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8. SELSI Consensus Statement for Safe Cholecystectomy — Prevention and Management of Bile Duct Injury — Part A

Author

Bansal, Virinder Kumar, Misra, Mahesh C., Agarwal, Anil K, Agrawal, JB, Agarwal, PN, Aggarwal, Sandeep, Aslam, Mohammad, Krishna, Asuri, Baksi, Aditya, Behari, Anu, Bhattacharjee, Hemanga K, Bhojwani, Rajesh, Chander, Jagdish, Chattopadhyay, TK, Chintamani, Chowbey, Pradeep, Dalvi, Abhay, Dash, NR, Dhawan, IK, Gamangatti, Shivanand, Garg, PK, Gupta, NM, Gupta, Rajesh, Gupta, SK, Gupta, Vikas, Kaman, L, Kapur, BML, Kataria, Kamal, Khan, Muneer, Khanna, Ajay K, Khullar, Rajesh, Kumar, Anand, Kumar, Atin, Kumar, Sandeep, Kumar, Subodh, Lal, Pawanindra, Maurya, SD, Moirangthem, GS, Pal, Sujoy, Panwar, Rajesh, Parshad, Rajinder, Pottakkat, Biju, Prajapati, Om Prakash, Puntambekar, Shailesh, Ranjan, Piyush, Rathore, Yashwant Singh, Sahni, Peush, Sarangi, Rathindra, Seenu, Vuthaluru, Sharma, Rajeev, Shukla, VK, Singh, DP, Singh, Jaspal, Singh, Rajdeep, Sinha, Rajeev, Sikora, Sadiq S, Srivastava, Amit, Srivastava, Anurag, Srivastava, KN, Thomas, Shaji, Verma, GR, Wig, JD, and Kapoor, VK

Published
2021
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9. SELSI Consensus Statement for Safe Cholecystectomy—Prevention and Management of Bile Duct Injury—Part B

Author

Bansal, Virinder Kumar, Misra, Mahesh C., Agarwal, Anil K, Agrawal, JB, Agarwal, PN, Aggarwal, Sandeep, Aslam, Mohammad, Krishna, Asuri, Baksi, Aditya, Behari, Anu, Bhattacharjee, Hemanga K, Bhojwani, Rajesh, Chander, Jagdish, Chattopadhyay, TK, Chintamani, Chowbey, Pradeep, Dalvi, Abhay, Dash, NR, Dhawan, IK, Gamangatti, Shivanand, Garg, PK, Gupta, NM, Gupta, Rajesh, Gupta, SK, Gupta, Vikas, Kaman, L, Kapur, BML, Kataria, Kamal, Khan, Muneer, Khanna, Ajay K, Khullar, Rajesh, Kumar, Anand, Kumar, Atin, Kumar, Sandeep, Kumar, Subodh, Lal, Pawanindra, Maurya, SD, Moirangthem, GS, Pal, Sujoy, Panwar, Rajesh, Parshad, Rajinder, Pottakkat, Biju, Prajapati, Om Prakash, Puntambekar, Shailesh, Ranjan, Piyush, Rathore, Yashwant Singh, Sahni, Peush, Sarangi, Rathindra, Seenu, Vuthaluru, Sharma, Rajeev, Shukla, VK, Singh, DP, Singh, Jaspal, Singh, Rajdeep, Sinha, Rajeev, Sikora, Sadiq S, Srivastava, Amit, Srivastava, Anurag, Srivastava, KN, Thomas, Shaji, Verma, GR, Wig, JD, and Kapoor, VK

Published
2021
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15. Distribution of lymph node metastases in esophageal carcinoma [TIGER study]: study protocol of a multinational observational study

