Abstract:
INTRODUCTION:Laparoscopic cholecystectomy now represents a valid alternative to traditional surgery in the treatment of gallstone diseases. For the past twenty years laparotomic cholecystectomy has represented the golden standard of gallstone treatment given its extremely low mortality rate (0.5%) and equally acceptable morbidity rate. Laparoscopic cholecystectomy now appears to have taken over the position of elective treatment. Sophisticated techniques, such as ultrasound scalpels make this form of surgery particularly safe. MATERIALS AND METHODS:The authors report a series of 50 patients who underwent laparoscopic cholecystectomy in which ultrasound surgery was used in 40 cases using the CUSA system. The gallbladder hilus is prepared using ultrasound manipulation following the secure identification, respect and clipping of the cystic artery and duct. DISCUSSION AND CONCLUSIONS:Laparoscopic cholecystectomy appears to be the ideal treatment for gallstone diseases. In the series reported here the use of the ultrasound scalpel allowed the gallbladder hilus to be reach skeletization, preserving the main structures and keeping the operating field clean and blood-free, without increasing operating times. The possibility of severe accidents, such as vascular lesions to the hepatic artery or vena portae, or damage to the common bile duct or other abdominal organs are reduced using this technique.
journal_name
Minerva Chirjournal_title
Minerva chirurgicaauthors
Marino BM,Bigliani S,Drago GW,Kiss A,Rossi R,Vitale Lsubject
Has Abstractpub_date
1994-03-01 00:00:00pages
195-7issue
3eissn
0026-4733issn
1827-1626journal_volume
49pub_type
杂志文章abstract::Increased survival rates after esophagectomy for cancer and the significant development of forms of therapy alternate to surgical treatment, today compel surgeons to devote far more attention to the methods will pursue in reconstructing the alimentary tract after removal of the esophagus. Nine patients with esophago-g...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1991-04-15 00:00:00
abstract::Meckel's diverticulum occurs in approximately 2 percent of the population and may present at any age. Although Meckel's diverticulum may produce an intestinal obstruction or perforation, simulating an appendicitis, hemorrhage is its most important clinical presentation. From 1989 to 1994, Meckel's diverticulum was dis...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1997-12-01 00:00:00
abstract::The authors report a case of severe revascularization syndrome which occurred following traumatic vascular lesion to a lower limb. They focus attention on the mechanisms which make this syndrome more frequent and more severe in traumatic lesions as opposed to that observed following acute arterial obstruction secondar...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1994-09-01 00:00:00
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...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1994-12-01 00:00:00
abstract:AIM:Electromagnetic navigation bronchoscopy (ENB) was reported to increase diagnostic yield in pulmonary nodules (PNs). The aim of this study was to assess if rapid on site evaluation (ROSE) associated with ENB could improve diagnostic accuracy in PNs after non-diagnostic fluoroscopy-guided bronchoscopy added to ROSE. ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:2013-12-01 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::A dorsal formation in a newborn girl proved to have been caused by an intestinal cyst, thus forming part of the rare classification of split notochord malformations. ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1975-07-15 00:00:00
abstract::Although successful short-term results have been achieved with the use of overlapping sphincteroplasty and primary end-to- end repairs to treat fecal incontinence due to sphincteric injury, long-term failure rates may reach as high as 50%. This disadvantage associated with tension repairs may be overcome by utilizing ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:2008-08-01 00:00:00
abstract:INTRODUCTION AND METHODS:After reviewing the literature on the subject, the authors analysed the patients suffering from intestinal infarction selected from those examined between 1-1-1985 and 31-12-1995. It was found that out of 11,500 patients only 9 (0.07%) suffered from this pathology. RESULTS:The authors found th...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1997-10-01 00:00:00
abstract::Surgical correction of pectus excavatum et carinatum in a series of adult patients is described. The relationship between deformity of the anterior chest wall and cardiac, respiratory and digestive disturbances is assessed. The indications for surgical management are explained. Reference is also made to the satisfacto...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1975-02-15 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::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::Following the exclusion of the ventilation of a lung, perfusion is arrested as a consequence of the Von Euler and Liljestrand vasoconstrictive reflex. However it is as yet unknown how long this phenomenon takes to manifest itself in human beings. In order to verify whether hypoxic pulmonary vasoconstriction follows im...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1993-06-15 00:00:00
abstract::We evaluated the effectiveness of sulbactam/ampicillin (S/A) as a perioperative prophylaxis regimen in elective colic surgery (procedures lasting less than 4 hours). We studied 18 patients (11 males, 7 females; mean age 46 yrs, range 21-72), by an open, non-comparative trial: S/A was given soon before anesthesia (1 g ...
