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Behind The Knife: The Surgery Podcast

BTK ABSITE 2021 - Hepatobiliary Part 2

Behind The Knife: The Surgery Podcast

Behind The Knife: The Surgery Podcast

Science, Health & Fitness, Medicine, Education

4.81.4K Ratings

🗓️ 18 December 2020

⏱️ 29 minutes

🧾️ Download transcript

Summary

We continue with high-yield hepatobiliary, to include: cystic lesions and tumors of the liver and biliary tree.

ABSITE COMPANION:

https://www.amazon.com/Behind-Knife-ABSITE-Podcast-Companion/dp/0578802767

Transcript

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0:00.0

Okay, welcome back to Behind the Knife. Our Absight series continues with part two of

0:05.2

a patibiliary. Like I mentioned before, we had published our Absight companion.

0:09.7

We're looking to potentially add to our content this year.

0:12.8

So if anybody has any ideas for topics for the ab site, please reach out.

0:17.0

You can reach us at BTK podcast at gmail.com or reach us on Twitter or Facebook. Okay, take it away Jason. All right,

0:27.1

let's jump right back into it. So we're gonna start off with some

0:30.8

hepatobiliary lesions. We'll start off with cystiastic lesions first. So Wu, when I say

0:37.1

collodocal cyst, what comes to mind? What are those? Tell us a little bit about

0:41.0

them. Yeah, so collocal Sis their ideology is

0:45.3

unknown but it's likely secondary to an anomalous biliary pancreatic duck

0:50.1

junction that can generate reflux of pancreatic enzymes. And so these patients

0:55.8

also tend to have a long common BP duct. Most of these are identified and

1:01.8

treated in early childhood.

1:03.2

They can cause pain, bilier obstruction, and cirrhosis.

1:07.2

Overall, you can break them apart into the Todani classification. And we'll go through these there's one through five.

1:15.7

Okay so let's just go through these systematically so this is again the todani classification

1:20.7

for collidoccal cyst as we said typically in child classification for Koli-Dokal Sist.

1:22.8

As Wu said, typically in childhood,

1:26.2

not really sure why they happen,

1:28.1

but it's that if they had to put your money on something

1:31.3

to be that anomalous biliop pancreatic duct with a long common

1:34.4

duct and there's reflux up and it causes these cysts.

...

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