Chirurgia italiana最新文献_第10页

[Gastrointestinal stromal tumour in emergency surgery]. [急诊手术中的胃肠道间质瘤]。

Chirurgia italiana Pub Date : 2009-01-01

Arrigo Spivach, Margherita Fezzia, Daniela Bonifacio, Carlo Pagani, Maria Assunta Cova, Alberto Zacchi, Fabrizio Zanconati

引用次数: 0

[Benign retroperitoneal schwannoma: a case report and review of the literature]. 【良性腹膜后神经鞘瘤1例报告及文献复习】。

Chirurgia italiana Pub Date : 2009-01-01

Alberto Mingione, Claudia Cirillo, Nicola Martucci, Stefano Mingione

引用次数: 0

[Surgical management of schwannoma of biliary tract]. 胆道神经鞘瘤的外科治疗。

Chirurgia italiana Pub Date : 2009-01-01

Guido De Sena, Carlo Molino, Maria Rosaria De Riitis, Stefano Candela, Vincenzo Cifarelli, Vittorio Di Maio, Francesco Chianese, Davide Albino Rossetti, Massimo Rossi, Giuseppe Miranda

引用次数: 0

[Ileal intussusception due to a voluminous inflammatory fibroid polyp. A case report and review of the literature]. 大体积炎性肌瘤息肉引起的回肠肠套叠。病例报告及文献综述]。

Chirurgia italiana Pub Date : 2009-01-01

Lorenzo Sofia, Cesare Lorenzini, Francesca Pia Pergolizzi, Agata Foti, Eugenio Cucinotta

{"title":"[Ileal intussusception due to a voluminous inflammatory fibroid polyp. A case report and review of the literature].","authors":"Lorenzo Sofia, Cesare Lorenzini, Francesca Pia Pergolizzi, Agata Foti, Eugenio Cucinotta","doi":"","DOIUrl":"","url":null,"abstract":"An inflammatory fibroid polyp is a rare benign submucosal lesion frequently located in the gastric antrum but it may be found anywhere in the gastrointestinal tract with maximal incidence in the fifth and sixth decades of life. The main histological characteristics are diffuse inflammatory infiltrate with eosinophils, high vascularisation and a myofibroblastic component. Its localisation in the small bowel can cause intestinal invagination in adults, a condition, that occurs most frequently in childhood where, however, it is generally not related to a pathological lesion. The diagnosis may often be delayed because of its non-specific symptoms and most cases are diagnosed at emergency laparotomy, although CT scans can furnish useful preoperative information. In the majority of cases, the treatment of choice is surgical resection. Reduction performed prior to resection proves controversial in patients with colic intussusception because of the high incidence of malignancy. We report a case of a 37-year-old man who had undergone emergency surgery for acute ileum intussusception associated with a voluminous inflammatory fibroid polyp. The case described emphasises that patients with bowel obstruction pose a complex and difficult challenge to surgeons as regards the choice of the correct diagnostic work-up and optimal therapeutic management.","PeriodicalId":75700,"journal":{"name":"Chirurgia italiana","volume":"61 1","pages":"87-93"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28129487","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 wedge resection for gastrointestinal stromal tumour: a case report]. 腹腔镜楔形切除术治疗胃肠道间质瘤1例。

Chirurgia italiana Pub Date : 2009-01-01

Marco Milone, Osvaldo Micera, Francesco Milone

引用次数: 0

Abdominal aortic endograft infection: report of two cases and review of the literature. 腹主动脉内移植物感染2例报告并文献复习。

Chirurgia italiana Pub Date : 2009-01-01

Gian Franco Veraldi, Bruno Genco, Annamaria Minicozzi, Marco Paolo Zecchinelli, Christian Segattini, Rostand Emmanuel Momo, Rosario Pacca

