Abstract：
AIM:Systematic surveys with advanced non-invasive imaging techniques have revealed that hepatic cysts are quite common in the general population. Therefore, we retrospectively examined our case series and compared it with the literature. METHODS:Between January 1990 and December 2000, 228 patients with non-parasitic liver cysts were referred to the outpatients section of the Department of Surgery of the University of Cagliari and 23 were submitted to treatment: 14 patients (60.8%) for solitary cyst and 9 (39.2%) for multiple simple cysts of the liver. One patient (4.5%) had right upper quadrant pain. Eleven (47.8%) patients were asymptomatic: 7 (63.7%) required treatment for other pathologies, 3 (27.3%) for a progressive enlargement of the cyst and 1 (9%) for a suspected hydatid disease. Mean diameter of the treated cysts measured by preoperative CT or US was 8.8 cm (range 7-14). Percutaneous aspiration-injection reaspiration (PAIR) was performed in 5 patients (21.7%), US-guided in 2 cases (40%) and CT-guided in 3 (60%). Twenty patients (86.9%) underwent cysts unroofing, 18 (78.2%) with open surgical fenestration and the latest 2 cases with a laparoscopic approach. Two patients had PAIR as second treatment for recurrence: CT-guided in one and US-guided in the other case. RESULTS:Four (25%) out of 16 patients treated exclusively for cystic liver disease, had fever in 3 cases and nausea and vomiting in 1 case; 8 patients (50%) had an intraperitoneal drainage for a mean of 6-7 days (range 4-11) and of 116 cc of serum-hematic liquid. CONCLUSIONS:In our opinion the choice of an adequate treatment must be based on an accurate evaluation of the clinical aspects of the patients and on the characteristics of cystic lesions such as number, size and location. These data let us to choose a surgical treatment rather than a strict US follow-up and to get the best outcome in terms of absence of recurrence, and less biological and economic costs.
journal_name
Minerva Chirjournal_title
Minerva chirurgicaauthors
Nardello O,Muggianu M,Cabras V,Farina GP,Cagetti Mkeywords:
subject
Has Abstractpub_date
2004-08-01 00:00:00pages
351-62issue
4eissn
0026-4733issn
1827-1626journal_volume
59pub_type
杂志文章abstract：:The authors report a case of gastric leiomyoblastoma, a rare benign neoplasm that can sometimes undergo a malignant course. The main clinical an pathological issues are reviewed, in order to offer guidance as to the best suited surgical approach. ...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：1992-11-01 00:00:00
abstract：:Papillomatosis of the biliary tract is characterised by multicentric papillary lesions of intra and extrahepatic biliary epithelium. It's a rare benign neoplasm of the biliary tract that causes obstructive jaundice with a high rate of malignant transformation. We described a case of papillomatosis of the biliary tract...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2001-10-01 00:00:00
abstract：:Despite many guidelines issued by national and professional societies, a detailed literature survey between the late 1940s and 2010 clearly demonstrates that several aspects of pneumothorax pathogenesis and treatment still remain controversial. Related to pathogenesis of primary pneumothorax, the current manuscript hi...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：2011-08-01 00:00:00
abstract：BACKGROUND:Since the 1980's, thanks to the introduction of new techniques and methods for the study of thyroid function, new light has been shed on certain aspects of thyroid disease that constitute the basis for surgical therapy. Multinodular goiter is a disorder affecting the entire gland, even when alterations mostl...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2003-06-01 00:00:00
abstract：:Two cases of Mirizzi's syndrome are reported. The syndrome consists of: external compression of the common bile duct due to a benign lesion (Type I)--presence of a cholecystobiliary fistula with impacted stones and partial or total obstruction of the hepatic duct (Type II). Clinical signs are non-specific and suggest ...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：1997-01-01 00:00:00
abstract：:A series of 27 cases of biliary-digestive fistulae is presented. 26 were due to calculi and 1 to ulcer and calculi. 20 led to the duodenum, 6 to the colon, and 1 to the stomach from the gallbladder. The series constituted 1.4% of bile ducts operations. Females (mostly multiparae) formed 66%. The mean age was 64 yr. Di...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1976-12-15 00:00:00
