1,721,043 research outputs found
The role of cervical mediastinoscopy and video assisted thoracoscopy in the diagnosis and staging of thoraco-mediastinal neoplastic diseases
No full textINTRODUCTION: In this work we evaluate the role of mediastinoscopy and video-assisted thoracoscopy in the diagnosis and staging of coin lesion of the lung and of mediastinal masses.
MATERIALS AND METHODS: 72 patients, 55 males and 17 females, affected by lung coin lesion without any previous histological diagnosis have been admitted to our Institution from 1997 to 2007. Mean age was 59.4 for males (range 29-82) and 57.2 for females (range 14-79).
RESULTS: Mediastinoscopy resulted to be diagnostic in 95% of cases. In just one case mediastinoscopy failed and video assisted thoracoscopy was performed, which permitted to obtain diagnosis. Video assisted thoracoscopy was able to lead to diagnosis in 98.1% of cases, as we observed only one failure. In this single case we converted the thoracoscopic approach to open, but although the conversion it was not possible to make diagnosis.
DISCUSSION: In these ten years, thanks to adequate indication for mediastinoscopy and video assisted thoracoscopy, the use of thoracotomy for diagnosis and staging of pulmonary neoplastic diseases has been reduced: thus we avoided 80% of unnecessary thoracotomies in patients affected by not resectable lung cancer, metastases (treated by atypical thoracoscopic resection) or benign diseases.
CONCLUSION: The minimally invasive surgical exploration of mediastinum and thoracic cavity allows to obtain all necessary informations (in terms of histology and staging) to programme an adequate therapeutic protocol, reducing postoperative pain and hospital stay, in comparison to thoracotomy
Document An unusual case of excessive sweating affecting the right upper limb after bilateral endoscopic thoracic sympathectomy for primary palmar hyperhidrosis: recurrence or compensatory hyperhidrosis?
No full text[Indications, techniques, complications and results of sleeve lobectomy]. FT Indicazioni, tecniche, complicanze e risultati della sleeve lobectomy.
No full textVATS Thymectomy with 3D Vision: A Chance to Further Improve the Outcomes of Thymus Minimally Invasive Surgery
No full text
Endovenous radiofrequency obliteration of the saphenous veins in the treatment of venous insufficiency of lower legs. Our experience].
No full textOBJECTIVE: To determine the efficacy and safety of endovascular radiofrequency obliteration of refluxing greater saphenous veins in patients eligible for vein ligation and stripping
METHOD: From 2002 to 2007, 107 patients, classified a C2 CEAP, were treated. The ablation of the greater saphenous vein was performed using a radiofrequency generator and a VNUS Closer catheter, for endovascular radiofrequency ablation. This procedure avoids groin surgery. The catheter is inserted in the saphenous vein with the use of a introducer through the skin. When necessary, the procedure was complemented by phlebectomy (Muller's method). In all cases, the duplex/color ultrasound was used in guiding the pre- intra and post-operative phase.
RESULTS: The procedure was carried out in all cases without complications, with immediate improvement of clinical symptoms and immediate return to normal activities. At 5-year follow-up no recurrent varicose veins were detected
CONCLUSIONS: The endovenous radiofrequency ablation of the saphenous veins represents a valid alternative to GSF ligation and saphenous vein stripping. The rigorous application of the protocol, both before and after the operation, is an essential condition to keep complications to a minimum. Because of the long term results, the level of patient satisfaction, the ease with which the procedure is carried out, we have extended its adoption to patients with an advanced stage of the disease, whom in the past would have only been treated with strippin
Mucosa Associated Lymphoid Tissue lymphoma of the thyroid gland: a case report and literature review
No full text"Mucosa associated lymphoid tissue (MALT) lymphomas are low-grade, non-Hodgkin’s B cell lymphomas, mainly occurring in the gastrointestinal tract, but also in other tissues. We describe the management of a patient with hypothyroidism, tracheoesophageal compressive symptoms and chest tightness affected by a thyroid MALT lymphoma. The patient underwent debulking thyroidectomy and temporary tracheostomy in order to reduce dysphonia and dysphagia, followed by adjuvant chemotherapy and subsequently radiation therapy. A CT scan performed at the end of radiotherapy 6 months after surgery revealed remnants of residual tissue from the thyroidectomy without any pathological findings.
Axillary lymph node dissection in patients with breast cancer and sentinel lymph node micrometastasis or isolated tumor cells: is it necessary?
No full text"Aims and background. Sentinel lymph node biopsy is the standard method for axillary. lymph node staging in patients with early stage breast cancer. The aim of the study was. to evaluate the necessity of axillary lymph node dissection in patients with breast. cancer and sentinel lymph node micrometastasis or isolated tumor cells.. Methods. Sentinel lymph node biopsy was performed in 136 patients for breast cancer. staging: 16 of them (11.7%) were found to have micrometastasis or isolated tumor. cells and underwent axillary lymph node dissection. Micrometastases were considered. when tumor invasion was ≤2 mm and >0.2 mm in diameter and isolated tumor. cells when detected alone or in clusters of <0.2 mm in diameter. The dissection of the. three axillary lymph node levels of Berg was performed in all cases.. Results. Two patients (12.5%) presented isolated tumor cells and 14 (87.5%) micrometastasis. in the sentinel lymph node. Among them, 25% presented nonsentinel. axillary lymph node tumor invasion, whereas 75% had no further nodal involvement.. Conclusions. Results suggest that micrometastasis or isolated tumor cells of the sentinel. lymph node represent the only site of cancer involvement of the axilla, especially. in patients with early breast tumors, and that axillary lymph node dissection may. be unnecessary in these cases and represent an overtreatment.
Mucosa associated lymphoid tissue lymphoma of the thyroid gland: a case report and literature review = MALT linfoma della tiroide: caso clinico e revisione della letteratura
Full text linkMucosa associated lymphoid tissue (MALT) lymphomas are low-grade, non-Hodgkin’s B cell lymphomas, mainly occurring in the gastrointestinal tract, but also in other tissues. We describe the management of a patient with hypothyroidism, tracheoesophageal compressive symptoms and chest tightness affected by a thyroid MALT lymphoma. The patient underwent debulking thyroidectomy and temporary tracheostomy in order to reduce dysphonia and dysphagia, followed by adjuvant chemotherapy and subsequently radiation therapy. A CT scan performed at the end of radiotherapy 6 months after surgery revealed remnants of residual tissue from the thyroidectomy without any pathological findings.I linfomi MALT sono dei linfomi non-Hodgkin a cellule B a basso grado che in genere insorgono a livello del tratto gastrointestinale, ma anche in altri tessuti. Descriviamo in questo articolo il management clinico-chirurgico di un paziente con ipotiroidismo, sintomi da compressione
tracheo-esofagea e senso di oppressione toracica, affetto da linfoma MALT della tiroide. Il paziente è stato sottoposto a parziale asportazione della massa tiroidea e tracheostomia allo scopo di ridurre i sintomi compressivi ed in seguito a trattamento chemioterapico e radioterapico. L’esame TC effettuato una volta conclusa la radioterapia,
circa 6 mesi dopo l’intervento, ha evidenziato gli esiti della tiroidectomia parziale in assenza di altri reperti patologici
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