Laparoscopic Central Pancreatectomy With Pancreaticogastrostomy: Our Initial Experience.

Pancreatic parenchyma-preserving procedures performed for benign and low-grade malignant tumors of the neck or body of this organ significantly reduce the incidence of postoperative exocrine and endocrine insufficiency compared to distal pancreatectomy. Tumor enucleation spares pancreatic parenchyma, but it can have positive surgical margins, and postoperative leakage after it is significant. We present our initial successful experience of laparoscopic central pancreatectomy.

A Case of Duodenal Resection and Duodenojejunostomy for Multiple Small Bowel Infarction in Patient With Inherited Thrombophilia and Vitamin K Antagonist Induced Critical Hypocoagulation.

We present a case of the multiple venous intestinal infarction in patient with two inherited thrombophilias: Leiden factor V (LFV) and factor VIII elevation. The patient had a critical hypocoagulation caused by vitamin K antagonist (VKA) overdose. At laparotomy, several intestinal segments were necrotic and ischemic.

CURRENT TREATMENT STANDARDS OF COMPLEX, LARGE SIZED INCISIONAL HERNIAS.

There is yet no generally accepted incisional hernia classification.This article highlights practical issues of classification, treatment modalities, and multidisciplinary decision-making. We summarized many existing classifications of hernia and suggested the classification that facilitates pre-operative, intra and postoperative planning.