abstract：:A small contribution is made to the work of widening the knowledge of the main principles followed in the emergency management of injuries to the face and jaws. The topic is rendered easily comprehensible by the nonspecialist through the use of many pictures. A short compendium of emergency therapies and personal expe...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1980-10-15 00:00:00
abstract：:A new technique for surgical treatment of idiopathic varicocele is described. This technique consists of internal spermatic vein ligature and its resection and microvascular anastomosis between proximal tract of the internal spermatic and saphenous vein. In this way a communication is established between a high regime...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1990-09-30 00:00:00
abstract：AIM:The aim of the present study was to prospectively evaluate the Stretta radiofrequency (RF) treatment for gastroesophageal reflux disease (GERD) -related respiratory symptoms over a 5-years follow-up period. METHODS:A total of 132 patients underwent the Stretta procedure between April 2007 and February 2009; 122 of...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2014-10-01 00:00:00
abstract：:The authors present a case of neonatal intestinal duplication. Etiopathogenic view and the diagnostic and therapeutic problems are discussed. Echotomographic examination can provide useful diagnostic input, as in this case, even at a prenatal stage. ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1991-06-15 00:00:00
abstract：:Patients with cirrhosis have reduced life expectancy. Surgery is often associated with clinical decompensation in this group of patients. The purpose of this paper is to study the surgical risk in cirrhotic patients undergoing nonderivative operations. Unfortunately, most of the studies in the literature about this pr...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：2000-11-01 00:00:00
abstract：:From October 1997 until March 1999, we performed this procedure in three patients suffering from suppurated echinococcal liver cyst. Trocar sites are approximately the same to those already known for laparoscopic cholecystectomy. A thoracostomy tube is inserted through the abdominal wall and under direct vision is for...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2001-04-01 00:00:00
abstract：:After a wide analysis of peptic gastroduodenal ulcer medical therapy, before and after the era of cimetidine, the Authors, after a brief account of the Anatomy and Physiology of the stomach, examine surgical therapy, from the end of the last century till now. After giving the results of the surgical cases of one of th...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：1990-04-30 00:00:00
abstract：:The majority of patients diagnosed with adenocarcinoma of the pancreas have advanced disease at presentation, with only 20% surviving beyond one year. Even among the 10% to 15% of patients who present with localized disease, only 20% will be alive 5 years post surgical resection. Systemic therapy for pancreatic adenoc...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：2009-10-01 00:00:00
abstract：BACKGROUND:Many reports emphasize the role of sub-lobar resections in the treatment of small peripheral lung cancer. The aim of this study was to investigate a range of prognostic factors, including the extension of resection, which may affect the prognosis in a homogeneous group of patients. METHODS:We retrospectivel...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2016-02-01 00:00:00
abstract：:Hepatitis C is one of the leading indications for liver transplantation. Recipients can expect at least a short-term survival equivalent to other indications for liver transplantation. However, the rates of cirrhosis and decompensation development is substantially faster than those rates seen in non-transplant setting...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：2003-08-01 00:00:00
abstract：:40 patients with an endoscopic diagnosis of bleeding gastric or duodenal lesions have been examined in a double blind study. The haemorrhages were subdivided into slight and serious on the basis of objective parameters. Cimetidine (1.2 g/die i.v.) or placebo in a preparation indistinguishable from the drug were admini...