Author

Hagens, Eliza R. C., van Berge Henegouwen, Mark I., van Sandick, Johanna W., Cuesta, Miguel A., van der Peet, Donald L., Heisterkamp, Joos, Nieuwenhuijzen, Grard A. P., Rosman, Camiel, Scheepers, Joris J. G., Sosef, Meindert N., van Hillegersberg, Richard, Lagarde, Sjoerd M., Nilsson, Magnus, Räsänen, Jari, Nafteux, Philippe, Pattyn, Piet, Hölscher, Arnulf H., Schröder, Wolfgang, Schneider, Paul M., Mariette, Christophe, Castoro, Carlo, Bonavina, Luigi, Rosati, Riccardo, de Manzoni, Giovanni, Mattioli, Sandro, Garcia, Josep Roig, Pera, Manuel, Griffin, Michael, Wilkerson, Paul, Chaudry, M. Asif, Sgromo, Bruno, Tucker, Olga, Cheong, Edward, Moorthy, Krishna, Walsh, Thomas N., Reynolds, John, Tachimori, Yuji, Inoue, Haruhiro, Matsubara, Hisahiro, Kosugi, Shin-ichi, Chen, Haiquan, Law, Simon Y. K., Pramesh, C. S., Puntambekar, Shailesh P., Murthy, Sudish, Linden, Philip, Hofstetter, Wayne L., Kuppusamy, Madhan K., Shen, K. Robert, Darling, Gail E., Sabino, Flávio D., Grimminger, Peter P., Meijer, Sybren L., Bergman, Jacques J. G. H. M., Hulshof, Maarten C. C. M., van Laarhoven, Hanneke W. M., Mearadji, Banafsche, Bennink, Roel J., Annema, Jouke T., Dijkgraaf, Marcel G. W., and Gisbertz, Suzanne S.

Published
2019
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22. Endoscopic thyroidectomy: Our technique

Author

Puntambekar Shailesh, Palep Reshma, Patil Anjali, Rayate Neeraj, Joshi Saurabh, Agarwal Geetanjali, and Joshi Milind

Subjects
Endoscopy, technique, thyroidectomy, Surgery, RD1-811, Diseases of the digestive system. Gastroenterology, RC799-869
Abstract

Minimally invasive surgery is widely employed for the treatment of thyroid diseases. Several minimal access approaches to the thyroid gland have been described. The commonly performed surgeries have been endoscopic lobectomies. We have performed endoscopic total thyroidectomy by the anterior chest wall approach. In this study, we have described our technique and evaluated the feasibility and efficacy of this procedure. Materials and Methods: From June 2005 to August 2006, 15 cases of endoscopic thyroidectomy were done at our institute. Five patients were male and 10 were female. Mean age was 45 years. (Range 23 to 71 years). Four patients had multinodular goiter and underwent near-total thyroidectomy; four patients had follicular adenoma and underwent hemithyroidectomy. Out of the seven patients of papillary carcinoma, four were low-risk and so a hemithyroidectomy was performed while three patients in the high risk group underwent total thyroidectomy. A detailed description of the surgical technique is provided. Results : The mean nodule size was 48 mm (range 20-80 mm) and the mean operating time was 85 min (range 60-120 min). In all cases, the recurrent laryngeal nerve was identified and preserved intact, the superior and inferior parathyroids were also identified in all patients. No patients required conversion to an open cervicotomy. All patients were discharged the day after surgery. All thyroidectomies were completed successfully. No recurrent laryngeal nerve palsies or postoperative tetany occurred. The postoperative course was significantly less painful and all patients were satisfied with the cosmetic results. Conclusions : It is possible to remove large nodules and perform as well as total thyroidectomies using our endoscopic approach. It is a safe and effective technique in the hands of an appropriately trained surgeon. The patients get a cosmetic benefit without any morbidity.

Published
2007

36. Understanding the Pelvic Anatomy

Author

Puntambekar, Shailesh P., Desai, Riddhi, Puntambekar, Seema S., Galagali, Amit, Kenawadekar, Rahul, Joshi, Saurabh, Joshi, Geetanjali Agarwal, and Lawande, Akhil

Published
2014
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39. Distribution of lymph node metastases in esophageal carcinoma [TIGER study] : Study protocol of a multinational observational study

