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tumores hepaticos

Antje E Gohrbandt, Torsten Hansen, Christian Ell, Stefan S Heinrich, Hauke Lang
BACKGROUND: Leiomyosarcoma of vascular smooth muscle is a very rare entity. A fair number of cases of vascular leiomyosarcomas have been reported, and the vast majority of these tumors arose from the inferior vena cava. CASE PRESENTATION: We report the case of a 71-year-old female patient who presented with recurrent upper abdominal pain. A CT-scan demonstrated a heterogenous mass in the liver hilum. Liver function tests and hematology parameters as well as the tumor markers were normal...
2016: BMC Surgery
Michiko Hamanaka, Shin Nakahira, Yutaka Takeda, Hiroshi Kawashima, Yosuke Mukai, Takeshi Kanemura, Chieko Uchiyama, Masatsugu Okishiro, Atsushi Takeno, Rei Suzuki, Hirokazu Taniguchi, Chiyomi Egawa, Ken Nakata, Hirofumi Miki, Takeshi Kato, Teruaki Nagano, Shinichi Nakatsuka, Shigeyuki Tamura
A 74-year-old man presented to a physician with a chief complaint of jaundice. He was diagnosed with bile duct carcinoma and admitted to our hospital. Laboratory data revealed abnormally elevated levels of total bilirubin, serum hepatic transaminase, and CA19-9. Endoscopic retrograde cholangiopancreatography revealed neoplastic stenosis from the hilus hepatis to the common bile duct. Abdominal computed tomography (CT) revealed an enhancing tumor in the hilus hepatis bile duct, and positron emission tomography-CT (PET-CT) revealed abnormal fluorodeoxyglucose accumulation in the tumor...
November 2012: Gan to Kagaku Ryoho. Cancer & Chemotherapy
F Čečka, B Jon, J Dvořák, R Repák, Z Subrt, A Ferko
BACKGROUNDS: Pancreatic cancer is an aggressive malignant disease with increasing incidence. Radical resection, the only potentially curative method, is possible in only 20-30% of patients. The main symptoms of advanced non-resectable pancreatic head tumors include obstructive jaundice, caused by stenosis of distal common bile duct, duodenal obstruction and pain, especially in the epigastric region and back. The aim of palliative treatment is to relieve these complaints. This paper evaluates our own palliative surgical treatment results in patients with pancreatic head and periampullary region cancer...
2012: Klinická Onkologie: Casopis Ceské a Slovenské Onkologické Spolecnosti
Ying-Hsu Chang, Cheng-Keng Chuang, Kwai-Fong Ng, Shuen-Kuei Liao
Malignant spermatic cord tumor is quite uncommon. Metastatic spermatic cord tumor is even rarer. Here we report a case of metastatic spermatic cord tumor from a common hepatic duct tumor (Klatskin tumor). A 38-year-old man presented with right scrotal enlargement and chronic testicular pain. He had a Klatskin tumor (cholangiocarcinoma) stage IIIa, and underwent an extended right hepatectomy with resection of the extrahepatic bile duct, and portal vein and reconstruction by Roux-en-y hepatico-jejunostomy one year before this presentation...
January 2009: Chang Gung Medical Journal
J Hlavsa, Z Kala, V Válek, M Mikulica, M Man, V Procházka, I Kiss
UNLABELLED: The authors refer about their first experience with radiofrequency ablation of locally advanced pancreatic tumors. They put forward the prospective study of five patients (four with ductal adenocarcinoma of the head and one with malignant neuroendocrine tumor of pancreatic body), who either because of local advanced disease or performance status, were not able to undergo radical curative surgery. All patients underwent peroperative radiofrequency ablation of pancreatic tumors...
September 2008: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
S Kersting, F Dobrowolski, D Dittert, H D Saeger
HISTORY AND CLINICAL FINDINGS: A 55 year old female patient was diagnosed because of painless jaundice and weight loss. She had undergone conventional cholecystectomy 15 years before. INVESTIGATIONS: Bilirubin level before ERCP and stent implantation was 287 micromol/l at maximum. A subtotal stenosis was found in the proximal common hepatic duct. Endosonographically, a mass of 14 mm diameter was seen. She was suspected of having a Klatskin tumour Bismuth type II...
