Recently, Korean robotic medical system, Revo-i, ended up being effectively produced by Meeraecompany and now have been proved its security and feasibility in lot of recent reports. A 56-year old lady had been referred for a body of pancreatic lesion. Contrast abdominopelvic CT disclosed a pancreatic human body tumefaction measuring around 1.2 cm in diameter. The individual underwent a robot-assisted central pancreatectomy making use of Revo-i. The patient endured the task well and had been released to home at postoperative time 9. This report showed an effective case of main pancreatectomy carried out with the Korean robotic medical system Revo-i.Typical treatment for recurrent pancreatic disease is powerful chemotherapy or chemoradiotherapy. But, present clinical investigations recommend a possible therapeutic role of neighborhood resection in recurrent pancreatic disease. Centered on accumulating surgical experience of minimally invasive pancreatectomy, we report cases of two patients who underwent successful laparoscopic re-resection of isolated regional recurrence following laparoscopic radical pancreatectomy for pancreatic cancer.Novel COVID-19 infectious condition typically presents with pulmonary signs like cough, shortness of breath, and temperature. Nonetheless, gastrointestinal manifestations of COVID-19 are progressively becoming recognized and drawn considerable interest. We report an atypical instance of severe pancreatitis in an individual with SARSCoV2 infection. CT scan of this stomach revealed findings suggestive of intense interstitial edematous pancreatitis with a CT severity index was 3. HRCT upper body revealed multifocal ground glass opacities in both lung area with a CORADS score of 5. later on, nasal swab for COVID RT-PCR tested good. The in-patient was addressed symptomatically with liquid replacement, optimization of electrolyte stability and air supplementation. She had an uneventful data recovery with steady quality of her stomach and pulmonary symptoms. COVID-19 pathogenesis is believed is mediated by the angiotensin changing enzyme 2 (ACE-2) receptor over the cellular area. ACE-2, which will act as a receptor for viral entry into number cells tend to be highly expressed in pancreatic cells. All the reported cases of COVID-19 pancreatitis so far tend to be understood instances of COVID 19 pneumonia, developed acute pancreatitis or pancreatic damage in due training course or during data recovery associated with illness. Ours could be the very first situation to present with attributes of severe pancreatitis with no pulmonary symptoms, whom turned out to be urinary biomarker good for COVID 19 during workup. Clinicians active in the handling of severe pancreatitis should become aware of its presence when you look at the context of COVID-19. Further researches are required to ascertain the true prevalence and medical significance of pancreatic injury in COVID-19 clients.A 57-year-old Japanese female was considered for residing donor liver transplantation (LDLT) due to end-stage liver cirrhosis brought on by major biliary cholangitis with portal vein thrombosis (PVT) formation. A 26-year-old daughter associated with the client was chosen as an income donor; nevertheless, a computed tomography evaluation unveiled see more trifurcated-type portal vein anomaly (PVA). Preoperative liver volumetry indicated that suitable lobe graft was necessary for the receiver; consequently, reconstruction of this portal vein bifurcation during LDLT was required. We planned to extract the receiver’s own hepatic vein grafts after complete hepatectomy, and these will be connected with anterior and posterior portal limbs as leap grafts. We performed laparoscopic donor hepatectomy as always, and the person’s hepatic vein grafts had been anastomosed on the workbench. Then, the liver graft was inserted, in addition to hepatic vein reconstruction ended up being regularly performed. We verified the alignment between the receiver’s portal vein as well as the bridged hepatic vein graft associated with liver graft’s posterior part, and anastomosed those two vessels. More over, we confirmed the leading movement and development of the reconstructed posterior branch by declamping just the suprapancreatic region of the portal vein. Your choice regarding the punch-out location had been crucial. We confirmed the alignment between your reconstructed posterior part as well as the bridged hepatic vein graft regarding the anterior branch, and anastomosed these two vessels using the punched-out strategy. In LDLT, liver transplant surgeons sometimes encounter living donors with PVA or recipients with PVT. Our contrivance are helpful once the liver graft needs repair of portal vein bifurcation.The effect and clinical spectral range of COVID-19 infection in liver transplant recipients/solid organ transplants are now being revealed in this current pandemic. The clinical connection with utilization of current antiviral medicines and immunomodulators are sparse in solid organ transplantation. We present the clinical length of a 49-year-old male recipient who underwent living donor liver transplant for recurrent gastrointestinal bleed and contracted severe COVID-19 pneumonia through the third postoperative week. Herein we report the effective handling of extreme COVID-19 pneumonia utilizing convalescent plasma treatment and remdesivir. Recipient’s clinical deterioration had been stopped after three consecutive convalescent plasma transfusions with enhancement in hypoxia and inflammatory markers (interleukin-6 and C-reactive necessary protein). Making use of convalescent plasma treatment along with remdesivir is an ideal combo in the management of severe COVID-19 pneumonia in solid organ transplant recipients.Associated liver partition and portal vein ligation for staged hepatectomy – ALPPS – treatment health care associated infections appeared as an option to treat patients needing extensive hepatic resections, however with a little future liver remnant. Initially described using the left lateral segments as liver remnant, ALPPS has been adjusted to go out of as remainder only one part.