Abstract：
OBJECTIVE:Esophageal anastomotic leaks are associated with significant morbidity and mortality. The purpose of this study was to retrospectively assess the role of the anastomotic positioning (thoracic or cervical) on the incindence of the anastomotic leak and its severity. METHODS:In the period 2002-07, we have performed extended esophagectomy with a curative-intent in 63 patients with esophageal cancer. The clinical outcome of the 46 patients where a cervical anastomosis was performed (Group A) has been compared with that of the 17 with thoracic anastomosis (Group B), in terms of leak incidence, pattern of healing, morbidity, and mortality. RESULTS:Leaks occurred in 11% patients of the in group A and in 8% of the group B. When the dehiscence has occurred in the cervical region 1/4th of patients died before the 30th post-operative day compared to the 3/5th of those where the leak occurred at the level of the thorax. CONCLUSIONS:On the basis of our findings we suggest the adopt the cervical anastomosis due to lower mortality rate related when leaks occur.
journal_name
Ann Ital Chirjournal_title
Annali italiani di chirurgiaauthors
Cafarotti S,Cesario A,Porziella V,Leuzzi G,Vita ML,Meacci E,Congedo MT,Granone Psubject
Has Abstractpub_date
2013-03-01 00:00:00pages
137-41issue
2eissn
0003-469Xissn
2239-253Xpii
S0003469X13018083journal_volume
84pub_type
杂志文章abstract：OBJECTIVE:Hyperthyroidism is a group of diseases with many different etiologies and clinical manifestations. The most common causes include toxic multi-nodular goiter, Graves' disease and toxic adenoma. The prevalence of thyroid cancer developing in patients with hyperthyroidism has gradually increased in recent years....
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2020-01-01 00:00:00
abstract：:The word "adenomatous hyperplasia of rete testis" (AHRT) was used by M. Nistal et Al. for the first time in an article about the cystic dysplasia of the testis (1976). AHRT is a benign lesion of the testis. The patient who came to our attention was studied with a testicular echo color Doppler that identified a solid, ...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2013-12-06 00:00:00
abstract：:Carcinoma of the pancreas is the fourth leading cause of cancer related death in Western Countries. The 5-year survival for resectable tumors is 15-25%, while patients with unresectable neoplasms survive a median of 7 months. Only 30% of carcinomas of the head of pancreas and 10% of the body and tail are resectable fo...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：1997-09-01 00:00:00
abstract：PURPOSE:Analysis of complications and causes of failure after stapled restorative proctocolectomy with ileal J pouchanal anastomosis in patients with ulcerative colitis is presented. PATIENTS AND METHODS:The procedure was performed in 28 patients, 19 males (68%) and 9 females (32%); diverting ileostomy was always perf...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2002-03-01 00:00:00
abstract：:The authors present clinical and instrumental results of N. 543 operations executed by CHIVA system. These cases are the result of trial performed in seven SIOC (Italian Society of CHIVA Operators) centers executed from November '87 to July '89. Functional and aesthetic results had been very good on over 85% of all ca...
journal_title：Annali italiani di chirurgia
pub_type： 临床试验,杂志文章,多中心研究
doi：
更新日期：1990-07-01 00:00:00
abstract：:The authors report their recent experience on the surgical treatment of inguinal hernias according to Shouldice Canadian repair, used for the undiscussed advantages. The least pre-operational preparation, the early mobilization of the patient, the reduction of the hospitalization and the almost total absence of relaps...
journal_title：Annali italiani di chirurgia
pub_type： 临床试验,杂志文章
doi：
更新日期：1994-09-01 00:00:00
abstract：BACKGROUND:Oncoplastic breast-conserving surgery (OPBS) is a rapidly emerging field. Various oncoplastic techniques have been proposed and are increasingly adopted to facilitate breast conservation and preserve breast aesthetics. This systematic review seeks to assess the oncological and cosmetic outcomes of OPBS. MAT...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：2016-01-01 00:00:00
abstract：BACKGROUND:In the pediatric age, mediastinal teratomas are an infrequent observation, accounting for only 7%-11% of extragonadal teratomas. Mainly located in the anterior mediastinum arising from the thymic gland, or exceptionally, from ectopic thyroid tissue, they may rarely be observed in the posterior mediastinum, s...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：2013-07-01 00:00:00
abstract：BACKGROUND:Many Authors suggest that psoas abscess should initially undergo an antibiotic therapy, with or without percutaneous drainage. In their opinion, surgical drainage should be done in case of failure or complicated recurrences. Herein we report a laparoscopic drainage of a recurrent and multilocular psoas absce...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2014-03-28 00:00:00
abstract：BACKGROUND:The AA. compared the preliminary results of two different methods of inguinal hernioplasty: one using only the mesh (Lichtenstein) and the other one using both mesh and plug (Rutkow-Robbins). PATIENTS AND METHODS:Seventy consecutive patients were randomly allocated into two groups, 35 patients each one, to ...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,随机对照试验
doi：
更新日期：2006-01-01 00:00:00
abstract：:Malignant ascites is an abnormal accumulation of fluid in the peritoneal cavity of patients with intraperitoneal cancer dissemination. This clinical condition could represent the terminal evolution of a lethal disease and could influence the prognosis, severely impairing the patients' quality of life. Treatment option...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2016-01-01 00:00:00
abstract：:The noninvasive preoperative assessment of lung cancer is currently based on CT scan. This technique is used to find out the local extension of the tumor and to identify the presence of mediastinal adenopathies by distinguishing as accurate as possible between benign and metastatic adenopathies according to their size...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：1999-11-01 00:00:00
abstract：:Venous aneurysms are rare lesions and of little significance in every day clinical practice. While in many cases asymptomatic they can be the cause of great morbidity due to thrombosis and subsequent possibility of pulmonary embolism. Venous aneurysms are classified in deep and superficial according to affected vein. ...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2016-10-14 00:00:00
