102,511 research outputs found
Le chant du gondolier : barcarolle pour piano : op. 57 / par J. G. Daddi ; [orn. par] Æ
No full textTitre uniforme : Daddi, J. G. (18..-19.. ; compositeur). Compositeur. [Le chant du gondolier. Piano. Op. 57]Piano, Musique de -- +* 1800......- 1899......+:19e siècle:Barcarolles (piano) -- +* 1800......- 1899......+:19e siècle
A new approach for video-assisted thoracoscopic lobectomy "the caudal position"
No full textBackground: Despite a general agreement about effectiveness of video-assisted thoracic surgery (VATS) lobectomy the surgical technique is still not standardized, and many technical variations have been described until now. We describe our technique to perform thoracoscopic lobectomy by a caudal approach. Methods: We studied a position in which the operator stays from the inferior side of the thorax, positioning the patients in a lateral sitting position. This position ensures the operator to enjoy all the benefits of the anterior and posterior approach limiting the disadvantages of both. The surgeon maneuvers are further assisted and simplified by the movement of the surgical bed. Results: We perform 23 "caudal video assisted-lobectomy" for non-small cell lung cancer. The conversion rate was 0% and we had no complications related with the new approach. Conclusions: We think that our new position could be considered a further effective technical variation to perform VATS-lobectomy
[Surgical treatment of well differentiated neuroendocrine tumours of the lung].
No full textThe bronchial tree represents the most frequent site of origin of carcinoids (around 25% of the total). The spectrum of differentiation of lung neuroendocrine tumors ranges from low-malignancy (carcinoids) to highly aggressive forms (small cell lung carcinoma) Diagnostic and therapeutic strategies therefore vary greatly. In well differentiated tumors (carcinoids) signs and symptoms are related to the airways obstruction in central forms, while peripheral forms are mostly discovered accidentally if asymptomatic. Clinical or subclinical paraneoplastic syndromes are associated in a minority of cases. Diagnostic work-up includes CT multislice, bronchial endoscopy and Octreoscan with chest Single Photon Emission Computed Tomography (SPECT). Further contribute may be added by the (68), Ga-DOTA-D-Phe(1)-Tyr(3)-ocreotide (DOTATOC) and 5-hydroxytryptophan (5-HTP) PET-CT, at present available only in a few centres, and by endobronchial ultrasound (EBUS), fluorescence bronchoscopy and virtual bronchoscopy. Surgery is the treatment of choice, while medical therapy is useful to treat the hypersecretion in paraneoplastic syndromes and to control tumor proliferation in metastatic or/and inoperable disease
Oesophageal Duplication: A Case Report
No full textIntroduction: Oesophageal duplication (OD) is a rare congenital abnormality that arises during the third week of embryonic life. Between 25–30% of patients remain undiagnosed until adulthood. The most common site is in the middle oesophagus.
Methods: A 35-year-old woman was admitted complaining of dysphagia, epigastric pain and vomiting. Chest CT showed mid- oesophageal pseudodiverticulum with oesophageal double lumen from the thoracic inlet to the diverticulum. Oesophagoscophy revealed a true oesophageal lumen and pseudodiverticulum. Oesophagogram showed double lumen extending to the diaphragm. Bronchoscopy and abdominal ultrasound were normal.
Results: Surgical findings confirmed OD. Adhesions to mediastinal organs were present. The oesophagus was isolated, pseudodiverticulum with the mucosal duplication resected and the muscle coat reconstructed. The postoperative recovery was swift, discharge in 10 days. Follow-up at one year with a chest X-ray confirmed normal oesophageal lumen. The patient remains symptom-free.
Discussion: With OD the primary oesophagus and duplication are in the same muscle sheath and may communicate. Malignant degeneration has been reported. Two-thirds present with dysphagia and chest pain. Mediastinal mass and oesophageal diverticulum are the differential diagnoses. Chest radiograph reveals a mediastinal mass, oesophagogram shows abnormal oesophageal transit and some- times double lumen if communicating with the oesophagus. CT scan is the gold standard. Oesophagoscopy occasionally might show the inlet and the possible outlet between duplication and oesophagus. Biopsy is contraindicated. Treatment, in symptomatic patients, is surgical and consists in the excision of the duplication with preservation of the muscular layer. Results are good with complete resolution of symptoms
Surgical Treatment of Primary Pulmonary Lymphoma
No full textIntroduction: Primary pulmonary lymphoma is an uncommon lung neoplasm.
Methods: From July 2000 to April 2006 we have observed three cases of primary lymphoma. 3 patients (2 F, 1 M; mean age 34.3 years, range 27–40) were examined with chest X-ray, CT scan and bron- choscopy. Most common symptoms were cough, fever, asthenia, weight
loss and clubbing. Radiological findings were similar to primary pul- monarycarcinoma.Bronchoscopyrevealedbronchialstenosis(2)and no abnormal findings (1). Definitive diagnosis was possible by patho- logic and immunohistochemical examination of the lung tissue obtained at surgery in 2 cases, in the remaining a preoperative diagnosis was attained by transbronchial biopsy. Tumor localization was in left upper lobe (2) and middle lobe (1). Two patients underwent radical pneumonectomy and 1 left upper lobectomy. Surgical specimens were histologically proven to be Hodking’s lymphoma in all cases. All patients received postoperative chemotherapy and 1 also preoperative.
Results: No perioperative mortality and morbidity with regular postoperative course. All patients are alive without evidence of dis- ease at 27, 15 and 13 months.
Discussion: Primary pulmonary lymphoma is a rare type of malignant lung neoplasm without characteristic clinical features. Preoperative diagnosis is difficult because of the lack of specific characteristics and similarity to primary lung cancer. Treatment modalities include surgical treatment, radiotherapy and chemotherapy
- …
