Abstract:
:The jejunal free flap is a standard technique in the reconstruction of hypopharyngeal and cervical esophageal defects. Conventional harvesting of the jejunal segment is performed with midline open laparotomy, which is associated with complications including prolonged ileus, abdominal pain, wound infection or dehiscence. Laparoscopic resection of the small intestine is a well documented surgical technique. Two different methods of laparoscopic harvest of a jejunal autografts for their cervical implantation have been already described. In both cases, low complication rate and better postoperative course have been observed in the patients treated. During the last 10 years, we have performed 43 circumferential pharyngoesophageal resection for advanced hypo-pharyngeal cancer followed by reconstruction with a free flap of jejunum. All but one the jejunal segments have been harvested with conventional open laparotomy. In the last patient of this group, laparoscopic harvest of the jejunal segment has been successfully performed. In this paper, we describe the laparoscopic technique used and we compare the postoperative course of this patient with those of the patients treated with conventional technique.
journal_name
Minerva Chirjournal_title
Minerva chirurgicaauthors
Bardone M,Alessiani M,Zonta S,Longoni M,Faillace G,Benazzo M,Occhini A,Dionigi Psubject
Has Abstractpub_date
2006-04-01 00:00:00pages
171-5issue
2eissn
0026-4733issn
1827-1626journal_volume
61pub_type
杂志文章abstract::A case of pseudocyst of an asymptomatic right suprarenal gland found by chance is reported. Some aetiopathogenetic, anatomopathological and clinico-radiological aspects of the condition are discussed and, after reviewing the possible complications that may arise out of a suprarenal cyst, the value of surgery is stress...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1980-02-29 00:00:00
abstract::Data concerning a personal surgical series covering the last 10 years have been collected as far as cases regarded lumbar gangliectomy. The operative indication and incidence of this type of operation, performed for sclerotic obliterating arteriopathy of the lower extremities, out of total admissions and out of total ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1981-06-30 00:00:00
abstract::The efficacy of defibrotide in the treatment of acute thrombophlebitis of the legs has been investigated in 140 patients, randomized into two groups. All patients received defibrotide either alone or as an addition to conventional therapies. Two different schemes of administration were selected and carried out in each...
journal_title:Minerva chirurgica
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:1989-05-15 00:00:00
abstract::A case of endothoracic goitre with crossed, left-right, retrovascular, retro-tracheo-oesophageal migration is used as the basis for pathogenetic and diagnostic discussion and for stressing the surgical importance of correct topographic and migratory classification of each form. ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1977-02-28 00:00:00
abstract::Stomitis due to non absorbable sutures is an increasingly common endoscopic finding. Personal experience has shown that this complication is not encountered when catgut sutures are employed in stomach operations. It is therefore recommmended that this or other absorbable material be used in gastric surgery. Stress is ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1978-10-15 00:00:00
abstract::One-hundred seventy four consecutive patients who underwent curative resection for gastric and colorectal cancer between 1983 and 1985, were studied prospectively to evaluate the roles of sequential CEA, TPA and GICA determinations and independent clinical examinations, in the early diagnosis of resectable recurrences...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1994-10-01 00:00:00
abstract::Cancer of the extrahepatic biliary tract is a rare disease related to a severe prognosis. The resection of the extrahepatic biliary tract is a complex procedure and the preoperative assessment of resectability is made difficult because of the malignancies. Biliary cancer resection can be curative in some patients but ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1997-01-01 00:00:00
abstract::Authors describe a rare case of malignant schwannoma of the omentum. The diagnosis of schwannomas is often late because of the absence of early clinical signs. Clinical, diagnostic and histopathological considerations of these neoplasias are described in this work. ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1993-01-01 00:00:00
abstract::The results obtained in 10 patients suffering from complicated diverticulitis are reported, stress being laid on the seriousness of the pathology and proposing that emergency surgery be carried out. ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1989-03-31 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::The factors underlying late thrombosis of aortobifemoral by-pass are analysed on the basis of personal experience and reported data. They are considered to be due to progressive degradation of the prosthesic tissue and, particularly, to the lack of an adequate back flow route, apart from any faults in the actual const...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1979-02-28 00:00:00
abstract::Following a review of the literature, the paper reports a case of duodenal injury. This rare pathology most frequently affects the second half of the organ and may cause damage ranging from a simple hematoma to parietal laceration with peritonitis and/or retroperitonitis. Symptoms are often confusing and delayed, and ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1991-09-15 00:00:00
