Annales de chirurgie
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Annales de chirurgie · Jul 2000
[Surgical treatment of Crohn's disease of the large intestine: do rectal complications influence the results of ileorectal anastomosis?].
The purpose of this retrospective study was to compare the morbidity and long-term outcome of patients undergoing total colectomy and ileorectal anastomosis (IRA) performed for Crohn's colitis with or without associated proctitis. ⋯ Moderate proctitis does not increase the morbidity of total colectomy with IRA for Crohn's disease. The risk of reoperation and secondary protectomy is higher when proctitis was present, but the IRA was still functional in one-half of patients after more than 10 years of follow-up.
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Hepatic portal venous gas is a radiological symptom associated with a poor prognosis (75% to 90% mortality). The aim of this retrospective study was to report 7 cases observed over a 2-year period. ⋯ Hepatic portal venous gas was associated with intestinal necrosis in the seven cases of this series. The severity of portal venous gas is only correlated with the severity of the disease causing portal venous gas.
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Splenectomy was one of the most common operations in abdominal surgery. During the past decade, an increased rate of late complications, especially septic and thromboembolic complications occurring after splenectomy, have been reported. The septic complications are well documented. ⋯ However, these overwhelming postsplenectomy infections are associated with a high mortality rate, about 50%. The best treatment of these infections is preventive measures which are based on vaccination and education of asplenic patients. The thromboembolic complications are rare, little studied, and specific preventive procedures have not been implemented.
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Annales de chirurgie · Apr 2000
[Perforated duodenal ulcer: laparoscopic treatment of perforation and ulcerous disease].
The aim of this retrospective study was to report a continuous series of 44 perforated duodenal peptic ulcers operated on through laparoscopic approach with curative treatment of the peptic ulcer disease for socioeconomic purpose. ⋯ With laparoscopic surgery, diagnosis of peptic ulcer perforation was confirmed, peritoneal lavage was perfectly done, duodenal perforation was sutured and surgical treatment of the peptic ulcer disease was performed, which is important in poor countries.
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Annales de chirurgie · Apr 2000
[Treatment of adenocarcinoma of the lower esophagus and cardia: resection with or without thoracotomy?].
In the treatment of adenocarcinoma of the cardia and lower oesophagus, the choice of the approach (with or without thoracotomy) to perform a proximal oesogastrectomy (POG) is still debated. The aim of this retrospective study was to compare mortality, morbidity and long-term survival in a series of patients operated on with or without thoracotomy. ⋯ These results suggest that, for adenocarcinoma of the cardia and lower oesophagus, the theoretical carcinologic benefit of mediastinal lymphadenectomy can be balanced with an higher operative risk related to the transthoracic approach.