Elena Neștian, M. A. Şoitu, R. Bîrlă, D. Dinu, C. Iosif, M. Ungureanu, S. Constantinoiu
Introduction: Tumors of ileo-caecal valve are most clinically manifested either through transit disorders or anemic syndrome. The 88-year-old patient is admitted for abdominal pain in the left flank, vomiting, asthenia and lack of intestinal transit for faeces, with a progressive onset of one week. Clinical examination: generalized affected state, wide abdomen, painful left flank and hypochondrium, lack of intestinal transit and pallor. Paraclinic: severe hypochromic microchrome anemia (hemoglobin: 5.8 g / dl). Plain radiography: hydro-aeric levels in the left hypochondrium. Abdominal CT: ileo-colic intussusception that completely occupies the ascending colon to the hepatic flexure, with no visible tumoral lesions. After hydroelectrolytic and hemodynamic balancing with restoration of intestinal transit, colonoscopy is performed: 5 cm ulcer-vegetative tumor formation at the ileo-caecal valve level - biopsy with histopathological examination: moderately differentiated adenocarcinoma. Patient refuses surgery. After 3 weeks, the patient returns to the clinic for the recurrence of digestive symptoms and emergency surgery is performed: laparotomy by median suprasubombilical incision, finding: ileo-ceco-appendico-colic invagination up to the middle third of the transverse colon, defective attachment of ascending colon, ileum dilated with thick wall. The invagination is reduced, the tumor formation is discovered. Right hemicolectomy with ileotransversoanastomosis is performed. Postoperatively, the patient shows a simple evolution with discharge of the 9th postoperative day. Conclusions: The ileocolic invagination in adults is most often the appearance of a tumor located on mobile segments of the intestine. The right colon invagination is possible when there is a defect of acolation, anatomical peculiarity encountered in the presented case.
导读:回肠盲肠瓣肿瘤在临床上多表现为输导障碍或贫血综合征。患者88岁，因左侧腹痛、呕吐、乏力和粪便肠道运输不足入院，发病时间为一周。临床检查:全身性受累，腹部宽，左侧胁肋及胁肋疼痛，肠运不足，面色苍白。副临床:严重的低色微色素贫血(血红蛋白:5.8 g / dl)。x线平片:左肋软骨水肿水平。腹部CT:回肠-结肠肠套叠完全占据升结肠至肝曲，未见明显肿瘤病变。经水电解和血流动力学平衡，恢复肠道运输后，行结肠镜检查:在回肠-盲肠瓣水平形成5cm溃疡-植物性肿瘤-组织病理活检:中度分化腺癌。病人拒绝手术。3周后，患者因消化道症状复发返回诊所，急诊手术:经脐上正中切口开腹，发现:回肠-盲肠-阑尾-结肠内陷至横结肠中三分之一，升结肠附着缺损，回肠扩张，肠壁厚。内陷减少，发现肿瘤形成。行右半结肠切除术并回肠横切吻合。术后，患者术后第9天出院，病情进展简单。结论:成人回结肠内陷最常表现为位于可移动肠段的肿瘤。当结肠炎有缺陷时，右结肠内陷是可能的，这是本病例所遇到的解剖特点。
{"title":"EVOLUTIVE PECULIARITIES OF AN ILEO-CECAL VALVE TUMOR: CASE REPORT","authors":"Elena Neștian, M. A. Şoitu, R. Bîrlă, D. Dinu, C. Iosif, M. Ungureanu, S. Constantinoiu","doi":"10.33695/jss.v6i3.287","DOIUrl":"https://doi.org/10.33695/jss.v6i3.287","url":null,"abstract":"Introduction: Tumors of ileo-caecal valve are most clinically manifested either through transit disorders or anemic syndrome. \u0000The 88-year-old patient is admitted for abdominal pain in the left flank, vomiting, asthenia and lack of intestinal transit for faeces, with a progressive onset of one week. Clinical examination: generalized affected state, wide abdomen, painful left flank and hypochondrium, lack of intestinal transit and pallor. Paraclinic: severe hypochromic microchrome anemia (hemoglobin: 5.8 g / dl). Plain radiography: hydro-aeric levels in the left hypochondrium. Abdominal CT: ileo-colic intussusception that completely occupies the ascending colon to the hepatic flexure, with no visible tumoral lesions. After hydroelectrolytic and hemodynamic balancing with restoration of intestinal transit, colonoscopy is performed: 5 cm ulcer-vegetative tumor formation at the ileo-caecal valve level - biopsy with histopathological examination: moderately differentiated adenocarcinoma. Patient refuses surgery. \u0000After 3 weeks, the patient returns to the clinic for the recurrence of digestive symptoms and emergency surgery is performed: laparotomy by median suprasubombilical incision, finding: ileo-ceco-appendico-colic invagination up to the middle third of the transverse colon, defective attachment of ascending colon, ileum dilated with thick wall. The invagination is reduced, the tumor formation is discovered. Right hemicolectomy with ileotransversoanastomosis is performed. Postoperatively, the patient shows a simple evolution with discharge of the 9th postoperative day. \u0000Conclusions: The ileocolic invagination in adults is most often the appearance of a tumor located on mobile segments of the intestine. The right colon invagination is possible when there is a defect of acolation, anatomical peculiarity encountered in the presented case.","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"92 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78688894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D. Ion, Oana Ciocirlan, V. Vornicu, D. Păduraru, A. Bolocan, O. Andronic
