Laparoscopic treatment of a large simple hepatic cyst misinterpreted as hydatid.

In addition to becoming the gold standard for surgical treatment of a number of diseases, laparoscopy is sometimes needed as a diagnostic method to differentiate one disease from another. We present a case of a 75-year-old man with an incidentally found liver cyst, which was suspected to be hydatid. We performed a laparoscopic deroofing and a simple cyst was found, which diagnosis was confirmed the final pathological analysis of the cyst wall.

Congenital cystohepatic duct found during laparoscopic cholecystectomy.

This case shows the need for in-depth knowledge also on congenital biliary anomalies that can become subject to iatrogenic damage. The patient is 44-years old with echographically proven cholelithiasis with complaints of intermittent pain in the right upper quadrant. During laparoscopic cholecystectomy, after identification of cystic duct and cystic artery, after their clipping and resection and subsequent mobilization of the gallbladder from the liver parenchyma, a bile duct was opened.

Sigmoid stenosis caused by diverticulosis mimicking advanced colorectal cancer.

Stenosis is a rare complication of acute diverticulitis, difficult to differentiate from colon cancer. We present a 63-year-old woman with right lumbar pain radiating to the back. A sigmoid stenosis was detected by magnetic resonance imaging.

Lateral retroperitoneoscopic adrenalectomy: advantages and drawbacks.

Lateral retroperitoneoscopic adrenalectomy (LRA) is performed mostly by urologists. It is gaining popularity among general surgeons because of the direct access to the adrenal gland. However, the management of large tumors remains controversial.

Management of isolated adrenal metastases.

Second to adrenal adenomas [1], adrenal metastatic lesions are among the most common type of tumors [2]. Approximately half of the adrenal tumors resected are metastases [3,4]. Presence of metastases has been established by autopsy in 13 to 38% of the patients deceased from extra-adrenal malignant disorders, suggesting that the adrenal gland is one of the most frequent sited of metastatic dissemination [5-9].