{"title":"Abdominal aortic endograft infection: report of two cases and review of the literature.","authors":"Gian Franco Veraldi, Bruno Genco, Annamaria Minicozzi, Marco Paolo Zecchinelli, Christian Segattini, Rostand Emmanuel Momo, Rosario Pacca","doi":"","DOIUrl":"","url":null,"abstract":"Endovascular prosthesis infection after exclusion of an abdominal aortic aneurysm is a rare, dramatic event and its diagnosis and treatment are extremely complex. This particular complication has been less well explored in the literature than others such as endoleaks, migration or stent rupture. The incidence of aorto-iliac stent-graft infection is almost 0.7%, while the infection rate in open surgery varies from 0.6% to 3%. Moreover, the infection can be early when it arises within 4 months of the implant or late when it arises after 4 months. Since 1991 only 94 cases of endograft infections have been reported in the world literature, to which our two cases need to be added, making a total of 96 cases. The first of our patients was diagnosed with an early infection that was successfully treated by explanting the infected graft followed by aortic reconstruction with a homograft. Six months after the operation the patient died of cardiac failure. The second case was a late infection which developed 8 years after the first intervention in a patient with chronic renal failure treated with dialytic therapy. After aneurysmectomy and stent-graft removal, a bifurcated dacron silver graft was implanted. The patient died of cardiogenic shock 40 days after surgery. The surgical treatment of this serious complication is associated with high perioperative morbidity and mortality rates and requires very careful planning of the operation.","PeriodicalId":75700,"journal":{"name":"Chirurgia italiana","volume":"61 1","pages":"61-6"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28129480","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

Gastro-oesophageal reflux and "epileptic" attacks: casually associated or related? Efficiency of antireflux surgery: a case report. 胃食管反流与“癫痫”发作:偶然关联还是相关?抗反流手术疗效1例报告。

Chirurgia italiana Pub Date : 2009-01-01

Eugenio Fiorentino, Gianni Pantuso, Alessia Cusimano, Stefania Latteri, Achille Mastrosimone, Calogero Cipolla

{"title":"Gastro-oesophageal reflux and \"epileptic\" attacks: casually associated or related? Efficiency of antireflux surgery: a case report.","authors":"Eugenio Fiorentino, Gianni Pantuso, Alessia Cusimano, Stefania Latteri, Achille Mastrosimone, Calogero Cipolla","doi":"","DOIUrl":"","url":null,"abstract":"Although a possible link between gastro-oesophageal reflux disease (GORD) and obstructive sleeping apnoea has already been reported in the literature, there has never been any suggestion of an association with epilepsy, and epileptic attacks have not so far been included among gastro-oesophageal reflux disease symptoms. We report the case of a patient with gastro-oesophageal reflux disease associated with a sliding hiatus hernia, a short oesophagus and oesophagitis, who for the last ten years had not only presented the typical symptoms of gastrooesophageal reflux, but also symptoms of obstructive sleep apnoea and epileptic-like attacks occurring occasionally and only during sleep. Partial posterior fundoplication was performed and considerably reduced the reflux symptoms, and in addition brought about a drastic decrease in the number of epileptic-like attacks. Our case suggests that epileptic-like episodes in patients with obstructive sleeping apnoea may well be linked to the simultaneous presence of GORD associated with hiatus hernia, and surgical treatment of GORD may bring about an improvement of the neurological problems.","PeriodicalId":75700,"journal":{"name":"Chirurgia italiana","volume":"61 1","pages":"95-8"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28129486","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