journal_title：Minerva chirurgica
pub_type： 临床试验,杂志文章
doi：
更新日期：1981-10-15 00:00:00
abstract：:In this paper the authors consider the problem of incisional hernias as late complications of bariatric surgery. After a description of relationships between obesity and incisional hernias they report their experience on this topic, consisting of 56 patients submitted to bilio-pancreatic diversion between March 1989 a...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1993-04-15 00:00:00
abstract：:Operations and follow-up examinations were conducted on 106 patients with ulcerative colitis, 33 with colitis Crohn, and 163 with diverticulitis, at the University Clinics of Cologne and Munich. Overall mortality rates were 24.5% (n = 26), 6.1% (n = 2) and 16% (n = 26), respectively. In the surgical treatment of ulcer...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1978-06-15 00:00:00
abstract：:Between January 1989 and December 1994 we accomplished 130 CT-guided transthoracic fine needle aspirations (FNA) in 120 patients. Ten patients underwent a second FNA because of the negativity and doubts of the first. Diagnosis was targeted in 114 (95%) patients and 89% showed cytological evidence of malignancy. FNA-CT...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1996-01-01 00:00:00
abstract：:The Authors report two cases with local recurrence after partial gastrectomy for advanced gastric carcinoma. The Authors suggest that chemo and/or radiotherapy associated with surgical treatment can improve the prognosis in some patients with recurrence. Response to chemotherapy and time elapsing before recurrence app...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：1992-06-15 00:00:00
abstract：:The prevalence of obesity has increased three-fold in the past two decades. In Europe, 150.000.000 adults and 15.000.000 children are currently affected and obesity epidemic is responsible for approximately 1,000,000 deaths annually. Bariatric surgery for the severely obese has resulted in an overall of 61% weight red...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2009-06-01 00:00:00
abstract：:Acute limb ischemia (ALI) is one of the most common vascular emergencies and characterized by sudden worsening of limb perfusion mainly caused by embolization of thrombotic masses or acute graft occlusion. It is a serious condition with potential thread to limb viability accompanied by significant mortality, morbidity...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：2010-06-01 00:00:00
abstract：:Biliodigestive fistulas are the most frequent internal biliary fistulas and occur when a calculus or neoplasia perforates the wall of the biliary tract of intestine at any point. Symptoms vary given that completely asymptomatic cases have been reported in which the findings of a biliodigestive fistula was completely c...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：1997-04-01 00:00:00
abstract：BACKGROUND:Benign biliary strictures are a binding situation for clinicians when choosing the best treatment. This is a benign disease and needs safe, effective and lasting therapy. Up to day non surgical treatment have been suggested as the first therapeutical option but surgery seems to support the best late results....
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1999-03-01 00:00:00
abstract：:The paper reports two cases of adenocarcinoma of the appendix. Following a review of the literature on this neoplasia, it concludes that prognosis is poor on account of the early spread of the disease, the low ratio of suspected disease, and difficulties of diagnosis prior to surgery. The preferred surgical treatment ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1991-10-15 00:00:00
abstract：AIM:It is generally impossible to make a distinction between benign and malign with a cytopathological examination using a fine needle aspiration biopsy (FNAB) in follicular lesions of the thyroid gland. This is the reason why lesions are frequently reported as follicular neoplasia (FN). Our study aims to examine the p...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2012-12-01 00:00:00
abstract：:A case of aneurysm of the hepatic artery associated with aneurysm of the abdominal artery in fissuration is discussed. The indications, possibilities and limits of exclusion or removal of the aneurysm without reconstructing the main artery axis in the treatment of cases involving the hepatic artery are examined in the...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1978-01-15 00:00:00
abstract：:A case of atherosclerotic aneurysm of the superior mesenteric artery is reported. This was located about 15 cm from its origin and immediately distal to the middle colic artery in a patient who had been operated on 4 years previously with aorto-iliac substitution for aneurysm of the same nature with ligature and secti...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1979-07-15 00:00:00
abstract：:Colonsphinctorometrography (CSMG) is a new, original method for the simultaneous investigation of the motility of the descending colon, sigmoid colon, rectosigmoid junction, rectum, and internal and external anal sphincters. A 60 cm open-ended tip sound with an external diameter of 10 mm is used. Three 3 cm long stimu...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1980-03-15 00:00:00
