Revista Portuguesa de Cirurgia
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Perfuração de Linfoma não Hodgkin Jejunal Primário - a propósito de um caso clínico
Get PDFMalignant tumors of the small bowel are rare and represent 1-2% of all malignant conditions of the gastrointestinal tract. Lymphoma is the third most common malignant tumor of the small intestine after adenocarcinoma and carcinoid tumor, of which 60-80% are B cell neoplasms. Perfuration is a rare form of presentation and represents a surgical emergency. The authors present the clinical case of a male patient, 67 year-old, submitted to exploratory laparotomy for visceral perfuration. The findings showed localized peritonitis arising from perfuration of jejunal lesion. Histopathological and immunohystochemical findings showed a non-Hodgkin B cell Lymphoma. Keywords: Intestinal Lymphoma – Perforation – Surgical Treatment Os tumores malignos do intestino delgado são raros e compreendem apenas 1 a 2% de todas as condições malignas gastrointestinais. Os Linfomas são o terceiro tipo mais frequente de tumores malignos do intestino delgado apenas ultrapassados pelos adenocarcinomas e tumores carcinóides. 60 a 80% são de células B. A perfuração é uma forma de apresentação rara e constitui uma urgência cirúrgica. Os autores apresentam o caso clínico de um doente do sexo masculino, de 67 anos de idade, submetido a laparotomia exploradora no contexto de perfuração de víscera oca. Intraoperatoriamente verificou-se a existência de volumosa lesão parietal jejunal a condicionar perfuração local, com peritonite associada. O estudo histológico e imunohistoquímico revelou tratar-se de Linfoma não- Hodgkin de células B. Palavras-chave: Linfoma Intestinal – Perfuração – Tratamento Cirúrgico
Transumbilical Single-Incision Laparoscopic Surgery: A single center experience
Get PDFDuring the last two years, the so called Single-incision-laparoscopic surgery is developing rapidly and seems to be the next step in reducing abdominal wall trauma for laparoscopic abdominal procedures. Different techniques and equipment are under development and reports cumulate regarding laparoscopic procedures which are performed through one single skin incision. We report our first experiences in single incision laparoscopic surgery for cholecystectomy and transperitoneal hernia repair (TAPP repair). Until now, approximately 50 patients underwent cholecystectomy with this new approach in our clinic, experience for inguinal hernia repair have been made in experimental setup on anatomical specimen. Keywords: Single-incision surgery, NOTES, Cholecystectomy, Hernia repair During the last two years, the so called Single-incision-laparoscopic surgery is developing rapidly and seems to be the next step in reducing abdominal wall trauma for laparoscopic abdominal procedures. Different techniques and equipment are under development and reports cumulate regarding laparoscopic procedures which are performed through one single skin incision. We report our first experiences in single incision laparoscopic surgery for cholecystectomy and transperitoneal hernia repair (TAPP repair). Until now, approximately 50 patients underwent cholecystectomy with this new approach in our clinic, experience for inguinal hernia repair have been made in experimental setup on anatomical specimen. Keywords: Single-incision surgery, NOTES, Cholecystectomy, Hernia repair
