RESUMO
Breast cancer is rising among women in India. Most of the cases are presented at the locally advanced stage where axillary dissection is needed. In this article, we have described our approach of axillary dissection in the technically challenging high nodal burden axillas.
Assuntos
Axila , Neoplasias da Mama , Excisão de Linfonodo , Músculos Superficiais do Dorso , Humanos , Excisão de Linfonodo/métodos , Feminino , Neoplasias da Mama/cirurgia , Resultado do Tratamento , Índia , Retalhos CirúrgicosRESUMO
Breast cancer is rising among women in India. Most of the cases are presented at the locally advanced stage where axillary dissection is needed. In this article, we have described our approach of axillary dissection in the technically challenging high nodal burden axillas.
Assuntos
Axila , Neoplasias da Mama , Excisão de Linfonodo , Músculos Superficiais do Dorso , Humanos , Excisão de Linfonodo/métodos , Feminino , Neoplasias da Mama/cirurgia , Resultado do Tratamento , Índia , Retalhos CirúrgicosRESUMO
Pancreatoduodenectomy is a complex surgical procedure involving three anastomoses. Anastomosis of the pancreatic stump with the gastrointestinal tract is associated with most complications described in the postoperative period. So, there have been multiple attempts to discover safe and sound steps for this particular anastomosis. Pancreaticogastrostomy involves anastomosis between the remaining pancreas and stomach. Since it was first performed, its surgical steps have been modified multiple times, but there is no gold standard method to perform it. In this paper, we describe the surgical steps of pancreaticogastrostomy in difficult pancreatic stumps in eight patients using two transpancreatic sutures, one purse string suture, and the incorporation of transpancreatic sutures in the third layer of the gastrojejunostomy anastomosis. Postoperative outcomes of this series have provided encouraging short-term results.