Chirurgia italiana最新文献

[Chylous ascites]. 乳糜性腹水。

Chirurgia italiana Pub Date : 2020-02-10 DOI: 10.32388/5yu006

M. De Padova, R. Sacco, R. Rosetti, G. Lesti, V. Beltrami

引用次数: 0

[Nipple discharge]. 乳头溢液。

Chirurgia italiana Pub Date : 2020-02-07 DOI: 10.32388/iomv63

G. Deodato, A. Consoli, M. Riggi, G. Longo, G. Finocchiaro

引用次数: 0

Gastric Lipoma 胃脂肪瘤

Chirurgia italiana Pub Date : 2020-02-07 DOI: 10.32388/ylmo8k

引用次数: 0

Traumatic diaphragmatic injuries. 创伤性横膈膜损伤。

Chirurgia italiana Pub Date : 2016-01-01 DOI: 10.1007/174_2016_42

A. Olsen, R. Nicola, C. Raptis, M. Patlas

引用次数: 0

[Treatment of biliary lesions due to cholecystectomy]. 【胆囊切除术后胆道病变的治疗】。

Chirurgia italiana Pub Date : 2009-09-01

Gennaro Nuzzo

引用次数: 0

Laparoscopic cholecystectomy can be performed safely with only three ports in the majority of cases. 在大多数情况下，只有三个端口的腹腔镜胆囊切除术可以安全进行。

Chirurgia italiana Pub Date : 2009-09-01

Giovanni Saccomani, Alberto Arezzo, Andrea Percivale, Stefano Baldo, Riccardo Pellicci

{"title":"Laparoscopic cholecystectomy can be performed safely with only three ports in the majority of cases.","authors":"Giovanni Saccomani, Alberto Arezzo, Andrea Percivale, Stefano Baldo, Riccardo Pellicci","doi":"","DOIUrl":"","url":null,"abstract":"Reducing the number of ports used to perform laparoscopic cholecystectomy (LC) is indicated as means of further minimising postoperative pain, allowing a rapid return to activity and work, and obtaining patient satisfaction and better cosmetic results. It is still debatable whether the three-port technique is comparably safe. Since 2001, 374 consecutive patients underwent laparoscopic cholecystectomy in elective and emergency surgery. Three ports were routinely positioned and the need for a fourth cannula was evaluated during the surgical procedure. Of the 374 consecutive cholecystectomies performed, 204 were completed with three ports and 161 needed a fourth port to be completed, while 9 required conversion to laparotomy. Patients who were operated on with just three ports were significantly younger and mostly female. Complications of procedures completed with three ports were negligible and those of procedures completed with four ports were in line with the recent literature. Our experience shows that the three-port technique is always a good initial option when performing laparoscopic cholecystectomy. It is safe and requires conversion to four-port placement in only a minority of cases overall.","PeriodicalId":75700,"journal":{"name":"Chirurgia italiana","volume":"61 5-6","pages":"613-6"},"PeriodicalIF":0.0,"publicationDate":"2009-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28912163","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

[Laparoscopic versus open right hemicolectomy: 5-year oncology results]. [腹腔镜与开放式右半结肠切除术:5年肿瘤学结果]。

Chirurgia italiana Pub Date : 2009-09-01

Luca Maria Siani, Fabrizio Ferranti, Marco Marzano, Antonio De Carlo, Alberto Quintiliani

