S. PUNTAMBEKAR ? cisti pancreatica, resezione coda pancreatica

I spoke to someone and he's going to explain to the others that we are going to start the operation.

In a few minutes they will call us back.

Yeah, it's just there. Just for me.

It's this way. Sorry.

Excuse me, can I...

Can you keep it till I come down?

And to have the microphone, they are connected to another media track, another operation.

No, there isn't the next case.

Should we do a T4 case?

If you want.

There isn't an extra to do, isn't there?

Is Neil doing it?

He's done it.

Neil's done it.

Do you have another seatbelt case on?

Can we finish?

Are you planning on doing it?

Did you give it to Joe?

Joe did, didn't he?

Yeah, I can have a seatbelt and see what happens.

I mean, what's going on?

Why are you losing some gas?

No gas.

Why is there no gas?

Gas on.

No gas coming from here, right?

This one.

The gas we took the gas.

Turn the camera.

Turn the camera.

Thirty-five.

It's an eight.

You want to go after that one?

Yes.

That's my favorite.

And then prioritize that one.

First of all, there's a man, Hassan.

There's somebody behind the head of the pancreas.

Come on.

Okay.

Let me show you.

You will show me.

No.

Let me show you.

Let's not.

See.

That piece is the monocleic.

Look up there.

Look up there.

It's the monocleic.

Robto.

It's the teeth there.

They're on the bottom right, aren't they?

Yes.

Yeah.

Natalia.

You can't speak Italian?

No.

Do you want me to do something here?

Can we have the top light on please?

No, no, no, no, no.

Oh, sorry, thank you. No, it's alright, thanks.

Do you want to put the quicksand?

Yeah, don't forget quicksand.

It's all set up here, so...

I don't have to do anything.

I have the irrigation on today.

Let's wash, wash, wash, wash, wash.

It's got a lot of stuff in it.

Sorry.

It's got a lot of stuff in it.

It's got a lot of stuff in it.

It's got a lot of stuff in it.

So you're just going to...

So I'm just going to just.

Just come in, I see.

Sorry, what's come in?

Um, it just got a lot of the alcohol supply.

No.

No, it's a man. The GP's treated, he's very big in the next night, so he had an isolated CRP at 91, 48 hours a day, it's not all that long.

It doesn't sound like a inflammatory man, but he's sort of tight in, just waiting for a man, kind of dirty, so it's a bit of an exclamation.

And then an abscess which is very normal, one which is used a lot of times, which is a bit of a...

That's pretty much it.

Thank you very much.

There's some pins still, so we don't want to go too deep.

What was that?

That's just behind.

It's the way it's been treated.

Do it by yourself.

My face.

It's the way it's been treated.

Knuckle.

Knuckle, muscle, and...

The way it's been treated.

This is tape.

It's all tape.

Go on.

Hello?

Ciao!

Hello

She sent it

Hello

Hello, good afternoon from Roma

You hear us? Yes, we can hear you and we see your surgical procedure. Which kind of patients?

This is a young man, 28 years old, who presented with left upper quadrant pain.

Do you want me to speak in Italian or are you happy? If you want, we prefer.

A man of 28 years who was presented with pain in the left upper quadrant has a cyst of almost 6 cm with a solid component on the wall from the inside and a trachycystic septum.

A man is not a young woman, there is no associated pathology, nor a pathology of remote analysis.

He went to do an endoscopic ultrasound, he had a cyst aspiration,

and the aspiration made normal amylase, few steps, it is nothing significant.

a little high CEA, 120, and a little mucus in what came out, so it is said to be mucus.

Now, as you have seen at the exploration, the cyst invaded, or came, or was part, or was very adherent to the root of the mesocolonium,

At first I thought it could be a mesocolic cyst, or a month-long cyst.

But then, I came out of the majority of the pancreas, but at a certain point it was attached,

it was the part where the solid component was.

Unfortunately, we had a more hole in the cyst, which we had hoped for.

I decided instead of removing it, since there was that attachment to the pancreas, that solid component in that area, to remove it, as I had decided before, the pancreas with the cysts.

For which a resection of the pancreatic tail, the tail valve, we were able to maintain the splenic artery, the splenic vein.

Yes, ok, thank you, we were listening.

Now we put some drenages and I put, as you have seen, a moustachio glue on the trachea of the pancreas.

You cut the tail of the pancreas?

Yes, yes.

With what?

With what?

I used an Endoscopic Linear Stamper called Echelon, which is like the EndoG45 but bigger, more powerful, the one I use for the decathlon.

With what load? What color?

White, 1 mm.

Because the pancreas, it is true that it was wide, but it was thin, so a white one was fine.

Ok, thank you.

If it was more thick, I would have used a blue one, 1.5 or something like that, or 1.8.