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R Marchesi

Publications and source records attributed to R Marchesi.

6 recordsLinked to original sources
PubMed2000

[Inflammatory pseudotumor of the lung. Diagnostic-therapeutic effectiveness of its radical resection].

Clinical, therapeutical observations and experience in 3 cases of pulmonary inflammatory pseudotumors (PIP) are presented. A retrospective analysis is made of cases with pulmonary "mass" suspected as malignant tumor, resected in a general surgery department between 1988 and 1995, and finally diagnosed as inflammatory pseudotumor. Three of the 10 cases originally diagnosed as malignant lung tumor were inflammatory pseudotumor (30%). Pulmonary inflammatory pseudotumors, may be a pitfall diagnosing a lung mass and implicate legal problems. Surgical resection leads to the final diagnosis in doubtful cases. A wide resection has a diagnostic aim and may preserve healthy parenchyma. Clinicians, pathologists and surgeons should accurately inform patients with doubtful diagnosis of pulmonary malignancy. Any decision should be kept altogether either choosing the simple observation or the timely surgical diagnostic and therapeutical approach.

Diagnosis, Differential↗
PubMed1991

[Atracurium as an alternative to succinylcholine in oro-tracheal intubation].

Intubation conditions were considered in 75 patients undergoing gynecologic surgery following intravenous administration of suxamethonium (1 mg/kg-1) or sequence atracurium (0,5 mg/kg-1)-thiopentone. A statistically significant difference of intubation depth of neuromuscular blockade was found between the groups, but the tracheal intubation was performed within 60 sec following the intravenous injection of the two muscle relaxants in all patients. Intubating conditions were scored as excellent in 67 cases, good in 5 cases and poor in 3 cases. Cardiovascular stability was relieved.

Adult↗
PubMedDate not supplied

[Reconversion after Hartmann's procedure. Our experience].

An increasing number of intestinal reconversion after Hartmann have been performed in recent years, especially due to improved surgical techniques and progressively lengthened lifespan. The authors report 33 cases of intestinal recanalization of 100 interventions according to Hartmann from 1984 to 1996 (21 not neoplastic pathologies, 12 neoplasias). The variables considered included: patient age, type of disease requiring intervention according to Hartmann, oncologic characteristic of patients with neoplasia, interval between the two interventions, preoperative examinations performed, morbidity and mortality after reconversion. Furthermore, the fundamental indications for reconversion are described, in particular in patients with neoplasias (CEA, transanal echo, total body Ct, anal manometry). The low frequency of preoperative complications, zero mortality, satisfactory long-term follow-up (only one patient with neoplastic relapse) indicate that colon-rectal reconversion can also be performed in the elderly and patients with neoplasias with favorable prognosis.

Aged↗
PubMedDate not supplied

Pulmonary sclerosing hemangioma in a woman with multiple uterine fibromas, cysts to thyroid and kidney.

Pulmonary sclerosing hemangioma (PSH) is a relatively rare, homogeneous solitary tumor. Its complex histology may suggest a number of malignancies. We report one case diagnosed in a 62-years-old woman with a tendency to benign tumors (uterine fibromas) and cystes (thyroide, kidney). Bronchoscopy was normal. Pulmonary scintiscan was not done. Chest X-ray showed a 2 x 2 cm solitary, dense, homogeneous, delimited nodule of the LLL. The intraoperatory diagnosis of adenocarcinoma led to lobectomy. The final diagnosis of PSH was done on fixed and stained samples. She is in good condition after 13 months of follow-up.

Adenocarcinoma↗
PubMedDate not supplied

Pulmonary angiodysplasia: a case report.

A case of lung angiodysplasia is reported here in. The diagnosis of this disease before surgery is difficult. The intraoperatory diagnosis of vascular disease was possible since the pulsating mass disappeared after the inflow and outflow blood vessels were selectively clamped. The abnormal placement of a venous vessel made the resection problematical. A careful anatomic and clinical study of the lesion, and the correct instrumental diagnostic approach may lead to a suitable therapeutic stategy, which respects both functional integrity and surgical radicality. The usefulness of a systematical selective clamping of the inflow and outflow blood vessels for an exact delimitation of the lesion emphasised.

Angiodysplasia↗