Explosäo intravesical com ruptura da bexiga como complicaçäo da ressecçäo transuretral de próstata / Intravesical explosion with bladder rupture as a complication of transurethral ressection of the prostate

The authors report a case of a 60 years old male patient submitted to transurethral resection of the prostate, who had intravesical explosion with bladder rupture, an extremely unusual event, corrected by suture and vesical drainage. The early as well as the late follow up had show absence of complication. The literature of this rare complication is reviewed and considerations are made rgarding the management

Carcinoma das vias biliares extra-hepáticas / Extra hepatic bile ducta carcinoma

Os autores revisam os aspectos clínicos, a avaliação diagnóstica e o tratamento de colangiocarcinoma hilar. São discutidos os exames indispensáveis para o estadiamento e escolha da melhor terapêutica. Com o avanço no conhecimento sobre a patologia surgiram novas técnicas curativas e paliativas que são apresentadas nesta revisão.

Esofagectomia transdiafragmática vídeo-assistida / Video-assisted transdiaphragmatic esofagectomy

The best approach for esophageal cancer is still under discussion. We describe a modification in the technique of the transdiafragmatic esophagectomy for esophageal neoplasm, with the help of a video-camera. This method is specially useful in tumours localized in the thoracic segment of the esophagus. In this study we found no increase in morbidity or operative time, with elimination of the "blind angle" during traditional dissection