Annales de chirurgie最新文献_第7页

Les dilatations kystiques congénitales des voies biliaires 胆道的先天性囊性扩张

Annales de chirurgie Pub Date : 2006-07-01 DOI: 10.1016/j.anchir.2006.03.008

S. Mannai, T. Kraïem, L. Gharbi, N. Haoues, H. Mestiri, M.-T. Khalfallah

{"title":"Les dilatations kystiques congénitales des voies biliaires","authors":"S. Mannai, T. Kraïem, L. Gharbi, N. Haoues, H. Mestiri, M.-T. Khalfallah","doi":"10.1016/j.anchir.2006.03.008","DOIUrl":"10.1016/j.anchir.2006.03.008","url":null,"abstract":"<div><p>Congenital cystic dilatation of bile ducts is a rare condition. We report a retrospective study about 18 patients having congenital bile duct cysts. According to Todani's classification, 11 cases were type I and 7 were type V. Six patients from the first group had a pancreatobiliary maljunction. A total resection of the cyst was conducted in the type I cysts. Anatomopathologic examination showed an adenocarcinoma of a common bile duct cyst. In one case, a cancer of the gall bladder associated to a common bile duct cyst in another case. Three patients with segmental dilatation of intrahepatic bile ducts (type V) underwent liver resection. Four patients had a diffuse form, one of them was treated by percutaneous drainage, and in the other cases a hepatojejunostomy was performed. Postoperative course was complicated with acute cholangitis in these four cases. Percutaneous drainage and antibiotics allowed a positive outcome in most of the cases. In one case, secondary biliary cirrhosis occurred as a long-term complication. Congenital cystic dilatation of bile ducts is considered to be a precancer state. Enterocystic anastomosis is proscribed and the resection has to be as complete as possible.</p></div>","PeriodicalId":75499,"journal":{"name":"Annales de chirurgie","volume":"131 6","pages":"Pages 369-374"},"PeriodicalIF":0.0,"publicationDate":"2006-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.anchir.2006.03.008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25987304","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: 9

Syndrome de la pince aortomésentérique : à propos d'un cas 主动脉输尿管钳综合征:约一个病例

Annales de chirurgie Pub Date : 2006-07-01 DOI: 10.1016/j.anchir.2005.12.013

M. Kadji, A. Naouri, P. Bernard

引用次数: 10

Kyste hydatique de la thyroïde 甲状腺的水囊肿

Annales de chirurgie Pub Date : 2006-07-01 DOI: 10.1016/j.anchir.2006.03.003

A. Oudidi, M.-N. EL Alami

{"title":"Kyste hydatique de la thyroïde","authors":"A. Oudidi, M.-N. EL Alami","doi":"10.1016/j.anchir.2006.03.003","DOIUrl":"10.1016/j.anchir.2006.03.003","url":null,"abstract":"<div><h3>Introduction</h3><p>Primary hydatid cyst of thyroid gland is an exceptional localization. The thyroid gland is an uncommon site even in Morocco where echinococcal disease is endemic. The aim of this study was to report our experience of this rare disease, and to review diagnosis problems and management.</p></div><div><h3>Patients and method</h3><p>Retrospective study of six patients with primary hydatid cyst of thyroid gland during a 4-year period.</p></div><div><h3>Results</h3><p><span><span>We report six cases of primary hydatid cyst of thyroid gland. Symptoms were isolated thyroid nodules. Diagnosis was based on </span>echography and echinococcal immunologic test. However, hydatic origin was suspected in only 50% of patients preoperatively and immunologic test had 33% false positive rate. </span>Surgical management was a lobo-isthmectomy with a total resection of the cyst in four cases (67%) and a resection of the cyst prominent dome in two cases (33%). Diagnosis was always confirmed by macroscopic aspects and pathology. In all cases, the postoperative course was uneventful and no recurrence occurred with a 19 months follow up.</p></div><div><h3>Conclusion</h3><p>Primary hydatid cyst of thyroid gland is a potential but rare situation. Positive diagnosis can be difficult during preoperative period. Cyst size and diagnosis doubt are two crucial criteria to decide the optimal surgical strategy (lobo-isthmectomy with total cyst resection vs resection of the cyst prominent dome).</p></div>","PeriodicalId":75499,"journal":{"name":"Annales de chirurgie","volume":"131 6","pages":"Pages 375-378"},"PeriodicalIF":0.0,"publicationDate":"2006-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.anchir.2006.03.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25983899","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: 9

