Annales de chirurgie最新文献_第9页

Le lymphome primitif hépatique de type MALT : une tumeur rare pouvant simuler une métastase hépatique 麦芽型肝原发性淋巴瘤:一种罕见的肿瘤，可模拟肝转移

Annales de chirurgie Pub Date : 2006-02-01 DOI: 10.1016/j.anchir.2005.07.006

D. Chatelain , C. Maes , T. Yzet , M. Brevet , D. Bounicaud , J.-P. Plachot , P. Verhaeghe

{"title":"Le lymphome primitif hépatique de type MALT : une tumeur rare pouvant simuler une métastase hépatique","authors":"D. Chatelain , C. Maes , T. Yzet , M. Brevet , D. Bounicaud , J.-P. Plachot , P. Verhaeghe","doi":"10.1016/j.anchir.2005.07.006","DOIUrl":"10.1016/j.anchir.2005.07.006","url":null,"abstract":"<div><p>Primary hepatic lymphomas are rare tumors. We report a case of a 72 year-old woman with a past history of colonic adenocarcinoma who presented primary hepatic lymphoma of MALT-type. The patient had been operated on 3 years before for colonic adenocarcinoma, pT3N0, revealed by a bowel obstructive syndrome. She had been treated by chemotherapy for 6 months. During the follow-up, the computed tomography-scan (CT-scan) revealed the presence of a not well-demarcated mass in segment III of the liver, measuring 4 cm in diameter. The tumor was hypodense and was not enhanced on dynamic study. The mass was already present on the initial CT-scan. Left lobectomy was performed with the diagnosis of liver metastasis of the colonic adenocarcinoma. Surgical specimen showed a tumor composed of a dense infiltrate of small lymphocytes positive for B-cell markers on immunohistochemistry. The tumor contained reactive lymphoid follicles and there were numerous lympho-epithelial biliary lesions. The patient is alive and free of disease 2 years after the diagnosis. Primary hepatic lymphoma of MALT-type is a low-grade B cell lymphoma. Twenty-five cases had been reported in the literature so far. The patients were 16 females and 9 males, mean age 63.5 years. The pathogenesis is still unclear but half of the patients had a past history of chronic inflammatory liver disease (hepatitis B or C virus infection, ascaris infection, primary biliary cirrhosis) or malignant neoplasm. This tumor has a good prognosis; it is usually limited to the liver and surgical resection cures the patient in most cases.</p></div>","PeriodicalId":75499,"journal":{"name":"Annales de chirurgie","volume":"131 2","pages":"Pages 121-124"},"PeriodicalIF":0.0,"publicationDate":"2006-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.anchir.2005.07.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25653851","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

L'épopée des tables d'opérations 操作表的史诗

Annales de chirurgie Pub Date : 2006-02-01 DOI: 10.1016/j.anchir.2005.11.005

M.-A. Germain, S. Bonvalot, M.-C. Missana

引用次数: 2

Traitement des éventrations péristomiales-2 (techniques avec transposition) 肠周分泌物的治疗-2(转位技术)

Annales de chirurgie Pub Date : 2006-02-01 DOI: 10.1016/j.anchir.2005.12.001

J.-L. Bouillot, K. Aouad

引用次数: 1

Hématome géant de la cloison rectovaginale. Une complication exceptionnelle de la technique de Longo 直肠阴道壁的巨大血肿。隆戈技术的异常复杂

Annales de chirurgie Pub Date : 2006-02-01 DOI: 10.1016/j.anchir.2005.06.012

B. Detruit

引用次数: 4

Comment prévenir la morbidité récurrentielle en chirurgie thyroïdienne ? 如何预防甲状腺手术的复发发病率?

Annales de chirurgie Pub Date : 2006-02-01 DOI: 10.1016/j.anchir.2005.09.002

C. Trésallet, J.-P. Chigot, F. Menegaux

{"title":"Comment prévenir la morbidité récurrentielle en chirurgie thyroïdienne ?","authors":"C. Trésallet, J.-P. Chigot, F. Menegaux","doi":"10.1016/j.anchir.2005.09.002","DOIUrl":"10.1016/j.anchir.2005.09.002","url":null,"abstract":"<div><p>Les paralysies récurrentielles (PR), avec l'hypoparathyroïdie définitive, constituent la principale source de morbidité après thyroïdectomie. Leur taux est évalué entre 0,5 et 5 % des cas, dont un quart restera définitif. Les risques sont maximaux en cas de chirurgie pour cancer, pour hyperthyroïdie ou pour chirurgie itérative. Les moyens pour diminuer ce taux sont étudiés. Ils sont fondés sur une technique opératoire rigoureuse et standardisée. La possibilité d'une PR doit être annoncée en consultation, la délivrance de cette information devant être notée par écrit par l'opérateur.</p></div><div><h3>Abstract</h3><p>Recurrent laryngeal nerve (RLN) injury and hypoparathyroidism can occur after thyroid surgery. The rate of RLN injury, mostly transient, ranges from 0.5% to 5% of patients. The risk is more important in patients who undergo reoperative thyroid surgery and in patients with thyroid cancer or hyperthyroidism. Rationales for technique of thyroidectomy are discussed. Meticulous and reproductive surgical technique can lower the postoperative morbidity. However, the potential for RLN injury still exists and must be explained to the patients who are candidate for thyroid surgery. The fact that this information has been delivered during the preoperative visit must be written by the surgeon in the patient’s chart.</p></div>","PeriodicalId":75499,"journal":{"name":"Annales de chirurgie","volume":"131 2","pages":"Pages 149-153"},"PeriodicalIF":0.0,"publicationDate":"2006-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.anchir.2005.09.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25640684","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: 28