Author

Hagens, Eliza R.C., Van Berge Henegouwen, Mark I., Van Sandick, Johanna W., Cuesta, Miguel A., Van Der Peet, Donald L., Heisterkamp, Joos, Nieuwenhuijzen, Grard A.P., Rosman, Camiel, Scheepers, Joris J.G., Sosef, Meindert N., Van Hillegersberg, Richard, Lagarde, Sjoerd M., Nilsson, Magnus, Räsänen, Jari, Nafteux, Philippe, Pattyn, Piet, Hölscher, Arnulf H., Schröder, Wolfgang, Schneider, Paul M., Mariette, Christophe, Castoro, Carlo, Bonavina, Luigi, Rosati, Riccardo, De Manzoni, Giovanni, Mattioli, Sandro, Garcia, Josep Roig, Pera, Manuel, Griffin, Michael, Wilkerson, Paul, Chaudry, M. Asif, Sgromo, Bruno, Tucker, Olga, Cheong, Edward, Moorthy, Krishna, Walsh, Thomas N., Reynolds, John, Tachimori, Yuji, Inoue, Haruhiro, Matsubara, Hisahiro, Kosugi, Shin Ichi, Chen, Haiquan, Law, Simon Y.K., Pramesh, C. S., Puntambekar, Shailesh P., Murthy, Sudish, Linden, Philip, Hofstetter, Wayne L., Kuppusamy, Madhan K., Shen, K. Robert, Darling, Gail E., Sabino, Flávio D., Grimminger, Peter P., Meijer, Sybren L., Bergman, Jacques J.G.H.M., Hulshof, Maarten C.C.M., Van Laarhoven, Hanneke W.M., Mearadji, Banafsche, Bennink, Roel J., Annema, Jouke T., Dijkgraaf, Marcel G.W., Gisbertz, Suzanne S., Hagens, Eliza R.C., Van Berge Henegouwen, Mark I., Van Sandick, Johanna W., Cuesta, Miguel A., Van Der Peet, Donald L., Heisterkamp, Joos, Nieuwenhuijzen, Grard A.P., Rosman, Camiel, Scheepers, Joris J.G., Sosef, Meindert N., Van Hillegersberg, Richard, Lagarde, Sjoerd M., Nilsson, Magnus, Räsänen, Jari, Nafteux, Philippe, Pattyn, Piet, Hölscher, Arnulf H., Schröder, Wolfgang, Schneider, Paul M., Mariette, Christophe, Castoro, Carlo, Bonavina, Luigi, Rosati, Riccardo, De Manzoni, Giovanni, Mattioli, Sandro, Garcia, Josep Roig, Pera, Manuel, Griffin, Michael, Wilkerson, Paul, Chaudry, M. Asif, Sgromo, Bruno, Tucker, Olga, Cheong, Edward, Moorthy, Krishna, Walsh, Thomas N., Reynolds, John, Tachimori, Yuji, Inoue, Haruhiro, Matsubara, Hisahiro, Kosugi, Shin Ichi, Chen, Haiquan, Law, Simon Y.K., Pramesh, C. S., Puntambekar, Shailesh P., Murthy, Sudish, Linden, Philip, Hofstetter, Wayne L., Kuppusamy, Madhan K., Shen, K. Robert, Darling, Gail E., Sabino, Flávio D., Grimminger, Peter P., Meijer, Sybren L., Bergman, Jacques J.G.H.M., Hulshof, Maarten C.C.M., Van Laarhoven, Hanneke W.M., Mearadji, Banafsche, Bennink, Roel J., Annema, Jouke T., Dijkgraaf, Marcel G.W., and Gisbertz, Suzanne S.

Published
2019

40. Distribution of lymph node metastases in esophageal carcinoma [TIGER study]: Study protocol of a multinational observational study

