1,721,181 research outputs found

    Minimally invasive myotomy for the treatment of esophageal achalasia: evolution of the surgical procedure and the therapeutic algorithm.

    No full text
    Achalasia is a rare disease of the esophagus, characterized by the absence of peristalsis in the esophageal body and incomplete relaxation of the lower esophageal sphincter, which may be hypertensive. The cause of this disease is unknown; therefore, the aim of the therapy is to improve esophageal emptying by eliminating the outflow resistance caused by the lower esophageal sphincter. This goal can be accomplished either by pneumatic dilatation or surgical myotomy, which are the only long-term effective therapies for achalasia. Historically, pneumatic dilatation was preferred over surgical myotomy because of the morbidity associated with a thoracotomy or a laparotomy. However, with the development of minimally invasive techniques, the surgical approach has gained widespread acceptance among patients and gastroenterologists and, consequently, the role of surgery has changed. The aim of this study was to review the changes occurred in the surgical treatment of achalasia over the last 2 decades; specifically, the development of minimally invasive techniques with the evolution from a thoracoscopic approach without an antireflux procedure to a laparoscopic myotomy with a partial fundoplication, the changes in the length of the myotomy, and the modification of the therapeutic algorithm

    Il trattamento chirurgico del cancro colorettale

    No full text
    Gli autori descrivono le basi razionali e le evidenze scientifiche sul trattamento chirurgico del cancro colorettal

    Ernie della parete addominale.

    No full text
    Gli autori descrivono l'eziologia, patogenesi, presentazione clinica, diagnostica e trattamento chirurgico delle ernie della parete addominale

    Patologie della tiroide e paratiroidi.

    No full text
    Gli autori descrivono l'eziologia, patogenesi, presentazione clinica, diagnostica e trattamento chirurgico delle patologie della tiroide e paratiroidi sia benigne che maligne

    Patologie dei surreni.

    No full text
    Gli autori descrivono l'eziologia, patogenesi, presentazione clinica, diagnostica e trattamento chirurgico delle paologie surrenaliche benigne e maligne

    Repeat hepatic surgery for recurrent colorectal metastases.

    No full text
    The author discuss the repeated hepatic resection for recurrent colorectal metastase

    Gestione del rischio nelle attività chirurgiche e procedure invasive

    No full text
    Gli autori discutono la presentazione e gestione delle principali complicanze chirurgiche in chirurgia generale

    The implementation of an enhanced recovery program (fast track) after colorectal resection for colonic cancer

    No full text
    The aims of this study are: 1) To determine the feasibility of a FT colorectal surgery program at the University Hospital of Ferrara in Ferrara (Italy); 2) To analyze the difficulties to the implementation of a FT colorectal surgery program in an Italian teaching hospital; 3) To evaluate the Italian patients’ satisfaction with FT perioeprative care; 4) To assess the cost-effectiveness and cost-benefit of the program in Italy; 5) To determine which elements of the protocol are independent predictors of faster postoperative recovery
    corecore