Rapid Surgery最新文献

{"title":"Hepatobiliary surgery","authors":"","doi":"10.1002/9781119556978.ch5","DOIUrl":"https://doi.org/10.1002/9781119556978.ch5","url":null,"abstract":"","PeriodicalId":448010,"journal":{"name":"Rapid Surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129055304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Upper gastrointestinal surgery","authors":"C. Wilcox, D. Bosanquet, A. Rasheed, A. Cheang, T. Ahmed, K. Menon","doi":"10.1002/9781119556978.ch12","DOIUrl":"https://doi.org/10.1002/9781119556978.ch12","url":null,"abstract":"s / International Journal of Surgery 36 (2016) S31eS132 S116 achieved bony union eventually with good alignment. Oxford Shoulder Scores indicated good shoulder function with a mean score of 41.5. Conclusion: Our data would support the use of hook plates in the treatment of lateral clavicular fractures. http://dx.doi.org/10.1016/j.ijsu.2016.08.420 Upper-gastrointestinal surgery 0045: BILATERAL THORACOSCOPIC SPLANCHNOTOMY: A SIMPLE TOOL TO ALLEVIATE PAIN IN CHRONIC PANCREATIC DISEASE C. Wilcox , D. Bosanquet , A. Rasheed . 1 Postgraduate Centre, Southampton General Hospital, Southampton, UK; Department of Surgery, Royal Gwent Hospital & University of South Wales, Newport, UK. Aim: Chronic intractable pain is a common problem in severe pancreatic disease. Bilateral thoracoscopic splanchnotomy (BTS), a thoracoscopic neurotomy of the splanchnic nerves, is very rarely performed, yet may provide significant pain relief in these patients. We describe our experience of a highly simple and effective technique of BTS, with reference to original intra-operative photographs and anatomical images. Method: Five patients underwent thoracoscopic splanchnotomy (four bilateral) in our institution over 10 years (mean age: 51 years). All were dependent on opioid analgesia. Our minimally invasive strategy involves prone positioning and two thoracoscopic ports for each hemithorax, permitting easy exposure and simple dissection of the greater and lesser splanchnic nerves. Result: All four patients undergoing BTS reported marked improvement in pain control, with a reduction in opioid requirements that lasted until death in the two patients with pancreatic cancer, and for approximately 12 months in those with chronic pancreatitis (median follow-up: 18 months). There were no postoperative complications. Conclusion: BTS is an effective intervention in carefully selected patients with a life expectancy of at least six months. We present a safe, simple and minimally invasive approach, with the potential to reduce opioid dependency and improve quality of life. http://dx.doi.org/10.1016/j.ijsu.2016.08.422 0054: DEFINITIVE TREATMENT OF COMMON BILE DUCT STONES WITH ENDOSCOPIC SPHINCTEROTOMY ALONE IN PATIENTS 70 YEARS AND ABOVE: IS IT JUSTIFIED? S. Daniel , A. Cheang , T. Ahmed , K. Menon . Airedlae General Hospital, Keighley, UK; Royal London Hospital, London, UK. Context: Prophylactic Cholecystectomy after ERCP and Sphincterotomy (ES) for CBD stones is recommended. However, in the elderly and unfit, cholecystectomy may be avoided. This is significant with a rising elderly population. Aim: To evaluate the likelihood of developing recurrent biliary complications in those who did not have cholecystectomy after ERCP. Methods: Retrospective cohort consisted of 80 patients 70 years and over with gall bladder stones and concomitant CBD stones who had an index ERCP. The cohort was followed to find how many had cholecystectomy subsequently and how many did not. The incidence of recurrent","PeriodicalId":448010,"journal":{"name":"Rapid Surgery","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116841334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}