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 for cure. Therefore, palliation of symptoms, namely obstructive jaundice, duodenal obstruction and pain, involve 80-90% of cases. Jaundice is frequent in tumors of the head. Palliative biliary decompression can be achieved by non surgical methods-endoscopically placed endoprostheses or percutaneous biliary drainage- or surgically. The former are indicated in patients with metastatic disease, high operative risk and short life expectancy. Surgical palliation which includes choledocho-duodenostomy, cholecystoduodenostomy, cholecystojejunostomy, hepato or choledocho-jejunostomy offers the advantage of providing a simple procedure that can treat or prevent all of the major symptoms: jaundice, duodenal obstruction and pain. Mechanical obstruction of the duodenum occurs in about 30% of cases in association with jaundice at the time of presentation and in 13-21% of patients previously subjected to biliary bypass after 8 months. Actual obstruction can be relieved by gastro-jejunostomy. Significant controversy remains concerning the role of prophylactic gastro-jejunostomy in patients requiring biliary diversion without signs of duodenal obstruction. Pain, which sooner or later affects the majority of patients, can be relieved by splanchnicectomy, either surgically or percutaneously.
journal_name
Ann Ital Chirjournal_title
Annali italiani di chirurgiaauthors
Guglielmi A,De Manzoni G,Girlanda R,Frameglia M,Cordiano Csubject
Has Abstractpub_date
1997-09-01 00:00:00pages
635-41issue
5eissn
0003-469Xissn
2239-253Xjournal_volume
68pub_type
杂志文章,评审abstract：BACKGROUND:Fournier's gangrene is a synergistic necrotic fasciitis or myositis of genitalia, perineum and abdominal wall. Several etiologic factors have been reported, microorganisms isolated and co-morbidity factors identified. Immediate and accurate diagnosis decreases mortality rate, which ranges from 3-67%. Aggress...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2005-11-01 00:00:00
abstract：:Carcinoid tumors of the ampulla are an uncommon finding. The authors report an asymptomatic case of ampullary carcinoid in which the diagnosis was obtained only with definitive histology after radical surgery. The differential diagnosis of these tumors is quite difficult, mostly because they are often asymptomatic. Su...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：1993-01-01 00:00:00
abstract：:The authors report the importance of plastic surgery in rehabilitation of the amputated stump. After having referred the tight dependence between amputated stump and prosthesis, they underline the importance of a trophic and painless stump characterized by a satisfactory "useful length". They report two cases in which...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：1996-01-01 00:00:00
abstract：:Six cases of anal canal squamous carcinoma are presented. The authors precise the present view about pathological, epidemiological, clinical and therapeutical aspects of these lesions. They stress, also, the primary role of embryology and anatomy in the oncogenesis of such tumours; the importance to single out specifi...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：1994-07-01 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：AIM OF THE PAPER:To discuss the diagnostic and therapeutic aspects of spontaneous esophageal perforation. It is considered a surgical emergency with high rate of mortality. Its diagnosis can be difficult since the presentation is often nonspecific and can be confused with others disorders. Many strategies have been adv...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2008-05-01 00:00:00
abstract：AIM:Many methods have been described for the reconstruction of the lower lip, but each has its own advantages and its disadvantages. The purpose of this study is to evaluate the results obtained with the use of different methods in order to choose the most appropriate method, according to the characteristics of the los...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2012-07-01 00:00:00
abstract：AIM:Primary mesenteric fibromatosis is a rare, locally invasive, non-metastasizing type of intra-abdominal fibromatoses with a very high rate of recurrence. In this study, we aimed to present our surgical approach, tumor characteristics, clinical presentation and long-term follow-up results in cases of primary mesenter...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2020-01-01 00:00:00
abstract：BACKGROUND:Extragonadal teratomas are rare tumors in neonates and infants and can sometimes show unusual, distinctive feature such as an unusual location, a clinical sometimes acute, presentation and a "fetiform" histotype of the lesion. We have extrapolated, from our entire experience of teratomas, 4 unusual cases, mo...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：2014-01-01 00:00:00
abstract：:The intestinal tuberculosis is a rare disease in Europe and in North America. It is an important disease because some patients can develop intestinal stricture or subacute intestinal obstruction and, sometimes, tuberculous peritonitis. It is often difficult differentiate intestinal tuberculosis from Crohn's disease or...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：1990-11-01 00:00:00
abstract：AIMS:We aim to test and compare the effects of Flavonoids (Fs) and Centella asiatica (Ca), and the traditional treatment to find out which best deals with healing time, bleeding and pain in the treatment of chronic Anal Fissure (AF). Materials of Study: 98 outpatients were divided randomly into treated (either Fs or Ca...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,随机对照试验
doi：
更新日期：2018-01-01 00:00:00
abstract：INTRODUCTION:Isolated pancreatic trauma is a rare condition and commonly come up in children or young adults.The poor initial symptoms lead to delay diagnosis and treatment. The treatment of isolated distal pancreatic trauma including the Wirsung's duct is generally distal pancreatectomy. In an emergency setting, splen...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2017-09-12 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：INTRODUCTION:The majority of neuroendocrine tumors (NET) are located in the gastrointestinal tract (67.5%) and in the bronchopulmonary (25.3%). CASE REPORT:CA, female, 42 years old, profuse diarrhea about two months, cramping for increased peristalsis, vomiting and weight loss. The patient, diagnosed with ileal neuroe...