{"title":"[Laparoscopic versus open right hemicolectomy: 5-year oncology results].","authors":"Luca Maria Siani, Fabrizio Ferranti, Marco Marzano, Antonio De Carlo, Alberto Quintiliani","doi":"","DOIUrl":"","url":null,"abstract":"Laparoscopic right hemicolectomy has developed less markedly than rectosigmoid resection, probably because of the more complicated regional anatomy and greater difficulty in performing an adequate regional lymphectomy. The aim of the present study was to analyse our 5-year experience with laparoscopic right hemicolectomy. Twenty patients were enrolled with non-metastatic, non-infiltrating right colonic cancer, treated laparoscopically and compared to a group well matched for age, sex, comorbidity and stage of disease, treated laparotomically. The duration of the laparoscopic procedures was slightly longer, but intraoperative blood loss, passage of flatus and hospital stay were reduced compared to the laparotomic procedure. Morbidity was similar and there was no 30-day mortality in either group. Specimen length and number of harvested lymph nodes were similar and the 5-year cumulative survival curves showed no statistically significant difference (72.5% versus 72.2%). Our experience shows that laparoscopic right hemicolectomy is a safe, effective and oncologically adequate procedure, comparable in all respects to open hemicolectomy, but with all the advantages of the minimally invasive technique. Yet, it remains a complex surgical procedure, requiring skill and a long learning curve. Further studies, possibly prospective and randomised, are necessary to define the exact role of this technique for the treatment of non-metastatic, non-infiltrating right colonic cancer.","PeriodicalId":75700,"journal":{"name":"Chirurgia italiana","volume":"61 5-6","pages":"573-7"},"PeriodicalIF":0.0,"publicationDate":"2009-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28911760","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

[Laparoscopic total mesorectal excision for extraperitoneal rectal cancer. Oncological outcome at 5 years]. 腹腔镜全肠系膜切除术治疗腹膜外直肠癌。5年肿瘤预后]。

Chirurgia italiana Pub Date : 2009-09-01

Luca Maria Siani, Fabrizio Ferranti, Antonio De Carlo, Marco Marzano, Alberto Quintiliani

{"title":"[Laparoscopic total mesorectal excision for extraperitoneal rectal cancer. Oncological outcome at 5 years].","authors":"Luca Maria Siani, Fabrizio Ferranti, Antonio De Carlo, Marco Marzano, Alberto Quintiliani","doi":"","DOIUrl":"","url":null,"abstract":"Total mesorectal excision (TME) is the cornerstone of surgical treatment for extraperitoneal rectal cancer. The aim of the present study was to analyse our five-year experience with laparoscopic TME, evaluating the overall five-year and disease-free survival rates. Twenty-five patients with low-middle rectal cancer were treated with laparoscopic TME. Patients with advanced rectal cancer were treated preoperatively with neoadjuvant radiochemotherapy. Five-year overall survival and disease-free survival were calculated according to the Kaplan-Meier method. Twenty-three ultralow anterior resections with Knight-Griffen anastomosis and 3 abdominoperineal resections were performed. At 30 days mortality was zero, while morbidity was 20% (all minor complications). The mean follow-up period was 30.5 months. Five-year overall survival was 80.2%, and five-year disease-free survival 80.9%. Our experience shows that laparoscopic TME is a safe and oncologically correct procedure. Oncologic outcomes were comparable to those reported in all major international experiences, and the results were very similar to those obtained with the laparotomic approach. However, it remains a complex technique, requiring an adequate learning curve. More prospective, randomised trials are needed in order to define laparoscopic TME as the new gold standard for the treatment of extraperitoneal rectal cancer.","PeriodicalId":75700,"journal":{"name":"Chirurgia italiana","volume":"61 5-6","pages":"585-9"},"PeriodicalIF":0.0,"publicationDate":"2009-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28911763","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

[Eyebrow reconstruction with a scalp island flap based on the superficial temporal artery]. 以颞浅动脉为基础的头皮岛状皮瓣重建眉毛。

Chirurgia italiana Pub Date : 2009-09-01

Leonardo Piccagliani, Francesco Ferrara, Beniamino Palmieri, Donatella Mosca

引用次数: 0

Duodenal obstruction by self-expanding biliary stents in patients with pancreatic cancer. 胰腺癌患者自扩胆道支架引起的十二指肠梗阻。

Chirurgia italiana Pub Date : 2009-09-01

Pietro Petrin, Lucia Moletta

引用次数: 0