Chirurgie; mémoires de l'Académie de chirurgie
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Comparative Study
[Total pelvic exenteration and rectal cancer. Apropos of 20 cases].
The report of a series of 20 patients with the aim of trying to specify the implications of pelvic exenteration for rectal cancer. ⋯ In spite of its aggressive aspect, total pelvic exenteration seems justified in rectal carcinoma when extended to the urinary tract, when it causes major functional disorders, when there are no detectable metastases, and when the tumor has no posterior or lateral fixation. Local tumoral evolution can usually be controlled by pelvic exenteration but prolongation of survival is not demonstrated.
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The aim of this retrospective survey was to evaluate the results of laparoscopic treatment in perforated peptic ulcer. ⋯ Laparoscopic management in perforated peptic ulcer is successful in 90% of the patients. Results are good. There was no postoperative death in this series.
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In 1977, the use of gelatine-resorcine-formaline (GRF) biological glue during surgery of acute type A aortic dissection was proposed. The present study retrospectively analyses the late results obtained with this adjunct in an experience extending over a 20-year period. ⋯ The GRF glue has proved to be extremely useful during initial emergency surgery for acute type A dissection, making the procedure much easier and safer. Through this operative improvement, the use of the GRF glue seems to have a beneficial influence on the late results which, however, depend mainly on the patient's basic condition.