April 28, 2006: Deutsche Medizinische Wochenschrift
D Kelemen, O P Horváth
BACKGROUND/AIMS: The right technique for biliodigestive anastomosis is still being researched. The present study investigated the single-layer method. METHODOLOGY: The authors performed single-layer biliodigestive anastomosis in 153 patients between 1995 January and 2000 August. Among the operative procedures there were pancreatoduodenectomy, pancreatic head resection, pancreatic drainage operation, GEA and in a small percentage of the cases other procedures. 88...
May 2005: Hepato-gastroenterology
V Dimitrova, V Tasev, S Bonev, D Bulanov, A Ionkov
The authors present their own variant of performing anastomoses between the common hepatic duct/right and left hepatic ducts and the jejunum in radical treatment of Klatskin tumors. The procedure is indicated in cases of proximal (hilar) resection of both hepatic ducts, in technical difficulties for performing the standard drainage protected end-to-side anastomosis between the right and left hepatic ducts on the one hand and the jejunum on the other as well as a method for double biliary derivation. The advantages of the procedure include decreased incidence rate of bile leakage in the subhepatic region, low risk of diffuse biliary peritonitis respectively and restricted possibility of intestinal reflux into the biliary tract...
2003: Khirurgiia
C Rau, F Marec, E Vibert, G Geslin, T Yzet, J P Joly, D Chatelain, H Duval, J-M Regimbeau
Main bile duct neoplasic thrombosis is a rare cause of jaundice in case of gallbladder cancer. We report the case of 27-year-old woman in whom the endoluminal biopsy of biliary thrombus confirmed the suspected diagnosis of gallbladder cancer. An initial laparoscopic exploration found a localized peritoneal carcinomatosis. However, in this exceptional situation with an unknown prognostic, a surgical procedure has been performed including hepatectomy IV-V with biliary principal bile duct removal, hepatico-jejunal anastomosis (Roux-en-Y), with complete resection of localized peritoneal carcinomatosis...
July 2004: Annales de Chirurgie
No abstract text is available yet for this article.
May 1955: Mémoires
Omar El Mansari, Mohammed T Tajdine, Ilias Mikou, Mohammed I Janati
We report two cases of pancreatic tuberculosis. The first patient had abdominal pain, jaundice and weight loss. Ultrasonography and CT scan suggested a pancreatic tumor. The second patient presented with abdominal pain without jaundice while CT scan showed a pancreatic mass. Diagnosis of pancreatic tuberculosis was made at laparotomy in the two cases. The two patients underwent hepatico-jejunostomy. The first one received antituberculous chemotherapy and completely recovered while the second died because of post-operative shock related to sepsis...
May 2003: Gastroentérologie Clinique et Biologique
Rossen Madjov, Peter Chervenkov
BACKGROUND/AIMS: Although carcinoma of the Vater's papilla is a well-recognized tumor, difficulties and misdiagnosis are still encountered in the early and on-time diagnostic process. METHODOLOGY: Thirty-six patients with tumors of the papilla of Vater, hospitalized in the 2nd Department of Surgery (1981-2000) were reviewed retrospectively. RESULTS: Twenty-two men and 14 women, age varied from 39 to 84 years. Papilla tumor was defined as any neoplastic lesion, located at the papilla of Vater region...
May 2003: Hepato-gastroenterology
Hiroshi Shimada, Itaru Endo, Mitsutaka Sugita, Hideki Masunari, Yoshiro Fujii, Kuniya Tanaka, Hitoshi Sekido, Shinji Togo
BACKGROUND: The essential minimum of hepatic segmentectomy combined with caudate lobectomy (parenchyma-preserving hepatectomy) has been recommended particularly for high-risk patients with hilar bile duct cancer to minimize the risk of postoperative liver failure. This quality control study investigated whether parenchyma-preserving hepatectomy is a "noble option" in the surgical treatment of hilar bile duct cancer. PATIENTS AND METHODS: A total of 53 patients with hilar bile duct cancer underwent surgical resection...
