She had abdominal inflammation and muscular defense. CT unveiled a lobulated tumefaction occupying the low abdomen. The cyst included solid and cystic areas. The main artery vascularizing the cyst had been the ileocecal artery, so we considered the tumefaction becoming produced by the bowel or mesentery. We expected massive bleeding because of resection, and soon after the embolization associated with the artery right before the operation. A vascular bundle through the terminal ileum and mesentery was located on the dorsal region of the cyst, and an outflow from the substandard mesenteric vein has also been observed. We ligated each vessel and performed ileocecal resection. The procedure lasted 4 hours and 18 minutes, with an estimated blood loss in 2,585 mL, needing the transfusion of 6 products of concentrated purple bloodstream cells. According to histopathological results, cyst cells with spindle-shaped to ellipsoidal nuclei proliferated in packages and intricately, and immunostaining had been good for c-kit and DOG-1. We identified the tumefaction as risky GIST. The medical course after the operation was uneventful. She continued to take imatinib for 36 months and it is currently live and without recurrence for 6 years after the operation.Non-ampullary duodenal tumors are fairly unusual; nevertheless, in modern times, they have been encountered with greater regularity. We examined the medical outcomes and clinicopathological conclusions in 20 patients who underwent surgery based on preoperative diagnoses of non-ampullary duodenal tumors at our medical center between January 2011 and April 2021. We performed surgery for 3 situations of GIST, 4 instances of adenoma, and 13 situations of adenocarcinoma. The common chronilogical age of the clients ended up being 64.3 years as well as the male-to-female proportion ended up being 173. The place regarding the cyst had been the blub in 5 situations, the exceptional duodenal angle in 2 cases, the descending portion in 9 situations, the horizontal part in 3 cases, therefore the ascending portion in 1 instance. The histological kind of adenocarcinoma was tub1 in all instances of very early cancer, whereas in higher level disease, there have been many instances with histological types other than tub1. Various surgical procedures from duodenal neighborhood resection to pancreatoduodenectomy can be performed for the treatment of non-ampullary duodenal tumors with regards to the tumefaction location and also the requirement of lymph node dissection. It is critical to establish cure policy that views both curability and invasiveness.A 71-year-old guy had been described our hospital due to a gastric submucosal cyst. Gastrointestinal stromal cyst (GIST)was diagnosed in the antrum associated with the stomach and neighborhood resection was withstood. At the moment, upper gastrointestinal endoscopy found the gastric submucosal tumor with a size of about 5 mm from the posterior wall surface associated with the fundus, but it had been followed up. The lesion had grown to a size of about 10 mm by endoscopy 2 years later on, and a biopsy had been performed. Gastric mucosa associated lymphoid tissue(MALT)lymphoma had been identified by pathological evaluation, and Helicobacter pylori eradication therapy had been carried out. Endoscopy after treatment more increased the dimensions of the lesion to about 20 mm, and ulceration has also been observed. A biopsy ended up being performed again animal biodiversity , and an analysis of badly differentiated adenocarcinoma had been made, and laparoscopic proximal gastrectomy was withstood. It absolutely was the diagnosis of gastric carcinoma with lymphoid stroma(GCLS), pT3N0M0, pStage ⅡA when you look at the postoperative pathological examination. GCLS is an uncommon condition with a frequency of about 1 to 4per cent of most gastric cancers, and preoperative analysis is difficult. From the morphology and histology, the differential diagnosis from submucosal tumors and lymphomas becomes problems.We report the y-shape+1 strategy, which will be a retraction associated with the liver method, in addition to the place associated with costal arch. Also, we report changes in liver enzymes caused by different methods of liver retraction. Three Penrose # 6 empties were cut into 6 cm pieces. Penrose 1 ended up being fixed with a thread attached to the end and Penrose 2 in a y-shape. A knitting bond with needles was prepared, and a loop had been Aortic pathology made at the end of the thread. The needle thread was passed over the stomach wall and through the Penrose 2. The needle thread had been passed on the diaphragmatic leg and through the Penrose 3. The thread was stopped the stomach wall and diaphragmatic knee and fixed into the end of Penrose 1 out of the human body, together with liver had been drained. The price of improvement in liver enzymes from the preoperative to postoperative stages was analyzed separately Caspofungin molecular weight in the Penrose and Nathanson groups. In the y-shape+1 technique, retraction for the liver can be carried out no matter what the position of this rib arch; nevertheless, intracorporeal suture ligation is important. This process is beneficial as soon as the traditional Penrose technique is unacceptable due to the place associated with the rib arch.An 80-year-old feminine of Jehovah’s Witness with anemia had been identified with higher level gastric cancer(cT4aN2M0, phase ⅢA). Initial price of Hb in the hospital had been 7.5 g/dL that managed to make it tough to perform complete gastrectomy in safe. The treatment of blood enlargement included the management of intravenous iron and dental consumption of nutrients in the last period.