Singh et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Oncologic surgery in the Caribbean has evolved over the past decade, with increasing reports of advanced minimally invasive operations being performed. However, the minimally invasive approach has not been used for peri-ampullary lesions. This is because a laparoscopic Whipple's operation is a technically demanding and time-consuming operation. We report the first case of a totally laparoscopic Whipple's operation to be performed in the Caribbean.

Highlights Outcomes in minimally invasive oesophagectomy (MIO) have been shown to be superior to open while maintaining oncologic safety. In the treatment of oesophageal cancer, a multidisciplinary approach has been proven to improve the overall outcome for the patient. The initial prone position for the thorascopic stage of dissection of the oesophagus allows for an easier and less complicated operation. The developing Caribbean is able to keep on par with first world surgery as evidenced by these complex technical procedures. This report provides a significant addition to the documented surgical history of the Caribbean.

We report a rare case of a mature cystic teratoma found in the retroperitoneum of a 28-year-old woman with vague symptomatology. We review the radiologic and pathologic features of this rare lesion.