minmal invasive surgey case4

11
Minimal Invasive Conventional Surgery for GI Cancer: Review of 8 cases Dr.Qalander H.Abdulkareem Kasanzani, Consultant Surgeon. Dr. Taher Abdulla Hawrami ,CABS, Consultant Surgeon, Assistant Professor of Surgery, University of Sulaimany, College of Medicine, Head of department of Surgery. Dr. Muhamed Shekhani,M.B.Ch.B- C.A.B.M, Consultant physician, Assistant Professor of Medicine, University of Sulaimany, College of Medicine, Department of Medicine. From Kurdistan Ceneter for GIT & Hepatology, Sulaimani Teaching Hospital.

Upload: kurdgehs

Post on 30-Jun-2015

317 views

Category:

Health & Medicine


0 download

DESCRIPTION

Minimally invasive conventional GIT surgery by Dr.Kalandar Kasnazan.

TRANSCRIPT

Page 1: Minmal Invasive Surgey Case4

Minimal Invasive Conventional Surgery for GI Cancer: Review of 8 cases

Dr.Qalander H.Abdulkareem Kasanzani, Consultant Surgeon. Dr. Taher Abdulla Hawrami ,CABS, Consultant Surgeon, Assistant Professor of Surgery, University of Sulaimany, College of Medicine, Head of department of Surgery. Dr. Muhamed Shekhani,M.B.Ch.B- C.A.B.M, Consultant physician, Assistant Professor of Medicine, University of Sulaimany, College of Medicine, Department of Medicine. From Kurdistan Ceneter for GIT & Hepatology, Sulaimani Teaching Hospital.

Page 2: Minmal Invasive Surgey Case4

Case 4: Ca. Rectum A 45 year's old lady,passing bloody motion for 2months only,

tenesmus, no other complaint, no family history . Diagnosis well differentiated adenocarcinoma of the rectum 3cm

in size, 5cm from the anal margin. All images modality & colonoscopy were in favor of localized

cancer not involving beyond superficial muscle layer. Endo luminal full thickness excision, with 2cm safety margin has

been performed.

Page 3: Minmal Invasive Surgey Case4

Case 4: Histopathology report: full thickness rectal wall with the tumor of

2.5cm in diameter. All margins were free. The depth was involving the superficial layer of the muscles. No further penetration, the extra rectal fat has been seen in the

specimen, all were free. Hartman's protective colostomy has been performed through 3cm

incision to be closed later. Uneventful recovery.

Page 4: Minmal Invasive Surgey Case4

Case 4:

Page 5: Minmal Invasive Surgey Case4

Case 4:

Page 6: Minmal Invasive Surgey Case4

Case 4:

Page 7: Minmal Invasive Surgey Case4

Case 4:

Page 8: Minmal Invasive Surgey Case4

Case 4:

Page 9: Minmal Invasive Surgey Case4

Case 4:

Page 10: Minmal Invasive Surgey Case4

Case 4:

Page 11: Minmal Invasive Surgey Case4