Radical surgical treatment for cystic neoplasms of the pancreas: personal experience.
0
Citation
28
Reference
10
Related Paper
Abstract:
Cystic neoplasms comprise 1-10% of all pancreatic neoplasms. Most authors recommend resection due to the difficulties in differentiating benign from malignant tumors prior to operation. We performed an analysis on the radical surgical handling of patients with cystic neoplasms of the pancreas.We analyzed data of all patients with pancreatic neoplasms who were treated by potentially curative surgical treatment by a single surgeon (A.D.C.). Postoperative survival and complications were recorded.Between August 1983 and November 2003, the aforementioned surgeon performed 77 pancreatic resections for pancreatic tumors. Nine of those operations were performed for cystic neoplasms of the pancreas. All patients submitted to partial pancreatic resections were discharged in good health. The patient that underwent a total pancreatectomy died nine days after the procedure. At a mean follow up of 44 months, there has been one local recurrence with death.Cystic tumors of the pancreas accounted for 11.7 % of the neoplasms studied in our series. Resection of those neoplasms attained by distal pancreatectomy is a safe procedure. PD is a risky procedure and should be viewed cautiously. Total pancreatectomy remains as a high-risk procedure and should be avoided.Cite
Cite
Citations (34)
DeğerlendirilmesiÖZET Amaç: Pediatrik Üroloji polikliniğinde takip edilen hastalar için en değerli tetkikler olan idrar analizi ve kültürünün yorumlanması çok önemlidir.Çalışmamızda, ürolojik sorunları olan hastalarda kullanılan antibiyotiklere direncin
Cite
Citations (2)
Hintergrund: Als häufigste angeborene Fehlbildung des Gastrointestinaltrakts ist das Meckel-Divertikel (MD) ein wichtiges Krankheitsbild in der Praxis des Viszeralchirurgen. Ziel dieser Arbeit war es, die Sicherheit der Resektion von MD in Bezug auf postoperative Komplikationen zu analysieren. Aufgrund der relativen Seltenheit des MD wird zudem ein Überblick über die Literatur gegeben. Patienten und Methoden: Alle Patienten, bei denen zwischen 1996 und 2010 an der Chirurgischen Klinik I der Charité – Campus Benjamin Franklin ein MD beschrieben wurde, wurden erfasst. Es erfolgte ein Vergleich zwischen symptomatischen und inzidentellen MD in Hinsicht auf Inzidenz, Operationsindikation, intraoperativen Befund, Histologie und früh-postoperatives Outcome. Ergebnisse: Bei 71 von 29 682 Patienten (0,2 %) wurde intraoperativ ein MD festgestellt. Symptomatische MD zeigten sich bei 26 Patienten (37 %). Bei 6 der 7 Patienten mit gastrointestinaler Blutung (GIB) fand sich ursächlich ein symptomatisches MD (p = 0,005). Alle symptomatischen und 30 (67 %) der asymptomatischen MD wurden reseziert. Ektope Magenschleimhaut lag bei Patienten mit symptomatischem MD signifikant häufiger vor (p = 0,001). Patienten mit asymptomatischem MD und Resektion hatten tendenziell seltener postoperative Komplikationen als Patienten mit symptomatischen MD (p = 0,057). Schlussfolgerung: Ektopes Gewebe kommt bei symptomatischen MD signifikant häufiger vor, insbesondere bei blutenden MD. Bei einer GIB unklarer Ursache sollte ein MD in Betracht gezogen werden. Die Resektion inzidentell aufgefundener MD kann empfohlen werden, solange keine Kontraindikationen wie Peritonitis, Lebenszeit beschränkende Tumorerkrankung, Aszites oder Immunsuppression bestehen.
