By Arshad M. Malik

ISBN-10: 9533079339

ISBN-13: 9789533079332

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1334-8. Fernandez-Cruz L, Cesar-Borges G, Lopez-Boado MA, Orduna D, Navarro S. (2005). Minimally invasive surgery of the pancreas in progress. 4, pp. 342–54. Fernandez-Cruz L, Cosa R, Blanco L, et al. (2007). Curative laparoscopic resection for pancreatic neoplasms: a critical analysis from a single institution. 12, pp. 1607–21. Gagner M, Gentileschi P. (2001). Hand-assisted laparoscopic pancreatic resection. 2, pp. 114-25. Gagner M, Pomp A. (1994). Laparoscopic pylorus-preserving pancreatoduodenectomy.

The common symptoms are pain, fever, diarrhea and jaundice. The most common cause for internal biliary fistulae is gallstones (90%) whereas; peptic ulcer, malignancy and trauma account for the rest 10% of the cases. Ultrasonography is useful and CT scan may show contracted, thick walled gallbladder with stones, pneumobilia and duodenal thickening. ERCP may localize the fistulous tract. Barium meal, enema and colonoscopy may be useful in the diagnosis. Fig. 9. Cholecystoenteric fistula. 5 Disorders of liver It is a challenge for the surgeon to perform laparoscopic cholecystectomy in a patient with hepatic disorders especially cirrhosis.

Large case series exist from institutions that provide full definitive laparoscopic management of any injuries (also in shocked and actively bleeding patients) with no or minimal missed injuries and dismal conversion rate (Cherkasov, Lin). Actively bleeding spleen injuries may be treated laparoscopically. Patients who continue to bleed following embolization or with high grade spleen injuries are treated with laparoscopic application of collagen–fibrinogen human thrombin seal on oozing lacerations and if a major bleeding is encountered laparoscopic splenectomy is then performed (Olmi, Marzano).

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Advances in Laparoscopic Surgery by Arshad M. Malik

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