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Antonino Agrusa, Giorgio Romano, Giuseppe Frazzetta, Daniela Chianetta, Vincenzo Sorce, Giuseppe Di Buono, Gaspare Gulotta
INTRODUCTION: Laparoscopic cholecystectomy is the standard of treatment for gallstones disease and acute colecystitis. The prevalence of this disease increases with age and the population is aging in industrialized countries. So, in this study we report our experience in the treatment of gallstone disease in elderly patients, particularly analyzing the outcomes of laparoscopic approach. METHODS: Between January 2010 and May 2014 we performed a total of 1227 cholecystectomies...
2014: International Journal of Surgery
Antonio Arenella, Michele Damiani, Rocco Fulco, Bruno Nipote, Antonio Vitale
AIM OF THE STUDY: To demonstrate how, on the basis of the personal experience, the rendezvous technique, in the management of cholelithiasis associated with choledocolithiasis , whenever there is the indication, is better than the sequential treatment. METHODS: From January 2008 to May 2011, 48 patients with cholelithiasis and choledocolithiasis combined were treated with endolaparoscopic technique. Of these patients, 23 were treated with the sequential treatment and 25 with the rendezvous method...
September 2012: Annali Italiani di Chirurgia
Sérgio Lopes, Paulo Calvinho, Ferrão de Oliveira, Manuel Antunes
OBJECTIVE: To evaluate perioperative and long-term results of complex prosthetic valve endocarditis treated by allograft aortic root replacement. METHODS: From April 1988 through February 2006, 41 patients diagnosed as prosthetic valve endocarditis (PVE) complicated by root abscess and/or periprosthetic leak, underwent fresh allograft valve replacement by root replacement. There were 37 males (89.7%) and the mean age was 51.5+/-13.7 years. The NYHA functional class was 3...
July 2007: European Journal of Cardio-thoracic Surgery
Andrea Cavallaro, Andrea Lauretta, Achille Lizzio, Marco Cavallaro, Vincenzo Cavallaro
AIM OF THE STUDY: There are several varieties of bilioenteric fistulae. The vast majority of fistulas result from chronic cholelitiasis disease. Other relatevely common causes are chronic duodenal ulcer disease, previous instrumentation to the biliary system, chronic bowel inflammatory disease, traumatism, infections. CASE REPORT: The case of a 58-year-old patient is reported in whom one of the rare complications of longstanding duodenal ulcer, the cholecystoduodenal fistula, has occurred...
November 2005: Annali Italiani di Chirurgia
Turan Pehlivan, Arif Alper Cevik, Ersin Ateş
BACKGROUND: To evaluate correlations among ultrasonographic, demographic, clinical and laboratory findings of patients with acute cholecystitis. METHODS: The patients older than 17 years of age with acute colecystitis admitted to the general surgery clinics between January 1991 and December 2000 were evaluated and compared in terms of various parameters. RESULTS: 336 (female, 212; male, 124) patients were included in the study. Mean age was 55...
April 2005: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
D Mogoş, D Vîlcea, I Păun, M Ionescu, Mihaela Tenovici, Carmen Ardelean, M Teodorescu, M Florescu, I Vasile
This paper aim is to present the case of a male patient, age 63 admitted in hospital for non-specific gastroenterologic symptoms easily attributed to colecyst calculosis; the anamnesis and careful clinical examination have avoided a useless cholecystectomy and permitted to establish indication for laparotomy; during that was found an ileal tumor with massive metastasis in the base of mesentery. The surgical attitude was dictated by histological diagnostic difficulties (prostate adenocarcinoma metastasis), so it has given up the idea of tumor excision (unjustified intraoperative risk for a metastasis), performing a bypass of the ileal tumor by an enteroenterostomy, then the patient was sent to the Oncological Department...
March 2004: Chirurgia
C Martín, J J García Irure, M Etxebarrieta, A Martínez
No abstract text is available yet for this article.
May 2001: Anales del Sistema Sanitario de Navarra
H Doran, T Pătraşcu, E Păcescu, I Marin, C Radu
We present a retrospective study based on 50 diabetic patients with acute abdominal diseases. Usually, clinical features were not typical, without defining signs of acute abdomen, despite frequent severe anatomo-pathological forms (6 of 12 acute appendicitis were gangrenous, with generalised or localised peritonitis; 15 of 22 acute colecystitis were gangrenous). In diabetic patients, with metabolic disorders and cetoacidosis, positive diagnosis and the decision of laparotomy are difficult problems, often delated, with a negative influence on the evolutions and prognosis of these patients...
January 2001: Chirurgia
T Tăranu, Tatiana Tăranu, T Petreuş
This study followed the evaluation of the surgical pathology of the greater omentum. From the casuistry of Urology Surgery Clinic in Hospital 2 Iaşi, we have selected 1500 omentum pathologic specimens (inflammatory, traumatic, tumoral) that were investigated macroscopically and microscopically. The specimens were harvested during 1993-2000. Acute inflammatory involvement of the greater omentum recognizes a primitive etiology in 8-10% cases and secondary one in 90-92% cases; these lesions are associated to some inflammatory processes of peritoneal viscera by direct or indirect mechanisms...
