Happy Nurses' Day @ Nexus Surgical Associates

Nexus Surgical Associates wishes our nurses and patient service associates a Happy Nurses' Day on 1 August 2012.
Your dedication and professionalism is very much appreciated.

Gallium Doctatate Scan for Carcinoids & Neuroendocrine Neoplasms

Patients who need a Gallium-68 Doctatate Scan, Ga-68 PET/CT or PET/MRI, for the diagnosis of carcinoid tumour or neuroendocrine neoplasm can have it in the new Mt Elizabeth Novena Hospital Singapore. For enquiry, please contact us at 65-6570 2720.

College of Surgeons, Singapore Annual Combined Surgical Meeting 4 Aug 2012

Dr Liau Kui Hin will be speaking on "Recent Updates on Resection of Liver Metastases for Breast Carcinoma". The lecture is at Grand Copthorne Waterfront Hotel Singapore at 11 am to 1230 pm, Hepatobiliary & Pancreatic Surgery Symposium on 4 August 2012. For more information, please visit the web www.css.edu.sg

Nexus Surgical Associates @ Mt Elizabeth Novena Hospital

Our new clinic at Mt Elizabeth Novena Hospital will be operational on 2nd July 2012. For appointment please call Nurse Siah at 6570 2720.

Nexus Surgical Associates @ Parkway East Hospital

Visit us at www,nexussurgical.sg

Publication By Dr Liau Kui Hin and Dr Ho C.K. - Laparoscopic Surgery

Laparoscopic exploration can salvage failed

endoscopic bile duct stone extraction

Vishal G Shelat, MRCSE, MMed, Chung Yip Chan, MD, FRCS, Kui Hin Liau, FRCS, FAMS, Choon Kiat Ho, FRCS, FAMS

Introduction

Conventionally, patients who failed endoscopic removal of common bile duct stones (CBDS) by

endoscopic retrograde cholangiopancreaticography (ERCP) would be treated with open cholecystectomy and common

bile duct exploration. Laparoscopic common bile duct exploration (LCBDE) is an established option for treating CBDS. The

aim of this paper was to look at the feasibility of LCBDE as a salvage procedure after failed endoscopic stone extraction

(ESE). The secondary endpoint was to examine the short-term outcomes of our LCBDE series.

Methods

We retrospectively reviewed a prospective database to study the feasibility of LCBDE as a salvage procedure

for failed ERCP.

Resu lts

Since its inception in 2006, 43 patients had undergone LCBDE at our centre. This was achieved via a

transcystic approach in 25 patients and laparoscopic choledochotomy in 15 patients. There were three conversions. Of

these 43 patients, 21 had a pre-operative attempt at ESE, but only six patients had their ducts cleared endoscopically.

The 15 patients who failed ESE underwent LCBDE, of which 14 achieved successful stone clearance and one required

open conversion. One patient developed a bile leak, which resolved spontaneously. The median length of stay (LOS) for

these 15 patients was three days, while the median LOS for the whole cohort was two days.

Conclusion

LCBDE has been shown to be a safe and effective method for treating CBDS, with the added bonus of a

short hospital stay. Where the expertise is available, LCBDE is a safe option as a salvage procedure for failed ESE.

Keywords: bile duct exploration, cholecystectomy, common bile duct stones, endoscopic stone extraction, laparoscopy

Singapore Med J 2012; 53(5): 313–317

Official Opening of Parkway East Medical Centre Clinic

Our Parkway East Medical Centre Clinic Official Opening is on 26 May 2012.
You are invited to join us at the reception at 05-01 Parkway East Medical Centre.