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: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 8...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2014-04-07 00:00:00
abstract：CASE REPORT:A 64-year-old woman presented to our emergency department during the outbreak of the covid-19 emergency in Italy with syncope, anosmia, mild dyspnoea and atypical chest and dorsal pain. A chest CT scan showed an acute type B aortic dissection (ATBAD) and bilateral lung involvement with ground-glass opacity,...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2020-01-01 00:00:00
abstract：AIM:Early identification of spontaneous pneumomediastinum can be achieved by thoracic ultrasound in emergency. MATERIAL OF STUDY:A spontaneous pneumomediastinum in a 24 -year old man is reported. RESULTS:The patient, who refused hospitalization, returned 12 hours later, complaining a massive subcutaneous emphysema, w...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：2012-01-01 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：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：:Neuroendocrine carcinoma cases, more frequent in the GI tract, have rarely been reported in extrapulmonary areas. Neuroendocrine carcinoma of the bladder is one of the malignancies with a poor prognosis, which is expected to cause rapid metastases. In addition, neuroendocrine carcinoma of the bladder constitutes < 1% ...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2019-03-04 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：:A 76 year-old female patient with a long-time history of nonspecific abdominal pain admitted to our hospital. Imaging studies showed 5 cm liver hydatid cyst between segments 2 and 3. She was recommended surgery and was informed about the details of single incision laparoscopic surgery (SILS). We performed single-incis...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2013-07-01 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：INTRODUCTION:Lichtenstein hernia repair made revolutionary progress in hernia treatment. Since that a lot of modifications have been proposed. In a few of them attention is drawn to spermatic cord isolation from a mesh for prevention of spermatic cord involvement into inflammatory process which may lead to disturbances...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2009-07-01 00:00:00
abstract：:The authors present the case of a primitive small cell esophageal carcinoma. It is a rare and biologically aggressive neoplasm which occurs mainly in the elder male. The case observed concerns a 69 year old female treated with surgical therapy consisting in esophagectomy and intrathoracic esophagealgastrictype plasty....
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：1997-01-01 00:00:00
abstract：:By long experience with the problems on hiatal hernias and reflux the author summarizes and analyzes errors and progress in development, interpretation, diagnostic methods and treatment. After the pioneer work done by Akerlund 1926 the hiatal hernia was a sometimes dangerous surgical target. It remained for a long tim...
journal_title：Annali italiani di chirurgia
pub_type： 社论,评审
doi：
更新日期：1993-05-01 00:00:00
abstract：BACKGROUND:The Bariatric Analysis and Reporting Outcome System (BAROS) has been recently introduced to assess the modifications of weight, comorbidities and quality of life (QOL) after bariatric surgery, in order to achieve a standard for comparison in the treatment of obesity. This study reports the Authors' experienc...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2004-07-01 00:00:00
abstract：AIM OF THE STUDY:To estimate our 3-year experience on the diagnosis and monitoring of the spleen traumatic lesions with the employment of ultrasound microbubbles contrast. METHOD:From the 174 patients who were joints to our department in regimen of urgency for abdominal traumatic lesions, we have estimated 24 patiens ...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2006-09-01 00:00:00
abstract：INTRODUCTION:The most common microorganisms isolated from septic arthritis are staphylococcus aureus and streptoccocci. Septic arthritis due to Salmonella spp. is extremely rare. PRESENTATION OF CASE:A 55-year-old man, chronic renal failure, is admitted hip arthtritis with newly arised symptoms. The findings were not ...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2020-12-03 00:00:00
abstract：AIM:Adrenal gland metastasis are the second most common type of adrenal mass lesions after adenomas and they could be related to numerous malignancies; Literature shows that adrenal metastasis deriving from colorectal cancer are very rare. MATERIAL OF THE STUDY:A 71-year old - male patient, treated two years before wi...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2014-06-24 00:00:00