Inguinal hernia is one of the most common surgical pathologies, which appears mainly due to the weakening of the abdominal muscles. Currently, the gold standard in the repair of inguinal hernias by open approach is the Lichtenstein procedure, while the gold standard of laparo-endoscopic procedures are the pre-peritoneal transabdominal technique (TAPP) and the total extraperitoneal technique (TEP). The purpose of this study is to evaluate, for a period of 4 years, the cases of inguinal hernias operated both by laparoscopic and open procedures to analyze their characteristics, under the conditions in which none was imposed as absolute gold standard for groin hernias. The present study was retrospective and descriptive, including a number of 214 cases hospitalized with the diagnosis of inguinal hernia. In the surgery of the groin hernia, both laparoscopic and open procedures have demonstrated their feasibility. Our study shows the preference for open surgery in elderly patients and those with comorbidities, as well as a faster evolution, with earlier discharge in the case of laparoscopic interventions.
{"title":"INGUINAL HERNIA – LAPAROSCOPIC VERSUS OPEN – A SINGLE CENTER EXPERIENCE","authors":"D. Ion, Oana Ciocirlan, V. Vornicu, D. Păduraru, A. Bolocan, O. Andronic","doi":"10.33695/jss.v6i3.293","DOIUrl":"https://doi.org/10.33695/jss.v6i3.293","url":null,"abstract":"Inguinal hernia is one of the most common surgical pathologies, which appears mainly due to the weakening of the abdominal muscles. Currently, the gold standard in the repair of inguinal hernias by open approach is the Lichtenstein procedure, while the gold standard of laparo-endoscopic procedures are the pre-peritoneal transabdominal technique (TAPP) and the total extraperitoneal technique (TEP). The purpose of this study is to evaluate, for a period of 4 years, the cases of inguinal hernias operated both by laparoscopic and open procedures to analyze their characteristics, under the conditions in which none was imposed as absolute gold standard for groin hernias. The present study was retrospective and descriptive, including a number of 214 cases hospitalized with the diagnosis of inguinal hernia. In the surgery of the groin hernia, both laparoscopic and open procedures have demonstrated their feasibility. Our study shows the preference for open surgery in elderly patients and those with comorbidities, as well as a faster evolution, with earlier discharge in the case of laparoscopic interventions.","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"115 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79093663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Crețu, R. Bîrlă, P. Hoara, A. Abdulah, M. Mitrea, S. Constantinoiu
Esophageal stenosis is one of the most common sequels of caustic injury. After the ingestion, in the acute phase, the life support is sometimes critical, and the treatment varies from observation to esophagectomy. During the first 6 months, endoscopic dilation can be necessary in order to maintain the patency of the esophageal lumen. Usually, endoscopic dilation is the treatment of choice for caustic stenosis of the esophagus. Sometimes this procedure is not possible or too risky and then reconstruction surgery is needed, but no earlier than 6 months. We present the case of a 57 years old male who was referred to our clinic for the treatment of a mid-esophageal caustic stenosis, after the accidental ingestion of a concentrated alkaline substance 6 months before. After an initial successful endoscopic dilation, in the second attempt, due to the asymmetric position of the stenosis and the high risk of perforation, we decided to perform an esophageal by-pass. We chose to use the left colon for interposition, with the left branch of middle colic artery as the feeding source and the sigmoid trunk as the second arcade. The surgical procedure went uneventful, with restoration of normal oral feeding.
