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Biomedical subjects

S Lotreanu

Publications and source records attributed to S Lotreanu.

7 recordsLinked to original sources
PubMedDate not supplied

[Difficulties of diagnosis and surgical treatment in gallbladder cancer].

After a review of the etiopathogenic data, as well as of anatomo-pathologic aspects of the cancers of the gall-bladder the authors stress the difficulties of diagnosis encountered in the pre-surgery stage, and during the surgical intervention. In view of an early detection of neoplastic lesions the authors suggest extemporaneous histo-pathogenic examination of the lithiasic gall-bladder. They prefer the transparietal-hepatic cholangiography, and the intraoperative transhepatic cholangiography for an exact assessment of the convergence point of hepatic canals, with a view to perform peripheral hepato-digestive derivations. In the 90 cases of cancers of the gall-bladder, of which 75 (87%) were associated (with 4 deaths), cholecystectomy with atypical hepatectomy in one case, cholecystectomy with choledochs drainage in 4 cases (with one death), cholecystectomy with choledochal-duodenostomy in 2 cases, cholecystectomy in 18 cases (with 3 deaths), cholecysto-gastrostomy in 2 cases, hepato-gastronstomy in 13 cases (with 3 deaths), hepato-cholangio-jejunostomy in 2 cases, and exploratory laparotomy in 35 cases. In view of prophylaxis of gall-bladder cancer the authors suggest that cholecystic lithiasis in patients over the age of 40 years should be treated by cholecystectomy.

Adenocarcinoma↗
PubMedDate not supplied

[Hepatic tuberculosis; difficulties of diagnosis and therapeutic management].

Micro, and/or macro-nodular lesions are frequently encountered in the liver in the course of the tuberculous disease, especially during primary dissemination, as well as during the secondary one. In some cases the evolution of liver tuberculous lesions will determine hepato-biliary symptomatology (hepatomegaly, icteric cholangitis) which makes necessary exploratory laparotomy. The authors present their experience in connection with 2 patients presenting liver tuberculous localizations during the primary dissemination. In one of the patients there were also active pulmonary lesions, while in the other one there were no manifest tuberculous determinations.

Adrenal Cortex Hormones↗
PubMedDate not supplied

[Hydatid cyst of the pancreas].

The pancreatic localization of hydatidosis is exceedingly rare (between 0,5 and 3%). A double localization, in the lung and in the pancreas was encountered only by J. Caroli and by authors of the present paper. As a rule the diagnosis is made during the biliopancreatic complications by surgical exploration. The evolution of a patient aged 55 is discussed, who presented with an icterocholangitic syndrome suggesting neoplastic disease, with an image of hidatic cyst in the upper third level of the right lung. The diagnosis of pancreatic hydatic cyst was made by puncture, during surgery, and retrogastric cystogastrectomia according to Jedlicka was followed by irreversible acute hepatorenal failure.

Echinococcosis↗
PubMedDate not supplied

[Papillary adenocarcinomas of the biliary tract].

Papillary adenocarcinomas remain at present some of the rare tumours of the biliary pathways. They raise numerous problems in connection with the diagnosis and with the surgical attitude. The authors present their personal experience acquired in 8 cases of papillary adenocarcinomas of the biliary pathways in which, after removal by curettage external biliary drainage was performed (4 cases, 2 survivals for 3 and 10 months respectively). Cholecystogastrostomy was performed in 2 cases and choledocoduodenostomy in two more patients (survivals of 3 and 20 months respectively).

Adenocarcinoma, Papillary↗
PubMedDate not supplied

[Pancreatic lithiasis].

This disturbances was encountered in 4 patients out of a total of 4,000 intervention for hepato-bilio-pancreatic afflictions). In two cases the intervention was performed for a diagnosis of tumoral jaundice, in another case the diagnosis was made during surgery and in a fourth case it was a surprise discovery at the post-mortem investigation. The authors preferred a palliative intervention consisting in bilio-pancreatic decompression through bilio-digestive anastomosis.

Adult↗