[The complications of ulcerative rectocolitis].
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Colitis, Ulcerative↗
Biomedical subjects
R Carrata
Publications and source records attributed to R Carrata.
[Cholelithiasis in advanced age].
Fifty seven patients over 65 affected with cholelithiasis underwent surgical procedures at II Patologia Chirurgica-University of Bari-Italy, from July 1987 to December 1988. Different risk factors were considered. The results, which reported a low incidence of morbidity and mortality, suggest the importance to adopt early surgery. Though 73.2% of patients had associated pathologies and 28.6% had two or more risk factors, only 5.3% of them had complications not strictly related to surgery.
Age Factors↗
[Total pericystectomy in the treatment of hepatic echinococcosis].
Fourteen patients, affected with hepatic echinococcosis, who underwent total pericystectomy at II Patologia Chirurgica, University of Bari-Italy, were retrospectively evaluated. The period considered was July 1987-December 1988. Immediate (low morbidity and no mortality) and late (no recurrences) results showed that total pericystectomy is the treatment of choice in hepatic hydatidosis.
Echinococcosis, Hepatic↗
[Thyroid carcinoma. Criteria for the selection of surgical treatment].
Surgery is still today the first choice treatment in the thyroid neoplasm. The authors examined 37 patients with thyroid cancer out of 389 thyroidal operation performed in the period 1982-85 at the Institute of Surgical Pathology II and Surgical Clinic of University of Bari. The pro-operation screening was scintigraphy, US study and needle biopsy. In 23 case, with positive cytology examination and/or clinical malignancy the performed operation was total extracapsular thyroidectomy. Other nine patients underwent lobectomy and in 2 cases the operation chosen was sub-total strumectomy completed by thyroidectomy after histologically proved malignancy. The laterocervical lymphadenectomy was done only in the case of nodes involvement. Operative mortality was 0 and post-operative stay was about 6 days. The extracapsular total thyroidectomy is the first choice operation for cancer. Nevertheless recently some Authors proposed less destructive operation in the small differentiated type cancers with good results.
Adenocarcinoma↗
[The risk factors and prevention of recurrences in rectal surgery].
The authors report their own experience of 34 patients operated on for rectal cancer. In 8 cases abdomino perineal resection and in 26 anterior resection with anastomoses (6 in second time) were performed. Operatory mortality was nil and with an average follow up of 34 months 5 local recurrences were observed 16%. Among the risk factors examined the most important seems to be the stage of the disease; imperative it is therefore a correct surgical approach which warranted a significant reduction of local recurrences. This surgical approach includes a safety distal clearance from the tumour (at least 2.5 cm.), radical lymphadenectomy and complete removal of the mesorectum.
Adult↗
[The role of fine needle biopsy in the cytologic diagnosis of thyroid nodules].
The study was conducted an 298 patients suffering from thyroid nodules who underwent FNAB and successively surgery. The results of FNAB, compared with histology showed a sensibility of the technique of 76.6%, a specificity of 100%, an efficiency of 97.3%, with a negative prognostic value of 97% and a positive one of 100%. The authors stress the role of FNAB in the diagnosis of thyroid nodules in permitting, apart from where follicular tumours are concerned, an efficient identification of malignancy.
Adolescent↗