[An anatomicosurgical study of the extrahepatic bile ducts].
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Bile Ducts, Extrahepatic↗
Biomedical subjects
I Costea
Publications and source records attributed to I Costea.
[Pancreatic and extrapancreatic fluid collections following acute and chronic pancreatitis].
Intra- or extrapancreatic liquid collections are common complications for acute and chronic pancreatitis, with variable morphologic features and possible evolution toward complications. A total of 31 liquid collections (pseudocysts, ascites and/ or enzymatic pleurisy) in 22 patients are presented. The study assems the etiology, the diagnostic methods and the treatment of the liquid collections. The preferred surgical treatment is either cysto-digestive anastomosis or distal pancreatic resections. Also some new therapeutic modalities are analyzed percutaneous or endoscopic drainage.
Acute Disease↗
[The surgical treatment of parathyroid hyperfunction; comments on 16 cases].
16 cases of primary (13 cases) or secondary (3 cases) parathyroid hyperfunction are presented. The diagnostic circumstances are described: the tumor were incidentally discovered in patients with skeletal or urinary symptoms and following the artificial dialysis in patients with send failure. The treatment consisted in 12 adenoma excision and 3 subtotal paratyroidectomies (in 3 patients with hyperparathyroidism of renal origin. Associated operations on the thyroid gland (tactical or for removing thyroid nodules) and the operations for urinary lithiasis or skeletal disease were also presented. There was no postoperative morbidity or mortality.
Adenoma↗
[Cholelithiasis following gastric surgery].
A retrospective study was carried out in order to verify the correlation between the biliary disease and previous gastroduodenal operations for various lesions. The 24 patients (18 males and 6 females with an average age of 54 years) reported were diagnosed with chronic or acute cholelithiasis (with common bile duct stones and cholangitis) which imposed emergency or short delayed surgery in most of the cases. The previous gastric operations performed 5 up to 23 years ago were classic gastrectomies with Polya (9 cases) or Péan (8 cases) anastomosis, truncal vagotomy with pyloroplasty or gastroenterostomy for gastric and duodenal ulcers, one hemigastrectomy, one antrectomy and one tumorectomy for benign gastric tumours (one schwannoma and two polyps), one enlarged subtotal gastrectomy for adenocarcinoma and, finally, one gastrotomy for a suspected bleeding gastric tumour. The causal connection between cholelithiasis and previous gastric surgery is obvious, anatomical changes and alterations in the kinetics of the duodenum and common duct being incriminated.
Adult↗