Abstract：
BACKGROUND:Laparoscopic approach to patients with suspected small bowel obstruction (SBO) is not yet widely accepted nor clearly standardized; due to the absence of randomized trials, many questions still remain matter of debate. METHODS:By describing a single typical case of acute intestinal occlusive syndrome in a 82 years old woman, in which a SBO was suspected on the basis of previous surgical history and CT scan imaging, every single step of therapy is discussed, including the decision to perform explorative laparoscopy, the first trocar placement, the decision to continue by laparoscopy or to convert in laparotomy, and finally the small bowel resection and re-anastomosis. RESULTS:The decision to approach a suspected SBO by laparoscopy should be taken on the basis of a number of features which would predict the success rate, such as mild abdominal distention, proximal obstruction, partial obstruction, small bowel diameter less than 4 cm, previous appendenctomy, anticipated single band adhesion. In these cases laparoscopic approach may improve post-operative outcomes in terms of reduced postoperative ileus, hospitalization and wound infection rate. CONCLUSIONS:In selected, not unusual cases of SBO, a laparoscopic approach is feasible and effective. A growing Literature, mainly based upon retrospective series, is available. KEY WORDS:Conversion, Laparoscopy, Mortality, Small bowel obstruction, Surgery.
journal_name
Ann Ital Chirjournal_title
Annali italiani di chirurgiaauthors
Baiocchi GL,Vettoretto N,Zago M,Ansaloni L,Gheza F,Agresta Fsubject
Has Abstractpub_date
2014-04-07 00:00:00issue
ePubeissn
0003-469Xissn
2239-253Xpii
S2239253X14021525journal_volume
85pub_type
杂志文章abstract：:The development of clinical and histopathological criteria for the diagnosis of Crohn's disease (CD) and ulcerative colitis (UC), pushed the scientists to identify a new category: the indeterminate colitis (CI). This term is used when definitive diagnosis of UC or CD has not been made by colonoscopy, colonic biopsy or...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：2006-07-01 00:00:00
abstract：INTRODUCTION:The recent Sars-CoV2 pandemic has dramatically slowed patients' access to our clinic for vascular pathology when the contagion curve peaked. The need to restore the assistance activity has led us to adopt new individual prophylaxis and hygiene measures. METHODS:Doctors and staff must wear dedicated clothe...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2020-01-01 00:00:00
abstract：INTRODUCTION:Prognosis of colon cancer is worse if complications are present at the moment of diagnosis. The high mortality rate with surgery in emergency in such cases needs a careful reflection about the best suitable operation to perform. MATERIALS AND METHODS:107 consecutive patients observed along a 9 year-period...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2003-05-01 00:00:00
abstract：:Between January 1995 and February 1997 we performed 30 laparoscopic Nissen-Rossetti fundoplications and 3 laparotomic Nissen fundoplications. All patients were suffering from gastro-esophageal reflux disease (GERD) resistant to medical therapy, 19 patients were suffering also from hiatal hernia and 2 pz. were sufferin...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：1998-11-01 00:00:00
abstract：:Hepatic metastases are a major cause of death in patients with colorectal carcinoma. Traditional intravenous chemotherapy produces responses in 10% to 30% of patients and surgical resection is feasible in approximately 20% of patients. Infusion of cytotoxic agents into the hepatic artery is the most promising form of ...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：1996-11-01 00:00:00
abstract：BACKGROUND:Gastro Intestinal Stromal Tumors (GISTs) are defined as mesenchymal tumours that develop within the wall of the gastrointestinal tract. Surgery is the treatment of choice and may be indicated for locally advanced or previously non resectable disease after a favorable response to preoperative therapy with tyr...
