Annales de chirurgie最新文献_第2页

À propos de la prévention des occlusions liées aux adhérences 关于粘连相关咬合的预防

Annales de chirurgie Pub Date : 2006-12-01 Epub Date: 2006-11-10 DOI: 10.1016/j.anchir.2006.10.003

L. Holmdahl , S. Marlier-Bonnot

引用次数: 1

Thrombose aiguë de la veine mésentérique supérieure. Étude rétrospective de neuf cas 上肠系膜静脉急性血栓形成。9例回顾性研究

Annales de chirurgie Pub Date : 2006-12-01 Epub Date: 2006-06-21 DOI: 10.1016/j.anchir.2006.06.004

M. Impérato , M. Moujahid , D. Mennecier , D. Béchade , V. Duverger , O. Farret , J.-L. Algayres , B. Baranger

{"title":"Thrombose aiguë de la veine mésentérique supérieure. Étude rétrospective de neuf cas","authors":"M. Impérato , M. Moujahid , D. Mennecier , D. Béchade , V. Duverger , O. Farret , J.-L. Algayres , B. Baranger","doi":"10.1016/j.anchir.2006.06.004","DOIUrl":"10.1016/j.anchir.2006.06.004","url":null,"abstract":"<div><h3>Aim of the study</h3><p>To determine diagnostic modalities and both immediate and long-term treatment of superior mesenteric venous thrombosis.</p></div><div><h3>Patients and methods</h3><p>Retrospective study from 1997 to 2004 in two institutions concerning patients with superior mesenteric vein thrombosis.</p></div><div><h3>Results</h3><p>Nine patients (all males, mean age=55 years), were included. Abdominal pain (100%), vomiting (44%), and bowel activity disorders (44%) were the most common symptoms. A personal or familial thrombosis history was present in 67% of patients. A genetic predisposing factor of thrombosis was present in 78% of patients. The diagnosis was established with CT-scan in 8 cases with a mean delay of 8 days. Treatment was exclusively medical in 33% of patients and included surgery in 67%. All operated patients underwent resection for bowel infarction and only one had immediate anastomosis. All enterostomies were subsequently closed. No patient died.</p></div><div><h3>Conclusion</h3><p>Diagnosis of superior mesenteric vein thrombosis is frequently delayed and relies on CT-scan with intravenous contrast. Prognosis is globally favourable but depends on early application of anticoagulation therapy. In case of surgery, bowel-sparing resection is indicated and enterostomies are often needed. Genetic disorders predisposing to thrombosis are very frequent, that may indicate prolonged even definitive anticoagulation therapy.</p></div>","PeriodicalId":75499,"journal":{"name":"Annales de chirurgie","volume":"131 10","pages":"Pages 595-600"},"PeriodicalIF":0.0,"publicationDate":"2006-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.anchir.2006.06.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26158229","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}

引用次数: 11

Les complications vasculaires de la chirurgie discale lombaire 腰椎间盘手术的血管并发症

Annales de chirurgie Pub Date : 2006-12-01 Epub Date: 2006-07-07 DOI: 10.1016/j.anchir.2006.06.010

M. Lacombe

引用次数: 12

Résultats de l'exérèse des récidives locorégionales des cancers du rectum 直肠癌局部复发的执行结果

Annales de chirurgie Pub Date : 2006-12-01 Epub Date: 2006-07-05 DOI: 10.1016/j.anchir.2006.06.009

C. Billiet, P. Berard, F. Rivoalan, P. Neyra, C. Gouillat

{"title":"Résultats de l'exérèse des récidives locorégionales des cancers du rectum","authors":"C. Billiet, P. Berard, F. Rivoalan, P. Neyra, C. Gouillat","doi":"10.1016/j.anchir.2006.06.009","DOIUrl":"10.1016/j.anchir.2006.06.009","url":null,"abstract":"<div><h3>Aims of the study</h3><p>The treatment of locally recurrent rectal cancer (LRRC) remains a difficult and controversial issue. The aim of this study was to retrospectively assess the results of an univocal attitude associating resection of a priori resectable lesions using visceral excisions as required, without sacral excision, but including intra-operative radiotherapy (IORT).</p></div><div><h3>Patients and methods</h3><p>Between 1989 and 1999, 32 patients underwent resection for LRRC. Twelve had previously undergone abdomino-perineal excision and 22 had received radiotherapy. Twenty-three patients underwent pelvic exenteration (total in 17, with <em>rectus</em> myocutaneous flap in 18). Twenty-five patients underwent IORT.</p></div><div><h3>Results</h3><p>Three patients (9.3%) died in the early postoperative period and 11 experienced complications (37%). Resections were considered R0 in 6 patients, R1 in 21 patients and R2 in 5 patients. Five-year survival rates, overall and without disability, were respectively 12%, 12% and 5%. Median survivals, overall and without disability, were respectively 22 and 12 months.</p></div><div><h3>Conclusion</h3><p>Resection of LRRC remains a surgical challenge. It may achieve an average of one-year survival without disability, and hope for a few cures. Improvement of oncologic results might come from a more accurate patient selection.</p></div>","PeriodicalId":75499,"journal":{"name":"Annales de chirurgie","volume":"131 10","pages":"Pages 601-607"},"PeriodicalIF":0.0,"publicationDate":"2006-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.anchir.2006.06.009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26339110","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}