[Use of an evaluation score for rectal mucosal prolapse]. [直肠粘膜脱垂评估评分的使用]。

Chirurgia italiana Pub Date : 2009-01-01

Fabio Gaj, Antonello Trecca, Pietro Crispino

{"title":"[Use of an evaluation score for rectal mucosal prolapse].","authors":"Fabio Gaj, Antonello Trecca, Pietro Crispino","doi":"","DOIUrl":"","url":null,"abstract":"Rectal mucosal prolapse is characterised by the protrusion of the mucosa alone in the rectal lumen. The authors, after an experience conducted in ambulatory patients, have produced a score to classify the extent of rectal mucosal prolapse based on evaluation of qualitative and quantitative factors that should help in the correct management of proctological patients. A total of 30 patients with proctological symptoms during outpatient visits were submitted to a minimally invasive test in comparison to the traditional ones, using a simple gauze plug connected to the end of a suture thread, inserted in the rectal lumen and removed via the anus. The score designed by the authors made it possible to classify 96.6% of patients accurately. In 4 patients the score was equal to zero. In 12 patients there was a mucosal prolapse of less than 25% with a reduction score equal to 2.4 and therefore these were treated with a single rubber ligature (7 patients with classes a and b) and 5 patients were treated with the transfixed stitch technique (TST) (class c). In 10 patients a 50% mucosal prolapse of the anal circumference and a mean reduction score of 5.6 were found. In 5 of these patients (classes a and b) it was possible to perform a multiple ligature while the other 5 (class c) were treated with TST. In 3 patients a prolapse ranging from 50 to 75% with a mean reduction index of 8.1 was found. The therapeutic procedure preferred for these patients was TST. In one patient a circumferential prolapse was diagnosed with a reduction score of 11 treated with Longo's surgical technique. The mucosal prolapse score seems to be useful to stratify patients more precisely in the choice of surgical intervention and during follow-up. The plug test is a minimally invasive test, useful for the application of the rectal mucosal prolapse score.","PeriodicalId":75700,"journal":{"name":"Chirurgia italiana","volume":"61 1","pages":"77-82"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28129483","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

[Integrated multidisciplinary treatment of colorectal neoplasms]. 【结直肠肿瘤多学科综合治疗】。

Chirurgia italiana Pub Date : 2009-01-01

Fabio Procacciante, Fabiana Caciolo, Giulia Diamantini, Donato Flati, Franca Pitasi, Valmira Abilaliaj, Alfredo Covotta, Enzo Banelli, Marisa Di Seri, Giorgio Citone

{"title":"[Integrated multidisciplinary treatment of colorectal neoplasms].","authors":"Fabio Procacciante, Fabiana Caciolo, Giulia Diamantini, Donato Flati, Franca Pitasi, Valmira Abilaliaj, Alfredo Covotta, Enzo Banelli, Marisa Di Seri, Giorgio Citone","doi":"","DOIUrl":"","url":null,"abstract":"In this retrospective study, the modality and advantages of the multidisciplinary diagnostic work-up and therapy regarding colorectal neoplasm were analysed. Over the period 2004-2008, 63 patients underwent multidisciplinary treatment for colorectal cancer. All patients underwent surgery (laparoscopic/open). Exeresis was supplemented by adjuvant chemotherapy in those cases beyond IIA stage; all cases of extraperitoneal rectal and anal canal neoplasms plus one case of carcinoma of the transverse colon, initially inoperable, underwent neoadjuvant radiotherapy plus chemotherapy. The treatment was initiated approximately 3 weeks after the diagnosis. Fifty-four percent of patients with colonic and upper rectal neoplasms were given adjuvant chemotherapy, starting around 4 weeks after surgery. Exeresis was performed in those patients with extraperitoneal rectal and anal canal neoplasms (12.7%) about 6-8 weeks after they had completed neoadjuvant therapy. At the end of the treatment, 76% of the overall total numbers of patients were in good condition (follow-up 4-50 months). The remaining 24% suffered recurrences about 13 months after the treatment for colonic and upper rectal neoplasm, and 8 1/2 months after treatment for extraperitoneal rectal/anal canal neoplasms. Seventy-five percent of the recurring cases underwent treatment again, with 50% success; the others are still undergoing treatment. The best therapeutic results were obtained by programmed integration of the various diagnostic-therapeutic steps according to an algorithm which we elaborated to evaluate all types of neoplasm at any stage of illness.","PeriodicalId":75700,"journal":{"name":"Chirurgia italiana","volume":"61 1","pages":"1-10"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28129551","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

Perineal hernia: a case of outlet dysfunction. 会阴疝:出口功能障碍1例。

Chirurgia italiana Pub Date : 2009-01-01

Lino Succi, Nnawuihe Luca Ohazuruike, Conchita Emanuela Oliveri, Antonino Carlo Privitera, Serafina Prumeri, Antonino Politi, Antonio Garufi, Giuseppe Randazzo

引用次数: 0