四月上半GS每日開刀記錄

4/1
Pancreatic head tumor(VS阿閔哥)
OP:Whipple procedure->Double bypass(liver metastasis)
note:Port-A setup(主刀)

4/2
Choledocholcyst(VS以書)
OP:CBD resection
Rouen-Y procedure

Gallbladder stone(VS劉淵元, supervisor VS劉主任)
OP:LC->OC
note:由主刀VS分完cystic duct及cystic artery
再放給我分膽囊
最後由我關fascia及skin

4/3
Port-A setup(主刀)X2(VS張宏泰)

Peptic ulcer(VS佳佳)
OP:simple closure+omentum patch+peritoneal toilet

Intestinal obstruction(VS佳佳)
OP:enterolysis

4/6
Breast ca. s/p OP with liver metastasis(VS佳佳)
OP:left lobectomy

Right mastitis(VS佳佳)
OP:I&D + excisional biopsy

Port-A set-up(主刀)(VS焮哥)
Port-A set-up(主刀)(VS焮哥)
note:complicated with unable to insert catheter
completed by guide-wire assistant under R3梁宗榮 cover

4/7
Acute cholecystitis(VS佳佳)
OP:Laparoscopic cholecystectomy

Jejunal tumor(VS佳佳)
OP:jejunal segmentectomy

Gallbladder stone with acute cholectstits(VS JJ, supervisor VS蔡)
OP:LC

Bilateral inguinal heria with right inguinal hernia recurrence(VS蔡)
OP:Herniorrhaphy, Nyhus technique(right)

4/8
Tonsil ca. s/p OP(VS周)
OP:Gastrostomy

Cholangiocarcinoma with liver metastasis(VS阿閔哥)
OP:liver left lobectomy->open and close(peritoneal tumor seeding and gastric metastasis)
note:由VS帶我開L字傷口,學習如何approach abdomen

4/9
R/O phyllodes tumor of right breast(VS佳佳)
OP:partial masectomy

bilateral breast tumor(VS炳惠)
OP:breast tumor excisional biopsy

4/10
R/O urachal cyst with infection(VS佳佳)
OP:urachal cystectomy

4/11
acute appendicitis(CR李日騰 supervisor VS炳惠)
OP:open appendectomy

4/13
R/O CHOLANGIOCARCINOMA, S8, R/O HCC OR REGENERATION NODULE OVER
S5, 6, HCV (+)(VS佳佳)
OP:S8 segmentectomy

4/14
GB and CBD stones with cholecystitis s/p PTGBD(VS佳佳)
OP:cholecystectomy + CBD exploration

BREAST CANCER, RIGHT, S/P SSM + TRAM (VS佳佳)
OP:Port-A setup(主刀)

4/15
UGI bleeding, suspect deuodenal ulcer(VS佳佳)
OP:exploratory laparotomy->pyloroplasty
op finding: duodenal ulcer, 1st portion, perforated to gallbladder

下半月轉NS...沒有刀開了....XD