19 Feb 2017
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
9 Feb 2017
Right extended hemicolectomy
4 Feb 2017
Laparoscopic left lateral hepatectomy
20 year old male diagnosed for left lobe lesion
Provisional diagnosis of biliary cystadenoma
Operated for laparoscopic resection
HPE suggestive of left sided caroli's disease
Provisional diagnosis of biliary cystadenoma
Operated for laparoscopic resection
HPE suggestive of left sided caroli's disease
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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