Annales de chirurgie最新文献_第6页

Localisation intrathoracique des tumeurs desmoïdes : à propos d'un cas familial de tumeurs desmoïdes isolées et revue de la littérature desmoid肿瘤的术中定位:一例孤立的家族性desmoid肿瘤病例及文献综述

Annales de chirurgie Pub Date : 2006-10-01 DOI: 10.1016/j.anchir.2006.01.010

L. Benoit , N. Cheynel , L. Arnould , S. Gouy , J. Fraisse , J. Cuisenier

引用次数: 3

Informations congres 国会信息

Annales de chirurgie Pub Date : 2006-10-01 DOI: 10.1016/S0003-3944(06)00185-4

引用次数: 0

Faisabilité de la chirurgie colorectale sans préparation colique. Étude prospective 无绞痛准备的结肠直肠手术的可行性。前瞻性研究

Annales de chirurgie Pub Date : 2006-10-01 DOI: 10.1016/j.anchir.2006.03.016

N. Pirró , M. Ouaissi , I. Sielezneff , A. Fakhro , A. Pieyre , B. Consentino , B. Sastre

{"title":"Faisabilité de la chirurgie colorectale sans préparation colique. Étude prospective","authors":"N. Pirró , M. Ouaissi , I. Sielezneff , A. Fakhro , A. Pieyre , B. Consentino , B. Sastre","doi":"10.1016/j.anchir.2006.03.016","DOIUrl":"10.1016/j.anchir.2006.03.016","url":null,"abstract":"<div><h3>Introduction</h3><p>Mechanical bowel preparation (MBP), aimed at reducing the infectious complications of colorectal surgery, was considered as indispensable. This benefits is actually disputed. The aim of this study was to report an experience of colorectal surgery without MBP.</p></div><div><h3>Materials and methods</h3><p>Hundred ninety patients without MBP and without low residue diet, who underwent colorectal surgery with primary anastomosis not requiring a diverting stoma were included. The main outcome were the rate of mortality, anastomotic leak, wound infection and intra-abdominal abscess. Secondary outcomes were duration of intravenous perfusion, nasogastric aspiration, total hospitalisation stay and time to realimentation.</p></div><div><h3>Results</h3><p>The procedure was performed by laparotomy (<em>n</em>  =48). Forty-eight patients underwent emergency surgery. Ninety-two patients were operated for malignancy. The rate of mortality was 6.3% in correlation with the scale of AFC. The rate of anastomotic leak was 3.7%. The rate of specific morbidity was independent of scale of AFC on the contrary to the frequency of non-specific complications. The mean duration of intravenous perfusion and nasogastric suction were 6 days and 0.3 day. The patient had normal diet to the 4th day (4±3 days). The mean hospital stay was 13.4 days.</p></div><div><h3>Conclusion</h3><p>The colorectal surgery without MBP may be safely performed and could improve the quality of life of patients in the perioperatoty period.</p></div>","PeriodicalId":75499,"journal":{"name":"Annales de chirurgie","volume":"131 8","pages":"Pages 442-446"},"PeriodicalIF":0.0,"publicationDate":"2006-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.anchir.2006.03.016","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25987936","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: 7

