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Doctor insights on: Open Surgical Biopsy Of The Pancreas

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Gastrectomy); surgical removal of the gall bladder (cholecystectomy); or surgical removal of the pancreas (pancreatectomy), what's the difference?

Gastrectomy); surgical removal of the gall bladder (cholecystectomy); or surgical removal of the pancreas (pancreatectomy), what's the difference?

DIFFERENT ORGANS: Different organ will have different name for surgical operation if you operate on the stomach it will have a different name than the pancreas or the gallbladder they are separate organs is that what you want to know the question was really vague i hope that help. ...Read more

Dr. Ana Adelstein
2 doctors shared insights

Biopsy (Definition)

Biopsy is tissue removed by needle or cutting to remove part of a body part. It is usually a small amount of material that is processed by a pathologist. Most of the time it is stained and looked at through a microscope to arrive at a diagnosis. Special processes are done for some tissues or problems. The purpose is to tell what the problem is (diagnosis). ...Read more


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Can resection surgery at the junction of the small and large intestine cause chronic sibo? Assume the ileocecal valve was removed.

Can resection surgery at the junction of the small and large intestine cause chronic sibo? Assume the ileocecal valve was removed.

Define: I don't know what sibo is. In general, if the ileocecal valve is removed, some patients can have , at least temporarily, some looser stools or urgency. I usually suggest Imodium (loperamide) as needed, a good general diet, avoidance of large meals, and the inclusion of yogurt in the diet. If i'm missing the boat here, define sibo. Good luck. ...Read more

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Does surgery of primary cancer of the rectosigmoid junction require a colostomy?

Does surgery of primary cancer of the rectosigmoid junction require a colostomy?

Very rarely: There are 3 reasons why a stoma may be needed: 1-if the cancer is so close to the anus that removal would leave too little to re-connect to. Using modern techniques, this is very rare. 2-if the cancer caused complete blockage or perforation requiring emergency surgery, a temporary stoma may be necessary. 3-if we are concerned that the new connection may leak, we temporarily divert w/an ileostomy. ...Read more

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Surgical incision into the thalamus, what are the risks of doing this?

Surgical incision into the thalamus, what are the risks of doing this?

Speak w neurosurgeon: There are very few indications for operative resection of thalamic lesions, since they are uncommon. Most of the experience have been in children with thalamic tumors. Each case must be individualized, there are several approaches to these lesions. The complications (morbidity) is significant and include visual field defects and hydrocephalus. Then the underlying cancer causes mortality. ...Read more

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What's the standard treatment of post op adhesions which causes obstruction in the small intestines after a sigmoid colon cancer surgery?

What's the standard treatment of post op adhesions which causes obstruction in the small intestines after a sigmoid colon cancer surgery?

None: There is no rx for adhesions themselves. If they cause a bowel obstruction then that will be treated with a tube through the nose to decompress the bowel and no food for a few days. If that doesnt work then surgery may be required. ...Read more

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What type of biopsy is more accurate for large clusters of microcalcifications in the breast, stereotactic core biopsy or wire guided open surgery?

What type of biopsy is more accurate for large clusters of microcalcifications in the breast,
stereotactic core biopsy or wire guided open
surgery?

Open biopsy: is considered the historic "gold standard", but the accuracy of stereotactic biopsy approaches that of excisional biopsy, with less risk, less complications, less cost, and no disfigurement or significant scarring. It avoids unnecessary surgery. About 75% or so of all microcalcification biopsies turn out benign. Image-guided needle biopsies are the standard of care for a variety of reasons. ...Read more

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Is biopsy the only way of determining the sub-type of Non-Small Cell Lung Cancer? Any non-invasive ways? 1st biopsy inconclusive and risks with repeat

Is biopsy the only way of determining the sub-type of Non-Small Cell Lung Cancer? Any non-invasive ways? 1st biopsy inconclusive and risks with repeat

Need a biopsy: A physician who diagnosed ANY lung cancer without obtaining a biopsy would be committing gross malpractice. You've got SOMETHING in your lung that's VERY worrisome and whatever got it noticed, you should be demanding that the biopsy be repeated anyway and a best diagnosis rendered. Risks? Do you want to die of a missed cancer? I know you don't. Be brave. Best wishes. ...Read more

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Gall bladder and removal of stone at the junction of cystic duct and cbd via open surgery. Stone of 15mm in bile duct and bile leak after 10months?

Gall bladder and removal of stone at the junction of cystic duct and cbd via open surgery. Stone of 15mm in bile duct and bile leak after 10months?

