PubMed · 3356879
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J A Di Palma. 1988. ERC cholecystography.. https://pubmed.ncbi.nlm.nih.gov/3356879/
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Tuberculosis of the pancreas is extremely rare. We report a case which demonstrates the diagnostic confusion which may arise in this condition. A 55-year-old alcoholic caucasian man presented with loss of weight and obstructive jaundice. Ultrasonography, endoscopic retrograde cholangiopancreatography and computed tomography showed a mass lesion in the head of the pancreas, diagnosed as probably malignant. He underwent a Whipple's pancreatoduodencetomy and made a good recovery. Histological examination showed typical features of tuberculosis. In the absence of other foci of active disease chemotherapy was not given. He remains well 12 months after operation.
The technical principles of laparoscopic cholecystectomy are described from experience in 87 operations in acute and chronic appendicitis. The authors discuss the stages of the operation and the peculiarities of the technical procedures at each stage, and give recommendations on the use of the instruments and indications for abdominal drainage.
Failures and complications are analysed from experience in 325 operations of laparoscopic cholecystectomy. Change to laparotomy was undertaken in 5 (1.5%) patients. The total amount of complications was 45.2%, among them 36.5% were intraoperative and 8.7% postoperative, but only 3.8% were hazardous for the patients. Mortality was 0.3% (one patient dies from cardiovascular failure). A classification of complications and the technical principles of the operation are discussed.