January 2002: Revista Medico-chirurgicală̆ a Societă̆ţ̜ii de Medici ş̧i Naturaliş̧ti Din Iaş̧i
E N Esimbekova, V A Kratasyuk, V V Abakumova
The possibility of using a bioluminescence method for measuring endotoxicosis during therapy has been investigated. Results of our experiments shown that a bioluminescence method can be used as a reliable criterion to monitor the course of disease for patients with bronchitis, ulcerous disease or chronic colecystitis. Assays using both soluble and immobilized reagents are possible. This method does not reveal differences in patients with sepsis, hepatocirrhosis or oncology. The methods are highly sensitive, rapid and simple and allow quantitative determination of the degree of seriousness of illness and estimation of the severity of a patient's condition...
July 1999: Luminescence: the Journal of Biological and Chemical Luminescence
M Scaglione, G Rossi, F Pinto, A L Forner, S Giovine, A Pinto, E Vicenzo, L Romano
PURPOSE: To assess the diagnostic accuracy and the possible role of ultrasonography (US) and Computed Tomography (CT) in a small group of patients who had a blunt abdominal trauma involving the gallbladder. MATERIAL AND METHODS: We retrospectively reviewed the US and CT findings of five patients with surgically confirmed post-traumatic gallbladder injury. The whole series consisted of 196 consecutive patients submitted to laparotomy for blunt abdominal trauma in the past 7 years...
December 1998: La Radiologia Medica
L Meyer, J Rupprecht, G Kähler, C Hoffmann, T Krönert, J Scheele
The laparoscopic cholecystectomy has become the gold standard in the therapy of gall bladder stones in the last few years. The most contraindications of the first period of the laparoscopic era had been eliminated by the development of laparoscopic technique and growing experience. Since September 1995 the laparoscopic cholecystectomy has been established as routine procedure also for acute cholecystitis. From September 1995 to Dezember 1996 177 laparoscopic cholecystectomies were performed, 132 for symptomatic cholecystolithiasis and 45 for acute cholecystitis...
1998: Zentralblatt Für Chirurgie
G Catania, G A Petralia, T Salanitri, C Puleo, D Fimognari, F Cardì
Between 1980 and 1995 in the Section of General and Oncological Surgery of the Department of Surgery of the University of Catania, on a total of 1715 biliary surgical procedures, 926 were performed on the elderly patients, 287 of which in emergency. Cholelithiasis (469 cases) morbidity 4.5%, mortality 0.4%; acute colecystitis, (247 cases) morbidity 21%, mortality 12%. Choledocholithiasis (122 cases) surgical treatment (51 cases) morbidity 21.6%, mortality 3.9%; endoscopic treatment (71 cases) morbidity 9.4%, mortality 0%...
January 1997: Annali Italiani di Chirurgia
H Weiss, A Weiss
By means of a review of the literature and basing on own results the possibilities of sonographically guided ontarget therapeutic interventions are disumed. Puncture of pleura, pericardium and in ascites can be performed with maximum safety. Therapeutic drainage of the effusions succeeds to practically 100 per cent. Punctures of custsare performed only if the lesions are symptomatic; sclerosing of renal cysts has a success rate of 65-80%, that of hepatic cysts up to 96%, ovarial and pancreatic cysts up to 90%...
August 1994: Ultraschall in der Medizin
E Senati, M Rizzo, U Crescenzi, A Barioglio
Internal hernia into epiploic foramen is a rare clinical entity, representing 1% of all herniae and 8% of internal herniae. We report a peculiar case of internal herniation presented during a laparotomy for acute colecystitis where the caecum and ascending colon entered the lesser sac through the forame of Winslow and reentered the main abdominal cavity through a congenital defect of the lesser omentum.
September 1994: Annali Italiani di Chirurgia
C Morel, P Ferraina, A Valente, R Cervio
The study of a group of 151 patients confirms the diagnostic value of elevated ACCR in pancreatitis, it was positive in 89.4% of them, of the group, 30 were normal, 19 exhibited acute pancreatitis and 102 had various other pathologies. Serious pancreatitis has shown coincide with a long-lasting rise of ACCR, and its rise in the course of the disease was a sign of a new outburst of progressive necrosis. Total unreliability when abnormal creatinine clearance is present was ascertained. The possible mechanism of increase in ACCR has been considered also in connection with the study of the results obtained on a group of patients exhibiting renal insufficiency, gastrointestinal bleeding, acute colecystitis, vesicular lithiasis and obstructive jaundice...
1981: Acta Gastroenterologica Latinoamericana
J R Aguirre
No abstract text is available yet for this article.
September 15, 1967: Prensa Médica Argentina
G Ruiz, U Mastrangelo, M Siciliani
No abstract text is available yet for this article.
March 31, 1970: Rassegna Internazionale di Clinica e Terapia
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