Annali italiani di chirurgia
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The prognostic value of sentinel lymph node (SLN) micrometastases in invasive breast cancer patients is still widely debated. Even if, in the absence of unequivocal guidelines, the axillary lynphadenectomy is not still performed in the routine clinical care of these patients. ⋯ Breast Carcinoma, Micrometastases Axillary Lymphonode Dissection, Sentinel Lymphonode.
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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, splenectomy is a common additional organ resection requirement with the distal pancreatectomy. However, in circumstances, spleen preserving distal pancreatectomy can provide advantages in these age groups even in emergency conditions. ⋯ Distal pancreatectomy, Isolated pancreatic injury, Spleen preservation.
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To report an another case of gallstone ileus in ederly patient that was treated with simple enterolithotomy. ⋯ Enterolithotomy, Gallstone ileus, Intestinal obstruction.
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Wandering spleen is a rare clinical condition which is often an incidental finding. It is characterized by excessive mobility and displacement of the spleen within the abdomen; although the spleen is usually of normal size it has an elongated vascular pedicle . ⋯ Acute abdomen, Bilobate wandering spleen, Splenectomy.
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Hypoparathyroidism and the resulting hypocalcemia is a common iatrogenic complication following surgical procedures to the neck, and commonly, to the thyroid gland. The aim of this study was to review the available literature to summarize current data related to the development of hypoparathyroidism after thyroid surgery. ⋯ Hypoparathyroidism, Thyroid surgery.