INTERNATIONAL HEPATO-PANCREATO-BILIARY ASSOCIATION (IHPBA), INDIAN CHAPTER 6TH CERTIFICATE COURSE IN HEPATO-PANCREATO-BILIARY SURGERY

Size: px
Start display at page:

Download "INTERNATIONAL HEPATO-PANCREATO-BILIARY ASSOCIATION (IHPBA), INDIAN CHAPTER 6TH CERTIFICATE COURSE IN HEPATO-PANCREATO-BILIARY SURGERY"

Transcription

1 Day 1-28 th August 2013 Liver TS Ravikumar, Goro Honda, R Surendran, V Sitaram, George Kurien Swatee Halbe, Biju Pottakkat, Vibha Naik, Deepak Barathi 1 Surgical quality and safety Inaugural lecture 2 Segmental anatomy of the liver- Couinaud and beyond 3 Aberrant liver segmentations Pictorial images essay 4 Interpretation of liver function tests in health and disease and guidelines 5 Basic techniques and interpretation of hepatobiliary Basic radiology ultrasonography 6 CT, MR and liver lesions- Protocols and diagnosis Basic radiology 7 Liver parenchymal transection technique- How to select 8 Ultrasonic surgical dissector aspirator Equipment demonstration 9 Liver hemangioma, adenoma and focal nodular hyperplasia(fnh) - Expectant and resectional strategies 10 Parenchyma preserving hepatectomies Operative surgery 11 Management of hydatid cyst- Open/laparoscopic/Percutaneous aspiration injection and reaspiration(pair)- Evidence to practice 12 Liver resection in cirrhosis Case discussion 13 Hepatocellular carcinoma- Patient and lesion selection for transarterial chemoembolisation (TACE) and Radioembolisation 14 Radiofrequency ablator Equipment demonstration 15 Right hepatectomy Video lecture 16 Liver retractor systems Equipment demonstration 17 Perioperative optimisation for liver resection 18 Laparoscopic anatomical hepatectomies Video essay 19 Metastatic liver disease- Management options 20 Carcinoma rectum with liver metastases Case discussion

2 Day 2-29 th August 2013 Hepatitis, Portal Hypertension, Liver Transplantation, Trauma Mohammed Rela, Subash Gupta, Goro Honda, Peush Sahni, SK Mathur George Kurien,, Paari Vijayaraghavan, TD Yadav, Deepak Barathi 1 Techniques of vascular control in liver surgery Operative surgery 2 Viral hepatitis B and C- What a surgeon needs to know 3 Rational use of blood and blood products for major hepatobiliary Guidelines operations 4 Donor evaluation protocol for liver transplantation Guidelines 5 Recipient hepatectomy Operative surgery 6 3D Liver work station Equipment demonstration 7 Critical operative steps in liver graft implantation Video lecture 8 Complications of liver resection and management 9 Laparoscopic left lateral sectionectomy Operative surgery 10 4 D ultrasound with intraoperative, liver probes Equipment demonstration 11 Portal hypertension- diagnosing the etiology 12 Portal fibrosis with extrahepatic portal vein obstruction (EHPVO) Case discussion 13 Current role of portosystemic shunt operations 14 Doppler for portal circulation Applied radiology 15 Gastroesophageal devascularisation Operative surgery 16 Splenorenal shunt and its variants Video lecture 17 Portal biliopathy 18 Portal hypertension- Liver, spleen, varices, veins, artery and stones Pictorial images essay 19 Management of blunt liver trauma Guidelines 20 Hepatic vein trauma Case discussion

3 Day 3-30 th August 2013 Gall bladder and bile ducts P Jagannath, VK Kapoor, Peush Sahni, Avinash Supe, SS Sikora, Vikram Kate TD Yadav, Biju Pottakkat, Jagadeesh Singh, Dhanapathi Halanaik 1 Cholecystectomy in difficult situations- Acute cholecystitis, Mirizzi Syndrome, Cirrhosis and Portal Hypertension 2 Clinical approach to gall bladder polypoid lesions 3 Technique of safe laparoscopic cholecystectomy Operative surgery 4 Cholecystectomy related bile leak- What next? 5 Classifications of bile duct injury and strictures- merits and pitfalls 6 Gall stones with CBD stones-what next? Guidelines 7 Hepatolithiasis and atrophy hypertrophy complex of liver Case discussion 8 Recurrent post cholecystectomy bile duct stricture Case discussion 9 Surgery for Choledochal cyst-techniques and tips Operative surgery 10 Laparoscopic common bile duct exploration Video lecture 11 Algorithmic approach to management decisions in gall bladder Guidelines cancer 12 Extended resectability criteria in gall bladder cancer Guidelines 13 Hilar cholangiocarcinoma- Evaluation and techniques of resection Video lecture 14 Strategies and techniques of high bilioenteric anastomosis Operative surgery 15 Percutaneous transhepatic biliary drainage and stenting- Indications and techniques 16 Segmentectomy 4B/5- How to perform Operative surgery 17 Endoscopic ultrasound Equipment demonstration 18 Malignant Hilar strictures Pictorial images essay 19 Nuclear scintigraphy/spect/spect-ct in hepatobiliary conditions Applied radiology 20 Flexible choledochoscope Equipment demonstration