Traitement laparoscopique des hernies hiatales par roulement 腹腔镜治疗裂孔疝的滚动

Annales de chirurgie Pub Date : 2006-10-01 DOI: 10.1016/j.anchir.2006.03.010

D. Collet, T. Wagner, A. Sa Cunha, A. Rault, B. Masson

{"title":"Traitement laparoscopique des hernies hiatales par roulement","authors":"D. Collet, T. Wagner, A. Sa Cunha, A. Rault, B. Masson","doi":"10.1016/j.anchir.2006.03.010","DOIUrl":"10.1016/j.anchir.2006.03.010","url":null,"abstract":"<div><h3>Aim</h3><p>This retrospective study aims at analyzing the functional results obtained in patients operated by laparoscopy for a para-esophageal hernia.</p></div><div><h3>Patients and methods</h3><p>From 1994 to 2004, 38 patients underwent a laparoscopic procedure for a symptomatic para-esophageal hiatal hernia of at least 3/4 of the proximal stomach: 27 females and 11 males, mean age 65 years (extreme: 22–84). There was no case on emergency, 4 patients had have at least one episode of intrathoracic volvulus. The operation consisted in gastric reduction into the abdominal cavity, excision of the sac, suture of the crura reinforced with a mesh in 6 patients and the construction of a gastric wrap. A postoperative barium swallow was performed on POD 3 in order to confirm the anatomical result.</p></div><div><h3>Results</h3><p>Mean operating time was 157 minutes (75–480), no case was converted into laparotomy. Four postoperative complications were observed (morbidity 10.8%): one gastric perforation diagnosed on POD 1, 2 severe dysphagias linked to the wrap, and one atelectasia. There was no death in this series. Functional results were evaluated by the mean of a questionnaire in 33 patients who had a follow up more than 6 months. Thirty-three questionnaires have been sent, 3 patients were lost and one was dead. Among the 29 patients analyzed, 14 were very satisfied, 11 were satisfied and 3 were deceived by the operation. Best results are obtained in patients with GERD, dysphagia or postprandial cardiothoracic symptoms.</p></div><div><h3>Conclusion</h3><p>These results compared to the published data allow us to discuss about indications of surgery, the necessity to removal the hernia sac, and the advantages to reinforce the crura by the mean of a non absorbable mesh.</p></div>","PeriodicalId":75499,"journal":{"name":"Annales de chirurgie","volume":"131 8","pages":"Pages 437-441"},"PeriodicalIF":0.0,"publicationDate":"2006-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.anchir.2006.03.010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25999329","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: 0

Maladie des complexes de von Meyenburg (micro-hamartomes biliaires) découverte lors d'une chirurgie laparoscopique : à propos de deux observations 腹腔镜手术中发现的von Meyenburg复合体病(胆汁微绞痛):关于两个观察

Annales de chirurgie Pub Date : 2006-10-01 DOI: 10.1016/j.anchir.2006.03.009

D. Nasr , M.-L. Bidot , M. Roche , S. Paveliu , P. Morel , A. Naouri , E. Odet , P. Esquis , F. Pilleul , P. Bernard

{"title":"Maladie des complexes de von Meyenburg (micro-hamartomes biliaires) découverte lors d'une chirurgie laparoscopique : à propos de deux observations","authors":"D. Nasr , M.-L. Bidot , M. Roche , S. Paveliu , P. Morel , A. Naouri , E. Odet , P. Esquis , F. Pilleul , P. Bernard","doi":"10.1016/j.anchir.2006.03.009","DOIUrl":"10.1016/j.anchir.2006.03.009","url":null,"abstract":"<div><p>The authors report two cases of von Meyenburg complexes disease found during laparoscopic surgical procedures. The first patient (41 years old) had multiple gallbladder stones with recurrent hepatic colics. The second patient (45 years old) had gastroesophageal reflux with recurrent peptic esophagitis. In both cases, multiple millimetric and superficial hepatic lesions were found during the exploration of the abdominal cavity. Then, an hepatic biopsy was done because the macroscopic aspect should suspect secondary metastatic lesions. Histological result made the diagnosis of von Meyenburg complexes disease (biliary microhamartomas). It seems to be important to know this anomaly of the ductal plate development and to do a liver biopsy during laparoscopy to affirm the diagnosis and cancel the diagnosis of multiple hepatic metastasis. In fact, this congenital pathology could be associated with increased risk of cholangiocarcinoma of the liver. The modality of radiological monitoring still remains to be defined.</p></div>","PeriodicalId":75499,"journal":{"name":"Annales de chirurgie","volume":"131 8","pages":"Pages 468-470"},"PeriodicalIF":0.0,"publicationDate":"2006-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.anchir.2006.03.009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26016533","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: 8

Abécédaire des Annales. Partie 15 年鉴的字母。15部

Annales de chirurgie Pub Date : 2006-10-01 DOI: 10.1016/j.anchir.2006.05.003

K. Slim

引用次数: 0

Cancer avancé de l'ovaire, un traitement chirurgical optimal est possible pour toutes les patientes grâce à la cœlioscopie 晚期卵巢癌，腹腔镜检查为所有患者提供最佳的手术治疗

Annales de chirurgie Pub Date : 2006-10-01 DOI: 10.1016/j.anchir.2006.06.001

M. Canis , K. Jardon , B. Rabischong , N. Bourdel , G. Mage

引用次数: 1

Résultats à long terme du traitement des perforations d'ulcères gastroduodénaux par suture simple, suivie de l'éradication d'Helicobacter pylori 单缝合治疗胃十二指肠溃疡穿孔后根除幽门螺杆菌的长期结果

Annales de chirurgie Pub Date : 2006-10-01 DOI: 10.1016/j.anchir.2006.04.001

T.T. Tran , P. Quandalle