Breast Disease Center, Southwest Hospital of The Third Military Medical University, Chongqing China (all authors).

ABSTRACT

Introduction: Currently, surgical resection is the only effective treatment for schwannoma. Long-term compression may bring irreversible damage to nerves. The conventional surgery for cervical vagal nerve schwannoma often produces a visible scar on the neck, an unsatisfactory cosmetic outcome.

Case Description: We performed an endoscopic resection of vagal nerve schwannoma on the right side of the neck in a 15-year-old male patient. Three incisions were made in the bilateral areolae and right axilla, and trocars were inserted along the line from the incision to the right supraclavicular fossa. An ultrasonic scalpel and electrocoagulation hook was used to dissect and remove the tumor in the deep face of the sternocleidomastoid and strap muscles.

Results: The vagal nerve schwannoma was completely excised with no significant intraoperative bleeding. The operation time was 45 minutes. The postoperative recovery was uneventful, and no recurrence was found in the 3-year follow-up.

Conclusion: Endoscopic resection via the bilateral areolae and axilla approach is a safe and feasible surgery for cervical vagal nerve schwannoma, providing a covert incision and satisfactory cosmetic outcome.

Key Words: Endoscope, Neck, Resection, Vagal nerve schwannoma.

[gview file=”https://crsls.sls.org/wp-content/uploads/2016/04/jls101163555001.pdf”]

The post Endoscopic Resection of Cervical Vagal Nerve Schwannoma first appeared on JSLS.

Department of Surgery, Singapore General Hospital, Singapore, Singapore (Drs. Goh, Lee, Chow). Duke-NUS Graduate Medical School, Singapore, Singapore (Drs. Goh, Chow).

ABSTRACT

Introduction: Laparoscopic liver resection has increasingly been used as a therapeutic modality in hepatocellular carcinoma (HCC). However, its use in the treatment of spontaneously ruptured HCC has not been well documented.

Case Description: We describe a case of spontaneously ruptured HCC successfully treated with early totally laparoscopic liver resection.

Discussion: Early laparoscopic resection of ruptured HCC is feasible and should be considered in the treatment algorithm of selected patients who have been well stabilized.

Key Words: Laparoscopy, Hepatectomy, Hepatocellular carcinoma, Ruptured, HCC, Resection.

[gview file=”https://crsls.sls.org/wp-content/uploads/2015/03/jls101153125001.pdf”]

The post Early Laparoscopic Resection of Ruptured Hepatocellular Carcinoma first appeared on JSLS.

Department of General Surgery, University General Hospital of Heraklion, 71110 Heraklion, Crete Greece (Drs. Papachristos, Chrysos, Xenaki, Lasithiotakis, Chalkiadakis). Department of Pathology, Faculty of Medicine of Heraklion, 71110 Heraklion, Crete Greece (Drs. Haniotis, Asimakopoulou, Papakonstantinou).

ABSTRACT

Calcifying fibrous pseudotumor is a rare, benign, hypocellular tumor-like lesion that is characterized by the presence of dense hyalinized collagenous tissue interspersed with small spindle cells, dystrophic calcifications, or psammomatous and variable lymphoplasmacytic infiltrations. We report the case of a 37-year-old woman with a posterior mediastinal mass, in close contact with the distal third of the esophagus, treated by complete resection through a laparoscopic approach. The tumor had the histologic and immunohistochemical features of a calcifying fibrous pseudotumor.

Key Words: Calcifying fibrous pseudotumor, lower posterior mediastinum, laparoscopy, resection

[gview file=”https://crsls.sls.org/wp-content/uploads/2014/11/13-00161-.pdf”]

The post Laparoscopic Resection of Calcifying Fibrous Pseudotumor of the Lower Posterior Mediastinum first appeared on JSLS.

Department of Surgery, Singapore General Hospital, Singapore (all authors). Duke-NUS Graduate Medical School, Singapore (Dr. Goh).

ABSTRACT

Synchronous resection of primary neuroendocrine tumors (NET) with liver metastases remains controversial, although recent studies have demonstrated its safety in select patients. Synchronous laparoscopic gastric and liver resection has been rarely reported. We report the case of a 65-year-old man who underwent successful simultaneous D2 subtotal gastrectomy with hepatectomy and cholecystectomy for metastatic gastric NET. This is the first reported case of totally laparoscopic simultaneous D2 gastrectomy with hepatectomy and cholecystectomy for metastatic gastric NET. Laparoscopic simultaneous gastrectomy and hepatectomy is feasible and safe in select patients with metastatic gastric NET.

Key Words: Laparoscopy, Hepatectomy, Gastrectomy, Simultaneous, Neuroendocrine tumor, liver, gastric, resection, carcinoid.

[gview file=”https://crsls.sls.org/wp-content/uploads/2014/11/13-00025-.pdf”]

The post Totally Laparoscopic D2 Subtotal Gastrectomy with Hepatectomy and Cholecystectomy for Gastric Neuroendocrine Tumor with Liver Metastases first appeared on JSLS.