[Aorto-esophageal fistula induced by a foreign body. Case Report].
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Biomedical subjects
Publications and source records attributed to G Nari.
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Cancer of the cystic duct is very infrequent, the diagnosis must be made during surgery for biliary pathology, generally lithiasis. The present tendency as regards treatment, is surgery associated with lymphadenectomy.
One hundred and fifty laparoscopic cholecystectomies without pneumoperitoneum (LCWP) cases were reviewed. Age, sex, duration of surgical procedures, postoperative pain, complications and length of hospital stay data were also analyzed. We concluded that LCWP avoids complication related to its use and has become a sound option particularly for those patients with a history of cardiorespiratory failure where pneumoperitoneum approach is hindered. Hence, laparoscopic cholecystectomy prescription is widened.
The Authors presents 3 cases of Hepatic Pseudotumours, analyzed of the diagnostics procedures, concluding that a correct interpretation of the Sonography and CT avoid the utilization of invasive methods.
A 59 years old man jaundice, haemathologic disturbances and Splenomegaly, with epilepsy treated by Carbamazepine in the last 3 weeks is reported. He had a positive response to withdrawal carbamazepine and corticotherapy.
The results of 43 laparoscopic surgeries performed with an abdominal wall retractor designed in the 3rd Surgical Service at "San Roque" Hospital are analyzed. Of them, 42 underwent cholecistectomy and one an endometrosic focus resection, placed in the Douglas sac. The results obtained have been good. There was almost no postoperatory pain due parietal wall traction. The hospital stay was less than 24 hours in 41 cases and less than 48 hours in two. We also point out the absence of complications and the advantages of the parietal traction compared with pneumoperitoneum.
The authors present 3 cases of congenital dilatation of extrahepatic bile ducts and performed a review of the bibliography of this frequent pathology. They concluded that the diagnosis could be difficult in the pre-operatory and the cholangeographic methods are the beds. The treatment of choice in the actuality is the ++quistectomy with hepaticojejunostomy in "Y of Roux".
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