ABSTRACT
BACKGROUND: Reports of successful treatment of liver cysts by the laparoscopic approach prompted the use of this technique in a series of patients. METHODS: Ten patients with symptomatic liver cysts were treated by the laparoscopic deroofing technique. Eight patients had one solitary cyst, one had two cysts and the remaining patient had polycystic disease with a giant cyst. Hydatid disease was excluded serologically and radiologically but albendazole was used before operation in six cases because hydatid disease is endemic in Argentina. RESULTS: There was no surgical morbidity or death. For between 6 months and 3 years all patients were asymptomatic. Computed tomography showed recurrence of a cyst in one patient, who was successfully reoperated on laparoscopically. CONCLUSION: Laparoscopic fenestration of either solitary or multiple liver cysts is the treatment of choice. It produces minimal surgical trauma, shorter hospital stay and avoids the morbidity of laparotomy. Reduced postoperative adhesions allows repeated procedures if the condition recurs.
Subject(s)
Cysts/surgery , Laparoscopy/methods , Liver Diseases/surgery , Adult , Aged , Female , Humans , Length of Stay , Male , Middle Aged , Recurrence , Tomography, X-Ray ComputedSubject(s)
Middle Aged , Humans , Male , Bile Duct Neoplasms , Cholangiography , Surgical Procedures, OperativeSubject(s)
Middle Aged , Humans , Male , Bile Duct Neoplasms , Cholangiography , Surgical Procedures, OperativeABSTRACT
Se presentan 33 casos de complicaciones y secuelas alejadas sobre un total de 408 pacientes tratados por traumatismos toracicos. Se describen las mismas, las conductas adoptadas y el indice de morbimortalidad que las mismas condicionan, asi como su frecuencia aproximada
Subject(s)
Humans , Postoperative Complications , Thoracic Injuries , Thoracic SurgeryABSTRACT
Se presentan 33 casos de complicaciones y secuelas alejadas sobre un total de 408 pacientes tratados por traumatismos toracicos. Se describen las mismas, las conductas adoptadas y el indice de morbimortalidad que las mismas condicionan, asi como su frecuencia aproximada
Subject(s)
Humans , Postoperative Complications , Thoracic Injuries , Thoracic SurgeryABSTRACT
Se efectua una actualizacion del diagnostico, metodos de estudio y tratamiento de los tumores retroperitoneales, delimitando el espacio anatomico. Se enfatiza, dentro de los metodos de diagnostico la tomografia computada como de eleccion. El tratamiento siempre debe ser quirurgico. Se comentan 16 casos de pacientes con tumores retroperitoneales tratados en los ultimos 10 anos y su evolucion
Subject(s)
Adolescent , Adult , Middle Aged , Humans , Male , Female , Retroperitoneal Neoplasms , Classification , Tomography, X-Ray ComputedSubject(s)
Child, Preschool , Child , Adolescent , Adult , Humans , Male , Female , Congenital Abnormalities , Thorax , Prostheses and ImplantsABSTRACT
Se efectua una actualizacion del diagnostico, metodos de estudio y tratamiento de los tumores retroperitoneales, delimitando el espacio anatomico. Se enfatiza, dentro de los metodos de diagnostico la tomografia computada como de eleccion. El tratamiento siempre debe ser quirurgico. Se comentan 16 casos de pacientes con tumores retroperitoneales tratados en los ultimos 10 anos y su evolucion
