Emergency laparoscopic splenectomy for splenic trauma in a Jehovah's Witness patient.

The safety and efficacy of laparoscopic splenectomy in the management of benign hematologic diseases is well established. However, most consider the laparoscopic approach to splenectomy in trauma patients contraindicated. We present a 76-year-old Jehovah's Witness who sustained a blunt abdominal trauma, rib fractures, and grade III splenic injury.

Laparoscopic enterolithotomy for gallstone ileus.

Background And Aims: Gallstone ileus (GSI) is an uncommon complication of gallstone disease that usually occurs in debilitated elderly patients in whom the minimal trauma of laparoscopic surgery might be advantageous. The outcome of laparoscopic surgery in 3 consecutive patients with GSI is presented, and its role is discussed.

Methods: The laparoscopic approach was attempted in all patients with suspected GSI.

Laparoscopic liver resection: preliminary results from a UK centre.

Background And Aims: Advancements in surgical technique and technology have facilitated safe laparoscopic liver resection in selected patients. The aim of this study is to evaluate the feasibility and outcome of laparoscopic liver resection.

Methods: Patients with lesions situated in the anterior and left lateral segments were selected for laparoscopic resection.

Laparoscopic endogastric and transgastric cystgastrostomy and pancreatic necrosectomy.

Background/aims: Pancreatic pseudocysts (PP) that complicate acute necrotizing pancreatitis (ANP) and require internal drainage may be managed laparoscopically. We present our experience with the laparoscopic endogastric and transgastric approaches to pseudocyst-gastrostomy (PCG).

Methodology: Seven patients (4 female) aged 25-75 (median, 60) years with large (median, 12cm), symptomatic and persistent (median, 5 months) retrogastric PP underwent PCG.

Timing of laparoscopic cholecystectomy for acute cholecystitis: evidence to support a proposal for an early interval surgery.

We evaluated the safety and feasibility of delayed urgent laparoscopic cholecystectomy (LC) performed beyond 72 hours to overcome the logistical difficulties in performing early urgent LC within 72 hours of admission with acute cholecystitis (AC), and to avoid earlier readmission with recurrent AC in patients awaiting delayed interval. Patients admitted with AC were scheduled for urgent LC. Patients who underwent early urgent LC were compared with those who had delayed urgent surgery.