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🗓️ 18 December 2020
⏱️ 29 minutes
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We continue with high-yield hepatobiliary, to include: cystic lesions and tumors of the liver and biliary tree.
ABSITE COMPANION:
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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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