Résumé
A retrospective study of pancreaticoduodenctomy in Songklanagarind Hospital between 1985-1997 was conducted on 51 consecutive patients, 28 men and 23 woman, aged 12-80 years. (mean 57.2) Jaundice was the main chief complaint and fever was the second. Ampullary carcinoma was the most common pathological result with pancreatic carcinoma being next. Postoperative complication occurred in 25 patients, 9 patients required reopereation and 4 died.
Résumé
Two cases of vagal body tumours are reported for their surgical consequences of immediate post-operative airway obstruction in one case, and tachycardia hypotension and severe dysphagia requiring cricopharyngeal myotomy in another. An unusual case of carotid body tumour which had the same clinical picture was also reported for comparative surgical treatment. The surgical management of both tumours was reviewed and it was found that 28-43 per cent of carotid body tumour resection would have vascular operation while dissection of vagal body tumour usually did not. The angiographic diagnostic criteria for vagal body tumour were also reviewed and found to be inadequate. Additional angiographic criterion was proposed.
Sujets)
Adulte , Sujet âgé , Angiographie , Glomus aortique/imagerie diagnostique , Artères carotides/imagerie diagnostique , Tumeur du glomus carotidien/imagerie diagnostique , Femelle , Tumeurs de la tête et du cou/imagerie diagnostique , Humains , Paragangliome extrasurrénalien/imagerie diagnostiqueRésumé
Fifteen patients with retained common bile duct (CBD) stones and T-tube and twenty patients with CBD stones without T-tube had stones removed by endoscopic method. The result of endoscopic sphincterotomy, stone extraction, stone clearance and complication in patients with T-tube was similar to the results in patients without T-tube. The presence of T-tube did not create much difficulty in stone removal and the successful rate of 86.6 per cent (13/15) was satisfactory. Endoscopic removal of retained stones in patients with T-tube is recommended when retrieval via T-tube is not available since the later has fewer reported complications with very low mortality compared to the endoscopic technique.