{"title":"Esophageal caustic stenosis – difficulties of therapeutic management","authors":"A. Crețu, R. Bîrlă, P. Hoara, A. Abdulah, M. Mitrea, S. Constantinoiu","doi":"10.33695/jss.v6i3.285","DOIUrl":"https://doi.org/10.33695/jss.v6i3.285","url":null,"abstract":"Esophageal stenosis is one of the most common sequels of caustic injury. After the ingestion, in the acute phase, the life support is sometimes critical, and the treatment varies from observation to esophagectomy. During the first 6 months, endoscopic dilation can be necessary in order to maintain the patency of the esophageal lumen. \u0000Usually, endoscopic dilation is the treatment of choice for caustic stenosis of the esophagus. Sometimes this procedure is not possible or too risky and then reconstruction surgery is needed, but no earlier than 6 months. \u0000We present the case of a 57 years old male who was referred to our clinic for the treatment of a mid-esophageal caustic stenosis, after the accidental ingestion of a concentrated alkaline substance 6 months before. After an initial successful endoscopic dilation, in the second attempt, due to the asymmetric position of the stenosis and the high risk of perforation, we decided to perform an esophageal by-pass. We chose to use the left colon for interposition, with the left branch of middle colic artery as the feeding source and the sigmoid trunk as the second arcade. The surgical procedure went uneventful, with restoration of normal oral feeding.","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79274936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Braga Vlad, I. Slavu, Tulin Adrian, Socea Bogdan, Alecu Lucian
Introduction: Gastric stump cancer (GSC) is an entity described in the literature as early as the 1920s. Along the years the clinicopathological characteristic had changed. At the moment, there are no well-established guidelines regarding the optimal treatment. Material and method: We conducted a literature review of the studies published from 2014 to 2019 using the PubMed database. Results: After searching the PubMed database for the keywords: “gastric remnant cancer” AND “stump” AND “neoplasm” we identified 167 articles. Of these, 25 studies were considered relevant. Discussions: GSC develops after 2 years from the primary intervention for malignancy and after 20 years for benign lesions. The development mechanisms vary depending on the type of primary gastric lesions. GSC is considered a unique clinicopathological entity. The pattern of lymphatic drainage is different in comparison to primary gastric neoplasm. Thus an important negative prognostic factor is considered to be the N group of TNM staging. Conclusion: More studies are required to improve the understanding of development mechanisms and evolution of this pathology. Survival after gastric cancer has increased and it is possible to observe an increased percentage of patients who achieve the 5-year survival interval after surgery. Currently, there are no guidelines to select the optimal treatment with regards to surgery or chemotherapy as pathology is rare and studies which investigate the evolution and prognosis lack a significant cohort of patients. Therefore, the existent data is not substantial enough to elaborate guidelines that would define a standard surgical treatment.