abstract:BACKGROUND:Meckel's diverticulum (MD) is the most common anomaly of the large intestinal tract (1-3%) and is more frequent in children (62% < 2 years) and in males (66%). It often involves ectopic gastric mucosa which manifests through gastrointestinal bleeding in 50% of cases. 99m-Technetium scintigraphy (99mTcO4) is ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1998-11-01 00:00:00
abstract::The authors report a number of cases of hemorrhoid disease and describe the therapeutic iter followed with particular reference to the surgical approach used. After a description of the physiopathological aspects linked to the disease, bearing in mind the use of electromanometry and electromyography in diagnosis, the ...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:2000-04-01 00:00:00
abstract::Personal experience in the aggression of the CNS for various purposes is considered. It is thought that the internal trans-jugular route is the easiest approach and procedures the fewest complications with appropriate techniques. ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1990-03-31 00:00:00
abstract::The authors report their experience using biofragmentable anastomosis ring (BAR) in bowel anastomosis. Starting January 1993 to February 1994, 46 intestinal anastomoses were performed using BAR, and particularly 39 end-to-end colo-colostomies, 2 end-to-side colo-colostomies and 5 end-to-side ileo-colostomies. 35 patie...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1996-11-01 00:00:00
abstract:AIM:The aim of this study was to assess retrospectively at 5 years the clinical outcome of bone regeneration in patients who underwent maxillary sinus lift with different equine-derived, enzyme-deantigenated equine bone grafts, and simultaneous placement of acid-etched surface implants. METHODS:Eighteen patients (10 m...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:2008-04-01 00:00:00
abstract::Results obtained in the surgical management of 36 cases of perforated duodenal ulcer treated between January 1976 and November 1979 are presented. A choice was made between three methods (suturing, excision plus pyloroplasty and truncular vagotomy, and Péan-Billroth resection and reconstruction) in the light of the du...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1980-10-31 00:00:00
abstract::Personal experience of thromboses of the inferior vena cava is presented and pathogenetic and symptomatological aspects stressed. In addition, in relation to the results presented and reported data, it is concluded that the role of surgical therapy is fundamental to integrate the thrombolytic and anticoagulant treatme...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1989-04-15 00:00:00
abstract::Cholangiography carried out in laparoscopic surgery is a diagnostic exam considered by many authors to be very important for the anatomy and the research pre-existent pathologies of the biliary tree. Such are the effective advantages that many Schools suggest it be carried out any case as the risks, the costs and the ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1996-04-01 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 diagnosis of benign, malignant or borderline phylloides tumor of the breast is based on a combination of clinical and histological features but the biological behavior of this neoplasm is not often predictable: the most important indicators of malignant behavior are underscored. Only a few patients with malignant ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1992-06-15 00:00:00
abstract::A case of intestinal occlusion is reported caused by volvulus of Meckel's diverticulum. The etiological and clinical aspects are discussed together with their implications in terms of suitable surgical therapy. ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1990-06-30 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::Persistent postmastectomy pain (PPMP) syndrome is characterized by neuropathic pain that develops following surgery in breast cancer patients. The reported incidence of PPMP ranges between 30% and 50% and is estimated to increase as the number of women surviving cancer continues to rise. Though effective, today's drug...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:2015-04-01 00:00:00
abstract:BACKGROUND:External hemorrhoidal thrombosis is a common disease with an acute anal pain as the major symptom. It is astonishing the lack of studies which investigates the most effective treatment and there are not guidelines. Furthermore, nobody has ever evaluated this peculiar condition in an elderly population. METH...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:10.23736/S0026-4733.18.07724-6
更新日期:2020-04-01 00:00:00
abstract::The Authors analyse 121 cases of patients affected by abdominal malignant tumors, who underwent a palliative operation. Although the number of the examinated cases is small, it appears clear that the longest survival requires, when possible, the removal of most of the malignant tissue. This seems to be in accordance w...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1979-02-15 00:00:00
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 l...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:2004-08-01 00:00:00
abstract::Abdomen and pelvic radiation therapy, as a complement to medical and surgery therapy in malignancies, may determine acute and chronic intestinal injuries. The acute intestinal effects of ionizing radiation are the necrosis of crypt epithelial cells and the cessation of the intestinal epithelium; late radiation injury ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1996-03-01 00:00:00
abstract::Cystic breast disease is a relatively widespread pathological condition in the female sex, it has an incidence of around 7% and predominantly affects women aged between 40 and 50 years old. The authors report their experience based on the observation of 1046 cases taken from a series consisting of over 30,000 examinat...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1997-11-01 00:00:00