RESUMO
On the basis of two new cases of cancer of the papilla of Vater, stress is laid on the indication for and value of duodeno-cephalopancreatectomy as the sole radical intervention. Conservative papillectomy should be confined to special cases (advanced age, general condition poor) with good long-term results.
Assuntos
Ampola Hepatopancreática/cirurgia , Neoplasias do Ducto Colédoco/cirurgia , Idoso , Idoso de 80 Anos ou mais , Humanos , Masculino , Pâncreas/cirurgiaRESUMO
The Authors produced their series of pancreatic cysts and pseudocysts. In order to a correct surgical therapy they deem it essential to do the Wirsungraphia or the cysto-wirsungraphia to recognize the "communicating cyst" and the "non communicating cyst". The simple resection and the cystoparenchimal resection are the operations of choice but the cystoanastomosis provides suitable and definitive results in the same way. Whereas the marsupialization and the external drainage are operations to reserve for the high risk patients, for the hazard of the pancreatic fistula particularly in the "communicating cyst".
Assuntos
Cisto Pancreático/cirurgia , Humanos , Cisto Pancreático/diagnóstico por imagem , Pseudocisto Pancreático/diagnóstico por imagem , Pseudocisto Pancreático/cirurgia , RadiografiaRESUMO
The treatment of perforated peptic ulcer, according to the experience of the Authors (327 cases), must be very pressing and always surgical. The closure of the perforation, the simplest treatment, seems the most suitable and the least dangerous for the survival of the patient, even though 68% of these patients will have to undergo surgery again in the course of 10 years. The radical treatment of resection, is reserved to few and carefully chosen cases, because it is loaded with sufficient risk. Acute bleeding peptic ulcer (86 cases) requires the operation: immediate or delayed according to the importance of the hemorrage: very serious, serious, moderate.