Author

Divisie Beeld & Oncologie, Cancer, Hagens, Eliza R.C., Van Berge Henegouwen, Mark I., Van Sandick, Johanna W., Cuesta, Miguel A., Van Der Peet, Donald L., Heisterkamp, Joos, Nieuwenhuijzen, Grard A.P., Rosman, Camiel, Scheepers, Joris J.G., Sosef, Meindert N., Van Hillegersberg, Richard, Lagarde, Sjoerd M., Nilsson, Magnus, Räsänen, Jari, Nafteux, Philippe, Pattyn, Piet, Hölscher, Arnulf H., Schröder, Wolfgang, Schneider, Paul M., Mariette, Christophe, Castoro, Carlo, Bonavina, Luigi, Rosati, Riccardo, De Manzoni, Giovanni, Mattioli, Sandro, Garcia, Josep Roig, Pera, Manuel, Griffin, Michael, Wilkerson, Paul, Chaudry, M. Asif, Sgromo, Bruno, Tucker, Olga, Cheong, Edward, Moorthy, Krishna, Walsh, Thomas N., Reynolds, John, Tachimori, Yuji, Inoue, Haruhiro, Matsubara, Hisahiro, Kosugi, Shin Ichi, Chen, Haiquan, Law, Simon Y.K., Pramesh, C. S., Puntambekar, Shailesh P., Murthy, Sudish, Linden, Philip, Hofstetter, Wayne L., Kuppusamy, Madhan K., Shen, K. Robert, Darling, Gail E., Sabino, Flávio D., Grimminger, Peter P., Meijer, Sybren L., Bergman, Jacques J.G.H.M., Hulshof, Maarten C.C.M., Van Laarhoven, Hanneke W.M., Mearadji, Banafsche, Bennink, Roel J., Annema, Jouke T., Dijkgraaf, Marcel G.W., Gisbertz, Suzanne S., Divisie Beeld & Oncologie, Cancer, Hagens, Eliza R.C., Van Berge Henegouwen, Mark I., Van Sandick, Johanna W., Cuesta, Miguel A., Van Der Peet, Donald L., Heisterkamp, Joos, Nieuwenhuijzen, Grard A.P., Rosman, Camiel, Scheepers, Joris J.G., Sosef, Meindert N., Van Hillegersberg, Richard, Lagarde, Sjoerd M., Nilsson, Magnus, Räsänen, Jari, Nafteux, Philippe, Pattyn, Piet, Hölscher, Arnulf H., Schröder, Wolfgang, Schneider, Paul M., Mariette, Christophe, Castoro, Carlo, Bonavina, Luigi, Rosati, Riccardo, De Manzoni, Giovanni, Mattioli, Sandro, Garcia, Josep Roig, Pera, Manuel, Griffin, Michael, Wilkerson, Paul, Chaudry, M. Asif, Sgromo, Bruno, Tucker, Olga, Cheong, Edward, Moorthy, Krishna, Walsh, Thomas N., Reynolds, John, Tachimori, Yuji, Inoue, Haruhiro, Matsubara, Hisahiro, Kosugi, Shin Ichi, Chen, Haiquan, Law, Simon Y.K., Pramesh, C. S., Puntambekar, Shailesh P., Murthy, Sudish, Linden, Philip, Hofstetter, Wayne L., Kuppusamy, Madhan K., Shen, K. Robert, Darling, Gail E., Sabino, Flávio D., Grimminger, Peter P., Meijer, Sybren L., Bergman, Jacques J.G.H.M., Hulshof, Maarten C.C.M., Van Laarhoven, Hanneke W.M., Mearadji, Banafsche, Bennink, Roel J., Annema, Jouke T., Dijkgraaf, Marcel G.W., and Gisbertz, Suzanne S.

Published
2019

41. Learning Curve of Total Laparoscopic Hysterectomy for a Resident in a High-Volume Resident Training Setup

Author

Puntambekar, Shailesh, Shetty, Theertha, Puntambekar, Seema, Goel, Arjun, Panse, Mangesh, Sathe, Ravindra, and Shelke, Swapnil

Abstract

Study Objective: To evaluate the resident learning curve, demographic and comparative analysis of total laparoscopic hysterectomy. Design: This retrospective observational study was conducted in a high-volume resident training setup. Setting: Tertiary care center is used in the study. Materials and Methods: Eight hundred and one total laparoscopic hysterectomy patients operated by the residents between July 2013 and June 2019 were evaluated with respect to the learning curve, duplication of the steps, the results in terms of intra- and postoperative complications and the time taken for the surgery. Surgeries were assigned as per the institutional inclusion criteria for the residents. The fellowship program enrolled six residents per year for training period of 1 year. The residents initially performed ten simple cases under the supervision of the director followed by ten cases which were performed independently, and based on their learning curve, they then performed advanced cases independently. Results: TLH was successfully performed in all women by surgical residents in training. The surgical time was 61–120 min in majority (49.3%). 2.99% had intra-operative complications while 7.61% had postoperative complications which were identified and managed. All women recovered uneventfully. Conclusion(s): Dedicated teaching staff, uniform surgical protocols and high-volume centers contribute to the safety of TLH.

