A spleen preserving distal pancreatectomy has a number of challanging techinical aspects that beg discussion. The isolation of the splenic vasculature from the pasterior aspect of the pancreas, the identification of site for transection of the pancreas and the mobilization of the pancreas away from the vasculature in the area of the splenic hilum are discussed in this video.
Introduction:
Common bile duct exploration is indicated in symptomatic patients with choledocholithiasis refractory to endoscopic therapy (ERCP)
Robotic approach may offer some advantages in complex cases.
Material and Methods:
This is a 77-year-old lady who was referred by the GI service with a history of right upper quadrant pain. Ultrasound showed multiple stones in the common bile duct (CBD). She underwent various ERCPs which were unable to remove the stones. A stent was left in the CBD.
We are presenting a Video Abstract of a patient who presented wit a tight Lower common bile duct stricture who underwent multiple failed attempts of ERCP-guided dilations and stents placement. Roux-en-Y Choledochojejunostomy was also not an applicable option secondary to intense abdominal wall and interloop bowel adhesions.
A 41-year-old morbidly obese female patient referred for having an intractable lower CBD stricture. She initially presented 4 years back to the GI service with jaundice and
We present a case of emergent thoracoscopic management of volvulus of the gastric conduit following minimally invasive Ivor-Lewis esophagectomy. The patient is a 69 year old caucasian male with a history of adenocarcinoma of the lower third of the esophagus. Initial presentation was dysphagia with solid foods, which progressed in severity until he was unable to swallow anything. EUS demonstrated a partially obstructing mass at 33cm, biopsy revealed poorly differentiated adenocarcinoma, stage T3N
INTRODUCTION: Tail gut cysts are rare congenital lesions that may present with per-rectal symptoms. While approximately half of all patients with these lesions are asymptomatic, tail gut cysts may become infected or rarely become the focus of malignant degeneration. Surgery is recommended to remove these lesions and laparotomy may be required to remove supra-levator cysts. Consequently, a minimally invasive approach to remove supra-levator tail gut cysts would confer significant reductions in mo