This video presents the case of a surgical procedure performed in a 16-year old girl presenting with a huge mass in the tail of pancreas. The patient complained of abdominal pain. The computed tomography scan demonstrated a 10 cm lesion, including both solid and cystic areas and calcification. Tumor markers were normal. Preoperative diagnosis was solid pseudopapillary neoplasm of pancreas. Any infiltration to spleen, splenic artery or vein was not observed. Considering the radiologic findings a
INTRODUCTION: Bariatric surgery is becoming more common and nowadays Gastric sleeve seems to be the most popular procedure for Obesity. Gastric sleeve complications, including Sleeve stenosis, can be life threatening. We present the surgical management of a patient who developed gastric sleeve stenosis as well as having a hiatal hernia associated with severe reflux.
DESCRIPTION: Our patient is a 38-year-old female with a BMI of 31kg/m2 who underwent a gastric sleeve gastrectomy 3 months prior t
This video shows an elective laparoscopic cholecystectomy with transcystic common bile duct exploration. Initial dissection of the gallbladder, achievement of the critical view of safety, intraoperative cholangiogram, and transcystic exploration with a flexible choledochoscope and extraction of choledocholithiasis are shown and described.
Introduction:
Pseudoachalasia occurs in approximately 4% of all achalasia patients. A vast majority is caused by malignancies involving the distal esophagus and/or gastric cardia, and can mimic idiopathic achalasia. Often, manometry cannot distinguish between achalasia and pseudoachalasia, and diagnosis is dependent on endoscopic and radiologic studies.
Methods:
We present a 51-year old woman with a 2-year history of progressive dysphagia. She has a significant history for stage IIB breast ca
Our team is presenting a video of a 49 yo male who originally presented to an outside hospital after an episode of syncope secondary to a bleeding duodenal mass. Using a laparoscopic approach, we demonstrate the mobilization of the duodenum, longitudinal opening of the duodenum and pylorus, and excision of a 6 cm Brunner Gland Hamartoma. The closure of the duodenum and pylorus is performed with a Heineke-Mikulicz pyloroplasty which is followed by a leak test.