4 Day 4-31 th August 2013 Pancreas RA Sastry, H Ramesh, P Jagannath, SS Sikora, Shailesh Shrikhande, Thomas Alexander RK Singh, Jagadeesh Singh, Biswajit Dubashi, Shyama Prem 1 Interpretation of Magnetic resonance cholangio-pancreatogram Basic radiology (MRCP) 2 Diagnosis and severity scoring in acute pancreatitis 3 Interventions in necrotising pancreatitis- timing and options 4 Pancreatic pseudocyst- Natural history, Selecting patients for intervention and timing of intervention 5 Extrapancreatic necrosis (EXPN) Case discussion 6 Chronic pancreatitis- Who benefits from operation and guidelines 7 Surgical procedures for chronic pancreatitis- Conventional and unconventional approaches 8 Frey s procedure Video lecture 9 Biliary stricture in chronic pancreatitis 10 Chronic pancreatitis, biliary stricture, inflammatory mass in tail Case discussion 11 Extended resectability options in carcinoma pancreas 12 Technique of Uncinate resection Operative surgery 13 Managing pancreatic stump after pancreatoduodenectomy Operative surgery 14 Neoadjuvant and adjuvant therapeutic options in pancreatic cancer 15 Complications of pancreatoduodenectomy- presentation, definition and management 16 Cholangioscopy Equipment demonstration 17 Tumor markers and their relevance in HPB malignancies 18 Inflammatory head mass of pancreas Case discussion 19 Endoscopic interventions in pancreas- Indications and techniques 20 Cysts and rare tumors of pancreas Pictorial images essay

5 Day 5-1 st September 2013 Minimally invasive surgery and miscellaneous C Palanivelu, Shailesh Shrikhande, V Vaithiswaran, Dhanapathi Halanaik 1 Application of laparoscopic ultrasound in HPB conditions 2 How to perform abdominal lymphadenectomy Operative surgery 3 Techniques of laparoscopic mobilization of the proximal and distal Operative surgery pancreas 4 Laparoscopic splenectomy Video lecture 5 Optimisation of parenteral nutrition 6 Laparoscopic cystogastrostomy Video lecture 7 Positron Emmission Tomography (PET) in HPB malignancies Applied radiology 8 Specialized surgical instruments in HPB Surgery Equipment demonstration Certificate examination Correspondence Biju Pottakkat Organizing Secretary 6th Certificate Course in HPB Surgery Dept. of Surgical Gastroenterology, 4th floor, Superspeciality Block, JIPMER, Puducherry, India ; Ph /7363; Mobile hpbcoursejipmer@gmail.com

6 th August 2018 Day 1 - Gallbladder & Bile duct Topic

6 th August 2018 Day 1 - Gallbladder & Bile duct Topic Venue: Sterling Hospital Auditorium, Sterling Hospitals, Gurukul Road Ahmedabad, Gujarat 6 th August 2018 Day 1 - Gallbladder & Bile duct Registration(8:00am-8:15am) Inauguration(8:15am-8:30am) Welcome

More information

SEPT 11-15, 2017 HPB CERTIFICATE COURSE

SEPT 11-15, 2017 HPB CERTIFICATE COURSE HPB CERTIFICATE COURSE IHPBA INDIAN CHAPTER PATRONS Dr. D.S. Rana Dr.Samiran Nundy COURSE DIRECTOR Dr.Naimish Mehta COURSE ORGANIZING TEAM Dr. Saumitra Rawat Dr. Amitabh Yadav Dr. Shailendra Lalwani Dr.

More information

Final Scientific Program

Final Scientific Program Venue: Auditorium, Sterling Hospital, Gurukul Road Ahmedabad Final Scientific Program 6th August 2018 Day 1 - Gallbladder & Bile duct 8:00am Registration(8.00am-8:15am) 08:15am-08:30am 15mins Inauguration(8:15am-8:30am)

More information

Hepato-Pancreatico-Biliary Surgery. Dr. Ankur J. Shah. MS, DNB, MNAMS, MRCSEd (UK), FRCS (UK)

Hepato-Pancreatico-Biliary Surgery. Dr. Ankur J. Shah. MS, DNB, MNAMS, MRCSEd (UK), FRCS (UK) Hepato-Pancreatico-Biliary Surgery Dr. Ankur J. Shah MS, DNB, MNAMS, MRCSEd (UK), FRCS (UK) Consultant Hepato-Pancreatico-Biliary and Liver Transplant Surgeon Ansh Liver Clinic Prevention to Cure Address

More information

Newcastle HPB MDM updated radiology imaging protocol recommendations. Author Dr John Scott. Consultant Radiologist Freeman Hospital

Newcastle HPB MDM updated radiology imaging protocol recommendations. Author Dr John Scott. Consultant Radiologist Freeman Hospital Newcastle HPB MDM updated radiology imaging protocol recommendations Author Dr John Scott. Consultant Radiologist Freeman Hospital This document is intended as a guide to aid radiologists and clinicians

More information

Imaging of liver and pancreas

Imaging of liver and pancreas Imaging of liver and pancreas.. Disease of the liver Focal liver disease Diffusion liver disease Focal liver disease Benign Cyst Abscess Hemangioma FNH Hepatic adenoma HCC Malignant Fibrolamellar carcinoma

More information

Appendix 5. EFSUMB Newsletter. Gastroenterological Ultrasound

Appendix 5. EFSUMB Newsletter. Gastroenterological Ultrasound EFSUMB Newsletter 87 Examinations should encompass the full range of pathological conditions listed below A log book listing the types of examinations undertaken should be kept Training should usually

More information

Post-operative complications following hepatobiliary surgery: imaging findings and current radiological treatment options

Post-operative complications following hepatobiliary surgery: imaging findings and current radiological treatment options Post-operative complications following hepatobiliary surgery: imaging findings and current radiological treatment options Poster No.: C-1501 Congress: ECR 2015 Type: Educational Exhibit Authors: A. Hadjivassiliou,

More information

BILIARY TRACT & PANCREAS, PART II

BILIARY TRACT & PANCREAS, PART II CME Pretest BILIARY TRACT & PANCREAS, PART II VOLUME 41 1 2015 A pretest is mandatory to earn CME credit on the posttest. The pretest should be completed BEFORE reading the overview. Both tests must be

More information

The Fellowship Council And The American Hepato-Pancreatico Biliary Association

The Fellowship Council And The American Hepato-Pancreatico Biliary Association The Fellowship Council And The American Hepato-Pancreatico Biliary Association Advanced GI Surgery Curriculum for Hepato-Pancreatic & Biliary Surgery Fellowship 1. Introduction The purpose of Fellowship

More information

Revised Annual Program Volumes for ASTS Accreditation Approved May 2013 Revised June 2016

