Resectoscopic ablation of the gallbladder mucosa after cholecystostomy.

Purpose: To investigate the feasibility of endoscopic ablation of the gallbladder mucosa after cholecystostomy.

Materials And Methods: The mucosa of the gallbladder was endoscopically electrocoagulated through the cholecystostomy tract. After ablation, repeated luminal irrigation with chymotrypsin solution was given before removal of the tube.

Two-port laparoscopic cholecystectomy with modified suture retraction of the fundus: A practical approach.

Context: Although transumbilical single incision laparoscopic cholecystectomy (SILC) has been demonstrated to be superior cosmetic, it is only limited to simple cases at present. In complex cases, the standard four- or three-port LC is still the treatment of choice.

Aim: To summarize the clinical effect of a modified technique in two-port LC.

Laparoscopic treatment of choledocholithiasis with novel self-releasing biliary stent.

Objectives: The aim of this study was to evaluate the effect of a self-releasing biliary stent antegradely placed during laparoscopic common bile duct exploration (LCBDE) for choledocholithiasis.

Materials And Methods: The soft biliary stent, made of polyurethane, was designed as a J-umbrella form with a pigtailed duodenal part and an umbrella-like biliary anchoring part shaped with the rapidly absorbable suture. After the clearance of stones during LCBDE, a guide wire was inserted into the duodenum through the choledochoscope.

Treatment of hepatic artery thrombosis after orthotopic liver transplantation.

Objectives: This study evaluated conservative treatment for delayed hepatic artery thrombosis after orthotopic liver transplantation (OLT).

Methods: Whole-graft OLTs (n=108) and live donor liver transplants (LDLTs; n=140) were performed in 237 patients between October 1991 and July 2002. Seven episodes of hepatic artery thrombosis were identified in six patients.