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Solid pseudo-papillary tumor (SSPT) of the pancreas is a rare pancreatic tumor. It is distinct from other pancreatic tumors in its age and sex distribution. Following aggressive resection there is a favorable prognosis, with most patients going on to cure. This entity is widely reported in the surgical and pathological literature. We present a case of huge SSPT of the pancreas in a young woman who underwent successful Whipple's operation. She has been followed for two years without any evidence of recurrence. We also present a review of the literature on SSPT. [ABSTRACT FROM AUTHOR]

Background: Laparoscopic esophagomyotomy (LEM) has become the standard treatment for achalasia. Recently, robot-assisted laparoscopic esophagomyotomy (RA-LEM) is emerging as a safe alternative to conventional LEM. We hypothesized that RA-LEM may reduce intraoperative complications compared with LEM. Objective: To compare RA-LEM with LEM in terms of intraoperative complications for the treatment of achalasia. Patients and Methods: A total of 42 patients underwent surgical treatment of achalasia at Siriraj Hospital between 1 December 2001 and 30 November 2013. A retrospective review of demographic data, perioperative course, complications, and hospital stay was performed. Patients were divided into 2 groups: group A (RA-LEM) consisted of 29 patients and group B (LEM) consisted of 13 patients. Operative time, estimated blood loss, duration of stay, intraoperative and postoperative complication were analyzed. Results: We could not demonstrate significant differences in esophageal perforation (13.8 vs. 15.4%; P= 0.999), aspiration (6.9 vs. 0%; P= 0.999) and operative time (195 ± 42 vs 197 ± 45 minutes; P- 0.999) between RA-LEM and LEM groups. There were significant reductions in blood loss (26.90 + 45.13 vs 74.62 ± 45.21 ml; P< 0.001) and postoperative length of stay (4.10 ± 1.18 vs 7.92 ± 6.43 days; P< 0.001). Conclusions: There was no significant reduction in intraoperative and postoperative complication between RA-LEM and LEM. We concluded that robotic surgery is equivalent in feasibility" and safety to conventional LEM. RA-LEM may be associated with less blood loss and shorter hospital stay. [ABSTRACT FROM AUTHOR]

AbstractPurpose??The purpose of our study was to evaluate the short-term and long-term outcomes of emergency Lichtenstein tension-free hernioplasty for acutely incarcerated inguinal hernia.Methods??We conducted a retrospective study of patients who underwent emergency Lichtenstein hernioplasty for acutely incarcerated inguinal hernia between September 2002 and January 2006 in a major city hospital in Thailand. We analyzed the early postoperative complications and surgical outcomes.Results??All 24 patients were men, with a mean age of 53.8 ? 19.2 years (range 19?77). There was no perioperative mortality and only two postoperative complications (8.3%): a subcutaneous fluid collection, which resolved spontaneously within 2 weeks; and a superficial surgical site infection, which was treated successfully by intravenous antibiotics. The hospital stay was 3.8 ? 2.1 days (range 2?12). All patients attended regular follow-up visits (mean 20.2 ? 10.7 months, range 3?43). Clinical recurrence was found in one patient (4.2%), 7 months postoperatively.Conclusion??Lichtenstein hernioplasty can be used effectively as an emergency operation for incarcerated inguinal hernia with a good outcome and an acceptably low rate of postoperative complications. [ABSTRACT FROM AUTHOR]