Revised Annual Program Volumes for ASTS Accreditation Approved May 2013 Revised June 2016 Overview This document outlines new requirements and processes for ASTS accreditation of transplant surgery fellowships including volume requirements for ASTS accreditation, as well as the individual training

More information

Hepatobiliary and Pancreatic Malignancies

Hepatobiliary and Pancreatic Malignancies Hepatobiliary and Pancreatic Malignancies Gareth Eeson MD MSc FRCSC Surgical Oncologist and General Surgeon Kelowna General Hospital Interior Health Consultant, Surgical Oncology BC Cancer Agency Centre

More information

LIVER. Question 1 ~ Anatomy. Answer 1 ~ Anatomy 1/5/2018. SEMCME Board Review January 11-12, 2017

LIVER. Question 1 ~ Anatomy. Answer 1 ~ Anatomy 1/5/2018. SEMCME Board Review January 11-12, 2017 SEMCME Board Review January 11-12, 2017 Surgical Treatment of Hepatobiliary and Splenic Disorders Michael J. Jacobs, MD, FACS, FICS Clinical Professor of Surgery- MSU CHM Associate Chair of Surgery Director

More information

Surgical Treatment of Hepatobiliary and Splenic Disorders

Surgical Treatment of Hepatobiliary and Splenic Disorders SEMCME Board Review January 10-11, 2019 Surgical Treatment of Hepatobiliary and Splenic Disorders Michael J. Jacobs, MD, FACS, FICS Clinical Professor of Surgery- MSU CHM Associate Chair of Surgery Director

More information

General Surgery Curriculum Royal Australasian College of Surgeons, General Surgeons Australia & New Zealand Association of General Surgeons

General Surgery Curriculum Royal Australasian College of Surgeons, General Surgeons Australia & New Zealand Association of General Surgeons General Surgery Curriculum Royal Australasian College of Surgeons, General Surgeons Australia & New Zealand Association of General Surgeons MODULE TITLE: UPPER GI & HPB - HEPATIC, PANCREATIC & BILIARY

More information

General Surgery Curriculum Royal Australasian College of Surgeons, General Surgeons Australia & New Zealand Association of General Surgeons

General Surgery Curriculum Royal Australasian College of Surgeons, General Surgeons Australia & New Zealand Association of General Surgeons General Surgery Curriculum Royal Australasian College of Surgeons, General Surgeons Australia & New Zealand Association of General Surgeons MODULE TITLE: UPPER GI & HPB - HEPATIC, PANCREATIC & BILIARY

More information

Liver Cancer (Hepatocellular Carcinoma or HCC) Overview

Liver Cancer (Hepatocellular Carcinoma or HCC) Overview Liver Cancer (Hepatocellular Carcinoma or HCC) Overview Recent advances in liver cancer care seek to address the rising incidence of liver cancer, which has steadily increased over the past three decades.

More information

General Surgery PURPLE SERVICE MUHC-RVH Site

General Surgery PURPLE SERVICE MUHC-RVH Site Preamble HPB is a clinical teaching unit with several different vocations: It regroups all solid organ Transplantation as well as most advanced Hepatobiliary and Pancreatic clinical activities performed

More information

Multiple Primary Quiz

Multiple Primary Quiz Multiple Primary Quiz Case 1 A 72 year old man was found to have a 12 mm solid lesion in the pancreatic tail by computed tomography carried out during a routine follow up study of this patient with adult

More information

State of the Art Imaging for Hepatic Malignancy: My Assignment

State of the Art Imaging for Hepatic Malignancy: My Assignment State of the Art Imaging for Hepatic Malignancy: My Assignment CT vs MR vs MRCP Which one to choose for HCC vs Cholangiocarcinoma What special protocols to use for liver tumors Role of PET and Duplex US

More information

A LEADER IN ADVANCED ENDOSCOPY AND HEPATOBILIARY SURGERY

A LEADER IN ADVANCED ENDOSCOPY AND HEPATOBILIARY SURGERY A LEADER IN ADVANCED ENDOSCOPY AND HEPATOBILIARY SURGERY St. Peter s Hospital Advanced Endoscopy & Hepatobiliary Center Welcome The St. Peter s Hospital Advanced Endoscopy & Hepatobiliary Center is a leader

More information

Management of Cholangiocarcinoma. Roseanna Lee, MD PGY-5 Kings County Hospital

Management of Cholangiocarcinoma. Roseanna Lee, MD PGY-5 Kings County Hospital Management of Cholangiocarcinoma Roseanna Lee, MD PGY-5 Kings County Hospital Case Presentation 37 year old male from Yemen presented with 2 week history of epigastric pain, anorexia, jaundice and puritis.

More information

CHOLANGIOCARCINOMA (CCA)

CHOLANGIOCARCINOMA (CCA) CHOLANGIOCARCINOMA (CCA) Deepak Hariharan MD (Research), FRCS, Locum Consultant HPB Surgeon AIM Outline essential facts & principles Present 4 cases Discuss Challenges /Controversies INTRODUCTION Most

More information

Index. Note: Page numbers of article titles are in boldface type.

Index. Note: Page numbers of article titles are in boldface type. Index Note: Page numbers of article titles are in boldface type. A Acute variceal bleeding management of, 251 262 balloon tamponade of esophagus in, 257 258 endoscopic therapies in, 255 257. See also Endoscopy,

More information

LiverGroup.org. Case Report Form (CRF) for STAGED procedures

LiverGroup.org. Case Report Form (CRF) for STAGED procedures Case Report Form (CRF) for STAGED procedures Patient Characteristics Case number * Age * ( 18)y Gender * Male Female Race * Caucasian Asian African Other If other race, please specify Height * cm Weight

More information

Biliary tree dilation - and now what?

