This podcast is an interactive discussion about gallstone disease between Dr. Todd Ponsky and his father, Dr. Jeffrey Ponsky.
Dr. Jeffrey Ponsky is a professor of surgery at Cleveland Clinic Lerner College of Medicine, and is an expert in advanced therapeutic endoscopic treatment of biliary disease.
00:00:00:00 Introduction
00:01:55:10 Work-Up for Right Upper Quadrant Abdominal Pain
00:03:41:03 Case 1: 14-year-old overweight female
00:06:33:01 Laparoscopic Cholecystectomy Tips and Tricks: Port Placement
00:10:22:05 Tips for the Difficult Laparoscopic Cholecystectomy
00:12:58:16 Tips for the “Easy” Laparoscopic Cholecystectomy
00:14:48:12 Tips and Tricks for Cholangiography
00:18:33:29 Same-Day Discharge?
00:19:35:25 Case 2: One Week of Symptoms
00:20:17:19 Case 3: Excessive Post-Operative Pain
00:23:22:22 Case 4: Biliary Dyskinesia
00:23:44:28 Case 5: Gallstone Pancreatitis
00:27:27:14 Gallstone Pancreatitis: OR vs. ERCP
00:29:31:13 Maneuvers to Clear the Common Bile Duct
00:34:01:07 Todd’s Takeaway: Gallstone Pancreatitis
00:34:41:11 Laparoscopic Common Bile Duct Exploration
00:39:02:05 Case 6: Severe Gallstone Pancreatitis
00:39:43:12 Choledochoduodenostomy
00:40:30:08 Case 7: Pericholecystic Phlegmon
00:42:20:17 Pitfalls: Why Do CBD Injuries Occur?
00:43:34:20 Pitfalls: What to Do with a CBD Injury
00:45:26:13 Pitfalls: Complete CBD Transection
00:45:59:17 Closing Remarks
00:46:23:27 Teaser
Intro track is adapted from "I dunno" by grapes, featuring J Lang, Morusque.
Artist URL: ccmixter.org/files/grapes/16626