Biomedical subjects

L El-Kadre

Publications and source records attributed to L El-Kadre.

2 recordsLinked to original sources

PubMed1999

Perforated epiphrenic diverticulum treated by video laparoscopy.

We describe the case of an esophageal perforation that occurred after an endoscopic examination for epigastric pain 11 days before being referred to our institution. After 5 days of conservative management with total parenteral nutrition, left chest drainage, and broad-spectrum antibiotics, we decided to perform an videolaparoscopic jejunostomy for feeding with distal esophageal exclusion and a cervical esophagostomy. In the operating room, however, we found that the site of the perforation was an epiphrenic diverticulum. Treatment was diverticulectomy through videolaparoscopy with manual and mechanic suture. The postoperative evolution was successful, and the patient was discharged 8 days after surgery.

Diverticulum, Esophageal↗

PubMed1999

Laparoscopic choledochoduodenostomy.

Laparoscopic cholecystectomy is nowadays a well-established procedure in the management of gallbladder lithiasis. The sutures used in the past only for open surgery are progressively being introduced to laparoscopic procedures. The authors describe 25 cases of choledochoduodenostomy using the laparoscopic route. In 19 patients with choledocholithiasis and a common bile duct of > or = 2 cm, and in 6 cases of obstructive jaundice secondary to advanced unresectable pancreatic neoplasms, the technique produced good results as a permanent solution to the life-threatening problem of common bile duct obstruction. Manual anastomosis and intracorporeal knotting were easily performed and proved to be a safe technique in such cases.

Adult↗