ABSTRACT
Carcinoma of the gall bladder has a poor prognosis despite surgical resection of the tumour. We prospectively enrolled 21 patients with histologically proven adenocarcinoma of the gall bladder, who were stage III or beyond for post operative radiotherapy. Six month survival was 67% (14 of 21 patients) while one year survival was 33% (7 out of 21 patients) and five year survival was 23% (5 of 21 patients). Those patients who had residual disease or were considered inoperable at surgery had no improvement in survival. The 1 year and 5 year survival in these patients was encouraging with radiotherapy in the present open labelled study of radiotherapy in patients with carcinoma of the gall bladder.
Subject(s)
Adenocarcinoma/mortality , Adult , Aged , Female , Follow-Up Studies , Gallbladder Neoplasms/mortality , Humans , India/epidemiology , Male , Middle Aged , Prospective Studies , Survival Rate , Treatment OutcomeABSTRACT
Forty patients of histologically proven esophageal carcinoma were subjected to computed tomography (CT) with the objective to assess its reliability in preoperative evaluation of these patients. The findings were confirmed on surgery in twenty five of these patients, thought to be resectable. Bronchoscopy was performed to evaluate bronchial tree in cases of tumor of upper and middle third of esophagus. CT was found to be sensitive in predicting the location and size of tumor, in assessing invasion of tracheo-bronchial tree, spread to liver, celiac and left gastric nodes. However, it was not successful in picking up metastatic spread to local periesophageal nodes in five cases and celiac in one case. The study concluded CT should be carried out for preoperative evaluation of esophageal carcinoma to select operable cases and avoid unnecessary radicle surgery in advanced cases.
Subject(s)
Adult , Aged , Aged, 80 and over , Esophageal Neoplasms/diagnostic imaging , Female , Humans , Male , Middle Aged , Tomography, X-Ray ComputedABSTRACT
Of 340 patients undergoing elective cholecystectomy for gallstone disease, 41 (12%) required an abdominal drain and 22 (65%) required a nasogastric tube postoperatively to control vomiting. Eighty six percent patients were discharged on the third post-operative day; 53% were satisfied with the early discharge. In our opinion, routine use of nasogastric tube and abdominal drain is not necessary and patients can be safely discharged on the third postoperative day after an uncomplicated cholecystectomy.
Subject(s)
Adolescent , Adult , Aged , Child , Cholecystectomy/methods , Cholelithiasis/surgery , Drainage , Female , Humans , India , Intubation, Gastrointestinal , Length of Stay , Male , Middle Aged , Prospective StudiesABSTRACT
Breaking of a biliary T-tube during removal is unusual. One such case who presented with features of post-cholecystectomy syndrome is presented.