Biliary tree dilation - and now what? Biliary tree dilation - and now what? Poster No.: C-1767 Congress: ECR 2012 Type: Educational Exhibit Authors: I. Ferreira, A. B. Ramos, S. Magalhães, M. Certo; Porto/PT Keywords: Pathology, Diagnostic

More information

Liver Cancer And Tumours

Liver Cancer And Tumours Liver Cancer And Tumours What causes liver cancer? Many factors may play a role in the development of cancer. Because the liver filters blood from all parts of the body, cancer cells from elsewhere can

More information

GASTROINTESTINAL IMAGING STUDY GUIDE

GASTROINTESTINAL IMAGING STUDY GUIDE GASTROINTESTINAL IMAGING STUDY GUIDE Pharynx Diverticula Foreign bodies Trauma o Motility Disorders Esophagus Diverticula Trauma Esophagitis Barrett esophagus Rings, webs, and strictures Varices Benign

More information

How to integrate surgery in the treatment of patients with liver-only metastatic disease

How to integrate surgery in the treatment of patients with liver-only metastatic disease How to integrate surgery in the treatment of patients with liver-only metastatic disease Luis Sabater Ortí MD, PhD Associate Professor University of Valencia European Board Surgical Qualification HBP (EBSQ-HPB)

More information

Hilar cholangiocarcinoma. Frank Wessels, Maarten van Leeuwen, UMCU utrecht

Hilar cholangiocarcinoma. Frank Wessels, Maarten van Leeuwen, UMCU utrecht Hilar cholangiocarcinoma Frank Wessels, Maarten van Leeuwen, UMCU utrecht Content Anatomy Biliary strictures (Hilar) Cholangiocarcinoom Staging Biliary tract 1 st order Ductus hepatica dextra Ductus hepaticus

More information

Navigating the Biliary Tract with CT & MR: An Imaging Approach to Bile Duct Obstruction

Navigating the Biliary Tract with CT & MR: An Imaging Approach to Bile Duct Obstruction Navigating the Biliary Tract with CT & MR: An Imaging Approach to Bile Duct Obstruction Ann S. Fulcher, MD Medical College of Virginia Virginia Commonwealth University Richmond, Virginia Objectives To

More information

PANCREATIC CANCER GUIDELINES

PANCREATIC CANCER GUIDELINES PANCREATIC CANCER GUIDELINES North-East London Cancer Network & Barts and the London HPB Centre PROTOCOL FOR MANAGEMENT OF PANCREATIC CANCER (SEPTEMBER 2010) I. PRE-REFERRAL GUIDELINES Screening 1. Offer

More information

ROLE OF RADIOLOGY IN INVESTIGATION OF JAUNDICE

ROLE OF RADIOLOGY IN INVESTIGATION OF JAUNDICE ROLE OF RADIOLOGY IN INVESTIGATION OF JAUNDICE Dr. Sohan kumar sah *, Dr. Liu Sibin, Dr. sumendra raj pandey, Dr. Prakashmaan shah, Dr. Gaurishankar pandit, Dr. Suraj kurmi and Dr. Sanjay kumar jaiswal

More information

Guidelines, Policies and Statements D5 Statement on Abdominal Scanning

Guidelines, Policies and Statements D5 Statement on Abdominal Scanning Guidelines, Policies and Statements D5 Statement on Abdominal Scanning Disclaimer and Copyright The ASUM Standards of Practice Board have made every effort to ensure that this Guideline/Policy/Statement

More information

Personal Profile. Name: 劉 XX Gender: Female Age: 53-y/o Past history. Hepatitis B carrier

Personal Profile. Name: 劉 XX Gender: Female Age: 53-y/o Past history. Hepatitis B carrier Personal Profile Name: 劉 XX Gender: Female Age: 53-y/o Past history Hepatitis B carrier Chief complaint Fever on and off for 2 days Present illness 94.10.14 Sudden onset of epigastric pain 94.10.15 Fever

More information

Index. Note: Page numbers of article titles are in boldface type.

Index. Note: Page numbers of article titles are in boldface type. Index Note: Page numbers of article titles are in boldface type. A ACLF. See Acute-on-chronic liver failure (ACLF) Acute kidney injury (AKI) in ACLF patients, 967 Acute liver failure (ALF), 957 964 causes

More information

Hepatocellular Carcinoma: Diagnosis and Management

Hepatocellular Carcinoma: Diagnosis and Management Hepatocellular Carcinoma: Diagnosis and Management Nizar A. Mukhtar, MD Co-director, SMC Liver Tumor Board April 30, 2016 1 Objectives Review screening/surveillance guidelines Discuss diagnostic algorithm

More information

Information and support

Information and support Treatment for liver cancer Last reviewed May 2012 Contents Surgery Tumour ablation Chemotherapy Transarterial chemoembolisation (TACE) Radiotherapy Other treatments Alcohol injection Cryotherapy Endoscopic

More information

Optimal Bile Duct Division Using Real- Time Indocyanine Green Near-Infrared Fluorescence Cholangiography During Laparoscopic Donor Hepatectomy

Optimal Bile Duct Division Using Real- Time Indocyanine Green Near-Infrared Fluorescence Cholangiography During Laparoscopic Donor Hepatectomy LETTERS FROM THE FRONTLINE Optimal Bile Duct Division Using Real- Time Indocyanine Green Near-Infrared Fluorescence Cholangiography During Laparoscopic Donor Hepatectomy TO THE EDITOR: Despite advances

More information

Liver Tumors. Patient Education. Treatment options 8 4A. About the Liver. Surgical Specialties

Liver Tumors. Patient Education. Treatment options 8 4A. About the Liver. Surgical Specialties Patient Education Treatment options This handout describes different kinds of tumors that form in the liver and how they are treated. About the Liver Your liver is the largest organ in your abdomen. It

More information

Gall bladder cancer. Information for patients Hepatobiliary

Gall bladder cancer. Information for patients Hepatobiliary Gall bladder cancer Information for patients Hepatobiliary page 2 of 12 Who will provide my care? You will be cared for by a number of professionals who work together. These professionals will be specialist

More information

Management of Colorectal Liver Metastases

Management of Colorectal Liver Metastases Management of Colorectal Liver Metastases MM Bernon, JEJ Krige HPB Surgical Unit, Groote Schuur Hospital Department of Surgery, University of Cape Town 50% of patients with colorectal cancer develop liver

