This week there were relatively few cases however the complexity of the cases continue to increase. Of note, there was very complex pancreatic pseudocyst and a large right colon cancer invading the abdominal wall involving the right adnexae, a large portion of the ileum, the sigmoid colon and the lateral wall of the duodenum. Lawrence has already done his third splenectomy after being on the service two weeks. He also has two colostomies as well as having participated and done significant portions of two very complex right hemicolectomies, an abdominoperineal resection for a large, bulky rectal cancer invading the vagina, the pancreatic pseudocyst and a strangulated inguinal hernia requiring a bowel resection. He also scrubbed on a very difficult large bowel intussception with a cecal tumor intussucepting all the way to the rectum.
The academic and non-operative portions of the program continue as per the reports in the previous weeks.
Goiter Right thyroid lobectomy
Rectal Cancer Diverting Colostomy
TB of breast Incisional biopsy of left breast
Pancreatic pseudocyst Roux en Y pancreatic cyst-jejunostomy
Ca right colon En block resection of right colon, right
adnexae, sigmoid colon and lateral wall of
duodenum, repair of duodenum, pyloric
exclusion, tube duodenostomy, ileotransverse
colostomy and sigmoid colocolostomy
Ruptured spleen Splenectomy
Large bowel intussusception Subtotal colectomy