Need ERCP: You may have retained stones inside bile ducts most likely in the common duct , ERCP and and retrieval possible in most of the time , see a GI specialist ...Read more

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Is the removal off the pituitary gland a dangerous surgical procedure?

Is the removal off the pituitary gland a dangerous surgical procedure?

Need more info: The removal of the pituitary through transphenoidal surgery is fairly straightforward, in the hands of good surgeons who do this routinely. But why is this being done? You will have to replace the lost hormones, typically thyroid and adrenal and sex steroids. If there is an isolated pituitary tumor, they should remove it and leave behind normal pituitary, if possible. ...Read more

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Excision of the nonunion of navicular fracture and curettage of the cysts in the area. Is this surgery recovery going to be lengthy?

Excision of the nonunion of navicular fracture and curettage of the cysts in the area. Is this surgery recovery going to be lengthy?

Time is on your side: Recovery will be as long as it takes. Depending on the procedure and your ability to recover, it could be from 6 weeks to 12 weeks. There will be progressive activity allowed throughout the recovery time. ...Read more

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Is a pathology report following the removal of a tumor part of the surgical protocol?

Is a pathology report following the removal of a tumor part of the surgical protocol?

Yes: All specimens removed at the time of surgery must be sent for pathologic evaluation. While the report comes separately from the operative report which describes what was found at the procedure and how it was removed, the pathology report describes the gross appearance of the specimen followed by the microscopic appearance and then a histologic diagnosis. ...Read more

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What does the surgical procedure of achalasia involve?

What does the surgical procedure of achalasia involve?

Myotomy: Which means cutting of the muscle sphincter at the bottom of the esophagus. A partial "wrap" or anti reflux procedure is usually added. ...Read more

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A voluminous lesion in the tail of the pancreas also encompassing the greater curvature of the stomach,12cm tumor.is dangerous fibroscopy?operated?

A voluminous lesion in the tail of the pancreas also encompassing the greater curvature of the stomach,12cm tumor.is dangerous  fibroscopy?operated?

Cystadenoma: This size lesion expanding to stomach can not be the classic adenoCa. It is probably an islet cell neoplasm or more likely cystadenoma. Since the latter almost always converts to carcinoma, resection of distal pancreas, spenectomy since splenic vein always involved and partial gastectomy must be performed. Laparotomy should be used and depending on path, chemo may be needed PO. ...Read more

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What type of surgery is performed to remove the appendix?

What type of surgery is performed to remove the appendix?

Laparoscopy v. Open: The appendix may be removed via traditional "open" surgery performed thru a 2-3" incision or via minimally invasive laparoscopic surgery. Both are safe procedures with the choice of procedure usually dependent on the preference of the surgeon. Like most surgeons under age 50, i perform almost all of mine laparoscopically, with an average length of hospitalization less than 24 hrs. ...Read more

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Does the surgical resection of a brain metastasis alter the planning and subsequent local control achieved with radiosurgery prescribed for recurrence at the operated site?

Does the surgical resection of a brain metastasis alter the planning and subsequent local control achieved with radiosurgery prescribed for recurrence at the operated site?

Variable: If a solitary metastatic lesion is excised, this strongly suggests temporary success, and unlikely need for additional radiation if totally excised, but a residual remnant needs to be addressed. Since can be so variable, propose a conference with oncologist involved to decide further steps. ...Read more

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What is the average duration of a laparotomy with removal of adhesions and endo lesions including a presacral neurectomy in a stage 3 endo patient?

What is the average duration of a laparotomy with removal of adhesions and endo lesions including a presacral neurectomy in a stage 3 endo patient?

Varies: Endometriosis is a chronic condition. Most manage the syndrome medically. If surgery is required, most prefer laparoscopy over an open laparotomy. Lysis of adhesions may be brief or extensive. Pre sacral neurectomy is a complicated procedure which should be done as a last resort, by common opinion. Talk with your provider. Ask about recurrence, complications and success rates. Hang in there. ...Read more

Dr. Erik Borncamp
3 doctors shared insights

Pancreas (Definition)

Abdominal organ. It is digestive organ: it secretes enzymes into the small bowel which break down food and help its absorption. It is also an endocrine organ: it produces hormones involved in sugar control and control of digestion. Insulin is one of these hormones. Diabetics either lack Insulin (type 1 diabetes) or have inadequate ...Read more


Upper Abdomen (Definition)

Draw a transverse line through the umbilicus and the upper abdomen includes every part of the belly above this line and below the ...Read more