Highlights Diagnosis of severe UC constitutes a difficult task in elderly patient. CT imaging can help physicians exclude non-surgical condition. Severe UC should be kept in mind in elderly patients with new onset abdominal pain.

robotically (RPD) are now reported. We compared the short-term outcomes of RPD cases with LPD and OPD. Methods: A retrospective review of a prospectively collected database was undertaken of our first consecutive RPD, our first LPD and consecutive OPD cases. Those requiring venous and/or arterial resection were excluded. Results: RPD (n=25) had longer operating times (451.9 +/-92.2 mins) than LPD (n=41) (338.2 +/-55.6 mins) and OPD (n=37) (309.6 +/-81.0 mins, p< 0.0001). On subgroup analysis, after 20 cases, RPD operating time was comparable to OPD (p=0.414). Estimated blood loss and transfusion requirement was less after RPD and LPD compared to OPD (p=0.012 and p< 0.0001 respectively). No RPD cases required conversion to open operation compared to 24.4% of LPD. Morbidity was comparable. 90-day mortality was seen in 0.97% of the total cohort. Length of hospital stay (LOS) was shorter for RPD compared to both LPD (p=0.030) and OPD (p=0.002). Conclusion: RPD is safe to perform with comparable outcomes to LPD and OPD. Further evidence is provided that a randomised controlled trial for PD techniques is required.

Background: A very short hospital length of stay following an open appendectomy in children with acute simple appendicitis has never been mentioned yet in the literature. The authors reviewed the outcome of these paediatric patients who were treated with the open technique. Materials and Methods: In this analytical cohort observational study, we retrospectively reviewed the medical records of the 115 consecutive patients who underwent open appendectomy from June 2017 to July 2021. Results: There were 84 patients whose appendices were inflammatory or suppurative and appendectomies were done only through McBurney's point. Of these, the average age was 9.11 ± 2.67 years. The mean length of the incision was 1.95 ± 0.48 cm. Nearly one-third (25/85) were discharged within 3 h following surgery. Of the remaining cases, nine patients were discharged within the same day. There were increased percentages of patients who were eligible for early discharge in each consecutive year. Conclusion: The idea of immediate discharge within 3 h seems to be feasible for children with acute simple appendicitis who were treated with open appendectomy. We believe that the practice will be widely acknowledged and proceed to reduce the resources and the expenses in the hospital.

HighlightsWe presented a patient with PNET, lymphoma, and SCC occurring simultaneously.Malignant lymphoma in this case presented with a slow-growing mass at right testis.Hypodense lesion at tail of pancreas by CT scan is rather found in adenocarcinoma.

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