[A rational approach to cholecystectomy in the patient with an abdominal aortic aneurysm].

Abstract:

:A retrospective series of 30 (2.8%) cases of cholelithiasis out of 1064 abdominal aortic aneurysmectomies is presented. 21 subjects underwent aneurysmectomy and prosthetic grafting combined with cholecystectomy. Complications related to the combined operation, early or late (6 months to 8 years follow-up was available for the whole series), were not recorded in this subgroup. 9 (30%) patients with coincidental gallstones underwent simple aneurysmectomy: 2 (22%) patients complained of symptoms of biliary colic, eight and fifteen weeks after operation respectively, and successfully underwent medical treatment. A third patient (11%), operated on urgently for ruptured abdominal aortic aneurysm, developed acute cholecystitis, gallbladder perforation and biliary peritonitis on the 17th day of operation: he died of multiple organs failure on the 8th day of urgent cholecystectomy. Acute alithiasic cholecystitis was recorded only once (0.1%) among the 1034 abdominal aortic aneurysmectomies without gallstones: fatal outcome was ascribed to massive multiple organ cholesterol embolization. If careful asepsis and correct surgical tactics are observed, cholecystectomy can safely be performed in combination with abdominal aortic aneurysmectomy in subjects with a positive history of cholecystitis or in poor general conditions, but it cannot be considered as a prophylactic treatment towards postoperative acute cholecystitis in good-risk subjects with a negative history of cholecystitis.

journal_name

Minerva Chir

journal_title

Minerva chirurgica

authors

Ghilardi G,Longhi F,Sgroi G,De Monti M,Scorza R

subject

Has Abstract

pub_date

1994-12-01 00:00:00

pages

1289-93

issue

12

eissn

0026-4733

issn

1827-1626

journal_volume

49

pub_type

杂志文章
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    doi:

    authors: Abbas H,Rossidis G,Hochwald SN,Ben-David K

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  • Robotic hepatectomies: advances and perspectives.

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    journal_title:Minerva chirurgica

    pub_type: 杂志文章,评审

    doi:

    authors: Dehlawi A,Memeo R,DE Blasi V,Mercoli HA,Mutter D,Marescaux J,Pessaux P

    更新日期:2016-12-01 00:00:00

  • [Granular cell tumor of the male breast. Case report and review of the literature].

    abstract::The authors report a case of granular cell tumor of the breast arising in a 38-year old man. Preoperative diagnosis was of breast carcinoma. However, frozen sections showed the benign nature of the tumour. It is important to identify this lesion as, in spite of a clinical and mammographic similarity with carcinoma, it...

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    doi:

    authors: Reale D,Guarino M,Squillaci S,Bianchini E,Forloni B,Merisio I,Pascale M,Micoli G

    更新日期:1995-07-01 00:00:00

  • [Advances in the treatment of gastroesophageal reflux. Intraoperative calibration of posterior fundoplication].

    abstract::Posterior partial fundoplication can be as effective as total fundoplication in the long-term control of gastroesophageal reflux if the gastric fundus valve is encircled around the distal esophagus for no less than 270 degrees to obtain effective pressures in the newly built sphincter. In order to minimize the adverse...

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    pub_type: 临床试验,杂志文章,评审

    doi:

    authors: Mussa A,Sandrucci S,Giugno G,Roy L

    更新日期:1995-01-01 00:00:00

  • Colorectal tumor screening. From occult blood testing to genetic evaluation.

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    journal_title:Minerva chirurgica

    pub_type: 杂志文章,评审

    doi:

    authors: Russo A

    更新日期:2003-04-01 00:00:00

  • Ruptured aneurysm of the popliteal artery. Is the diagnosis still difficult?

    abstract::The aneurysm of the popliteal artery is the most commonly treated non-aortoiliac aneurysm, accounting for more than 70% of all peripheral aneurysms. The rupture of a popliteal aneurysm is rare and it is often misdiagnosed. In the case of a 46-year old female patient here reported, the patient was referred to our depar...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:

    authors: Agrafiotis AC,Horn D,Segers B,Lemaitre J,Bosschaerts T

    更新日期:2012-08-01 00:00:00

  • [The laparoscopic treatment of common bile duct lithiasis].

    abstract::Nowadays the laparoscopic cholecystectomy has become the main surgical therapy in the treatment of cholecysto-lithiasis. At the beginning the treatment of cholecysto-choledochal lithiasis was the sequential endoscopic-laparoscopic therapy. In fact, the endoscopic sphincterotomy allows transpapillary ablation of Common...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:

    authors: Liguori L,Cucchi MC,Fonti G,Garulli G,Ucchino G

    更新日期:1994-10-01 00:00:00

  • Evaluation of the effectiveness of a hyperoxidized oil-based medication in the treatment of skin lesions: observational study.

    abstract:AIM:Aim of the study was to demonstrate the effectiveness, in the management of recalcitrant wounds, of a hyperoxidized oil-based gel with film-forming and protective functions. METHODS:The study involved 50 patients with recalcitrant not infected and/or necrotic chronic ulcers. All patients had 0.7 minimum ABPI value...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:

    authors: Cassino R,Ippolito AM,Cuffaro P,Corsi A,Forma O

    更新日期:2015-02-01 00:00:00

  • [Importance of lymphangiography in the diagnosis of recto-sigmoid tumors].