Panniculite mésentérique Panniculite mésentérique

Annales de chirurgie Pub Date : 2006-02-01 DOI: 10.1016/j.anchir.2005.09.009

G. Piessen, C. Mariette, J.-P. Triboulet

{"title":"Panniculite mésentérique","authors":"G. Piessen, C. Mariette, J.-P. Triboulet","doi":"10.1016/j.anchir.2005.09.009","DOIUrl":"10.1016/j.anchir.2005.09.009","url":null,"abstract":"<div><p>Mesenteric panniculitis also named retractile mesenterite is a rare tumor-like lesion that thickens and shortens the mesentery. It is characterized by the association of inflammation, necrosis or fibrosis involving the adipose tissue of the bowel mesentery. The pathophysiology of this disease remains unclear despite associations with inflammatory diseases or malignancies, especially lymphomas that have been described. When symptomatic, patients may present with abdominal pain, palpable abdominal mass or intestinal obstruction. The disease remains asymptomatic in 30 to 50% of cases. Abdominal CT plays an important role in suggesting the diagnosis and can be useful in distinguishing the several conditions that can mimic mesenteric panniculitis. Nevertheless, pathologic examination of surgical excisional biopsies or sometimes percutaneous biopsies remains necessary to confirm the diagnosis and exclude an underlying infection or malignancy. Medical treatment may consist of therapy with anti inflammatory or immunosuppressive agents and can be proposed in highly symptomatic diseases. Surgical treatment should be exclusively attempted when intestinal obstruction or ischemia occur. Most of the time, it consists in intestinal derivation or segmental resection because complete excision of the lesions is often not possible. Mesenteric panniculitis usually has an uneventful clinical course and resolves spontaneously in a variable delay.</p></div>","PeriodicalId":75499,"journal":{"name":"Annales de chirurgie","volume":"131 2","pages":"Pages 85-90"},"PeriodicalIF":0.0,"publicationDate":"2006-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.anchir.2005.09.009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25654276","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

Publier un essai randomisé en français reste une exception 用法语发表随机试验仍然是一个例外

Annales de chirurgie Pub Date : 2006-02-01 DOI: 10.1016/j.anchir.2005.12.015

K. Slim

引用次数: 2

Traitement chirurgical des perforations non traumatiques uniques de l'intestin grêle : excision–suture ou résection–anastomose 小肠独特非创伤性穿孔的手术治疗:切除-缝合或切除-吻合

Annales de chirurgie Pub Date : 2006-02-01 DOI: 10.1016/j.anchir.2005.11.008

A. Ayite, D.E. Dosseh, G. Katakoa, H.A. Tekou, K. James

{"title":"Traitement chirurgical des perforations non traumatiques uniques de l'intestin grêle : excision–suture ou résection–anastomose","authors":"A. Ayite, D.E. Dosseh, G. Katakoa, H.A. Tekou, K. James","doi":"10.1016/j.anchir.2005.11.008","DOIUrl":"10.1016/j.anchir.2005.11.008","url":null,"abstract":"<div><p><strong><em>Objective. –</em></strong> To evaluate morbidity and mortality following excision-suture and resection-anastomosis for single non traumatic perforations of small bowel (SNTPB).</p><p><strong><em>Methods. –</em></strong> from July 2002 to June 2003, a simple blind randomized study comparing excision-suture with resection-anastomosis SNTPB.</p><p><strong><em>Results. –</em></strong> Of the 125 patients included, 112 were operated by surgeons on training (89.6%). The perforation sat on the antimesenteric edge of the last ileal portion with an average diameter of 0.8 cm (extreme 0.1 and 4 cm). An excision-suture was performed 66 times (52%) including 5 times by an experienced surgeon. 56 patients had simple continuations (45.2%). Morbidity concerned 68 patients (54,8%). 06 patients died of general complications (4.8%). The technique did not influence the mortality. All dead patients were operated by surgeons on training, <em>P</em>  =0,01), the exteriorized fistulas (<em>P</em>  =0.05).</p><p><strong><em>Conclusion. –</em></strong> Whereas mortality was not influenced by the technique, the postoperative course was more complicated after resection-anastomosis (performed in majority by less experienced surgeons). We recommend excision-suture to repair SNTPB.</p></div>","PeriodicalId":75499,"journal":{"name":"Annales de chirurgie","volume":"131 2","pages":"Pages 91-95"},"PeriodicalIF":0.0,"publicationDate":"2006-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.anchir.2005.11.008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25769638","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: 16

Cancer du sigmoïde : résection par laparoscopie ou par laparotomie ? 乙状结肠癌:腹腔镜切除还是开腹切除?

Annales de chirurgie Pub Date : 2006-02-01 DOI: 10.1016/j.anchir.2005.12.016

F. Bretagnol , J.-M. Fabre , K. Slim

引用次数: 1

Tumeur intracanalaire papillaire mucineuse du pancréas dégénérée et fistulisée dans l'estomac, le duodénum, et le côlon 胃、十二指肠和结肠内胰腺变性和瘘管性乳头状瘤

Annales de chirurgie Pub Date : 2006-02-01 DOI: 10.1016/j.anchir.2005.08.002

F.S. Ftériche , F. Chebbi , H. Bedioui , N. Kchir , A. Ammous , R. Ksantini , M. Jouini , M. Kacem , Z. Ben Safta

引用次数: 4