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:To evaluate possible adverse consequences and complications following the procedure of Mason-McLeans Vertical Banded Gastroplasty (VBG), and in those cases the possibility to be related to a surgical mistake. PERSONAL EXPERIENCE:It is based on a casuistic of more than 180 patients, submitted to this restrictive ba...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2008-09-01 00:00:00
abstract：:Head and neck surgery presents a high operating risk of infectious complications. We agree upon the fact that 60% of the so-called infected operations would be complicated by secondary infections if they are not treated by antibiotic therapy. Such a premise justifies the more and more used application of a chemoprophy...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：1990-03-01 00:00:00
abstract：:Hepatocellular carcinoma mainly affects patients with cirrhosis or with various degrees of fibrosis. From 1979 to 1990, among 87 patients who underwent hepatic resection for non fibrolamellar hepatocellular carcinoma, 12 (14%) had a non fibrolamellar hepatocellular carcinoma developed in a normal liver. There were 8 m...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：1991-11-01 00:00:00
abstract：AIM:Recto-Urinary Fistula (RUF) is a rare complication of pelvic surgery. Different approaches are reported in literature but a gold standard treatment has not yet been achieved. Transanal Endoscopic Microsurgery (TEM) is a miniinvasive approach with well known advantages as magnification, 3D view and lighting of the o...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2016-01-01 00:00:00
abstract：OBJECTIVE:The Authors report their experience in diagnosis and treatment of one case of primary low-grade gastric lymphoma of mucosa associated lymphoid tissue (MALT); recent international literature review. EXPERIMENTAL DESIGN:Complete clinical report. Diagnostic, clinical and prognostic indication, evaluation of eff...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：2004-01-01 00:00:00
abstract：:After having examined different methods as to continence colostomy, the authors introduce their own control system for the stoma. The study was carried out on 6 colostomized patients. Preliminary, the intraluminal pressure in closed colostomy was recorded. Pressure waves, largely varying from patient to patient, were ...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：1990-01-01 00:00:00
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：1997-05-01 00:00:00
abstract：:Studies of health care quality are based on the evaluation of the way of how knowledges and available resources interact in order to guide individual behaviour as well as organisational planning. We have tested a sample of patient's impressions, using an anonymous questionnaire. During a period of 12 months 1039 patie...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：1996-05-01 00:00:00
abstract：:This paper reports a case of small bowel occlusion due to the herniation of an ileal ansa at the site of the insertion of a 12-mm trocar. A 28-year-old obese female patient underwent laparoscopic surgery for gastric bypass, the skin incisions of the trocar insertion sites were closed with absorbable sutures. Small bow...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2013-11-18 00:00:00
abstract：AIM OF THE STUDY:The Authors intend to guide the choice of surgical treatment for mammary asymmetry, according to specific form of asymmetry. MATERIAL AND METHODS:Possible types of symmetryzation surgery are listed. First Author's personal technique is described and some clinical cases are presented. DISCUSSION:Regar...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2007-05-01 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
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：1994-01-01 00:00:00
abstract：:Columnar epithelial metaplasia of the distal esophagus (i.e. barrett's esophagus) is an acquired condition showing a prevalence of 4%. It is probably due to abnormal reparative processes of the esophageal squamous epithelium after gastroesophageal reflux damage. "Mixed" (both acid and biliary) reflux seems more releva...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：1995-09-01 00:00:00
abstract：OBJECTIVE:The authors report their experience about the surgical treatment of a epiphrenic diverticulum (ED) associated with motor disfunctions and gastroesophageal reflux. DESIGN:Report of 1 case; evaluation of effectiveness of the treatment. SETTING:Operative Unit of General and Thoracic Surgery, Department of Surg...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2001-11-01 00:00:00
abstract：AIM:Cholecystectomy is one of the most common operations. Laparoscopic cholecystectomy has become the golden standard. Yet, conversion to open cholecystectomy is necessary in some patients. However, conversion maybe associated with increased complications and operation time. MATERIAL AND METHODS:The files of 1224 pati...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2020-01-01 00:00:00
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2011-05-01 00:00:00
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2010-01-01 00:00:00
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journal_title：Annali italiani di chirurgia
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doi：
更新日期：2007-01-01 00:00:00
abstract：:Anal stenosis is a fibrous narrowing of the anal channel. It develops, in most cases, in the aftermath of proctologic surgical procedures with extensive anoderm excision or in the presence of chronic anal inflammation in patients with Crohn Disease. However rare, this condition is thoroughly debilitating for the patie...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：2018-01-01 00:00:00
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2012-11-01 00:00:00
abstract：AIM:The aim of our study was to determine how many and what subtypes of breast cancer could be treated with breast-conserving surgery after NACT. Another outcome was to determine the applicability of MD Anderson Cancer Center nomogram to predict it. MATERIAL OF STUDY:We reviewed the histological examinations of 86 per...
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:To value the results of "open" surgery with sphincter preservation, TME nerve-sparing, fast-track, without a protective stoma in a consecutive series of patients with subperitoneal rectal cancer (s.p.r.c.). MATERIALS AND METHODS:In January 1989, we started a prospective, non-randomized study designed to assess whe...
journal_title：Annali italiani di chirurgia
pub_type： 临床试验,杂志文章
doi：
更新日期：2010-07-01 00:00:00
abstract：INTRODUCTION:Actinomycosis is a chronic infection caused by actinomyces species characterized by an abscess formation, tissue fibrosis, and draining sinuses. Primary actinomycosis of the breast is rare. PATIENTS AND METHODS:In this paper we present a 64-year-old postmenopausal woman. For the diagnosis of primary actin...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2019-12-20 00:00:00
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：1991-01-01 00:00:00