March 2003: Langenbeck's Archives of Surgery
Paolo Gentileschi, Subhash Kini, Michel Gagner
Only 10% to 20% of pancreatic tumors are resectable at the time of diagnosis. Patients with advanced disease have a median survival of 4.9 months. Palliation is often required for biliary or duodenal obstruction, or both, and for pain. Optimal palliation should guarantee the shortest possible hospital stay and as long a survival as possible with a good quality of life. In recent years, treatment options for palliation of biliary and duodenal obstruction due to pancreatic cancer have broadened. Endoscopic and percutaneous biliary stenting have been shown to be successful tools for safe palliation of high-risk patients...
October 2002: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Moshe Ben-Haim
UNLABELLED: Grafts from living donors are a novel alternative to cadaveric organs for adult liver recipients. METHODS: Twenty adults (mean age, 46 +/- 15 years; mean weight, 68 +/- 12 kg) received left lobes (n = 10; mean weight, 481 +/- 73 g) or right lobes (n = 10; mean weight, 805 +/- 115 g) from living donors (mean age, 38 +/- 10 years; mean weight, 85 +/- 9 kg). Hepatectomy was done using ultrasonic scissors, without vascular isolation. Transplantation was performed in a piggy-back fashion...
February 2002: Harefuah
D Castaing, D Azoulay, H Bismuth
OBJECTIVES: After hepatico-jejunostomy, endoscopic exploration of the biliary tract is not possible, and percutaneous transjejunal catheterization seems to be an attractive option. PATIENTS: This is a 10 year prospective evaluation of 55 percutaneous transjejunal biliary interventions in 53 patients. RESULTS: Thirty nine patients had biliary lithiasis, 10 had suspected recurrent biliary cancer, 5 biliary stenosis, and 1 angiocholitic intrahepatic abscess...
August 1999: Gastroentérologie Clinique et Biologique
H Takehara, N Komi, A Okada, K Masamune, A Asai
A 19 month old male infant with a mesenchymal hamartoma of the liver underwent an extended right hepatectomy. Serum bilirubin gradually rose until 3 months after the surgery, and obstructive jaundice and acholic stools were manifested at 6 months. Percutaneous transhepatic cholangio-drainage was performed. Cholangiography showed dilation of the intrahepatic bile duct of the residual lateral segment and complete obstruction of the extrahepatic bile duct. A second operation for reconstruction of the biliary tract was performed 10 months after the first surgery...
April 1993: Acta Paediatrica Japonica; Overseas Edition
H A Pitt, A C Venbrux, J Coleman, C A Prescott, M S Johnson, F A Osterman, J L Cameron
OBJECTIVE: The authors reviewed the combined interventional radiologic and surgical management of 54 patients with intrahepatic stones at the Johns Hopkins Hospital. The team approach used large-bore transhepatic stents to access the intrahepatic ducts until they were stone free. SUMMARY BACKGROUND DATA: Intrahepatic stones are uncommon in western countries. As a result, few American institutions have had much experience, and multiple management algorithms have been suggested...
May 1994: Annals of Surgery
D G Hutson, E Russell, J U Levi, A S Livingstone, J M Yrizarry, J Guerra, T Scagnelli
It is generally conceded that palliation for proximal bile duct tumors (Klatskin) is exceptional if obstruction and the resultant infections can be prevented. Our experience with balloon dilatations thru the subcutaneously placed afferent limb of a choledocho or hepatico jejunostomy in patients with benign strictures suggests that this approach will be effective in patients with malignancies and thus provide long-term control of the obstruction without the need for external tubes. This is a report on one patient who, following a resected Klatskin tumor with positive margins, was treated with transhepatic internal external stents and was converted to a subcutaneous limb following numerous bouts of cholangitis...
June 1995: American Surgeon
E Moreno-González, J H Sanmartin, M M Azcoita, A B Serna
Interposition of a defunctionalized limb of jejunum between the confluence of the hepatic ducts and the duodenum seems to have some advantages. Biliary-jejunal anastomosis can be performed in a wider diameter, if necessary; duodenal function is kept almost normal, and the isolated segment of jejunum prevents the duodenojejunal reflux from getting to the biliary tract. The records of 19 patients upon whom hepatico-jejuno-duodenostomy was performed were reviewed. Seventeen patients had iatrogenic lesions and benign strictures of the common bile duct...
May 1980: Surgery, Gynecology & Obstetrics
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