Cite
Citations (11)
Cite
Citations (0)
Romatoid artritte kalp tutulumu yuksek siklikta gorulmekte olup yapilan bircok calismada bu hastalarda kardiyovaskuler mortalitenin artmis oldugu ve olumlerin %35-50'sinden kardiyovaskuler hastaliklarin sorumlu oldugu gosterilmistir. Romatoid artrit hastalari normal populasyon ile karsilastirildiginda %0,9 ile %3 oraninda artmis bir mortaliteye sahiptirler. Romatoid artritte bu mortalite artisinin baslica nedeni kardiyovaskuler hastaliklardir. Biz bu derlemede Romatoid artrit’in kardiyovaskuler hastaliklardan ozellikle koroner arter hastaligi ve kalp yetersizligi ile olan iliskisini ozetlemeyi amacladik
Cite
Citations (0)
Le lymphome primitif du sein est une entite histologique tres rare du cancer du sein. Les aspects cliniques et radiologiques ne presentent pas de specificites particulieres. Le diagnostic est souvent retarde. Le traitement se base essentiellement sur la chimiotherapie. Le pronostic est globalement pejoratif. Nous rapportons un cas de lymphome malin non Hodgkinien primitif du sein chez une patiente de 38 ans. Parallelement une revue de la litterature est entreprise evoquant les aspects epidemiologiques, cliniques, histologiques et therapeutiques de ce neoplasme.
Cite
Citations (0)
Zusammenfassung Intraartikuläre Osteoidosteome (IAOO) sind mit 10 % aller Osteoidosteome selten. Die atypischen klinischen und radiologischen Befunde führen meist zu einem langen Intervall zwischen Beschwerdebeginn und Diagnosestellung sowie Einleitung einer adäquaten Therapie. Dieser Fallbericht handelt von einer 32-jährigen Patientin, die seit Jahren intermittierende Kniegelenksschmerzen bei tiefer Beugung und selten nachts angibt. Bei IAOO in der Trochlea femoris war eine Radiofrequenzablation (RFA) aufgrund der direkt subchondralen Lage kontraindiziert. Daher erfolgte eine operative Sanierung mittels Knorpel-Knochen-Transplantation.
Osteoid Osteoma
Cite
Citations (0)
Бұл зерттеужұмысындaКaно моделітурaлы жәнеоғaн қaтыстытолықмәліметберілгенжәнеуниверситетстуденттерінебaғыттaлғaн қолдaнбaлы (кейстік)зерттеужүргізілген.АхметЯссaуи университетініңстуденттеріүшін Кaно моделіқолдaнылғaн, олaрдың жоғaры білімберусaпaсынa қоятынмaңыздытaлaптaры, яғнисaпaлық қaжеттіліктері,олaрдың мaңыздылығытурaлы жәнесaпaлық қaжеттіліктерінеқaтыстыөз университетінқaлaй бaғaлaйтындығытурaлы сұрaқтaр қойылғaн. Осы зерттеудіңмaқсaты АхметЯсaуи университетіндетуризмменеджментіжәнеқaржы бaкaлaвриaт бaғдaрлaмaлaрыныңсaпaсынa қaтыстыстуденттердіңқaжеттіліктерінaнықтaу, студенттердіңқaнaғaттaну, қaнaғaттaнбaу дәрежелерінбелгілеу,білімберусaпaсын aнықтaу мен жетілдіружолдaрын тaлдaу болыптaбылaды. Осы мaқсaтқaжетуүшін, ең aлдыменКaно сaуaлнaмaсы түзіліп,116 студенткеқолдaнылдыжәнебілімберугежәнеоның сaпaсынa қaтыстыстуденттердіңтaлaптaры мен қaжеттіліктерітоптықжұмыстaрaрқылыaнықтaлды. Екіншіден,бұл aнықтaлғaн тaлaптaр мен қaжеттіліктерКaно бaғaлaу кестесіменжіктелді.Осылaйшa, сaпa тaлaптaры төрт сaнaтқa бөлінді:болуытиіс, бір өлшемді,тaртымдыжәнебейтaрaп.Соңындa,қaнaғaттaну мен қaнaғaттaнбaудың мәндеріесептелдіжәнестуденттердіңқaнaғaттaну мен қaнaғaттaнбaу деңгейлерінжоғaрылaту мен төмендетудеосытaлaптaр мен қaжеттіліктердіңрөліaйқын aнықтaлды.Түйінсөздер:сaпa, сaпaлық қaжеттіліктер,білімберусaпaсы, Кaно моделі.
Cite
Citations (0)
The nationally-recognized Susquehanna
Chorale will delight audiences of all
ages with a diverse mix of classic and
contemporary pieces. The ChoraleAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂA¢AÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂs
performances have been described
as AÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂA¢AÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂemotionally unfiltered, honest
music making, successful in their
aim to make the audience feel,
to be moved, to be part of the
performance - and all this while
working at an extremely high
musical level.AÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂA¢AÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂA Experience choral
singing that will take you to new
heights!
Cite
Citations (0)