Search results for "chirurgia"
showing 10 items of 1439 documents
Totally laparoscopic treatment of intestinal tuberculosis complicated with bowel perforation: The first case report in worldwide literature with a br…
2022
IntroductionBowel perforation is a relatively rare presentation of abdominal tuberculosis, whose diagnosis is challenging but fundamental to minimize morbidity and mortality. Laparoscopy is considered an effective modality for diagnosis, but its role in surgical treatment is still not established. We reported the first worldwide case of totally laparoscopic treatment of intestinal tuberculosis complicated with bowel perforation.Case presentationA 30-year-old man with a history of weight loss, preceded by 2 years of nonproductive cough, was admitted to the Infectious Disease Department with a presumed diagnosis of tuberculosis. A microbiological culture test confirmed the diagnosis, and the …
Il ruolo della manometria intraoperatoria nel trattamento chirurgico dell'acalasia esofagea
2008
Versione italiana Introduzione. Gli Autori riportano i risultati della loro esperienza sul ruolo della manometria intraoperatoria (MI) nel trattamento chirurgico dell'acalasia. Pazienti e metodi. Sono stati presi in considerazione 239 pazienti affetti da acalasia osservati dal 1994 al 2006; solo 79 hanno continuato l'iter diagnostico-terapeutico e 31 sono stati sottoposti ad intervento chirurgico di miotomia longitudinale secondo Heller, associando in 25 una plastica antireflusso secondo Dor e in 6 una plastica antireflusso secondo Nissen. In 24 pazienti su 31 è stata eseguita una MI con la individuazione delle zone di alta pressione (HPZ). Risultati. I pazienti sottoposti ad intervento di …
Functional outcome of patients with uncomplicated acute sigmoid diverticulitis after conservative and surgical treatment: risk factors for recurrence.
2012
Vantaggi e limiti dell'approccio laparoscopico nell'addome acuto
2008
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…
LAPAROSCOPIC ADRENALECTOMY: SINGLE CENTRE EXPERIENCE.
2013
Objective: Laparoscopic adrenalectomy is today considered the gold standard treatment for all benign adrenal tumors. The aim of this study is to evaluate the results of laparoscopic adrenalectomy in a single centre. Methods: We reviewed clinical data on 32 adrenalectomies performed at our istitution from 2009 to 2012. The average age of patients was 47 years (range 38-68); 18 were men and 14 women. For the clinical analysis, patients were divided into the nonfunctioning tumor group (n = 20) and the functioning tumor group (n = 12). All operations were performed via transperitoneal lateral access. Results: All laparoscopic adrenalectomy were finished successfully and no open surgery was nece…
Laparoscopic management of adrenal tumors: A four-year experience in a single center
2014
AIM: Today laparoscopy is considered the first choice treatment of many adrenal tumors, although its use is still controversial for large adrenal masses and incidentally found adrenal cortical carcinoma. METHODS: From January 2009 to February 2014 we performed 42 lateral transperitoneal laparoscopic adrenalectomies. The indications for surgery were non-functioning adenoma larger than 4 cm or rapid growth and hormone-secreting tumor. The diagnosis was confirmed in all cases with computed tomography and magnetic resonance imaging and also metaiodobenzylguanidine scintigraphy if pheochromocytoma was suspected. In all cases we realized a complete preoperative hormonal study. We describe and ana…
A 30 YEAR EXPERIENCE IN THE MANAGEMENT OF ANAL FISTULA
2017
Anal fistula has been recognized for centuries, and yet, its treatment remains a challenge for surgeons till today. in this study, a 30 year experience of treating anal fistula is being reported and discussed in light of the various recognized management methods. A total of 320 patients were treated by fistulotomy, fistilectomy, fistula plugging, or seton technique. Data showed that fistula plugging carried the highest failure rate (89%) seconded by fistulectomy (37%), seton procedure (24,5%) and fistulotomy (15,6%). High transphincteric fistulas were more likely to predict failure compared to low transphinteric; intersphinteric and subcutaneous fistulas (37,5% versus 9,5 %, 7,3% and 0% res…
Completion axillary lymph node dissection can be avoid in patients with invasive breast cancer and sentinel lymph node micrometastases
2017
The prognostic value of sentinel lymph node (SLN) micrometastases in invasive breast cancer patients is still widely debated. Even if, in the absence of unequivocal guidelines, the axillary lynphadenectomy is not still performed in the routine clinical care of these patients.We have retrospectively analyzed 897 patients with operable invasive breast cancer and clinically negative axillary lymph nodes underwent conservative surgery or total mastectomy with SLN biopsy. Two groups of patients with SLN micrometastases and isolated tumor cells (ITC) were considered, the first one treated with completion axillary dissection, the second one not followed by further surgical axillary procedure. The …