Published
2021
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42. Novel Anastomotic Technique for Uterine Transplant Using Utero-ovarian Veins for Venous Drainage and Internal Iliac Arteries for Perfusion in Two Laparoscopically Harvested Uteri.

Author

Puntambekar, Shailesh, Puntambekar, Seema, Telang, Milind, Kulkarni, Pankaj, Date, Shardul, Panse, Mangesh, Sathe, Ravindra, Agarkhedkar, Nikhil, Warty, Neeta, Kade, Sandesh, Manchekar, Manoj, Chitale, Mihir, Parekh, Hirav, Parikh, Kajal, Mehta, Mehul, Kinholkar, Bhushan, Jana, Joy Shankar, Pare, Avinash, Kanade, Shailendra, and Sadre, Abhay

Abstract

Study Objective: To evaluate 2 cases of uterine transplant surgery that used utero-ovarian veins as outflow channels, internal iliac arteries for perfusion, and the organ harvest surgery performed laparoscopically.Design: Case study (Canadian Task Force Classification III).Setting: An urban, private, tertiary care hospital.Patients: Two patients, ages 30 and 24years, diagnosed with absolute uterine factor infertility secondary to Mayer-Rokitansky-Küster-Hauser syndrome underwent related living donor uterine transplants; donors were their mothers with normal menses.Interventions: Retrieval of organs through minilaparotomy and laparoscopic harvest of donor internal iliac arteries and ovarian veins.Measurements and Main Results: Anastomosis was completed with bilateral donor internal iliac arteries to recipient internal iliac arteries in an end-to-end manner and with bilateral donor ovarian veins to recipient external iliac veins in an end-to-side manner. The lengths of utero-ovarian veins of both donors were 11 and 11cm on both sides; the lengths of the internal iliac arteries of both donors were 10 and 7.5cm on the left side and 10 and 6cm on the right side. The operative times for harvest surgery, bench surgery and transplant surgery were 2:40 and 3:20 hours, 34:32 and 33:30 min and 4:00 and 4:30 hours respectively for recipients 1 and 2. Daily postoperative uterine Doppler was completed through day 8 and then every other day and showed good intrauterine blood flow (i.e., low resistance arcuate vessel flow; resistance index < .5). Cervical biopsies on postoperative days 7 and 14 showed no evidence of rejection in either recipient. Both recipients started menstruating within 2 months of surgery.Conclusion: By using ovarian veins as outflow channels, the challenges involved in dissection along the internal iliac vein are avoided, and harvesting the donor internal iliac artery reduces the tension on vascular anastomosis. The selection of vessels to be harvested could make the technique reproducible, although larger studies are warranted to confirm results. [ABSTRACT FROM AUTHOR]

Published
2019
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44. Laparoscopic-Assisted Uterus Retrieval From Live Organ Donors for Uterine Transplant: Our Experience of Two Patients.

Author

Puntambekar, Shailesh, Telang, Milind, Kulkarni, Pankaj, Puntambekar, Seema, Jadhav, Sanjeev, Panse, Mangesh, Sathe, Ravindra, Agarkhedkar, Nikhil, Warty, Neeta, Kade, Sandesh, Manchekar, Manoj, Parekh, Hirav, Parikh, Kajal, Desai, Riddhi, Mehta, Mehul, Chitale, Mihir, Kinholkar, Bhushan, Jana, Joy Shankar, Pare, Avinash, and Sadre, Abhay