More information

Biliary Anatomy in Living-related Liver Transplantation

Biliary Anatomy in Living-related Liver Transplantation The 5th IHPBA Congress - Istanbul Biliary Anatomy in Living-related Liver Transplantation biliary trees hilar plate Assessment for Vascular Anatomy 1. 3DCT portal vein hepatic vein hepatic artery 2. No

More information

Alice Fung, MD Oregon Health and Science University

Alice Fung, MD Oregon Health and Science University Alice Fung, MD Oregon Health and Science University Disclosure Comments The speaker Alice Fung, MD Has relevant financial relationships to disclose. Received honorarium from (Guerbet). This individual

More information

Complication of Laparoscopic Cholecystectomy

Complication of Laparoscopic Cholecystectomy Complication of Laparoscopic Cholecystectomy R.K.Mishra What to do if something goes wrong There is not a single laparoscopic surgeon in the world who has not damaged CBD Complications Early Common bile

More information

Abdomen Sonography Examination Content Outline

Abdomen Sonography Examination Content Outline Abdomen Sonography Examination Content Outline (Outline Summary) # Domain Subdomain Percentage 1 2 3 Anatomy, Perfusion, and Function Pathology, Vascular Abnormalities, Trauma, and Postoperative Anatomy

More information

Rokitansky-Aschoff sinuses are epithelial invaginations in the gallbladder wall that from as a result of increased gallbladder pressures.

Rokitansky-Aschoff sinuses are epithelial invaginations in the gallbladder wall that from as a result of increased gallbladder pressures. Anatomy The complexity of the biliary tree can be broken down into much simpler segments. The intrahepatic ducts converge to form the right and left hepatic ducts which exit the liver and join to become

More information

Interventional Radiology in Liver Cancer. Nakarin Inmutto MD

Interventional Radiology in Liver Cancer. Nakarin Inmutto MD Interventional Radiology in Liver Cancer Nakarin Inmutto MD Liver cancer Primary liver cancer Hepatocellular carcinoma Cholangiocarcinoma Metastasis Interventional Radiologist Diagnosis Imaging US / CT

More information

Dr Claire Smith, Consultant Radiologist St James University Hospital Leeds

Dr Claire Smith, Consultant Radiologist St James University Hospital Leeds Dr Claire Smith, Consultant Radiologist St James University Hospital Leeds Imaging in jaundice and 2ww pathway Image protocol Staging Limitations Pancreatic cancer 1.2.4 Refer people using a suspected

More information

Bile Duct Injury during Lap Chole. Bile Duct Injury during cholecystectomy TOPICS. 1. Prevalence, mechanisms, prevention and diagnosis

Bile Duct Injury during Lap Chole. Bile Duct Injury during cholecystectomy TOPICS. 1. Prevalence, mechanisms, prevention and diagnosis Bile Duct Injury during cholecystectomy Catherine HUBERT Jean-Fran François GIGOT Benoît t NAVEZ Division of Hepato-Biliary Biliary-Pancreatic Surgery Department of Abdominal Surgery and Transplantation

More information

Laparoscopic & Robotic Surgery in Pancreas Disease

Laparoscopic & Robotic Surgery in Pancreas Disease 2007 년도대한췌담도학회추계학술대회 Session IV: Recent Updates in Pancreatobiliary Diseases Laparoscopic & Robotic Surgery in Pancreas Disease Department of Surgery, Yonsei University College of Medicine, Korea Woo-Jung

More information

A patient with an unusual congenital anomaly of the pancreaticobiliary tree

A patient with an unusual congenital anomaly of the pancreaticobiliary tree A patient with an unusual congenital anomaly of the pancreaticobiliary tree Thomas Hocker, HMS IV BIDMC Core Radiology Case Presentation September 17, 2007 Review of Normal Pancreaticobiliary Tract Anatomy

More information

GUIDELINES FOR COMPETENCY BASED POSTGRADUATE TRAINING PROGRAMME FOR M.Ch. IN HEPATO PANCREATO BILIARY (HPB) SURGERY SUBJECT SPECIFIC OBJECTIVES

GUIDELINES FOR COMPETENCY BASED POSTGRADUATE TRAINING PROGRAMME FOR M.Ch. IN HEPATO PANCREATO BILIARY (HPB) SURGERY SUBJECT SPECIFIC OBJECTIVES GUIDELINES FOR COMPETENCY BASED POSTGRADUATE TRAINING PROGRAMME FOR M.Ch. IN HEPATO PANCREATO BILIARY (HPB) SURGERY Preamble The aims and objectives of M.Ch. training should be to train surgeons with adequate

More information

Index. Note: Page numbers of article titles are in boldface type.

Index. Note: Page numbers of article titles are in boldface type. Note: Page numbers of article titles are in boldface type. A Adenocarcinoma, pancreatic ductal, laparoscopic distal pancreatectomy for, 61 Adrenal cortical carcinoma, laparoscopic adrenalectomy for, 114

More information

Hepatobiliary Malignancies Retrospective Study at Truman Medical Center

Hepatobiliary Malignancies Retrospective Study at Truman Medical Center Hepatobiliary Malignancies 206-207 Retrospective Study at Truman Medical Center Brandon Weckbaugh MD, Prarthana Patel & Sheshadri Madhusudhana MD Introduction: Hepatobiliary malignancies are cancers which

More information

Liver Tumors. Prof. Dr. Ahmed El - Samongy

Liver Tumors. Prof. Dr. Ahmed El - Samongy Liver Tumors Prof. Dr. Ahmed El - Samongy Objective 1. Identify the most important features of common benign liver tumors 2. Know the risk factors, diagnosis, and management of hepatocellular carcinoma

More information

Case Report Uncommon Mixed Type I and II Choledochal Cyst: An Indonesian Experience

Case Report Uncommon Mixed Type I and II Choledochal Cyst: An Indonesian Experience Case Reports in Surgery Volume 2013, Article ID 821032, 4 pages http://dx.doi.org/10.1155/2013/821032 Case Report Uncommon Mixed Type I and II Choledochal Cyst: An Indonesian Experience Fransisca J. Siahaya,

