0000000000908102
AUTHOR
Fiorella Calderone
Tyroid surgery with “ligasure
Trattamento laparoscopico del Mielolipoma surrenalico: caso clinico e revisione della letteratura.
Adrenal myelolipoma is a rare benign, non-functioning tumor consisting of fat and hematopoietic tissues. In January 2005 we had observed an adrenal myelolipoma in 70 year old man. During the follow-up for bladder urothelioma, an abdominal CT revaled a well delineated 4x4 cm homogeneous fatty mass in the right suprarenal area with negative attenuation values. The functional study of adrenal gland was normal. The patient underwent videolaparoscopic right adrenalectomy (Gagner technique). Postoperative course was uneventful. The istological diagnosis showed adrenal myelolipoma. We conclude that videolaparoscopic adrenalectomy should be considered the gold standard treatment for benign adrenal …
La colecistectomia laparoscopica nel paziente uremico
The aim of this study was to evaluate the effectiveness of the laparoscopic cholecystectomy performed in two uremic patients with gallstones. From January to July 2004, 15 patients with gallstones underwent to laparoscopic cholecystectomy (LC). Two patients had chronic renal failure on haemodyalisis: a symptomatic fourty-two old woman, which had primitive hyperparathyroidism and primitive hyperaldosteronism, and asymptomatic transplant candidate fifty-five old man. No minor and major complications occurred and both patients were discharged 4 days after LC. Even in uremic patients the L.C. must be the gold standard for the treatment of gallstones both symptomatic and asymptomatic.
Confezionamento di fistola artero-venosa nativa per l’emodialisi
Intraoperative Parathyroid Hormone Monitoring During Parathyroidectomy for Hyperparathyroidism in Waiting List and Kidney Transplant Patients
This report describes the use of the intraoperative parathyroid hormone (ioPTH) assay during parathyroidectomy in waiting list and transplanted patients. ioPTH levels were determined in 40 patients on the waiting list for kidney transplantation with secondary hyperparathyroidism who underwent subtotal parathyroidectomy and 9 transplanted patients with tertiary hyperparathyroidism who underwent removal of hyperplasic glands. Rapid PTH levels decreased significantly at each time period; the percentage decrease in rapid PTH levels was 61.3% among patients with IPT II and 70.2% in patients with IPT III at 10 minutes and 86.5% in patients with IPT II and 91% in patients with IPT III at 15 minute…
Trattamento endoscopico dei polipi del colon-retto
Il trattamento chirurgico delle lesioni nodulari tiroidee: nostra esperienza. Analisi di 462 casi.
Nodular thyroid lesions are the most frequent endocrine diseases in the general population. The surgical procedure is indicated for nodular thyroid tissue degeneration, or when the suppressive pharmacologic therapy is less efficient, even if sometimes both factors are associated. In Authors' study 462 patients were observed who underwent surgical procedures for thyroid diseases between January 1997-April 2003. In the thyroid pathology, either uninodular or multinodular, the surgical therapy adopted is total thyroidectomy, according to other Authors. The aim of total thyroidectomy is to avoid recurrence and simplify long term pharmacologic treatment. Although the question about the surgical …
Videolaparoadrenalectomy, our experience
SURRENALECTOMIA LAPAROSCOPICA DESTRA PER MIELOLIPOMA, CASE REPORT
La colecistectomia laparoscopica nel paziente uremico
Ruolo della Colonscopia nella sorveglianza dei pazienti operati di cancro del colon rettale.
Videolaparosurrenectomia: nostra esperienza preliminare
INTRODUCTION: In 1992, Gagner described the first laparoscopic adrenalectomy. Since then this technique has been more and more widely employed and several studies confirmed its advantages, comparing to the traditional approach, in terms of reduction of mean hospital stay and therefore of the health expense. PATIENTS AND METHODS: The Authors' preliminary experience spreads from March to November 2003 when 4 patients were studied and thus underwent a transperitoneal laparoscopic adrenalectomy: 2 of them were affected by Cushing syndrome, 1 by pheochromocytoma in MEN and 1 by an incidentaloma. The transabdominal access in lateral decubitus with 4 trocars was performed. RESULTS: No complication…
Coeliac disease and depression: two related entities?
The role of colonscopy in patient follow-up after surgery for colorectal cancer. A retrospective study and review of the literature
Endoscopic screening of the upper and lower digestive tract of the patients with chronic renal failure on waiting list for renal transplantation
Il reintervento per l'iperparatiroidismo renale persistente o recidivo
L'utilità della colonscopia nel follow-up dei pazienti operati per cancro del colon-retto. Analisi retrospettiva e revisione della letteratura
Intraoperative Parathyroid hormone monitoring during parathyroidectomy for renal hyperparathyroidism
La chirurgia laparoscopica nel paziente uremico
TRATTAMENTO ENDOSCOPICO DEI POLIPI DEL COLON-RETTO IN UN AMBULATORIO DI ENDOSCOPIA DIGESTIVA:NOSTRA ESPERIENZA
The aim of this report was to evaluate the effectiveness of the endoscopic treatment of colonic polyps to allow secondary prophylaxis in order to prevent the onset of cancer arising from adenomas. From October 2002 to January 2004 we performed 487 colonoscopies on a patient group with the following indications: screening prior to kidney transplant; screening for colorectal cancer (patients positive at faecal occult blood testing); follow-up of patients who had undergone colonic resections for colorectal cancer; patients with other diseases. Colorectal polyps were diagnosed in 15 males and 15 females, with a mean age of 63 years. All the neoplasms were resected during colonoscopy and specime…
Videolaparosurrenectomia.nostra esperienza
La chirurgia delle lesioni nodulari tiroidee: analisi di 592 casi
Thyroid surgery with the system Ligasure.
Intraoperative parathyroid hormone monitorino durino parathyroidectomy for renal hyperparathyroidism
Incidentaloma Surrenalico. Caso di Sindrome di Cushing subclinica.
The authors describe a case of adrenal incidentaloma that was the cause of subclinical Cushing's syndrome and take the opportunity to weigh up some of the clinical, diagnostic and therapeutic aspects. Besides the particular expression of the symptoms which were difficult to interpret before reaching a diagnosis, the authors describe the diagnostic work-up adopted, aimed at precisely identifying the type of tumour and the surgical procedure implemented laparoscopically, the outstanding validity of which is confirmed compared to traditional adrenalectomy techniques.
Polipi neoplastici del colon-retto. Indicazioni e risultato preliminari della polipectomia endoscopica
Screening endoscopico del tratto digestivo superiore ed inferiore del paziente uremico da sottoporre a trapianto renale.
Use of intraoperative parathyroid hormone in waiting list and kidney transplant patients
Vantaggi e limiti dell'approccio laparoscopico nell'addome acuto
INTRODUZIONE ED OBIETTIVI Le condizioni patologiche che possono insorgere con un quadro di addome acuto sono molto numerose ed il loro riconoscimento, nonostante l’affinamento delle procedure diagnostiche, rappresenta sempre una difficile prova anche per il chirurgo più esperto. Grazie alla standardizzazione delle procedure e all’impiego dell’alta tecnologia la laparoscopia trova oggi sempre maggiori indicazioni per risolvere dubbi diagnostici, anche in urgenza. MATERIALI E METODI Viene riportata la nostra esperienza di approccio laparoscopico su 147 pazienti, tutti emodinamicamente stabili, ricoverati con una diagnosi di ingresso di addome acuto. RISULTATI Nel 59% dei casi il trattamento l…