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R C Tinoco

Publications and source records attributed to R C Tinoco.

4 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↗
PubMed1988

Pharyngostomy with double tube and anastomosis in the posterior wall of the stomach as a method of avoiding leakage after esophagectomy.

The cervical esophagogastrostomy is a surgical method that has frequent fistula-like complications and it increases the morbidity and mortality rate in surgical treatment for carcinoma of the esophagus. One-hundred and thirty-eight instances of carcinoma of the esophagus were treated surgically from 15 October 1968 to 30 April 1986. In the last 15 instances (10.8 per cent), esophageal anastomosis with the posterior wall of the stomach was done. The decompression of anastomosis and enteral nutrition are done by a Kher drain and Levine catheter, respectively, that are exteriorized by a pharyngostomy. With this method, no fistulas occurred after cervical esophagogastrostomy.

Esophageal Fistula↗
PubMedDate not supplied

Mucous antrectomy associated with vagotomy in duodenal ulcer.

The authors describe the present surgical procedure for duodenal ulcer; this consists of vagotomy in association with resection of the antral mucosa, and sliding the fundus mucosa to cover the naked surface. The gastroduodenal junction is sewn as an enlarged Weimberg pyloroplasty. A series of 20 patients were operated upon, without complications, from 1972 to 1976. It is concluded that this technique has advantages over pyloroplasty: it has a low rate of morbidity and the safety of classical antrectomy, without its inconveniences.

Duodenal Ulcer↗