    abstract::Preoperative lymphangiography was performed in 25 cases of rectosigmoid neoplasia. Comparison between the angiographic picture and the anatomopathological findings permitted statistical assessment of the incidence of lymph node metastasis in this form, and substantiated the reliability and significance of this examina...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:

    authors: Dominici C,Fracella G,De Leo S,Bacoccoli GF,Lupattelli L

    更新日期:1980-01-15 00:00:00

  • [Perforated colonic diverticulitis. Surgical technique].

    abstract::Emergency surgery is required for performed colonic diverticulitis. Surgical indications are not uniform in literature. In the experience of the authors the operations have been performed in the case of peritonitis subsequent to the perforation or in the case of failure of the conservative treatment. Twenty-four patie...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:

    authors: Caldana G,Caron R,Florianello F,Musazzi M,Morbidelli A

    更新日期:1994-07-01 00:00:00

  • [Treatment of traumatic oto-hematoma with transfixed compression sutures].

    abstract::The effective early treatment of oto-hematoma is important so as to prevent reaccumulation of fluid and the typical chronic "cauliflower ear" deformity. A simple method of treatment with the use of transfixed tie-through compression mattress sutures, incorporating bolster dressings on both surfaces of the ear, followi...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:

    authors: Robotti E,Verna G

    更新日期:1990-03-15 00:00:00

  • [Atypical metastases from gastric carcinoma. A primary and isolated case localized in the abdominal wall].

    abstract::The authors report a rare case of gastric carcinoma metastasis localised in the anterior abdominal wall which was an isolated and primary sign of disease. After having underlined the rarity of the case, there is a brief discussion of aspects related to the spread of primary tumours in relation to other cases reported ...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:

    authors: Del Cimmuto P,Del Papa U,Faccia M,Astolfi A,Capanna A,Cellini G

    更新日期:1992-09-15 00:00:00

  • [Venous microanastomoses by fibrin glue versus standard technique].

    abstract:BACKGROUND:The goal of this study is to compare the usual surgical technique with the use of fibrin glue, which is faster to perform and has few histological alterations in the anastomosis. METHODS:We performed 70 microanastomoses on the internal jugular vein of the Sprague-Dawley rats, and we estimated: immediate and...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:

    authors: Pelayo Salas,Perez Ruiz L,Marco Estarreado L,Guidolin D,Del Carmen Garcés Guallart M

    更新日期:2002-08-01 00:00:00

  • [Behavior of Helicobacter pylori in 3d and 4th age-bracket patients].

    abstract:AIMS AND BACKGROUND:Helicobacter pylori is known to be the pathogenic agent of atrophic gastritis and above all ulcer disease. It is also thought to play a role, together with other factors, in the development of stomach cancer and is currently the focus of numerous studies. In industrialised countries, infection is re...

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    pub_type: 杂志文章

    doi:

    authors: Daturi R,Matti C,Nicolato A,Giacobone E,Cipolli PL,Romero E,Pannella A,Tattarletti L,Bonacasa R,Brunati S,Zambianchi M

    更新日期:1999-06-01 00:00:00

  • [Mixed-type pancreatoblastoma. Report of a clinical case].

    abstract::Pancreatoblastoma is a very rare tumor of the pancreas, affecting children in the first decade of life. Ultrasound and CT scan may be useful but pre-operative diagnosis is often quite difficult. High level of seric alpha-fetoprotein could be suggestive of pancreatoblastoma. The definitive diagnosis is however made by ...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:

    authors: Latteri S,Russo G,Vecchio R,Meli G,Latteri F

    更新日期:1996-09-01 00:00:00

  • The management of acute limb ischemia.

    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:

    authors: Trummer G,Brehm K,Siepe M,Heilmann C,Schlensak C,Beyersdorf F

    更新日期:2010-06-01 00:00:00

  • [Hyperthyroidism and cancer of the thyroid].

    abstract::The relationship between hyperthyroidism due to Graves' disease or toxic nodular goiters and carcinoma of the thyroid remains uncertain. The incidence of thyroid carcinoma varies considerably from as low as 0.3% to as high as 16.6% with a higher rate in toxic nodular goiters than in diffuse goiters and in endemic goit...

    journal_title:Minerva chirurgica

    pub_type: 临床试验,杂志文章

    doi:

    authors: Nicolosi A,Addis E,Calò PG,Tarquini A

    更新日期:1994-06-01 00:00:00

  • [A frequent complication of enterostomy: prolapse].

    abstract::Among the other complications of enterostomy, prolapse deserves particular mention on account of the therapeutic problems involved in its correction. Based on a report of the authors' personal experience, the paper focuses on the mechanisms of onset and, above all, on the most appropriate forms of treatment, before co...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章,评审

    doi:

    authors: Barbuscia M,Gorgone S,Di Pietro N,Sampiero G,Labruto G,Trimboli C,Trovato M

