27 Mar 2017

Total proctocolectomy with IPAA

65 year old male without any medical comorbidities
Complain of change in bowel habit and occasional bleeding PR
On colonoscopy he had rectal growth with multiple polyp in colon
Biopsy from growth was positive for malignancy
Polyps from different parts of colon s/o dysplasia
Total laparoscopic proctocolectomy was performed
Small lower midline incision taken to deliver specimen
Ileal Pouch Anal Anastomosis with diversion ileostomy done.
He had persistent ileus for more than 8 days
Hence was reexplored and adhesiolysis was done
Stoma started functioning from post op day 2 of 2nd surgery
He recovered well and stoma closure was done after 6 weeks.
HPE report was T2N0 Adenocarcinoma of rectum with dysplastic multiple polyps.

18 Mar 2017

Radical Gastrectomy

53 year old healthy male without any comorbidity
Stomach mass at lesser curvature upto GE junction
Radical Proximal Gastrectomy with gastric tube
Oesophago gastric tube hand sewn anastomosis

6 Mar 2017

Laparoscopic Assisted Whipple's PD

Patient with Bilrubin level >8 periampullay tumor
Operated for Laparoscopic Assisted Whipple's
Surgery time 7 hours Blood loss 150 ml
Complete laparoscopic resection of specimen
All anastomosis through upper midline oncision
Patient discharged on postop day 9