1,721,074 research outputs found

    Il trattamento chirurgico del cancro colorettale

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    Gli autori descrivono le basi razionali e le evidenze scientifiche sul trattamento chirurgico del cancro colorettal

    Repeat hepatic surgery for recurrent colorectal metastases.

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    The author discuss the repeated hepatic resection for recurrent colorectal metastase

    Gestione del rischio nelle attività chirurgiche e procedure invasive

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    Gli autori discutono la presentazione e gestione delle principali complicanze chirurgiche in chirurgia generale

    Strangulated adenoma of the liver: a unique cause of acute abdomen

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    Hepatic adenomas are uncommon benign tumours of the liver which may eventually present with acute onset following rupture of the lesion and haemorrhage. We present here a unique case of strangulated adenoma of the liver presenting as acute abdomen. A 27-year-old woman taking oral contraceptives, presented to the emergency department with abdominal pain, palpable abdominal mass, fever, and neutrophilia. An abdominal ultrasound showed a 3-cm hepatic nodule and an 11-cm mesogastric mass. Computed tomography of the abdomen revealed a 2.3-cm liver adenoma and a 13-cm pedunculated mass of the liver showing no contrast enhancement suggestive of pedicle torsion with ischemia of the mass. The patient underwent an emergent open resection of the strangulated liver mass, she recovered without complications, and was discharged home after three days. Final pathology confirmed an hepatocellular adenoma with areas of necrosis and hemorrhage. The clinical significance of the disease is discussed

    [Indications and limitations of spleno-femoral bypass. Report of a clinical case].

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    The authors present a case report and discuss the indications and limitations of spleno-femoral bypas

    Oesophageal achalasia with epiphrenic diverticulum with laparoscopic approach: A 6-year follow-up

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    Long-term results of laparoscopic treatment for oesophageal achalasia with epiphrenic diverticulum are reported in a 75-year-old woman presenting with a 10-year history of dysphagia, regurgitation, cough, and a 10-kg weight loss. Preoperative barium swallow showed a dilated sigmoid oesophagus with a 6-cm enlarging epiphrenic diverticulum. Endoscopic biopsies were negative for cancer and oesophageal manometry showed no peristalsis. Laparoscopic diverticulectomy and a 7-cm distal oesophageal myotomy with Dor fundoplication were performed. The postoperative course wasuneventful and the patient was discharged home 5 days after the operation, symptom-free, and tolerated a soft diet. Six months postoperatively she had no symptoms, ate without restrictions, had gained 8 kg, and showed a normal-sized oesophagus with regular emptying on barium swallow. At the 6-year follow-up, the patient was free of symptoms and had gained 19 kg of weight. Specifi cally, she had no dysphagia, regurgitation, heartburn or cough; a new barium swallow showed a normalsized oesophagus with tertiary contractions and a 2-cm epiphrenic diverticulum

    Suture meccaniche

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    Gli autori illustrano le suture meccaniche in chirurgia digestiva
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