    更新日期:1990-05-15 00:00:00

  • [Splenic rupture in chronic pancreatitis. A clinical case. Observations].

    abstract::The paper reports a case of splenic rupture during the course of chronic pancreatitis, an event rarely reported in the literature. The anatomical arrangement of organs and peripancreatic vessels is a predisposing factor for this complication. There are essentially three different but correlated pathogenetic hypotheses...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章,评审

    doi:

    authors: Nincheri Kunz M,Evaristi L,Pera M,Veneroso A,Cozzani R,Caliendo L

    更新日期:1994-01-01 00:00:00

  • [Mesenteric cysts. Clinical case].

    abstract::A case of multiple mesentery cysts is presented and the etiopathogenesis, anatomopathology, symptomatology and therapy of this disease discussed. ...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:

    authors: Colonna S,Nocera S

    更新日期:1976-04-30 00:00:00

  • [Spontaneous bilio-digestive fistulas. Experience with 27 cases].

    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:

    authors: Gullino D,Cardino L,Giordano O,Chiarle S

    更新日期:1976-12-15 00:00:00

  • [Stomitis caused by non-absorbable sutures: a complication to be avoided].

    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:

    authors: Carrella G,Malin L

    更新日期:1978-10-15 00:00:00

  • Peripheral lymphadenopathy: role of excisional biopsy in differential diagnosis based on a five-year experience.

    abstract:BACKGROUND:Peripheral lymphadenopathy can be caused by benign disease, or it could be a manifestation of underlying hematological disease or metastasis of a yet undiagnosed malignant condition. Fine-needle aspiration cytology (FNAC) and image-guided core biopsy usually make up the first line of investigation. There are...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:10.23736/S0026-4733.18.07752-0

    authors: Campanelli M,Cabry F,Marasca R,Gelmini R

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  • [A mucinous cystadenocarcinoma of the pancreas. A clinical and histopathological contribution].

    abstract::Two cases of pancreatic cystadenocarcinoma, a very rare pathology, are reported. The authors treat the anatomopathological classification and they underline the diagnosis especially with reference to the new methods of cytologic study. Finally they consider the surgical approach that must be radical because of the pot...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:

    authors: Gentile G,Pizzolitto S,Binotto F

    更新日期:1991-04-15 00:00:00

  • [Long-term survival after resection surgery for cancer of the lung in the elderly patient].

    abstract::Five hundred and twenty (520) patients with lung resection for cancer and known follow-up were studied. The aim of the study was to analyse long-term results in relation to the age of the patients. Two hundred and forty (240) cases were less than 55 years old, 227 were aged between 55 and 65 years, 53 were aged over 6...

    journal_title:Minerva chirurgica

    pub_type: 临床试验,杂志文章

    doi:

    authors: Di Giorgio A,Sammartino P,Arnone P,Canavese A,Cardini CL,Alessandrina A,Corsetti FB,Palloti M

    更新日期:1995-04-01 00:00:00

  • Laparoscopic approach to morbid obesity: personal experience of 250 gastric bypasses. Analysis of different techniques and results.

    abstract:AIM:Severe obesity is a major health problem affecting more than 1,000,000 people in Italy, with a 95% failure rate of nonsurgical treatments. We report our over five-years experience with laparoscopic Roux-en-Y gastric bypass (LRYGBP), evaluating the postoperative course of the patients undergoing 3 different gastro-e...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:

    authors: Parini U,Fabozzi M,Brachet Contul R,Lale Murix E,Millo P

    更新日期:2007-04-01 00:00:00

  • [Fibrinolytic treatment in acute ischemia caused by thrombosed popliteal aneurysm. Apropos of 2 cases].

    abstract::Two personally observed cases of ischaemia of the lower extremities due to thrombosis caused by a popliteal aneurysm are presented. While surgery is known to be treatment of choice, in these cases locoregional fibrinolysis was preferred. It seems useful to detail the advantages of this approach that has never appeared...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:

    authors: Bonelli U,Cerruti R,Patrone P

    更新日期:1989-05-31 00:00:00

  • [Biofragmentable anastomosis ring (BAR) in surgery of the digestive system].

    abstract::Twenty-six patients submitted to surgery using BAR in intestinal anastomosis have been studied. The results were compared with data of the literature concerning this device of anastomosis and about mechanical staplers and manual suture. The following data were taken into consideration: type of operation, type of anast...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:

    authors: Bandettini L,Gattai R,Pace M

    更新日期:1999-10-01 00:00:00

  • [Cystic disease of the breast. Ten-year experience].

    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:

    authors: Mechella M,De Cesare A,Lauretti MC

    更新日期:1997-11-01 00:00:00

  • [Primary leiomyosarcoma of the mesentery].

    abstract::A case of primary leiomyosarcoma of the mesentery is described. Only seven other cases have been reported in the literature, which means that this was an accidental finding. The histological features of the case are illustrated. It is suggested that this tumour originates in the muscle cells of the mesenteric vessels....

    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:

    authors: Abate S,Ferulano GP,Vetrani A,Donatiello GB,Vanni L

    更新日期:1980-09-15 00:00:00