Laparoscopic assisted pancreatico-duodenectomy – Temperature variations.

We have evaluated the incidence of hypothermia during laparoscopic assisted pancreatico duodenectomy in twenty patients. The intravenous infusions, irrigation fluid and CO2 insufflated were not warmed and we lack facilities for patient warming. A mean drop of 1.9 c during laparoscopy over five hours and mean drop of 0.8 0C during the open phase were observed. Therefore warming the infusion and irrigation fluids and warming the patient are recommended to reduce the degree of temperature drop.

Lung resection for extensive lung injury causing severe hemorrhage.

We have presented here a case of a twenty three year old male who successfully recovered of a massive right lung injury by rapid transport, insertion of inter costal drain, emergency thoracotomy for resection of upper and middle lobes and post operative intensive care.

Minimal access esophagectomy: Review of technique.

Minimal access esophagectomy reduces the Post-operative morbidity associated with open procedure. We presented our technique which includes using double lung ventilation and a capnothorax to collapse the lung and using an adopted prone position for thoracoscopic mobilization.

Management of a patient with a bile leak from hepatico-jejunostomy performed for bile duct injury.

Bile leak is a known complication following hepatico-jejunostomy performed for bile duct injury. We presented a case history where a leak was successfully managed with an open abdomen which allowed sepsis to settle and facilitate natural healing.