引用次数: 5

Chirurgie d'exérèse élargie et reconstruction cervicale pour cancer anaplasique de la thyroïde. À propos d'un cas 甲状腺发育不全癌的大胸手术和颈椎重建。关于一个案例

Annales de chirurgie Pub Date : 2006-12-01 Epub Date: 2006-06-16 DOI: 10.1016/j.anchir.2006.05.007

A.-C. Collin , K. Chekaroua , T. Delaporte , J.-P. Droz , J.-L. Peix , E. Delay

{"title":"Chirurgie d'exérèse élargie et reconstruction cervicale pour cancer anaplasique de la thyroïde. À propos d'un cas","authors":"A.-C. Collin , K. Chekaroua , T. Delaporte , J.-P. Droz , J.-L. Peix , E. Delay","doi":"10.1016/j.anchir.2006.05.007","DOIUrl":"10.1016/j.anchir.2006.05.007","url":null,"abstract":"<div><h3>Study aim</h3><p>Anaplastic carcinoma of the thyroid is a rare but highly malignant tumor. The goal of this study was to present the case of a patient who underwent a multimodal treatment and to analyze prognosis factors.</p></div><div><h3>Patient and methods</h3><p>We present the case of a patient treated in 1996 for an anaplasic thyroid carcinoma with cervical cutaneous invasion. The initial surgical procedure was a total thyroidectomy extended to the anterior cervical skin associated to bilateral neck dissection. The patient underwent a differed reconstruction with musculocutaneous <em>latissimus dorsi</em> flap. Management was then supplemented by radiotherapy and chemotherapy.</p></div><div><h3>Results</h3><p>This patient is free of tumor 9 years after this multimodal management. She does not present any functionary sequela and plastic results of the reconstruction is considered as very satisfactory.</p></div><div><h3>Conclusion</h3><p>Anaplastic carcinoma is one of more aggressive neoplasm affecting humans. This case report suggests that multimodality therapy, including surgery, chemotherapy and radiotherapy may offer hope for long-term survival. A musculocutaneous <em>latissimus dorsi</em> flap is a reliable solution to cover this large cervical defect.</p></div>","PeriodicalId":75499,"journal":{"name":"Annales de chirurgie","volume":"131 10","pages":"Pages 631-635"},"PeriodicalIF":0.0,"publicationDate":"2006-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.anchir.2006.05.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26131728","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}

引用次数: 4

Index des auteurs 作者索引

Annales de chirurgie Pub Date : 2006-12-01 Epub Date: 2006-11-28 DOI: 10.1016/S0003-3944(06)00241-0

引用次数: 0

2eme Congrès Francophone de Chirurgie Digestive et Hépatobiliaire : programme 第二届法语消化和肝胆外科大会:计划

Annales de chirurgie Pub Date : 2006-12-01 Epub Date: 2006-11-10 DOI: 10.1016/j.anchir.2006.10.002

引用次数: 0

Maladie de Crohn révélée par une sténose duodénale. Stratégie chirurgicale 克罗恩病表现为十二指肠狭窄。手术策略

Annales de chirurgie Pub Date : 2006-12-01 Epub Date: 2006-06-27 DOI: 10.1016/j.anchir.2006.06.007

M. Gonzalez , S. Collaud , P. Gervaz , J.-L. Frossard , P. Morel

引用次数: 2

Abécédaire des annales. Partie 17 年鉴的字母。部分17

Annales de chirurgie Pub Date : 2006-12-01 Epub Date: 2006-08-04 DOI: 10.1016/j.anchir.2006.07.002

K. Slim

引用次数: 0

2eme Congrès Francophone de Chirurgie Digestive et Hépatobiliaire. Paris, 7,8, et 9 décembre 2006 第二届法国消化和肝胆外科大会。巴黎，2006年12月7日、8日和9日

Annales de chirurgie Pub Date : 2006-12-01 Epub Date: 2006-10-27 DOI: 10.1016/j.anchir.2006.10.001

引用次数: 0