Minimally invasive video-assisted thyroidectomy in Asian patients: experience from Singapore.

Background: Minimally invasive video-assisted thyroidectomy (MIVAT) although well established in Europe has not yet gained widespread acceptance in Asia. We describe our learning experience in the first reported series of 105 cases from Singapore.

Methods: A retrospective analysis of outcomes in 105 patients who underwent MIVAT from April 2011 to 2018 was performed.

Clinics in diagnostic imaging (183).

Hydrocoele of the canal of Nuck is a rare condition in adult women caused by a failure of complete obliteration of the canal of Nuck. It may be likened to a patent processus vaginalis in men. In most cases, the diagnosis is made during surgery as it is often mistaken for an inguinal hernia.

Is minimally invasive, video-assisted thyroidectomy feasible in Graves' disease?

Background: Although the safety and advantages of minimally invasive, video-assisted thyroidectomy (MIVAT) are well documented in nodular thyroid disease, its role in Graves' disease is controversial. We compared the outcomes of patients undergoing MIVAT with those undergoing conventional thyroidectomy for Graves' disease.

Methods: Of the 497 patients with Graves' disease referred for surgery (1999-2009), 157 (31.

Pharyngoesophageal diverticulum resembling a thyroid nodule on ultrasound.

Background: Ultrasound is routinely used in evaluating thyroid nodules and performing fine-needle aspiration cytology (FNAC). Occasionally, nonthyroidal lesions can mimic thyroid nodules on imaging and get wrongly aspirated.

Methods: A 63-year-old woman was reported to have an incidental left thyroid "nodule" on neck ultrasound scan.

Video-assisted bilateral neck exploration in patients with primary hyperparathyroidism and failed localization studies.

Background: In primary hyperparathyroidism (pHPT) positive preoperative localization studies are accepted as a precondition for applying minimally invasive surgical techniques. Without localization, open bilateral neck exploration (BNE) is considered the standard option. The present study analyzes the feasibility and effectiveness of minimally invasive video-assisted BNE in patients with pHPT and negative or discordant localization studies.

Laparoscopic duodenojejunostomy for superior mesenteric artery syndrome.

Background: Superior mesenteric artery syndrome (SMAS) is a rare condition causing acute or chronic compression of the third part of the duodenum, due to a reduction in the aortomesenteric angle. Traditionally, an open duodenojejunostomy is recommended when conservative management fails. Laparoscopic duodenojejunostomy is a minimally invasive option that has been reported in up to 10 cases.

Acute abdominal pain secondary to retroperitoneal bleeding from a giant adrenal lipoma with review of literature.

Adrenal lipomas are rare, non-functioning benign tumours, which are primarily detected during autopsy or imaging, as asymptomatic incidentalomas. Occasionally, they can present with abdominal pain due to their large size. Imaging studies help to determine the origin, volume, composition of the lesion and presence of bleeding.

Use of endoscopic snare to extract a large rectosigmoid foreign body with review of literature.

Rectal foreign bodies are common and various shapes and sizes have been described in literature. Large objects impacted high in the rectosigmoid junction pose a challenge for endoscopic extraction. We describe a method that successfully removed a 15x6x3.

Laparoendoscopic removal of a benign gastric stromal tumor at the cardia.

Objective: Gastrointestinal stromal tumors are the most common submucosal masses in the stomach and are mostly benign. Minimally invasive surgery is being increasingly used for their excision. Tumors close to the cardia often require a stapled resection of stomach.