More information

Original article: new surgical approaches to the Klatskin tumour

Original article: new surgical approaches to the Klatskin tumour Alimentary Pharmacology & Therapeutics Original article: new surgical approaches to the Klatskin tumour T. M. VAN GULIK*, S. DINANT*, O. R. C. BUSCH*, E. A. J. RAUWS, H. OBERTOP* & D. J. GOUMA Departments

More information

Cholangiocarcinoma (Bile Duct Cancer)

Cholangiocarcinoma (Bile Duct Cancer) Cholangiocarcinoma (Bile Duct Cancer) The Bile Duct System (Biliary Tract) A network of bile ducts (tubes) connects the liver and the gallbladder to the small intestine. This network begins in the liver

More information

Radiology of hepatobiliary diseases

Radiology of hepatobiliary diseases GI cycle - Lecture 14 436 Teams Radiology of hepatobiliary diseases Objectives 1. To Interpret plan x-ray radiograph of abdomen with common pathologies. 2. To know the common pathologies presentation.

More information

In any operation. Indications. Anaesthesia. Position of the patient. Incision. Steps of the operation. Complications.

In any operation. Indications. Anaesthesia. Position of the patient. Incision. Steps of the operation. Complications. In any operation Indications. Anaesthesia. Position of the patient. Incision. Steps of the operation. Complications. Abdominal operation I position for operation Supine Abdominal operation I position for

More information

pitfall Table 1 4 disorientation pitfall pitfall Table 1 Tel:

pitfall Table 1 4 disorientation pitfall pitfall Table 1 Tel: 11 687 692 2002 pitfall 1078 29 17 9 1 2 3 dislocation outflow block 11 1 2 3 9 1 2 3 4 disorientation pitfall 11 687 692 2002 Tel: 075-751-3606 606-8507 54 2001 8 27 2002 10 31 29 4 pitfall 16 1078 Table

More information

Imaging of common diseases of hepatobiliary and GI system

Imaging of common diseases of hepatobiliary and GI system Imaging of common diseases of hepatobiliary and GI system Natthaporn Tanpowpong, M.D. Diagnostic radiology Faculty of Medicine, Chulalongkorn University Normal plain radiograph A = Common bile duct

More information

HEPATIC METASTASES. We can state 3 types of metastases depending on their treatment options:

HEPATIC METASTASES. We can state 3 types of metastases depending on their treatment options: HEPATIC METASTASES 1. Definition Metastasis means the spread of cancer. Cancerous cells can separate from the primary tumor and enter the bloodstream or the lymphatic system (the one that produces, stores,

More information

Cholangiocellular carcinoma. Dr. med. Henrik Csaba Horváth PhD

Cholangiocellular carcinoma. Dr. med. Henrik Csaba Horváth PhD Cholangiocellular carcinoma Dr. med. Henrik Csaba Horváth PhD Acalculous biliary diseases April 12, 2017 2 Cholangiocarcinoma A slow growing malignancy of the biliary tract which tend - to infiltrate locally

More information

Original Policy Date 12:2013

Original Policy Date 12:2013 MP 6.01.30 Magnetic Resonance Cholangiopancreatography Medical Policy Section Radiology Is12:2013sue 3:2005 Original Policy Date 12:2013 Last Review Status/Date 12:2013 Return to Medical Policy Index Disclaimer

More information

Imaging in gastric cancer

Imaging in gastric cancer Imaging in gastric cancer Gastric cancer remains a deadly disease because of late diagnosis. Adenocarcinoma represents 90% of malignant tumors. Diagnosis is based on endoscopic examination with biopsies.

More information

Update in abdominal Surgery in cirrhotic patients

Update in abdominal Surgery in cirrhotic patients Update in abdominal Surgery in cirrhotic patients Safi Dokmak HBP department and liver transplantation Beaujon Hospital, Clichy, France Cairo, 5 April 2016 Cirrhosis Prevalence in France (1%)* Patients

More information

Index (SIRS), 158, 173

Index (SIRS), 158, 173 Index A Acute pancreatitis surgery abdominal compartment syndrome, 188 adjuvant treatment, 194 anterior approach, 175 antibiotic prophylaxis, 166 167, 197 Atlanta classification, 181 classification of

More information

HOW I DO IT Feasibility of Bisegmentectomy 7 8 is Independent of the Presence of a Large Inferior Right Hepatic Vein

HOW I DO IT Feasibility of Bisegmentectomy 7 8 is Independent of the Presence of a Large Inferior Right Hepatic Vein Journal of Surgical Oncology 2006;93:338 342 HOW I DO IT Feasibility of Bisegmentectomy 7 8 is Independent of the Presence of a Large Inferior Right Hepatic Vein MARCEL AUTRAN C. MACHADO, MD, 1,2 * PAULO

More information

IMAGING OF LIVER, BILIARY TREE, PANCREAS

IMAGING OF LIVER, BILIARY TREE, PANCREAS IMAGING OF LIVER, BILIARY TREE, PANCREAS Department of Radiology West China Hospital, Sichuan University Yao Jin Learning Points The methodology for imaging the LBP (liver, biliary tree, and pancreas )

More information

Staging & Current treatment of HCC

Staging & Current treatment of HCC Staging & Current treatment of HCC Dr.: Adel El Badrawy Badrawy; ; M.D. Staging & Current ttt of HCC Early stage HCC is typically silent. HCC is often advanced at first manifestation. The selective ttt

More information

Index. Surg Oncol Clin N Am 16 (2007) Note: Page numbers of article titles are in boldface type.

