LIVER AND BILIARY DISEASE
	SPLENIC AND ADRENAL DISORDERS
	HERNIAS
	GASTROESOPHAGEAL REFLUX DISEASE
	EMERGENCY AND DIAGNOSTIC LAPAROSCOPY

Liver and Biliary Disease

Laparoscopic Cholecystectomy with intraoperative cholangiogram.  More than 2500 cholecystectomies were performed by Dr. Katkhouda in ten years without a single bile duct injury following very strict surgical principles.  This procedure is now performed on an outpatient basis. 
Photo - Extraction of the gallbladder through the umbilical port.

Laparoscopic Common Bile Duct Exploration including laparoscopic T-tube placement.   This advanced technique alleviates the need to perform a preoperative ERCP.   When performed successfully, the hospital stay has been reduced to three days.

Photo - shows compression of the stomach by a large liver cyst to be removed laparoscopically.

Photo - shows large cyst of the left lobe of the liver to be resected laparoscopically.

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Splenic and Adrenal Disorders

Laparoscopic Splenectomy in ITP, hereditary spherocytosis, hemolytic anemia, and other ITP-like syndromes.  (Photo shows accessory spleen as identified through the laparoscope.)  We have performed more than 170 laparoscopic splenectomies, the largest series in the world.  Results were published in the Annals of Surgery, October 1998 issue.  The conclusion of this paper was that laparoscopic splenectomy for benign hematologic disorders is the gold standard when surgery is indicated.

Laparoscopic Adrenalectomy in Conn's Syndrome, pheochromocytoma and adrenal adenomas.   Photo shows cut specimen demonstrating characteristic golden yellow color of adrenal gland.  This operation is performed in about an hour and patients can be discharged the following day.  We have performed 44 cases since 1993, both nationally and internationally with minimal morbidity and no mortality.

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