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Wyświetlanie 1-2 z 2
Tytuł:
Laparoscopic cholecystectomy in a patient with total situs inversus – case report
Autorzy:
Stojcev, Zoran
Duszewski, Michał
Bobowicz, Maciej
Galla, Wojciech
Maliszewski, Daniel
Powiązania:
https://bibliotekanauki.pl/articles/1396117.pdf
Data publikacji:
2013-03-01
Wydawca:
Index Copernicus International
Tematy:
total situs inversus
cholecystectomy
laparoscopy
operative technique
Opis:
For many years, laparoscopic cholecystectomy remains the method of choice for both the treatment of symptomatic cholelithiasis, and chronic and acute cholecystitis (1). The experience of the surgeon grows with each laparoscopic procedure, which enables to operate in case of difficult anatomical conditions and associated anatomical variants. The aim of the study was to present a case of a 47-year old male patient with total situs inversus and several months history of recurrent left epigastric pain, radiating to the left scapula, being accompanied by nausea and vomiting. The study presented the operative technique of laparoscopic cholecystectomy and postoperative period data. In conclusion, laparoscopic cholecystectomy in a patient with total situs inversus is possible and safe, providing relevant precautions. The main issues certainly include a good and feasible plan of the operation, discussion concerning the possible intraoperative and postoperative complications, a good plan considering the localization of the trocars, as well as an experienced surgical team. One should also not forget that early conversion to classical cholecystectomy is not considered as failure, but might prevent accidental damage of the biliary ducts and long-term complications.
Źródło:
Polish Journal of Surgery; 2013, 85, 3; 141-144
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Morbidity, Mortality and Survival after Stomach Resection with or without Splenectomy – The Single Centre Observations
Autorzy:
Stojcev, Zoran
Bobowicz, Maciej
Jarząb, Michał
Pawłowska-Stojcev, Tomasz
Banasiewicz, Tomasz
Powiązania:
https://bibliotekanauki.pl/articles/1396190.pdf
Data publikacji:
2013-08-01
Wydawca:
Index Copernicus International
Tematy:
neoplasm
stomach
splenectomy
complications
lymph node excision
Opis:
Over the last decade, gastric cancer treatment has changed from extensive multiorgan resections towards less invasive approaches with limited resections and a more selective lymphadenectomy. Despite all available trials, the conclusions on the extent of necessary resections still remain debatable. The aim of the study was to assess the short term outcomes (morbidity and mortality) of a total gastrectomy depending on the simultaneous splenectomy status. Material and methods. We performed a retrospective analysis of the records of all patients treated with a curative intent using a total gastrectomy for gastric cancer between 1997 and 2003. 49 patients fulfilled the inclusion criteria. Patients were divided into two groups: S(+) gastrectomy with splenectomy group (29 patients) and S(-) total gastrectomy with spleen preservation (20 patients). Results. Survival analysis at one year showed that there was no difference in survival between the two groups (p=0.84). There were six recurrences, one in the group S(+) and five in group S(-) (p>0.05). Dissemination was observed in three patients in group S(-) (p>0.05). Other complications including infectious complications, exenteration, subileus, cardiovascular insufficiency, multiorgan failure were more frequent in the S(+) group (31% v 15%) although the difference was not significant (p=0.17). Conclusions. Splenectomy during gastrectomy for cancer has no statistically significant impact on short-term morbidity and mortality. Even though it does not show benefit in terms of 5-year overall survival rates it might be performed when needed in more advanced cases in properly selected patients (e.g. upper gastric T3/4 gastric cancer)
Źródło:
Polish Journal of Surgery; 2013, 85, 8; 433-437
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
    Wyświetlanie 1-2 z 2

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