Index. Surg Oncol Clin N Am 16 (2007) Note: Page numbers of article titles are in boldface type. Surg Oncol Clin N Am 16 (2007) 465 469 Index Note: Page numbers of article titles are in boldface type. A Adjuvant therapy, preoperative for gastric cancer, staging and, 339 B Breast cancer, metabolic

More information

Lobar and segmental liver atrophy associated with hilar cholangiocarcinoma and the impact of hilar biliary anatomical variants: a pictorial essay

Lobar and segmental liver atrophy associated with hilar cholangiocarcinoma and the impact of hilar biliary anatomical variants: a pictorial essay Insights Imaging (2011) 2:525 531 DOI 10.1007/s13244-011-0100-9 PICTORIAL REVIEW Lobar and segmental liver atrophy associated with hilar cholangiocarcinoma and the impact of hilar biliary anatomical variants:

More information

Liver Transplantation

Liver Transplantation 1 Liver Transplantation Department of Surgery Yonsei University Wonju College of Medicine Kim Myoung Soo M.D. ysms91@wonju.yonsei.ac.kr http://gs.yonsei.ac.kr History Development of Liver transplantation

More information

LIVER IMAGING TIPS IN VARIOUS MODALITIES. M.Vlychou, MD, PhD Assoc. Professor of Radiology University of Thessaly

LIVER IMAGING TIPS IN VARIOUS MODALITIES. M.Vlychou, MD, PhD Assoc. Professor of Radiology University of Thessaly LIVER IMAGING TIPS IN VARIOUS MODALITIES M.Vlychou, MD, PhD Assoc. Professor of Radiology University of Thessaly Hepatocellular carcinoma is a common malignancy for which prevention, screening, diagnosis,

More information

16 April 2010 Resident Teaching Conference. Pancreatitis. W. H. Nealon, M.D., F.A.C.S. J.J. Smith, M.D., D.W.D.

16 April 2010 Resident Teaching Conference. Pancreatitis. W. H. Nealon, M.D., F.A.C.S. J.J. Smith, M.D., D.W.D. 16 April 2010 Resident Teaching Conference Pancreatitis W. H. Nealon, M.D., F.A.C.S. J.J. Smith, M.D., D.W.D. Santorini Wirsung anatomy.med.umich.edu/.../ duodenum_ans.html Bud and ductology Ventral pancreatic

More information

Malignant Obstructive Jaundice has dismal

Malignant Obstructive Jaundice has dismal Proceeding S.Z.P.G.M.L vol: 22(2}: pp. 79-83, 2008. Anatomic Level of Biliary Obstruction and Outcome of Pre-Operative Biliary Stenting in Malignant Obstructive Jaundice -A Shaikh Zayed Hospital Experience

More information

Surgical Management of CBD Injury Jin Seok Heo

Surgical Management of CBD Injury Jin Seok Heo Surgical Management of CBD Injury Jin Seok Heo Department of Surgery, Samsung Medical Center Sungkyunkwan University School of Medicine, Seoul, Republic of Korea Bile duct injury (BDI) Introduction Incidence

More information

Radiofrequency Ablation of Liver Tumors

Radiofrequency Ablation of Liver Tumors Radiofrequency Ablation of Liver Tumors Michael M. Awad, Michael A. Choti Indications and Contraindications Indications Unresectable malignant tumors of the liver (e.g., hepatocellular carcinoma, colorectal

More information

Yoshitsugu; Kanematsu, Takashi; Kur

Yoshitsugu; Kanematsu, Takashi; Kur NAOSITE: Nagasaki University's Ac Title Author(s) Citation Laparoscopic Middle Pancreatectomy Surgery Kitasato, Amane; Adachi, Tomohiko; Yoshitsugu; Kanematsu, Takashi; Kur Hepato-Gastroenterology, 59(120),

More information

P R O G R A M. 08:50 09:10 Present and future of surgery of pancreatic cancer: how far can we go?

P R O G R A M. 08:50 09:10 Present and future of surgery of pancreatic cancer: how far can we go? P R O G R A M Course Day 1, Friday November 2, 2018 08:30 08:00 Official Opening Welcome Address 08:30 08:35 08:35 08:40 08:40 08:45 08:45 08:50 Jakob Izbicki (Germany), EFISDS President T. Seufferlein

More information

LIVER SURGERY 2. Case 1. Med 5 Refresher Course (Surgery) 2013/14. Dr Sunny Cheung

LIVER SURGERY 2. Case 1. Med 5 Refresher Course (Surgery) 2013/14. Dr Sunny Cheung LIVER SURGERY 2 Med 5 Refresher Course (Surgery) 2013/14 24 Jun 2013 Dr Sunny Cheung Case 1 50/M Sudden onset of epigastric pain Abdominal distension Confused HR 120 BP 80/50 Haemocue = 8 What should you

More information

TREATMENT FOR HCC AND CHOLANGIOCARCINOMA. Shawn Pelletier, MD

TREATMENT FOR HCC AND CHOLANGIOCARCINOMA. Shawn Pelletier, MD TREATMENT FOR HCC AND CHOLANGIOCARCINOMA Shawn Pelletier, MD Treatment for HCC Treatment strategies Curative first line therapy Thermal ablation vs Resection vs Transplant Other first line therapies TACE

More information

Case Report Heterotopic Pancreas within the Proximal Hepatic Duct, Containing Intraductal Papillary Mucinous Neoplasm

Case Report Heterotopic Pancreas within the Proximal Hepatic Duct, Containing Intraductal Papillary Mucinous Neoplasm Case Reports in Surgery Volume 2015, Article ID 816960, 4 pages http://dx.doi.org/10.1155/2015/816960 Case Report Heterotopic Pancreas within the Proximal Hepatic Duct, Containing Intraductal Papillary

More information

Portal Vein in a Patient Undergoing Hepatic Resection

Portal Vein in a Patient Undergoing Hepatic Resection HPB Surgery, 1997, Vol. 10, pp. 323-327 Reprints available directly from the publisher Photocopying permitted by license only (C) 1997 OPA (Overseas Publishers Association) Amsterdam B.V. Published in

