RESUMO
Two cases of infra renal vena cava leiomyosarcoma are reported. Their locoregional extension resulted in a joint resection of the aorta and the vena cava. The follow-up of the two cases is of respectively 34 months and 32 months. We think that large resections are necessary, due to the microscopic characteristics of such tumors in order to try to improve the prognosis.
Assuntos
Leiomiossarcoma/cirurgia , Neoplasias Vasculares/cirurgia , Veia Cava Inferior , Adulto , Feminino , