[Diagnosis, treatment and prognosis of gastric stump cancer]. / Diagnosi, trattamento e prognosi del cancro del moncone gastrico.

The authors report 10 cases of gastric stump cancer undergoing operation in the Surgical Department of S. Croce Hospital in Moncalieri between 1978 and 1993, 9 men and 1 woman aged approximate by 67 years. The first operation was a Billroth II with reconstruction according to Polya or Kroenlein. The disease-free period was on average thirty years. In 5 cases the operation was palliative (GEA+Braun) for cancer at fourth stage, in 3 cases radical for cancer in early stage, in 2 cases total gastrectomy+Y for one cancer in early stage and one cancer at II stage TNM. The actuarial survival after 5 years is 50% and this result is satisfactory thanks to four cases of early stump cancer. From our experience, though of only 10 patients, we can deduce that total gastrectomy or degastroresection, in early stage have the same index of survival.

[Postoperative treatment of liver injuries in the surgical intensive care unit]. / Il trattamento post-operatorio dei traumi epatici nell'unità di terapia intensiva chirurgica.

Personal experience in the postoperative treatment of patients with liver traumas is reported, and a comparison is made between those treated in ordinary wards and those admitted to intensive care units. The latter had shorter stays (24 days as opposed to 40) and fewer postoperative complications, assuming a comparable picture of preoperative shock and associated lesions. The difference is attributed to the possibility offered by such units of providing closer surveillance and more rational management.