Solid pseudopapillary tumour (SPT) is the rare tumour of pancreas with unknown aetiology and good prognosis. Occurs predominantly in young women of reproductive age group. Not many cases have been reported from India. We report a case of a young woman who presented with persistent back pain having large tumour of body of pancreas treated successfully by left pancreatectomy.
After injection of ICG solution, ICG fluorescence mode revealed clear boundary of S6 and S7. We could begin the parenchymal resection without isolating of the Glissonean pedicles. And the RHV was exposed safely using the CUSA inserted through the 12-mm trocar, placed at the seventh intercostal space. The tumor was histologically confirmed as a hepatocellular carcinoma, and the surgical margins were negative.
Conclusion:In conclusion, we presented a case of laparoscopic anatomical S7 liver resection using interventional radiology and ICG fluorescence positive staining. This method is useful for the detection the boundary of S7 and safe resection during laparoscopic surgery.
surface in 60% of the cases. POPF was diagnosed in 26% of the patients, of whom 19% were grade B-C. None of the variables analyzed were significantly associated with POPF, but the drain fluid amylase >1000 U/L on postoperative day 5, was associated with grade B-C POPFs [OR 20, p = 0.028 (CI 1.301e287)]. Conclusion: In our series, no overall POPF predictive factors were found after DP. However, an elevated drain fluid amylase on post-operative day 5 can predict a worst outcome and should influence our therapeutic strategy.
risk factors and the remnant volume also indicated volume of >40.41cc to be significant (longer duration of drain tube placement, more interventions and longer hospital stay). Conclusions: Estimation of EPRV using the pre operative CT is highly predictive of developing a CS-POPF and may help in the management and developing a pre operative risk score for patients undergoing a Pancreatoduodenectomy.
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