ABSTRACT
Laparoscopic rectal resection is considered technically more demanding than laparoscopic colectomy. Rectal transection is a challenging part of laparoscopic low anterior rectal resection and restorative proctocolectomy. We describe our technique for laparoscopic rectal transection with a curved cutter, a device initially designed for open surgery, combined with the use of a ring-mounted sterile drape that allows maintenance of sufficient intra-abdominal gas pressure in a series of 34 patients.
Subject(s)
Dissection/methods , Laparoscopy/methods , Proctocolectomy, Restorative/methods , Rectal Neoplasms/surgery , Rectum/surgery , Adult , Aged , Aged, 80 and over , Anastomotic Leak/etiology , Colitis, Ulcerative/surgery , Dissection/adverse effects , Dissection/instrumentation , Female , Humans , Laparoscopy/adverse effects , Laparoscopy/instrumentation , Male , Middle Aged , Proctocolectomy, Restorative/instrumentation , Surgical Wound Dehiscence/etiologyABSTRACT
Primary ovarian carcinoids are very rare tumors that account for less than 5% of all carcinoids and 0.1% of all ovarian malignancies. We present a rare case of a primary, non-functioning, insular carcinoid of the left ovary in a 44-year-old woman originating from the outer surface of a mature cystic teratoma. After an uneventful unilateral salpingo-oophorectomy, the patient had no sign of recurrence with computed tomography and 5-HIAA evaluation at 3-year follow-up. Although rare, primary ovarian insular carcinoid tumors that are confined to the ovary and treated with surgery are expected to have an excellent overall outcome.
Subject(s)
Carcinoid Tumor/pathology , Ovarian Neoplasms/pathology , Adult , Carcinoid Tumor/surgery , Female , Humans , Ovarian Neoplasms/surgeryABSTRACT
Biliary cystadenomas of the liver are rare, cystic neoplasms of the biliary ductal system usually occur in middle aged women. We report a case of synchronous multiple huge biliary mucinous cystadenomas with unique features. This is, according to our knowledge, the first report in the literature about three synchronously occurring hepatobiliary cystadenomas. Cystadenomas have a strong tendency to recur, particularly following incomplete excision, and a potential of malignant transformation. A therapeutic re-evaluation may be necessary when the diagnosis of hepatobiliary cystadenoma is made after the operation and an open liver resection should be considered.
