Pediatric hepatobiliary surgery

SAGESThe SAGES Safe Cholecystectomy Program - Strategies for M...This article shows 6 strategies surgeons can employ to adopt a universal culture for safe cholecystectomy and minimize the risk of bile duct injury.Please take care, This is unfortunate and highlights the importance of obtaining a critical view before clipping and taking down any structure. WhatsApp Video 2025-12-16 at 13.10.23.mp4

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December 16, 2025Dec 16

quote from "Pediatric Surgery (Springer Surgery Atlas)" by Prem Puri, Michael E. Höllwarth - "Surgical problems with cystic choledochal cyst are most often encountered on the proximal side of the pathology, occurring as a result of anatomic variants of the common hepatic duct, uncertainty in relation to the excision level of the common hepatic duct, dilated IHBD, and debris and/or stenosis in the IHBD. In contrast, surgical problems with fusiform choledochal cyst most often arise on the distal side of the malformation and are due to uncertainty in relation to the excision level of the distal choledochus, debris in the common channel, and complicated PBMU." Quote from "Ped…

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November 29, 2025Nov 29

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July 28, 20251 yr

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July 28, 20251 yr

Quote from "The SAGES Manual of Pediatric Minimally Invasive Surgery" by Danielle S. Walsh, Todd A. Ponsky, Nicholas E. Bruns - "The onset of jaundice may occur at birth or up to 6 weeks thereafter and is typically progressive and eventually accompanied by acholic stools and dark urine." Quote from "The SAGES Manual of Pediatric Minimally Invasive Surgery" by Danielle S. Walsh, Todd A. Ponsky, Nicholas E. Bruns - "Hepatic scintigraphy (HIDA scan) demonstrating relatively good hepatic uptake with the absence of excretion of technetium-labeled compounds from the liver into the duodenum is diagnostic of biliary obstruction, but may be less reliable in cases of severe jaun…

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July 28, 20251 yr

Quote from "The SAGES Manual of Pediatric Minimally Invasive Surgery" by Danielle S. Walsh, Todd A. Ponsky, Nicholas E. Bruns - "The key of the procedure is dissection of the cone-shaped fibrous remnant at the level of the liver surface, just anterior to the portal vein bifurcation. For best long-term results, the bilious scar tissue must be removed directly on the liver surface without injuring the actual liver. The dissection must be carried as much lateral as possible with typical limitations of right and left portal venous and hepatic artery branches as well as below the portal vein bifurcation. The completely exposed liver surface at the porta hepatis is then covere…

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July 28, 20251 yr