Case presentation We describe an instance adoptive cancer immunotherapy of 66-year-old girl who was diagnosed with multicentric pancreatic metastases from obvious renal cell carcinoma connected with concomitant pancreatic neuroendocrine tumor, after 14 many years from the initial analysis of renal cancer tumors. Because of this patient, the outward symptoms were unspecific for neoplastic infection, she had numerous pancreatic metastases which can be an uncommon finding, but even rarer had been the association of metastases with neuroendocrine cyst within the pancreas. Because of the good result and success, surgical resection is advised for solitary and several pancreatic metastases, as well as for pancreatic neuroendocrine tumors. Conclusion Differential analysis for several pancreatic tumors is undisputedly essential, though it will never have changed any such thing inside our person’s preoperatively course. Customers with renal cellular carcinoma must follow long-lasting surveillance with regular evaluation and imaging research so that any possible metastases can be detected early and treated properly.video width=”640″ height=”480″ controls controlsList=”nodownload” poster=”https//www.revistachirurgia.ro/pdfs/video/Diana_Teodora_Cucu-Abdominal_Wall_Reconstruction.jpg” style=”margin-top -20px;” source src=”https//www.revistachirurgia.ro/pdfs/video/Diana_Teodora_Cucu-Abdominal_Wall_Reconstruction.mp4″ type=”video/mp4″ Your browser does not offer the movie label. /video Breast reconstruction with a pedicled transverse rectus abdominis muscle mass (TRAM) flap can lead to considerable stomach wall donor-site morbidity. Although the pedicled TRAM flap donor area reinforced with mesh results in reduced rates of postoperative abdominal bulging and hernias, the very best way to achieve this is certainly however become elucidated. Antonio Espinosa de Los Monteros all. posted recently a novel manner of posterior elements split with transversus abdominis muscle release and retro-muscular mesh reinforcement for donor-area closing during pedicled TRAM flap breast reconstruction (1). In this case we present this techniration of linea alba; 6. mesh placement. Incorporating the eTEP approach together aided by the posterior component separation (but preventing TAR) also utilizing the benefits of the robotic surgery, this system offers a fast recovery and exemplary cosmetic results.Introduction Pancreaticoduodenectomy, commonly known as the Whipple process, is a complex medical method used by the treatment of numerous pancreatic and periampullary pathologies. Minimally invasive PD was created in an attempt to enhance the outcomes regarding the old-fashioned, open technique Mediation effect . But, the reconstruction phase has been seen as an amazing barrier to extensive adoption of this laparoscopic technique. A few analysis appraisals and situation studies suggest the robotic strategy as a facilitator throughout the reconstruction measures. We propose a hybrid strategy to combine the versatility of laparoscopy and also the aesthetic and motor features of the DaVinci Xi in order to optimize the accuracy of this reconstruction. Our advice is dependant on the knowledge our FX11 institution has had with all the standardization of various surgical procedures and protocols. Methods this short article is focused regarding the outcomes of robotic assisted PD in our institution. Eleven patients underwent robotic assisted lapalmonary embolism. Conclusions The hybrid strategy facilitates the benefits of both laparoscopic and robotic methods. While laparoscopy is less dangerous in manipulating the bowel and enables the Roux en Y repair and gastro-pancreatic anastomosis, the robotic help allows the physician to do delicate anastomosis with a high reliability. The educational curve’s most important factor is standardization and careful patient choice along side a stepwise approach.Background The main postoperative complications of thyroidectomy tend to be hypoparathyroidism and recurrent laryngeal nerve (RLN) palsy. Methylene blue, that will be a drug and dye, is safe and easy to get, and then we may use it to avoid problems during thyroidectomy. Goals We make an effort to evaluate that people can spray Methylene blue to permit the recognition of important structures intraoperative which will be the parathyroid gland and recurrent laryngeal neurological. Additionally, to guage that this method is safe, efficient, technically feasible, much less dangerous than other strategies. Practices Our study is a prospective cohort research of customers, clients who served with easy nodular goiter, individual thyroid nodule, managed harmful goiter, and were unsuccessful medical treatment with the indication for thyroidectomy, suspected malignancy, and retrosternal goiters at El-Demerdash Hospital from the amount of August 2021 to August 2022. In the specified research period of just one year from 1/8/2021 to 31/7/2022. Outcomes Sixty patients underwent tid gland and RLN during thyroidectomy, which led us to cut back the portion of occurrence of postoperative problems. Also, it helped us to obtain the parathyroid gland and RLN throughout the surgery, despite some surgeons seeing that searching for the parathyroid and RLN often leads to harmful impacts while increasing the occurrence of injury.Introduction because of the superficial peritoneal spread of ovarian disease, upper stomach surgical procedures are often expected to attain optimal surgical cytoreduction. This study compares the death and morbidity rates of customers undergoing top and reduced abdominal cytoreductive surgery inside our institution.