{"title":"Gastric stump cancer. Etiology and treatment. A general review of the last 5 years","authors":"Braga Vlad, I. Slavu, Tulin Adrian, Socea Bogdan, Alecu Lucian","doi":"10.33695/jss.v6i3.274","DOIUrl":"https://doi.org/10.33695/jss.v6i3.274","url":null,"abstract":"Introduction: Gastric stump cancer (GSC) is an entity described in the literature as early as the 1920s. Along the years the clinicopathological characteristic had changed. At the moment, there are no well-established guidelines regarding the optimal treatment. \u0000Material and method: We conducted a literature review of the studies published from 2014 to 2019 using the PubMed database. \u0000Results: After searching the PubMed database for the keywords: “gastric remnant cancer” AND “stump” AND “neoplasm” we identified 167 articles. Of these, 25 studies were considered relevant. \u0000Discussions: GSC develops after 2 years from the primary intervention for malignancy and after 20 years for benign lesions. The development mechanisms vary depending on the type of primary gastric lesions. GSC is considered a unique clinicopathological entity. The pattern of lymphatic drainage is different in comparison to primary gastric neoplasm. Thus an important negative prognostic factor is considered to be the N group of TNM staging. \u0000Conclusion: More studies are required to improve the understanding of development mechanisms and evolution of this pathology. Survival after gastric cancer has increased and it is possible to observe an increased percentage of patients who achieve the 5-year survival interval after surgery. Currently, there are no guidelines to select the optimal treatment with regards to surgery or chemotherapy as pathology is rare and studies which investigate the evolution and prognosis lack a significant cohort of patients. Therefore, the existent data is not substantial enough to elaborate guidelines that would define a standard surgical treatment. \u0000 ","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88248672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
We present the case of a 41 years old patient with poor social status and previous facial trauma with a sharp object (wood branch) 2 years ago. Although it was performed the extraction of the branch in a local ENT department, the patient developed a fistula in the left genian region with the presence of puss. Two months ago the patient undergoes another head trauma leading to neurosurgery. CT scan raises the suspicion of a foreign body in the left maxillary sinus. We performed left maxillary sinus surgery through Caldwell-Luc approach with extraction of the foreign body and closure of the fistula. Surgical healing was optimal within 10 days. We analyze the medico-legal implications of such cases.
{"title":"FOREIGN BODY IN MAXILLARY SINUS WITH SKIN FISTULA – CLINICAL CASE","authors":"D. Vrinceanu, M. Dumitru, B. Bănică, A. Nica","doi":"10.33695/jss.v6i3.278","DOIUrl":"https://doi.org/10.33695/jss.v6i3.278","url":null,"abstract":"We present the case of a 41 years old patient with poor social status and previous facial trauma with a sharp object (wood branch) 2 years ago. Although it was performed the extraction of the branch in a local ENT department, the patient developed a fistula in the left genian region with the presence of puss. Two months ago the patient undergoes another head trauma leading to neurosurgery. CT scan raises the suspicion of a foreign body in the left maxillary sinus. We performed left maxillary sinus surgery through Caldwell-Luc approach with extraction of the foreign body and closure of the fistula. Surgical healing was optimal within 10 days. We analyze the medico-legal implications of such cases.","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87977656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Kabir, Akm Minhaj Uddin Bhuiyan, Mizanur Rahman