abstract：AIM:This study aimed to compare the frequency and risk factors of de novo urinary incontinence (UI) following abdominal and vaginal hysterectomies for benign disease. METHODS:The study included patients without incontinence history who underwent abdominal or vaginal hysterectomy for benign indications. Incontinence st...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2019-01-01 00:00:00
abstract：AIM:Poland syndrome is a constellation of rare congenital anomalies of the chest wall, with or without alterations to the ipsilateral superior extremity. Actually Foucras' classification is commonly used to choose the most appropriate surgical treatment, but often only a radiological classification proves unsatisfactor...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：2014-05-01 00:00:00
abstract：:Remote cerebellar haematoma (RCH) from the operative site is one of the most serious, although extremely rare, complications of spinal surgery. Dural opening is common to every reported case of a spinal procedure complicated by cerebellar hemorrhage, supporting the hypothesis that CSF loss is central to the pathogenes...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2009-05-01 00:00:00
abstract：:Although skin burns at the site of grounding pad are a known risk of surgery, their exact incidence is unknown. We first report the case of a patient who presented a deep gluteal burn at the site of the grounding pad after an abdominal aortic aneurism repair, the etiology and the challenging treatment required to over...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2015-06-24 00:00:00
abstract：BACKGROUND:Cervical carotid dissection is more common in extracranical vessel: internal carotid artery dissection (ICAD) is typical, vertebral artery dissection is uncommon, common carotid artery dissection (CCAD) is rare and even a more rare cause of ischemic stroke. Cervical artery dissections account up to 20-25% of...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2014-09-18 00:00:00
abstract：:The pseudo-occlusion (P.O.) of the internal carotid artery is defined as an atheromatous lesion causing a high-grade stenosis, which describes a peculiar angiographic finding ("string sing" or "slim sign"). The authors report their experience with 6 P.O. (angiographically diagnosed) that had been found in 16 months. I...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：1996-09-01 00:00:00
abstract：PURPOSE:To report a surgical algorithm for the treatment of bilateral cleft lip stigmata. METHODS:The investigators designs a retrospective study composed of patients with bilateral cleft lip stigmata. The surgical approach is on the basis of the severity of the deformity and of course the age of the patient. It consi...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2017-01-01 00:00:00
abstract：:Meckel's diverticulum (MD ) is the most common congenital anomaly of the gastrointestinal tract. We revalued clinical records of patients discharged from Unit of Urgent and General Surgery of Highly Specialized Hospital "A.O.R.N. Antonio Cardarelli" of Naples with diagnosis of acute pathology associated to complicated...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2014-03-01 00:00:00
abstract：:Intestinal malrotation is a rare cause of bowel obstruction in adults and it could create a perplexing situation for surgeons not familiar with this pediatric pathology. Symptomatic patients present either acutely with bowel obstruction and intestinal ischemia with a midgut or cecal volvolus, or chronically with vague...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：2010-09-01 00:00:00
abstract：:Solitary extramedullary plasmacitomas (SEMP) of the liver are very rare. We report the case of an elderly woman with a huge symptomatic SEMP of the liver mimicking hepatocellular carcinoma (HCC). The patient was a 89-year-old woman who presented with severe abdominal pain and a huge solid mass in the right hypochondri...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2016-01-01 00:00:00
abstract：AIM:Retrospective review of aorto-iliac infections in a single vascular surgery center. METHODS:From a retrospective review of their experience in the last 20 years, the Authors analyze a series of 12 cases of aorto-iliac infection. Prognostic factors, surgical options and results are discussed and compared with the l...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2011-11-01 00:00:00
abstract：OBJECTIVE:The aim of this study is to review the characteristics, intraoperative and radiological findings of abdominal wall endometriosis (AWE). METHODS:This retrospective observational cohort study was executed through analysis of the medical records of patients who underwent excision of AWE between January 2000 and...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2018-01-01 00:00:00
abstract：AIM:We propose our experience in soft tissue reconstruction in Hemifacial microsomia using a free fascioadiposal flap. MATERIAL OF STUDY:Hemifacial microsomia (HFM) is a congenital disorder characterized by craniofacial malformation of one or both sides of the lower face. A 18-year-old female presented with hemifacial...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2017-01-01 00:00:00
abstract：BACKGROUND:The appropriate treatment of major bile duct injuries is mandatory in order to avoid serious complications, such as bile peritonitis or secondary biliary liver cirrhosis. In the last fourty years, surgical, endoscopic or radiologic techniques of cure have been proposed, but in our opinions, the preferred opt...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2002-01-01 00:00:00
abstract：OBJECTIVE:To evaluate methods of diagnosis and treatment, and the long term survival of patients treated for bronchial carcinoid tumor by the review of recent literature. METHODS:The Authors conducted a retrospective study on internet-based-evidence of patients treated for bronchial carcinoid tumor since 1993 to 2004....
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：2005-05-01 00:00:00
abstract：METHODS:A series of 9 patients of a mean age of 48 years, operated on for compression of the ilio-femoral venous axis is reported. The cause of obstruction was external compression in 3 cases, a retroperitoneal sarcoma in 1 case, and an infrarenal aortic aneurysm in 2. Two patients presented with a Cockett's syndrome, ...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2004-09-01 00:00:00
abstract：AIM:To evaluate three-port colectomy as an alternative reduced-port laparoscopy technique in colonic surgery. MATERIAL OF STUDY:Retrospective study carried out through the analysis of 32 consecutive patients that underwent alternatively to a three ports left colectomy or a conventional laparoscopic colectomy for colon...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2016-01-01 00:00:00
