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T Seicaru

Publications and source records attributed to T Seicaru.

15 recordsLinked to original sources
PubMed1991

[Complicated postbulbar duodenal ulcers: the characteristics of the diagnosis and of the surgical procedure and management].

The paper reports on the authors' experience used on 164 patients with complicated postbulbar ulcers (12% of the duodenal ulcers) with hemorrhage (52 cases), perforation (9 cases), duodenal stenosis (13 cases), stenosis and penetration (36 cases) and pancreatic-biliary penetrations (36 cases). The frequency of hemorrhagic complication was of 31%. As the hemorrhage due to postbulbar ulcer is favoured by vascular fistula, the severe character of the hemorrhage and the frequency of the recurrence, mainly the cataclysmic one, impose the radical surgery as early as possible. The following were used: large Reichel-Polya's gastrectomy (26 cases with 7 deaths) Péan's gastro-duodenectomy (12 cases), Péan's hemigastrectomy+vagotomy (4 cases), gastrectomy for exclusion with hemostasis in situ and ligature of gastroduodenal artery (8 cases, of which 1 with vagotomy and 2 deaths) and pyloroplasty with vagotomy and hemostasis (2 cases). The postsurgical mortality was of 17%. In 9 cases with perforation: Reichel-Polya's gastrectomy in 5 patients (1 death), Péan's gastrectomy in 2 cases, excision pyloroplasty and suture of the perforation in one case, respectively, were used. In the postbulbar ulcers penetrating into the pancreas or into the hepatic pedicle associated with stenosis (36 cases) the following were performed: Reichel-Polya's gastrectomy (7 cases), Péan's gastrectomy (7 cases of which 2 with vagotomy) gastrectomy for exclusion of ulcer in 19 cases, of which 5 with vagotomy, Péan's hemigastrectomy+vagotomy (3 cases). The 36 cases of ulcers penetrating into pancreas were solved as follows: gastrectomy for exclusion (16 cases of which 5 with vagotomy), Reichel-Polya's gastrectomy (10 cases of which 1 with vagotomy), Péan's gastrectomy (10 cases of which 2 with vagotomy). In 13 patients with stenosed ulcers, Reichel's-Polya's gastric resection (10 cases), Péan's gastrectomy, gastrectomy for exclusion and gastrojejunostomy (in one case each) were performed. The conclusions may be drawn that the postbulbar ulcers are complicated ulcers that require differentiated surgical treatment, as early as possible, for diminishing the postsurgical morbidity and mortality (7.5% mortality).

Duodenal Ulcer↗
PubMedDate not supplied

[Hepatodigestive shunts in the treatment of cancer of the liver with obstructions of the intrahepatic bile ducts].

The authors discuss the inductions and the usefulness of hepato-digestive derivations in the treatment of hepatic cancers associated with obstruction of intra-hepatic biliary pathways. A total of 32 hepato-digestive derivations in the left hepatic lobe have been carried out in a number of 62 cases, the remaining 30 cases being treated by a double hepato-digestive derivation on the III-rd and the VI-th segment (hepatogastro- or hepato-jejunostomy with or without disjointed--"in omega"--100 p). Pre- and intraoperational cholangiography is considered as mandatory in view of selecting the type of the intervention.

Bile Duct Neoplasms↗
PubMedDate not supplied

[Anatomoclinical and therapeutic considerations on non-lithiasic benign papillo-oddian stenosis].

Based on their personal experience involving 19 cases of benign, non-lithiasic stenoses of the Oddi sphincter (in a total of 2,500 interventions on the cholecyst and the choledocus), the authors review the etiopathogenic, diagnostic and therapeutic aspects. The difficulty is stressed, encountered in evaluating the reversibility of these lesions and the codification of the therapeutic attitudes.

Ampulla of Vater↗
PubMedDate not supplied

[Chronic pancreatitis of biliary origin. Certain aspects of diagnosis and surgical treatment].

Chronic pancreatitis of biliary origin, frequently localized in the cephalic segment, are generally dependent on the etiopathogeny of the biliary affection, the evolution of which is complicated by their presence. They have a less severe prognosis and in the large majority of cases they are reversible following radical surgical solution of the pathologic biliary component. The study was concerned with 90 cases of which 67 were associated to biliary lithiasis, 9 to non-lithiasic cholecystopathies and 14 were associated to chronic postoperative pancreatitis (of which 6 were lithiasic). The diagnosis were established only during surgey, by coroboration of surgical, cholangiographic and instrumental data. The surgical attitude developed according to results obtained by pre-and intra-operative examination, with the aspect of biliopancreatic lesions, preference being given to radical and decompressive interventions. Simple cholecystectomy was justified in only 27 cases while in 47 other cases it was associated with choledocotomy, in 19 cases with external biliary drainage, with choledocoduodenostomy in 27 cases, with oddian sphincteroplasty in 8 cases, with oddian sphincteroplasty associated to Wirsung duct sphincteroplasty in 5 cases and with choledocojejunostomy in one case. In 2 patients right splanchnicectomy was carried out. The postoperative results were very good in 41 cases, good in 33, mediocre in 13 and unsatisfactory in one case. Two patients died.

Adult↗