Whipple operation, or open pancreaticoduodenectomy, is perhaps one of the most technically challenging operations in the abdomen. The overall perioperative mortality rate is about 2% to 5% and with operative morbidity of about 25% to 45%. In the past, minimally invasive techniques were only used for laparoscopy, staging of pancreatic cancer, and palliative procedures for unresectable pancreatic cancer. Recent advances in operative techniques and instrumentation have empowered laparoscopic surgeons to perform virtually all procedures in the pancreas, including the Whipple procedure. Presented is the first case of laparoscopic pancreaticoduodenectomy. Key words: laparoscopy, laparoscopic pancreaticoduodenectomy
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The peculiarities in the surgical management of acute abdomen on two patients with situs inversus totalis were presented. The first patient was a 24 - year old male presenting with left lower quadrant abdominal pain. Appendiceal rupture occurred due to delay in diagnosis. The second patient was a 32 - year old female diagnosed to have calculous cholecystitis and situs inversus totalis who underwent laparoscopic cholecystectomy. This is the first reported case of laparoscopic cholecystectomy in a situs inversus totalis patient in the Philippines.

Case Reports ; Surgery ; Situs Inversus