Your browser doesn't support javascript.
loading
Montrer: 20 | 50 | 100
Résultats 1 - 5 de 5
Filtre
Ajouter des filtres








Gamme d'année
1.
Article | IMSEAR | ID: sea-221066

Résumé

Background: Pancreaticoduodenectomy is a standard procedure for periampullary tumours. Pancreatic anastomosis is the Achilles heel of the procedure with a significant leak rate and the associated high morbidity. We adopted a modified pancreatic stump drainage with pancreato-gastrostomy - pancreatic stump mobilization with invagination into the lumen of the stomach via posterior gastrotomy and fixation with two U shaped sutures to the posterior wall of the stomach traversing across the pancreatic parenchyma. Materials and Methods: We did a retrospective analysis of a prospectively maintained database of patients who underwent Laparoscopic Whipple’s pancreaticoduodenectomy (WPD) from November 2017 to March 2019 in our department, a tertiary referral centre of Northern India. A total of 34 patients underwent totally laparoscopic Whipple’s pancreatoduodenectomy with the modified Pancreatogastrostomy. Results: A total of 34 patients underwent totally laparoscopic WPD during this study period. The median age was 50 years (27 to 70 years) with 17 male and 17 female patients. Of these patients, 23 patients had their tumours arising from the ampulla, 6 from the duodenum, 3 from the pancreas, 1 SCN head of pancreas and 1 from the distal common bile duct. All patients had R0 resection with a median lymph node yield of 13 (6-19). 9 patients had stage 1 disease, 10 patients had stage 2 disease and 14 patients had stage 3 disease. 31 patients had moderately differentiated adenocarcinoma while 2 patients had well-differentiated tumour morphology. 14 patients had pancreato-biliary differentiation with the remaining 19 patients having intestinal differentiation. The overall number of significant complications according to Clavien-Dindo classification was 17.6% (Grade 3 and higher) . Conclusion: Laparoscopic WPD is a feasible procedure in the hands of a well-trained laparoscopic surgeon. Modified P-G as described, simplifies the pancreatic drainage with a low incidence of post-operative pancreatic fistula and its attendant complications.

3.
Indian J Pathol Microbiol ; 2010 Oct-Dec; 53(4): 873-874
Article Dans Anglais | IMSEAR | ID: sea-141853
4.
Article Dans Anglais | IMSEAR | ID: sea-125308

Résumé

Non-steroidal anti-inflammatory drugs induced diaphragm like lesions are a rare cause of small intestinal obstruction. They occur most commonly in elderly patients who have been consuming these drugs for prolonged periods for pain relief. We report the first case of ileal diaphragm disease from Asia. She responded well to localised resection of the diseased ileum. Intra-operative enteroscopy may be helpful in deciding the extent of intestinal resection.


Sujets)
Anti-inflammatoires non stéroïdiens/effets indésirables , Sténose pathologique , Endoscopie gastrointestinale , Femelle , Humains , Maladies de l'iléon/induit chimiquement , Occlusion intestinale/induit chimiquement , Adulte d'âge moyen
5.
Indian J Pathol Microbiol ; 2002 Jul; 45(3): 347-8
Article Dans Anglais | IMSEAR | ID: sea-75153

Résumé

Atypical fibroxanthoma has a wide spectrum of histological and cytological appearances. One recently described variant is atypical fibroxanthoma with touton type giant cells. We also came across this case in a 24 year old male student who presented with a sub epidermal nodule on the right shoulder for the last one year. The lesion was aspirated, it should spindle shaped cells, giant cells, and collagen. Giant cells had multiple vacuoles and pink colored granules in their cytoplasm. He was diagnosed as atypical fibroxanthoma. The tumor was excised and histopathology confirmed the diagnosis. Complete excision was curative.


Sujets)
Adulte , Cellules géantes/anatomopathologie , Histiocytome fibreux bénin/anatomopathologie , Humains , Mâle , Tumeurs cutanées/anatomopathologie
SÉLECTION CITATIONS
Détails de la recherche