Outcome evaluation of 10,317 laparoscopic cholecystectomies: a 17-year experience at a single center.

Background/aims: This study is an analysis of the large series of laparoscopic cholecystectomies and compare our results with those reported in the literature concerning complications.

Methodology: From December 1993 to September 2010, 10,317 patients with gallstone disease underwent laparoscopic cholecystectomy. Previously operated patients were also included in the study.

Effect of pyloric dilatation on gastric emptying after pylorus-preserving pancreaticoduodenectomy.

Background/aims: Pylorus-preserving pancreaticoduodenectomy (PPPD) is the standard treatment for periampullary and pancreatic head tumors. Delayed gastric emptying (DGE) is the most common (ranging from 15-45%) but not life threatening complication and impairs patient recovery and prolongs the hospital stay after PPPD. The precise pathomechanism of DGE is still unclear.

Double transection of complete duodenal circumference after blunt abdominal trauma without other intra-abdominal injuries.

We report a case of a 20-year-old male with isolated complete duodenal transection at two duodenal segments after blunt abdominal trauma. On admission, the patient underwent physical examination, laboratory analysis, abdominal ultrasound and plain abdominal x-ray. Physical examination revealed diffuse and rebound tenderness and extreme rigidity of the abdomen, guarding and decreased bowel sounds.