journal_title:Minerva chirurgica
pub_type: 临床试验,杂志文章
doi:
更新日期:1990-04-15 00:00:00
abstract::Breast reconstruction has become an available option for most patients undergoing mastectomy: in fact many authors agree that breast reconstruction does not interfere with possible therapies and improves the quality of life of women. The aim of the study was to evaluate the psychological adjustment of patients who had...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1995-05-01 00:00:00
abstract::Leiomyosarcoma of rectum is a rather rare malignant tumour. Generally, it manifests late when pain, tenderness, rectal bleeding and obstruction occur or ulceration through the rectal mucose with bleeding or discharge occur. Rectal examination leads to the diagnosis of malignancy. The histological report confirms the t...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1980-11-30 00:00:00
abstract::The finding of incidentalomas is becoming increasingly frequent during the course of routine diagnostic tests. At the hepatic level, the preclinical diagnosis of primary tumours has enabled a growing number of patients to undergo surgery with reduced operating trauma and greater oncological radicality. The authors rep...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:1998-09-01 00:00:00
abstract::Gastrointestinal carcinoids are infrequent but at the same time hardly rare tumours. They are often chance findings but, as is clearly reported in the literature, their potential malignancy should not be overlooked. They are most commonly localised in the appendix. The authors describe two case reports of carcinoid tu...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:1993-03-15 00:00:00
abstract::Seventeen cases of acute volvulus of the sigmoid colon are presented. Comparison with other series showed that the mortality rate for fixation with or without a shunt are more or less the same. Excellent results were obtained with the Paul Mikulicz method. An intention to use this method in all cases in the future, ir...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1980-08-15 00:00:00
abstract::Typical sites of bronchogenic carcinoma metastases are liver, brain, bones or adrenal glands. Rarely and in advanced dissemination phase it could involve the skeletal muscle. Two cases of metastases in the skeletal muscle from bronchogenic carcinoma, one of which revealed this neoplasia, are reported. ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1999-06-01 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::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:
更新日期:1991-04-15 00:00:00
abstract::The anatomical region identified with the "head and neck region" has got the highest functional concentration of the human body and the highest incidence of malignant tumours per unit of surface. A pathology, that forced to serious and destroying surgical interventions in this area, will carry necessarily out a series...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1996-07-01 00:00:00
abstract:BACKGROUND:The purpose of this study is to investigate the value of surgical treatment for lung cancer in the elderly. Results are compared with findings in younger patients operated on during the same period (1985-1990). METHODS:137 patients 70 years of age or older (range: 70 yrs-87 yrs) (group A) underwent surgical...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1998-06-01 00:00:00
abstract::After an introduction on the various aetiological factors involved in toxic megacolon, its onset, medical treatment and indications to surgery, the paper describes personal experience with seven cases. The report highlights the importance of medical treatment which is recommended as the appropriate initial therapeutic...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1993-07-01 00:00:00
abstract::In Italy 250,000 subjects every year are affected by malignant tumors, causing 150,000 deaths/year. The global index (statistic prevalence) of oncological patients, either at first diagnosis, or restored to health or under treatment, aggregates 1 million and 500 thousand individuals. During his whole lifetime, every m...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:2003-04-01 00:00:00
abstract:BACKGROUND:Soft tissue defects are mostly managed surgically by free microvascular flaps. The progressive development of techniques and the availability and reliability of new different and free flaps encouraged this surgical approach. Thus, there is a constant need of free flap models to reproduce in laboratory. The e...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:2002-08-01 00:00:00
abstract::A series of 234 patients who underwent Billroth I gastric resection for gastric and duodenal ulcerous lesions is reported. Special attention is paid to the immediate postoperative complications whose incidence was 5.5%. Particularly serious is the dehiscence of gastroduodenal anastomosis which requires emergency recon...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1979-02-15 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::A case of spontaneous oesophageal rupture or Boerhaave syndrome is described. The absence of the typical initial vomiting together with a clinical picture that successively indicated repeated myocardial infarction, pancreatitis and pulmonary abscess delayed diagnosis by 4 days, after which emergency thoracotomy, perfo...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1990-01-01 00:00:00