Facteurs pronostiques après résection pour cholangiocarcinome hilaire 胆管癌切除术后的预后因素

Annales de chirurgie Pub Date : 2006-07-01 DOI: 10.1016/j.anchir.2006.03.006

G. Ramacciato , N. Corigliano , P. Mercantini , F. Di Benedetto , M. Masetti , G. Ercolani , A. Lauro , N. De Ruvo , A.-D. Pinna

{"title":"Facteurs pronostiques après résection pour cholangiocarcinome hilaire","authors":"G. Ramacciato , N. Corigliano , P. Mercantini , F. Di Benedetto , M. Masetti , G. Ercolani , A. Lauro , N. De Ruvo , A.-D. Pinna","doi":"10.1016/j.anchir.2006.03.006","DOIUrl":"10.1016/j.anchir.2006.03.006","url":null,"abstract":"<div><h3>Aims</h3><p>To evaluate short and long-term results in 23 patients resected for hilar cholangiocarcinoma.</p></div><div><h3>Methods</h3><p>Between January 2001 and December 2003, 23 patients with hilar cholangiocarcinoma were resected and considered for retrospective analysis. Univariate and multivariate analysis were performed on several clinicopathological variables in order to evaluate the short-term results. Median follow-up was 11 months (interquartile range 2–20 months).</p></div><div><h3>Results</h3><p>A major liver resection was performed in 19 out of 23 patients (82%): a right hepatectomy extended to segment 4 in 5 patients and a left hepatectomy in 14 patients. Resection of the caudate lobe was performed in 7 patients (30%). No hospital mortality occurred. Overall morbidity rate was 43%. The 1-year survival rate was 63.2% with a median survival of 19 months. Tumor recurrence appeared in 12 patients (52%). Low preoperative albumin level (<em>P</em>  =0.03) and T-stage (<em>P</em>  <!-->0.02) were found to be related to a worse median survival. On multivariate analysis, only the preoperative albumin level and the presence of positive margin were confirmed as independent prognostic factors.</p></div><div><h3>Conclusion</h3><p>Aggressive surgical approach remains the only potentially curative therapy for the hilar cholangiocarcinoma. Low preoperative albumin level, presence of positive resection margin and T-stage resulted as factors influencing the prognosis after resection.</p></div>","PeriodicalId":75499,"journal":{"name":"Annales de chirurgie","volume":"131 6","pages":"Pages 379-385"},"PeriodicalIF":0.0,"publicationDate":"2006-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.anchir.2006.03.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26115406","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: 9

Chirurgie ganglionnaire des cancers thyroïdiens différenciés non médullaires 非髓系分化甲状腺癌的淋巴结手术

Annales de chirurgie Pub Date : 2006-07-01 DOI: 10.1016/j.anchir.2005.10.009

M. Mathonnet

引用次数: 9

Chirurgie laparoscopique : les recommandations des sociétés savantes spécialisées en 2006, SFCL–SFCE 腹腔镜手术:2006年专业学术协会的建议，SFCL - SFCE

Annales de chirurgie Pub Date : 2006-07-01 DOI: 10.1016/j.anchir.2006.04.004

G. Champault , B. Descottes , J.-L. Dulucq , J.-M. Fabre , G. Fourtanier , B. Gayet , H. Johanet , G. Samama

引用次数: 3

Association neurofibromatose de type I, phéochromocytome et somatostatinome de l'ampoule de Vater. Revue de la littérature 壶腹I型神经纤维瘤病、嗜铬细胞瘤和生长抑素瘤。文献综述)。

Annales de chirurgie Pub Date : 2006-07-01 DOI: 10.1016/j.anchir.2005.12.005

R. Caiazzo , C. Mariette , G. Piessen , T. Jany , B. Carnaille , J.-P. Triboulet