Introduction :Carcinoembryonic antigen is the most commonly used tumour associatedantigen in the management of patients with colorectal carcinoma. The test appearsuseful to determine prognosis and to monitor patients with colorectal carcinoma for earlyrecurrence, persistent elevation of CEA for a month after operation suggests thepresence of occult metastatic disease. Objective: The study was done to compare pre and postoperative CEA level in colorectalcarcinoma patient and to analyze the relationship of CEA and different Dukes stage inpre operative period of colorectal carcinoma patients. Methods: This cross-sectional and cohort study was performed to look at the change inCEA level among 97 colorectal carcinoma patients in pre and post operative state in thedepartment of surgical oncology, NICRH from January 2010 to June 2012. Results :Statistically significant changes was found in pre and postoperative CEA levelin colorectal carcinoma patient (p <.001). Preoperative CEA level was raised in Dukes8(40%) and Dukes C(54%). Conclusion :Postoperative CEA level was significantly reduced after resection of colorectalcarcinoma and neck neoplasm. Journal of Surgical Sciences (2016) Vol. 20 (1) : 3-6
{"title":"Changes of Serum CEA Level after Resection of Colorectal Carcinoma","authors":"J. Kabir, Akm Minhaj Uddin Bhuiyan, Mizanur Rahman","doi":"10.3329/jss.v20i1.43794","DOIUrl":"https://doi.org/10.3329/jss.v20i1.43794","url":null,"abstract":"Introduction :Carcinoembryonic antigen is the most commonly used tumour associatedantigen in the management of patients with colorectal carcinoma. The test appearsuseful to determine prognosis and to monitor patients with colorectal carcinoma for earlyrecurrence, persistent elevation of CEA for a month after operation suggests thepresence of occult metastatic disease. \u0000Objective: The study was done to compare pre and postoperative CEA level in colorectalcarcinoma patient and to analyze the relationship of CEA and different Dukes stage inpre operative period of colorectal carcinoma patients. \u0000Methods: This cross-sectional and cohort study was performed to look at the change inCEA level among 97 colorectal carcinoma patients in pre and post operative state in thedepartment of surgical oncology, NICRH from January 2010 to June 2012. \u0000Results :Statistically significant changes was found in pre and postoperative CEA levelin colorectal carcinoma patient (p <.001). Preoperative CEA level was raised in Dukes8(40%) and Dukes C(54%). \u0000Conclusion :Postoperative CEA level was significantly reduced after resection of colorectalcarcinoma and neck neoplasm. \u0000Journal of Surgical Sciences (2016) Vol. 20 (1) : 3-6","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79257199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A 60-year-old man presented with malignant melanoma on left heel with left inguinal lymphnode metastasis. He developed right hemiparesis on the 3rd POD of wide local excision of anulcerated lesion of the left sole. CT scan showed multiple cerebral metastasis in the bothparietal lobes. No neurological features also manifested before operation of the primary lesion. Journal of Surgical Sciences (2016) Vol. 20 (1) : 32-33
{"title":"Malignant Melanoma of Left Sole Metastasis to Brain: A Case Report","authors":"N. Hossain, A. Bhattacharjee","doi":"10.3329/jss.v20i1.43804","DOIUrl":"https://doi.org/10.3329/jss.v20i1.43804","url":null,"abstract":"A 60-year-old man presented with malignant melanoma on left heel with left inguinal lymphnode metastasis. He developed right hemiparesis on the 3rd POD of wide local excision of anulcerated lesion of the left sole. CT scan showed multiple cerebral metastasis in the bothparietal lobes. No neurological features also manifested before operation of the primary lesion. \u0000Journal of Surgical Sciences (2016) Vol. 20 (1) : 32-33","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"55 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79321247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abu Taher Md Ashaduzzaman, A. Jamal, Md Aminul Islam Khan, H. Saha
Leiomyoma is a common benign condition for which many hysterectomies are performed everyyear. Leiomyomas found retroperitoneally are a rare entity, especially primary. We report herea case of 44-year-old, para 5+0 who presented with mass in the abdomen and lower abdominalpain. CT- scan shows a huge retroperitoneal soft tissue mass. The mass was removedcompletely. Histopathological findings were consistent with leiomyoma. Retroperitonealleiomyoma is a rare neoplasm and treatment is surgical removal. Journal of Surgical Sciences (2016) Vol. 20 (1) : 26-28
