ABSTRACT
It is important to recognize exceptional vascular events in celiosurgery because of their gravity. Most occur during pneumoperitoneal manoeuvres using a Palmer needle and rarely at the insertion of the first trocar. We performed a tomodensitometric study in 200 subjects free of abdominal pathology in order to determine the distance from the umbilicus to the aortic bifurcation, their projection over the spine and the superficial relations of the large vessels to the cutaneous umbilical cover. Generally, the projections of the umbilicus, and also the aortic bifurcation, lie over L4. The distance between the skin and the large retroperitoneal vesses is generally equal to one-third of the antero-posterior abdominal diameter. In thin subjects with a flat abdomen however, this distance may be smaller, even less than 3 cm. These findings emphasize the importance of "safety" manoeuvres during celiosurgery, especially during the learning period.
Subject(s)
Laparoscopy/adverse effects , Radiography, Abdominal , Vascular Diseases/etiology , Adolescent , Adult , Aged , Aged, 80 and over , Aorta, Abdominal , Child , Child, Preschool , Female , Humans , Male , Middle Aged , Risk Factors , Tomography, X-Ray Computed , UmbilicusABSTRACT
The authors report a case of metastasis from a breast cancer located in a frontal meningioma. A review of the literature revealed 43 cases of primary intracranial tumours containing a secondary from an unrelated extracranial primary malignant tumour; in 34 of these cases the intracranial tumour invaded was a meningioma.
