Pancreaticoduodenectomy for trauma in an adolescent female with complex pancreatic and duodenal injuries: Case report and review of the literature.

Background: We present a successful staged surgical repair of an adolescent who sustained a high grade combined pancreaticoduodenal injury following a high-speed motor vehicle collision.

Methods: We discuss our case as well as provide a thorough literature review made on databases such as PubMed, Google Scholar, and Embase.

Summary: A fifteen-year-old female presented after a motor vehicle collision with abdominal pain and imaging suggestive of pancreatic and duodenal injuries.

Cost analysis of open and laparoscopic pancreaticoduodenectomy: a single institution comparison.

Introduction: The laparoscopic approach to pancreaticoduodenectomy has been recently more frequently reported and is now being performed at multiple centers across the US. While laparoscopic pancreaticoduodenectomy (LPD) has been shown to be safe and feasible, comparing its cost in relation to open pancreaticoduodenectomy (OPD) has not been examined. The aim of this study is to examine the cost of LPD compared with OPD at a single institution over a 3-year time period.

Laparoscopic central pancreatectomy and pancreaticogastrostomy for the management of a proximally migrated pancreatic stent.

Context: Pancreatic stents are used for both benign and malignant pancreatic disease but can be associated with complications such as proximal migration.

Case Report: A 43-year-old female with benign biliary disease underwent prophylactic pancreatic stent placement after endoscopic retrograde cholangiopancreatography. This stent migrated proximally into the pancreatic duct and could not be retrieved by endoscopic measures.

Minimally invasive surgical techniques for pancreatic cancer: ready for prime time?

Background: Minimally invasive surgical techniques for pancreatic cancer are being applied with increasing frequency. With support of the literature, the location of the tumor within the pancreas is the factor which determines if these techniques can be safely used routinely by pancreatic surgeons.

Methods: Literature supporting minimally invasive techniques for all types of resections for pancreatic cancer was reviewed.

Long-term symptom relief and patient satisfaction after Heller myotomy and Toupet fundoplication for achalasia.

Background: The goal of this study was to review the results, symptom relief, and patient satisfaction after laparoscopic Heller myotomy and Toupet fundoplication.

Methods: A cohort of patients who underwent laparoscopic esophagomyotomy and a Toupet fundoplication was identified. A retrospective chart review was conducted and patients then were interviewed by telephone using a modified 5-point Likert scale.

Bile duct cysts.

Bile duct cysts are uncommon lesions that are found in adult and pediatric patients. Current concepts regarding epidemiology, etiology, classification, clinical diagnosis, and surgical treatment are reviewed. Bile duct cysts are associated with abnormal junctional anatomy of the pancreatic and bile ducts and with biliary tract cancer.