Les tumeurs benignes de l'oesophage: a propos de 8 cas

The authors report 8 cases of benign tumors of the esophagus between 80 tumors of the esophagus followed up for 13 years. The literature clinical and diagnostic findings, and therapeutic approach are reviewed. Dysphagia is the most frequent symptom. The diagnosis is based on endoscopy, esophago-gastric barium studies and echoendoscopic ultrasonography. Surgical enucleation remain the general rule

les amputations abdominoperineales pour adenocarcinome du rectum. technque et resultats. Apropos de 45 cas

Between 1977 and 1996, 45 patients underwent abdominoperineal resection [APR] for rectal carcinoma. There were 26 males and 19 females, with a mean age of 57,4 +/- 16.4 years. The mean distance from the anal verge was 4.3 cm. Eight of the 45 patients underwent extensive APR because the tumor was fixed to adjacent organs. Operative mortality was 4.4%. Complications occured in 22.2% of patients and were dominated by colostomy complications [4 cases] and sexual dysfunction [5 cases]. Comparing this results to those of the litt‚rature reviews, the authors discuss operative technique of preservation of pelvic innervation, colostomy and different methods of perineal wound management. Appropriate surgical procedure could reduce specific complications and later dysfunction without changing carcinologic results