RESUMO
A right lumbar approach to the duodenum was developed to perform transduodenal sphinctero-plasty for the treatment of retained common bile duct stones. With experience, the procedure was reduced to a mininvasive approach. Nine patients with symptomatic choledocal stones were subjected to translumbar transduodenal sphincteroplasty. Eventually it became obvious that limited dissection was equally effective in exposure of pertinent anatomical structures and ease of performance. Four patients were intervened using the mini-invasive approach. In one instance the procedure was combined with laparoscopic cholecystectomy and cholangiogram. There was no mortality or morbidity and there was universal clearance of the common bile duct
Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto , Pessoa de Meia-Idade , Cálculos Biliares/cirurgia , Procedimentos Cirúrgicos Minimamente Invasivos , Esfincterotomia Transduodenal , Colangiografia , Colecistectomia LaparoscópicaRESUMO
Gastric emphysema is a benign condition in which air from non bacterial sources accumulate within the wall of the stomach. This pathology is usually associated with gastric and, or small bowel obstruction. A case report of gastric emphysema is presented, together with a pertinent review of the literature