Annales de chirurgie最新文献_第9页

Place de l'assistance robotique par le système Da Vinci® en chirurgie digestive et endocrinienne 达芬奇®系统的机器人辅助在消化和内分泌手术中的应用

Annales de chirurgie Pub Date : 2006-05-01 DOI: 10.1016/j.anchir.2006.03.013

L. Bresler

引用次数: 11

Informations congres 国会信息

Annales de chirurgie Pub Date : 2006-05-01 DOI: 10.1016/S0003-3944(06)00117-9

引用次数: 0

Performances en activité de différents types d'installation de traitement de l'air au bloc opératoire 手术室不同类型空气处理装置的运行性能

Annales de chirurgie Pub Date : 2006-05-01 DOI: 10.1016/j.anchir.2006.02.002

D. Talon , T. Schoenleber , X. Bertrand , P. Vichard

引用次数: 16

L'enseignement de la chirurgie influence-t-il les résultats des cures de hernies de l'aine ? 外科教学是否影响腹股沟疝的治疗结果?

Annales de chirurgie Pub Date : 2006-05-01 DOI: 10.1016/j.anchir.2006.02.003

R. Cueto Rozon, Y. De Baerdemacker, C. Polliand, G. Champault

{"title":"L'enseignement de la chirurgie influence-t-il les résultats des cures de hernies de l'aine ?","authors":"R. Cueto Rozon, Y. De Baerdemacker, C. Polliand, G. Champault","doi":"10.1016/j.anchir.2006.02.003","DOIUrl":"https://doi.org/10.1016/j.anchir.2006.02.003","url":null,"abstract":"<div><h3>Aims</h3><p>To evaluate influence of surgical experience on inguinal hernia repair.</p></div><div><h3>Patients</h3><p>From 1997 to 2003, 380 patients (mean age 55 years old) with primary unilateral inguinal hernia were treated by Lichtenstein technique.</p></div><div><h3>Methods</h3><p>In this retrospective study, surgeons were classified in three groups: group 1: hernia repair was performed by an experimented surgeon (consultant or senior registrar) and a young surgical trainee (resident) (161 cases); group 2: surgery was performed by a junior surgeon (resident) under the control of an experimented surgeon (135 cases) and in the group 3 (84 cases), Lichtenstein technique was performed by two residents, alone, supervised by an experimented surgeon, in the operative room. Evaluation criterion were operative time, hospital stay, morbidity, time to return to normal and professional activities, recurrences and chronic pain with a follow up of, at least, 2 years.</p></div><div><h3>Results</h3><p>The three groups were comparable in term of socio economic data, hernia and follow up. The only significant (<em>P</em>  <!-->0.01) difference concern operative time which increased from 20% for group 2 and 3 (residents) compared to the group 1. There was also no difference between junior and senior resident.</p></div><div><h3>Conclusion</h3><p>Lichtenstein hernia repair should be performed by young surgeon in training alone in condition of precise teaching organization and experimented surgeon supervision. For patient, in this condition, there is no trouble in term of surgical results.</p></div>","PeriodicalId":75499,"journal":{"name":"Annales de chirurgie","volume":"131 5","pages":"Pages 311-315"},"PeriodicalIF":0.0,"publicationDate":"2006-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.anchir.2006.02.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91758253","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: 13

Par quelle voie d'abord faire une appendicectomie chez un homme jeune ? Cœlioscopie ou incision de Mac Burney ? 年轻人先用什么方法做阑尾切除术?腹腔镜检查还是麦克·伯尼切口?

Annales de chirurgie Pub Date : 2006-05-01 DOI: 10.1016/j.anchir.2006.02.007

A. Valverde , K. Slim , S. Berdah

引用次数: 0

Angiomyolipome épithélioïde hépatique potentiellement malin : à propos d'un cas et revue de la littérature 潜在恶性肝上皮样血管瘤:病例及文献综述

