Showing posts with label Whipple’s. Show all posts
Showing posts with label Whipple’s. Show all posts
23 Mar 2018
24 Aug 2017
Pancreatic Necrosectomy
Mini incision (mini-laparotomy) for infective pancreatic necrosis
Small vertical midline incision and trans-gastric approach
Patient discharged on post op day 2
4 Aug 2017
Completion Lap Chole
Patient underwent open partial chole
Had biliary pancreatitis later
Operates Laparoscopically
Had biliary pancreatitis later
Operates Laparoscopically
17 Jul 2017
Sinistral Portal Hypertension
Case of chronic pancreatitis with left sided PHT
Operated for open Splenectomy with devasculrisation
Operated for open Splenectomy with devasculrisation
2 Jun 2017
Transgastric Necrosectomy
48 year male with Acute Necrotising Pancreatitis
Had infected necrosis with Duodenal obstruction
NJ kept for feeding and on Imipenem
On day 32 operated for infected necrosis
Transgastric Necrosectomy done
Nasocystic drainage and NJ kept
Patient kept in ICU for 3 days
Discharged with all tubes on post op day 9
All tubes pulled out on follow up
Had infected necrosis with Duodenal obstruction
NJ kept for feeding and on Imipenem
On day 32 operated for infected necrosis
Transgastric Necrosectomy done
Nasocystic drainage and NJ kept
Patient kept in ICU for 3 days
Discharged with all tubes on post op day 9
All tubes pulled out on follow up
28 Apr 2017
Laparoscopic Transgastric Necrosectomy
68 year old female case of biliary pancreatitis
Operated for walled of pancreatic necrosectomy
Operated for walled of pancreatic necrosectomy
6 Mar 2017
Laparoscopic Assisted Whipple's PD
Patient with Bilrubin level >8 periampullay tumor
Operated for Laparoscopic Assisted Whipple's
Surgery time 7 hours Blood loss 150 ml
Complete laparoscopic resection of specimen
All anastomosis through upper midline oncision
Patient discharged on postop day 9
Operated for Laparoscopic Assisted Whipple's
Surgery time 7 hours Blood loss 150 ml
Complete laparoscopic resection of specimen
All anastomosis through upper midline oncision
Patient discharged on postop day 9
25 Feb 2017
Cystogastrostomy (minilap)
21 year old male operated through small incision
Transgastric pseudocyst drainage with cystogastrostomy
17 Feb 2017
Laparoscopic Retroperitoneal Necrosectomy
32 year old male with ethanol induced acute necrotising pancreatitits
Had severe attack with multiorgan failure
ICU stay was more then 30 days with ventilatory support
Received broad spectrum antibiotcs, pigtail, tracheostomy
With all efforts from Gastroenterologist and Intencivist recovered
Operated for infective extensive pancreatic necrosis on day 38
Laparoscopic retroperitoneal approach was taken
Thorough necrosectomy and lavage done from right side
Diverting loop ileostomy made
Postoperative ICU stay was 4 days recovery was slow and steady
Discharged with all drains in situ
Had severe attack with multiorgan failure
ICU stay was more then 30 days with ventilatory support
Received broad spectrum antibiotcs, pigtail, tracheostomy
With all efforts from Gastroenterologist and Intencivist recovered
Operated for infective extensive pancreatic necrosis on day 38
Laparoscopic retroperitoneal approach was taken
Thorough necrosectomy and lavage done from right side
Diverting loop ileostomy made
Postoperative ICU stay was 4 days recovery was slow and steady
Discharged with all drains in situ
16 Feb 2017
Whipple's Pancreaticodudenectomy
48 year old male patient presented with obstructed jaundice
Preoperative bilirubin level 7.9 without cholangitis
Operated for Whipple's Pancreaticodudenectomy
He had replaced hepatic artery with chronic pancreatitis
Dissected neatly and vessel safeguarded
Reconstruction done of with duct to mucosa (PJ duct 5 mm)
Recovered uneventfully, ICU stay 2 days, Hospital stay 6 days
Preoperative bilirubin level 7.9 without cholangitis
Operated for Whipple's Pancreaticodudenectomy
He had replaced hepatic artery with chronic pancreatitis
Dissected neatly and vessel safeguarded
Reconstruction done of with duct to mucosa (PJ duct 5 mm)
Recovered uneventfully, ICU stay 2 days, Hospital stay 6 days
31 Jan 2017
Whipple' Pancreaticodudenectomy
30 Jan 2017
Transperitoneal Necrosectomy
45 year old female with history of idiopathic acute necrotising pancreatitits
Spent more than one month for severe attack with multi organ failure
Had tracheostomy and two pigtail insertion for infective collection
Recovered well from organ dysfunction
She had persistent fever and pus discharge from both drains
CT scan done after two and half months of attack
Findings suggestive of multiple necrotic collection & splenic abscess
Spleenic flexure encased in tail pancreas fibrosis leading to obstruction
Open Transperitoneal necrosectomy was done with diverting ileostomy.
Postoperative stay in ICU for 1 day and full diet started.
She had residual 20 ml collection in spleenic fossa
Pigtail insertion done for same and she recovered well.
Spent more than one month for severe attack with multi organ failure
Had tracheostomy and two pigtail insertion for infective collection
Recovered well from organ dysfunction
She had persistent fever and pus discharge from both drains
CT scan done after two and half months of attack
Findings suggestive of multiple necrotic collection & splenic abscess
Spleenic flexure encased in tail pancreas fibrosis leading to obstruction
Open Transperitoneal necrosectomy was done with diverting ileostomy.
Postoperative stay in ICU for 1 day and full diet started.
She had residual 20 ml collection in spleenic fossa
Pigtail insertion done for same and she recovered well.
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