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Article
Laparoscopic biliary tract injury: what are the limits of prevention?
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Article
Training surgeons in endoscopic retrograde cholangiopancreatography
General surgeons commonly perform upper gastrointestinal endoscopy in practice, but few perform endoscopic retrograde cholangiopancreatography (ERCP), partly because of limited training opportunities. This rep...
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Article
Role of pancreatic duct stenting in the treatment of chronic pancreatitis
Endoscopic retrograde cholangiopancreatography and stent placement are relatively new alternatives to surgery for the treatment of chronic pancreatitis. The objective of this study was to determine the efficac...
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Article
Laparoscopic choledochojejunostomy and gastrojejunostomy in a porcine model
Background: Surgical extirpation remains the only known curative treatment for cancer of the pancreas. Because of locally advanced or metastatic tumor, up to 80% of patients are unresectable at the time of ini...
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Article
Cost comparison of endoscopic stenting vs surgical treatment for unresectable cholangiocarcinoma
Total lifetime costs of endoscopic vs surgical treatment for obstructive jaundice due to cholangiocarcinoma are difficult to assess. The purpose of this study was to compare total costs in these two groups, in...
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Article
Endoscopic treatment of distal bile duct stricture from chronic pancreatitis
Background: Endoscopic placement of biliary stents is an effective initial treatment for jaundice and cholangitis caused by common bile duct (CBD) strictures secondary to chronic pancreatitis; however, the role ...
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Article
Selective role for endoscopic retrograde cholangiopancreatography in abdominal trauma
Background: Emergency endsocopic retrograde cholangiopancreatography (ERCP) is rarely indicated in trauma patients; however, in cases of suspected pancreatic or bile duct injury or bile leak, it ...
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Article
Combining minimal access procedures expands the potential of laparoscopic surgery
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Article
Management of malignant biliary stricture with self-expanding metallic stent
Background: Self-expanding metallic mesh stents are designed to remain patent longer than polyethylene (PE) stents, which generally clog in 3 to 4 months. Though more expensive, metal stents may ...
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Article
Acute biliary pancreatitis
Since January 1990, we have treated 113 patients for gallstone pancreatitis; 59 with laparoscopic cholecystectomy (LC), 50 with open cholecystectomy, and 4 with ERCP/sphincterotomy only. In the LC group, 47 ha...
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Article
Laparoscopic cholecystectomy in transplant patients
Acute cholecystitis is a serious condition in transplant patients and elective cholecystectomy is generally recommended when gallstones are found. We reviewed the results of laparoscopic cholecystectomy (LC) i...
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Article
Laparoscopic cholecystectomy in high-risk patients
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Article
The use of ERCP in the management of common bile duct stones in patients undergoing laparoscopic cholecystectomy
The purpose of this study was to evaluate the indications and results of endoscopic retrograde cholangiopancreatography (ERCP) for gallstone disease since the advent of laparoscopic cholecystectomy. In our per...