Annales de chirurgie Pub Date : 2006-05-01 DOI: 10.1016/j.anchir.2005.11.014

D. Rouquie , P. Eggenspieler , J.-P. Algayres , D. Béchade , P. Camparo , B. Baranger

{"title":"Angiomyolipome épithélioïde hépatique potentiellement malin : à propos d'un cas et revue de la littérature","authors":"D. Rouquie , P. Eggenspieler , J.-P. Algayres , D. Béchade , P. Camparo , B. Baranger","doi":"10.1016/j.anchir.2005.11.014","DOIUrl":"https://doi.org/10.1016/j.anchir.2005.11.014","url":null,"abstract":"<div><p>Frequently found in kidney, angiomyolipoma is a rare mesenchymal tumor when diagnosed in the liver and usually benign composed of proliferative blood vessels, fatty tissue and smooth muscle. We report the case of a 67-year-old woman who underwent a left hepatectomy for a 4<sup>th</sup> segment tumor unidentified after imaging and fine needle biopsy. Final anatomopathologic examination revealed an epithelioïd hepatic angiomyolipoma with signs of malignant behaviour as vascular and lymphatics embolus and invaded left portal vein thrombosis. During the subsequent 24-month follow-up, no recurrence was observed. A review of the literature found only two cases of malignant hepatic angiomyolipoma with fatal issue, however, their incidence must be underrated because of their scarcity and the difficulty of their diagnosis, which needs immunohistochemical confirmation with HMB 45 in particularly. Advances in imaging and anatomopathology in particular with the concept of PEComa (Perivascular-Epithelioïd Cell) as the unifying feature should lead to the recognition of the various variant patterns and cell types. The latter which are important for a correct diagnosis, in order to obtain reliable data about frequency, possible malignant behaviour and therefore consensus management for hepatic angiomyolipoma.</p></div>","PeriodicalId":75499,"journal":{"name":"Annales de chirurgie","volume":"131 5","pages":"Pages 338-341"},"PeriodicalIF":0.0,"publicationDate":"2006-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.anchir.2005.11.014","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90125814","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: 37

La vie de l'Académie nationale de Chirurgie en 2005 2005年国家外科学会的生活

Annales de chirurgie Pub Date : 2006-05-01 DOI: 10.1016/j.anchir.2006.03.005

引用次数: 0

La laparotomie écourtée pour le traitement des traumatismes abdominaux sévères 缩短剖腹手术治疗严重腹部创伤

Annales de chirurgie Pub Date : 2006-05-01 DOI: 10.1016/j.anchir.2006.03.018

C. Arvieux, N. Cardin, C. Létoublon

引用次数: 3

Revue de presse 新闻评论

Annales de chirurgie Pub Date : 2006-05-01 DOI: 10.1016/j.anchir.2006.03.015

引用次数: 0

Résultat à long terme de 26 ampullectomies chirurgicales 26例扁桃体切除术的长期结果

Annales de chirurgie Pub Date : 2006-05-01 DOI: 10.1016/j.anchir.2006.03.004

M. Ouaïssi , I. Sielezneff , A. Alves , N. Pirro , L. Heyries , S. Robitail , B. Consentino , M.-J. Payan , P. Valleur , Y. Panis , B. Sastre

{"title":"Résultat à long terme de 26 ampullectomies chirurgicales","authors":"M. Ouaïssi , I. Sielezneff , A. Alves , N. Pirro , L. Heyries , S. Robitail , B. Consentino , M.-J. Payan , P. Valleur , Y. Panis , B. Sastre","doi":"10.1016/j.anchir.2006.03.004","DOIUrl":"https://doi.org/10.1016/j.anchir.2006.03.004","url":null,"abstract":"<div><h3>Background</h3><p>Pancreaticoduodenectomy (PD) is the standard surgical treatment for malignant ampullomas but is still associated with a mortality and morbidity still ranging from 0 to 10% and from 15 to 40%, respectively. Ampullectomy is an alternative to PD for benign ampulloma or, in high-risk patients, for invasive carcinoma. The aim of this study was to report early and long term results of surgical ampullectomy for presumed benign ampullomas.</p></div><div><h3>Patients and methods</h3><p>From 1981 to 2004, 26 patients from two institutions underwent surgical ampullectomy. Of the 26 patients, 8 had familial adenomatous polyposis (FAP). Surgical ampullectomy was indicated on a multisciplinary basis.</p></div><div><h3>Results</h3><p>Final pathological examination revealed 15 adenomas, 4 in situ adenocarcinomas, 2 endocrine tumors, and 5 other benign lesions. There was no postoperative mortality. Specific morbidity was 8% (<em>N</em>    <!-->70 months (range: 3–204). Actuarial overall 5-year survival was 92%. There were 4 local recurrences (none in patients with FAP). Four patients died during follow-up (including 3 from initial disease).</p></div><div><h3>Conclusion</h3><p>Ampullectomy is a good alternative to PD in case of benign or non-invasive malignant ampullary lesion, including in selected cases of FAP.</p></div>","PeriodicalId":75499,"journal":{"name":"Annales de chirurgie","volume":"131 5","pages":"Pages 322-327"},"PeriodicalIF":0.0,"publicationDate":"2006-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.anchir.2006.03.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91758255","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: 10