Abstract

Study Objective: To report the first ever laparoscopic-assisted live donor uterus retrieval in 2 patients for uterus transplant.Design: Case study (Canadian Task Force classification III).Setting: Galaxy CARE Laparoscopy Institute, Pune, India.Patients: Two patients with absolute uterine factor infertility with their mothers as donors.Interventions: In vitro fertilization and uterine transplant.Measurements and Main Results: A 12-member team was formed, and approval for transplant was obtained from the institutional review board. Pretransplant, in vitro fertilization for both patients was done. Two consecutive uterine transplants were done on 2 successive days. Vessels were harvested laparoscopically in both donors. Uterus and harvested vessels were retrieved by a small abdominal incision to prevent injury and infection. The uterus was transplanted in the recipients by end to side anastomosis of the harvested vessels to external iliac vessels, followed by anchoring of supports of the donor uterus to those of the recipients. Surgical intra- and postoperative parameters, postoperative investigations, and follow-up data of 6 months were measured. Operative time for laparoscopic donor surgery was 4 hours. Bench surgery took 45 minutes. Recipient surgery time was 4 hours. There were no intraoperative or immediate postoperative complications. Both the recipients started menstruating after 34 days and 48 days, respectively, and have had 6 cycles of menses at regular intervals. Uterine artery Doppler showed good flow in both patients. Hysteroscopy-guided cervical biopsies were used as a method of surveillance of graft rejection after uterine transplant. Office hysteroscopy was done after 2 months in both patients, and hysteroscopy-guided endometrial and cervical biopsies were taken. Minimal slough was seen on the endometrium in the patient with Mayer-Rokitansky-Küster-Hauser syndrome, which was removed. Repeat hysteroscopy after 10 days showed a healthy endometrium.Conclusions: Laparoscopic-assisted uterus donor retrieval is feasible and affords all the advantages of a minimally invasive technique, thereby reducing the morbidity of the procedure. It helps in better dissection of the vessels, shortens the operative time, and helps to minimize tissue handling of the harvested uterus and vessels. [ABSTRACT FROM AUTHOR]

Published
2018
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47. Robotic total pelvic exenteration

Author

Lawande, Akhil, primary, Kenawadekar, Rahul, additional, Desai, Riddhi, additional, Malireddy, Chaitanya, additional, Nallapothula, Kathya, additional, and Puntambekar, Shailesh P., additional

Published
2013
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49. Our Experience of Laparoscopic Anterior Exenteration in Locally Advanced Cervical Carcinoma.

Author

Puntambekar, Shailesh, Sharma, Vikrant, Jamkar, Arun V., Gadkari, Yamini, Joshi, Geetanjali, Puntambekar, Seema, Parikh, Hirav, and Vatsal, Shivam

Abstract

Study Objective: To show the feasibility, technique, and results of laparoscopic anterior exenteration in selected patients.Design: A retrospective cohort study.Setting: Galaxy Care Laparoscopy Institute, Pune, India.Patients: Seventy-four of 85 patients who underwent laparoscopic anterior exenteration for stage IVA carcinoma of the cervix from January 2005 to January 2015 were analyzed; the median follow-up was 30 months. Contrast-enhanced computed tomographic imaging of the abdomen and pelvis was performed for all patients.Interventions: The same surgeon and team performed all the operations for uniformity in 10 operative steps.Measurements and Main Results: The mean operative time was 180 minutes, and the mean blood loss was 160 mL. The mean hospital stay was 6 days. The average number of lymph nodes removed was 21.4. Surgical margins were negative in all patients. Forty-two patients had positive lymph nodes. Chemoradiation was given to those with positive lymph nodes. Perioperative complications occurred in 15 (20.27%) patients including deep vein thrombosis, urinary tract infection, ureterosigmoid leak (n = 2/74), and so on. Positron emission tomographic imaging and computed tomographic scanning were performed at 6 months after surgery and 6 months after adjuvant therapy in those with positive lymph nodes. There was no immediate postoperative mortality. The overall survival rate at 5 years was 25%.Conclusion: Laparoscopic anterior exenteration is feasible in cases of advanced carcinoma of the cervix. Results have shown that in selected patients this procedure is associated with good long-term survival. [ABSTRACT FROM AUTHOR]

Published
2016
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