: Endo‐Lap operating room

“…However, the increased acceptance of laparoscopic surgery by the community and the speedy advancement of camera technology and laparoscopic devices have both led to an increased applicability 12 and wider penetration of these minimally invasive procedures. Increasingly, more and more complex surgical procedures can now be accomplished laparoscopically, [13][14][15][16][17][18][19][20][21][22][23][24][25][26] and the application has even extended into various surgical emergencies. [27][28][29][30][31][32][33][34] This necessitates increasing the number of complex equipment and mobile carts, cables, tubing and wiring to be installed into the MIS suite, which is practically stretched to its limit.…”