{"title":"Retroperitoneal Leiomyoma","authors":"Abu Taher Md Ashaduzzaman, A. Jamal, Md Aminul Islam Khan, H. Saha","doi":"10.3329/jss.v20i1.43801","DOIUrl":"https://doi.org/10.3329/jss.v20i1.43801","url":null,"abstract":"Leiomyoma is a common benign condition for which many hysterectomies are performed everyyear. Leiomyomas found retroperitoneally are a rare entity, especially primary. We report herea case of 44-year-old, para 5+0 who presented with mass in the abdomen and lower abdominalpain. CT- scan shows a huge retroperitoneal soft tissue mass. The mass was removedcompletely. Histopathological findings were consistent with leiomyoma. Retroperitonealleiomyoma is a rare neoplasm and treatment is surgical removal. \u0000Journal of Surgical Sciences (2016) Vol. 20 (1) : 26-28","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":" 927","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72378198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Laparoscopic appendicectomy is not yet considered the "gold standard" in the treatment of acuteappendicitis because of its higher operative time, intra-abdominal abscess risk, and costscompared to open appendicectomy. On the other hand laparoscopic appendicectomy is associatedwith fewer post operative complications, shorter hospital stay, and nearly similar operative time,intra-abdominal abscess rate, and total costs, compared with open appendicectomy. With increasein the experience of the surgeon in laparoscopic skills pit falls will be much lower. Therefore, laparoscopicappendectomy can be recommended as preferred approach in acute appendicitis Journal of Surgical Sciences (2016) Vol. 20 (1) : 24-25
{"title":"Laparoscopic Versus Open Appendicectomy for Treatment of Acute Appendicitis","authors":"Mohammad Ali, Kazi lsrat Jahan","doi":"10.3329/jss.v20i1.43800","DOIUrl":"https://doi.org/10.3329/jss.v20i1.43800","url":null,"abstract":"Laparoscopic appendicectomy is not yet considered the \"gold standard\" in the treatment of acuteappendicitis because of its higher operative time, intra-abdominal abscess risk, and costscompared to open appendicectomy. On the other hand laparoscopic appendicectomy is associatedwith fewer post operative complications, shorter hospital stay, and nearly similar operative time,intra-abdominal abscess rate, and total costs, compared with open appendicectomy. With increasein the experience of the surgeon in laparoscopic skills pit falls will be much lower. Therefore, laparoscopicappendectomy can be recommended as preferred approach in acute appendicitis \u0000Journal of Surgical Sciences (2016) Vol. 20 (1) : 24-25","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"112 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76476153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mesenteric tumors are rare and consist of a heterogeneous group of lesions. Among them undifferentiatedcarcinoma of the mesentery is very rare entity. Here we present a case of undifferentiatedcarcinoma of the mesentery in a 51 year old male presented with rapidly increasing hugeabdominal lump,central abdominal pain and weight loss. Ultrasound of the whole abdomen andCT scan of whole abdomen reports were suggestive of retroperitoneal mass. The tumor wasresected and histopathology report was suggestive of malignant mesothelioma whereas immunohistochemistryreport revealed undifferentiated carcinoma of the mesentery. Journal of Surgical Sciences (2016) Vol. 20 (1) : 29-31
{"title":"Undifferentiated carcinoma of The mesentery in a 51 year old male : A case report","authors":"D. Mohammad, S. Islam","doi":"10.3329/jss.v20i1.43802","DOIUrl":"https://doi.org/10.3329/jss.v20i1.43802","url":null,"abstract":"Mesenteric tumors are rare and consist of a heterogeneous group of lesions. Among them undifferentiatedcarcinoma of the mesentery is very rare entity. Here we present a case of undifferentiatedcarcinoma of the mesentery in a 51 year old male presented with rapidly increasing hugeabdominal lump,central abdominal pain and weight loss. Ultrasound of the whole abdomen andCT scan of whole abdomen reports were suggestive of retroperitoneal mass. The tumor wasresected and histopathology report was suggestive of malignant mesothelioma whereas immunohistochemistryreport revealed undifferentiated carcinoma of the mesentery. \u0000Journal of Surgical Sciences (2016) Vol. 20 (1) : 29-31","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85259578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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