ABSTRACT
The presence of heterotopic pancreatic tissue in the gastroesophageal junction is a very rare entity. An exact preoperative diagnosis is only rarely possible despite all available diagnostic procedures. We report on the case of a submucous tumor of the gastroesophageal junction which became symptomatic due to reflux problems and was successfully removed by endoscope-assisted laparoscopic resection.
Subject(s)
Cardia/surgery , Choristoma/surgery , Esophageal Diseases/surgery , Esophagogastric Junction/surgery , Laparoscopy/methods , Pancreas , Stomach Diseases/surgery , Adult , Choristoma/diagnosis , Diagnosis, Differential , Endoscopy, Digestive System , Endosonography , Esophageal Diseases/diagnosis , Female , Gastroesophageal Reflux/diagnosis , Humans , Stomach Diseases/diagnosis , Surgical StaplingABSTRACT
In our prospective study we wanted to prove whether the safety of laparoscopic treatment of acute cholecystitis could be improved by intraoperative cholangiography. From July 1993 to June 1998 210 patients with acute cholecystitis underwent a laparoscopic cholecystectomy. In 23 cases (10.9%) a conversion was necessary. 189 patients underwent a laparoscopic cholangiography. In 2 cases (1.1%) an incision of the common bile duct was detected which had been mistaken for the cystic duct. So the cutting of the common bile duct could be prevented. In 12 patients (6.3%) unknown common bile duct stones were found. The complication rate was 9.5% without any mortality or major injury of the common bile duct.
Subject(s)
Cholangiography , Cholecystectomy, Laparoscopic , Cholecystitis/surgery , Intraoperative Complications/diagnostic imaging , Acute Disease , Adult , Aged , Aged, 80 and over , Common Bile Duct/injuries , Common Bile Duct/surgery , Cystic Duct/diagnostic imaging , Cystic Duct/surgery , Female , Gallstones/diagnostic imaging , Gallstones/surgery , Humans , Intraoperative Complications/surgery , Male , Middle Aged , Prospective StudiesABSTRACT
In the period from June 1994 to February 1997, a laparoscopic gastroenterostomy was carried out without intraoperative complications or mortality. In 12 out of 13 patients with gastric outlet obstruction due to inoperable tumor of the upper GI tract (gastric, gallbladder or pancreas carcinoma). From the above, a total of 4 patients had postoperative complications (30.7%), three of which could be treated without further operation. The average duration of the operation was 130 min (range 70-285 mins) followed by an approximal postoperative hospital stay of 17 days (8-41 days).
