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Biomedical subjects

M Stăncescu

Publications and source records attributed to M Stăncescu.

At least 19 recordsLinked to original sources
PubMedDate not supplied

[41 hepatic resections].

Clinical and therapeutical aspects are discussed with reference to 41 cases of malignant and benign tumours of the liver for which various types of hepatic resections were performed. The high mortality rate (22%) and short postoperative survival (less than a year) in malignant tumours of the liver plead for limited hepatic exeresis in cancer. Hepatic exeresis in benign tumoural pathology gave better, but nevertheless restricted, immediate and late results. Hepatic scintigraphy with colloidal 198Au and 131I rose bengal proved to be useful both preoperatively for determining the quality and quantity of the intact hepatic parenchyma and for late, postoperative follow up of the hepatic regeneration process. Moderate intraoperative hypothermia was used as an adjuvant method, allowing for the approach of broader hepatic exeresis by scissural access and longer clamping of the hepatic pedicles and inferior vena cava.

Actinomycosis↗
PubMedDate not supplied

[Surgery of hiatal hernias].

On the basis of a study performed in 141 cases of hiatal hernia that have been hospitalized in the clinic a series of clinico-therapeutical considerations are made, with surgical implications. The most frequently encountered type of hiatal hernia was that occurring through sliding. Very frequently there are morbid associations (in over 60% of the cases) and this indicates the necessity for a complex study of the patients and a careful selection of the predominant affection. Only 81 of the patients that have been examined - that is 57% - had surgical indications. Two types of interventions have been associated: the correction of the diaphragmatic hiatus was always associated with an intervention in view of avoiding the repetition of the gastroesophagian reflux. Good and very good post-operative results have been obtained in 78% of the interventions and mediocre results in 22% of the operated patients.

Adult↗
PubMedDate not supplied

[Mechanical jaundice in a cystic tumor of the hepatic pedicle].

The present paper reports on an observations of mechanical jaundice by a rare cystic tumour of the hepatic pedicle. Although the diagnosis of obstructive jaundice is sufficient as an operatory indication, a series of imaging methods were used for establishing the situs and the nature of the obstruction.

Adult↗
PubMedDate not supplied

[Indications for pancreatectomy in chronic pancreatitis].

The authors have considered the experience acquired in connection with 15 cases of chronic pancreatitis in whom surgery was performed, and define the parameters which make mandatory surgical interventions in this affection.

Adult↗
PubMedDate not supplied

[Pancreatic pseudocysts].

Clinical, evolutive and therapeutical aspects were studied, of 66 cases of patients with pancreatic pseudocysts hospitalized in the clinic over a period of 27 years. Particular modalities of onset were, those of patients with duodenal stenosis, mechanical jaundice, ascites and pleurisy, those in whom symptomatology suggested kidney or cholecystic disease. The intraoperative diagnosis raises the problem of differentiating a retroperitoneal tumor, identifying the possible association with a pancreatic cancer, and the condition when the pseudocysts are found at a certain distance from the pancreas itself. The therapeutical methods are codified, but recidives are possible. Cholecystectomy removes the biliary cause of pancreatitis which can determine the development of pseudocysts. The death rate of these cases was 6.3%.

Adult↗
PubMedDate not supplied

[The indications for subtotal and total colectomy].

Subtotal and total colectomy was the choice therapeutic solution for multiple colonic cancer, diffuse rectocolonic polyposis, multiple colonic polyposis, ulcerohaemorrhagic rectocolitis, and for two rare diseases; megacolon with extensive atrophy of lymph nodes, and acute ischaemia of the colon. A total of 35 cases are reported. Ileorectal anastomosis was the method used for this type of intervention. The opportunity of rectal conservation is discussed, in cases of rectocolonic polyposis and ulcerative haemorrhagic rectocolitis. The difficulty of making an optimal choice in complicated forms of ulcerohaemorrhagic rectocolitis is exemplified with the aid of clinical observations.

Acute Disease↗
PubMedDate not supplied

[Juxtapapillary ulcer].

The paper analysed the technical possibilities for the treatment of juxtapapillary ulcer exemplified by the clinical experience of 62 cases of recognized juxtapapillary ulcer. The authors insist on the technique of the duodenum dissection, on the way of passing the suture threads at the level of the papilla and on the importance of a correct drainage.

Ampulla of Vater↗