Surgical Oncology 2.7-2.13 Melissa Hull Barbara Adams Jonathan Bennett Travis Palmer Jason Wood.

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Surgical Oncology 2.7-2.13 Melissa Hull Barbara Adams Jonathan Bennett Travis Palmer Jason Wood

Transcript of Surgical Oncology 2.7-2.13 Melissa Hull Barbara Adams Jonathan Bennett Travis Palmer Jason Wood.

Page 1: Surgical Oncology 2.7-2.13 Melissa Hull Barbara Adams Jonathan Bennett Travis Palmer Jason Wood.

Surgical Oncology2.7-2.13

Melissa HullBarbara Adams

Jonathan BennettTravis PalmerJason Wood

Page 2: Surgical Oncology 2.7-2.13 Melissa Hull Barbara Adams Jonathan Bennett Travis Palmer Jason Wood.

DATE ATT/RES PATIENT DIAGNOSIS PROCEDURE

2/9KaplanAdams

Hull

Mid-distal pancreatic adenocarcinoma

Open mid-distal pancreatectomy, splenectomy, liver biopsy, repair portal vein

2/9Kaplan

HullGastric cancer

Distal gastrectomy, gastrojejunostomy

2/9KaplanAdams

Recurrent colon cancer

Diagnostic laparoscopy, open excision pelvic mass, resection

of ileocolic anastamosis

2/9KaplanAdams

Ramanathan

Postop intraabdominal

hemorrhage

Exlap, washout, control of omental/mesenteric venous

bleed, AbThera

2/9BearWood

Breast cancer Insertion portacath

2/9Bear

PalmerBreast cancer Segmental mastectomy

Page 3: Surgical Oncology 2.7-2.13 Melissa Hull Barbara Adams Jonathan Bennett Travis Palmer Jason Wood.

DATE ATT/RES PATIENT DIAGNOSIS PROCEDURE

2/9Bear

BennettBreast cancer

Segmental mastectomy, SLN bx

2/10Kaplan

UchiyamaBreast cancer Bilateral mastectomy

2/11Bear

BennettBreast cancer Bilateral mastectomy, SLN bx

2/11

GroverKaplan

AlbuquerqueHull

Adrenal massExlap, right adrenalectomy, repair of vena cava injury

2/11KaplanAdamsBennett

Rectal cancer Abdominoperineal resection

2/11KaplanAdamsBennett

Open abdomen (s/p distal panc)

Washout, partial gastrectomy, closure

Page 4: Surgical Oncology 2.7-2.13 Melissa Hull Barbara Adams Jonathan Bennett Travis Palmer Jason Wood.

DATE ATT/RES PATIENT DIAGNOSIS PROCEDURE

2/11Bear

PalmerBreast cancer

Right segmental mastectomy with SLNbx

2/11GroverWood

Breast cancer Removal port

2/12Vu

SchultisBilateral areolar skin

changesBiopsy bilateral areolar skin

2/12Vu

PalmerBack soft tissue

massExcision back soft tissue mass

2/12Vu

PalmerMalfunctioning port Removal portacath

2/12Grover

(No resident) Breast cancer Portacath placement

Page 5: Surgical Oncology 2.7-2.13 Melissa Hull Barbara Adams Jonathan Bennett Travis Palmer Jason Wood.

DATE ATT/RES PATIENT DIAGNOSIS PROCEDURE

2/12Grover

(No resident)Accessory tissue left

axillaExcision of left axillary

accessory tissue

2/12GroverWood

Breast cancer Removal portacath

2/12Bear

PalmerRight breast cancer Portacath insertion

2/12BearHull

Melanoma leg, popliteal node

Excision popliteal node

2/12KaplanWood

Scalp melanoma Wide excision scalp melanoma

Page 6: Surgical Oncology 2.7-2.13 Melissa Hull Barbara Adams Jonathan Bennett Travis Palmer Jason Wood.

ComplicationsAttending/ Resident

DATE PATIENT Dx/PROCEDURE COMPLICATION

KaplanAdamsNewton

2/2 2/2 Proximal gastrectomyMyocardial infarction (second one)

KaplanAdams

2/11

2/9 Open excision pelvic mass, resection of ileocolic anastamosis (recurrent colon cancer)

Death

KaplanAdams

2/12

2/9 Mid body/distal pancreatic resection, splenectomy, portal vein repair

Portal vein injury, Hepatic failure, renal failure, Death

KaplanHull

Adams

2/11

12/10 Distal pancreatectomy, splenectomy, partial colectomy

Readmission, anastamotic leak

KaplanHull

Adams

12/9 2/4 Open sigmoid colectomy Wound infection

Page 7: Surgical Oncology 2.7-2.13 Melissa Hull Barbara Adams Jonathan Bennett Travis Palmer Jason Wood.

Complications Cont’dAttending/ Resident

DATE PATIENT Dx/PROCEDURE COMPLICATION

KaplanHull

2/131/24: R colectomy, whipple, R nephrectomy

Readmission, fascial dehiscence