More information

4/9/2018 OBJECTIVES PANCREAOTO BILIARY ULTRASOUND: BEYOND CHOLECYSTITIS

4/9/2018 OBJECTIVES PANCREAOTO BILIARY ULTRASOUND: BEYOND CHOLECYSTITIS PANCREAOTO BILIARY ULTRASOUND: BEYOND CHOLECYSTITIS Jean Yves Sewah Kaiser Permanente West Los Angeles 1 OBJECTIVES Discuss the role of ultrasound in the evaluation of the gallbladder, biliary tree and

More information

Job Task Analysis for ARDMS Abdomen Data Collected: June 30, 2011

Job Task Analysis for ARDMS Abdomen Data Collected: June 30, 2011 Job Task Analysis for ARDMS Abdomen Data Collected: June 30, 2011 Reported: Analysis Summary for: Abdomen Examination Survey Dates 06/13/2011-06/26/2011 Invited Respondents 6,000 Surveys with Demographics

More information

Gastrointestinal System: Accessory Organ Disorders

Gastrointestinal System: Accessory Organ Disorders Gastrointestinal System: Accessory Organ Disorders Mary DeLetter, PhD, RN Associate Professor Dept. of Baccalaureate and Graduate Nursing Eastern Kentucky University Disorders of Accessory Organs Portal

More information

Case Scenario 1. Discharge Summary

Case Scenario 1. Discharge Summary Case Scenario 1 Discharge Summary A 69-year-old woman was on vacation and noted that she was becoming jaundiced. Two months prior to leaving on that trip, she had had a workup that included an abdominal

More information

Proximal Bile Duct Cancer: Contemporary Management. William R. Jarnagin, MD, FACS

Proximal Bile Duct Cancer: Contemporary Management. William R. Jarnagin, MD, FACS Proximal Bile Duct Cancer: Contemporary Management William R. Jarnagin, MD, FACS Biliary Tract Adenocarcinoma Spectrum of disease Intrahepatic (IHC) Hilar EH Gallbladder GB CBD Distal D PD Biliary Tract

More information

Greater Manchester and Cheshire HPB Unit Guidelines for the Assessment & Management of Hepatobiliary and Pancreatic Disease Chapter 5

Greater Manchester and Cheshire HPB Unit Guidelines for the Assessment & Management of Hepatobiliary and Pancreatic Disease Chapter 5 Greater Manchester and Cheshire HPB Unit Guidelines for the Assessment & Management of Hepatobiliary and Pancreatic Disease Chapter 5 Contents 5. Assessment & Management of Liver Metastases 42 5.1. Metachronous

More information

Resident Teaching Conference:

Resident Teaching Conference: Resident Teaching Conference: Evaluation of the Dreaded Liver Mass May 6, 2011 Sunil Geevarghese, MD, HS 00 Matt Landman, MD Anatomy Overview Couinaud anatomy Resection nomenclature Functional Assessment

More information

A CASE REPORT OF SPONTANEOUS BILOMA - AN ENIGMATIC SURGICAL PROBLEM

A CASE REPORT OF SPONTANEOUS BILOMA - AN ENIGMATIC SURGICAL PROBLEM A CASE REPORT OF SPONTANEOUS BILOMA - AN ENIGMATIC SURGICAL PROBLEM *Sumanta Kumar Ghosh and Biswajit Mukherjee ESIC Medical College, Joka, Kolkata, India *Author for Correspondence ABSTRACT Occurrence

More information

Surgical Workload, Outcome and Research Database: V1.1

Surgical Workload, Outcome and Research Database: V1.1 Technical Guidance for Surgical Workload, Outcome and Research Database: V1.1 Contents 1. Standard Indicators... 5 1.1. Activity Volume... 5 1.2. Average Length of Stay (Days)... 5 1.3. 2/7/30 day Re-admission

More information

En-liang Li 1,2, Rong-fa Yuan 1, Wen-jun Liao 1, Qian Feng 1, Jun Lei 1, Xiang-bao Yin 1, Lin-quan Wu 1* and Jiang-hua Shao 1

En-liang Li 1,2, Rong-fa Yuan 1, Wen-jun Liao 1, Qian Feng 1, Jun Lei 1, Xiang-bao Yin 1, Lin-quan Wu 1* and Jiang-hua Shao 1 Li et al. BMC Surgery (2019) 19:16 https://doi.org/10.1186/s12893-019-0480-1 RESEARCH ARTICLE Open Access Intrahepatic bile exploration lithotomy is a useful adjunctive hepatectomy method for bilateral

More information

Intraoperative staging of GIT cancer using Intraoperative Ultrasound

Intraoperative staging of GIT cancer using Intraoperative Ultrasound Intraoperative staging of GIT cancer using Intraoperative Ultrasound Thesis For Fulfillment of MSc Degree In Surgical Oncology By Abdelhalim Salah Abdelhalim Moursi M.B.B.Ch (Cairo University ) Supervisors

More information

Chronic Cholestatic Liver Diseases

Chronic Cholestatic Liver Diseases Chronic Cholestatic Liver Diseases - EASL Clinical Practice Guidelines - Rome, 8 October 2010 Ulrich Beuers Department of Gastroenterology and Hepatology Tytgat Institute of Liver and Intestinal Research

More information

Treatment of chronic calcific pancreatitis endoscopy versus surgery

Treatment of chronic calcific pancreatitis endoscopy versus surgery Treatment of chronic calcific pancreatitis endoscopy versus surgery 35 - year old ladypresented to LPC Mumbai with intermittent abdominal pain. Pain was intermittent, colicky, more in epigastrium and periumbilical

More information

Surgical Management of Chronic Pancreatitis VERENA LIU, MD KINGS COUNTY HOSPITAL CENTER SURGERY GRAND ROUNDS 4/1/2013

Surgical Management of Chronic Pancreatitis VERENA LIU, MD KINGS COUNTY HOSPITAL CENTER SURGERY GRAND ROUNDS 4/1/2013 Surgical Management of Chronic Pancreatitis VERENA LIU, MD KINGS COUNTY HOSPITAL CENTER SURGERY GRAND ROUNDS 4/1/2013 Case Report 42F with h/o chronic pancreatitis due to alcohol use with chronic upper

More information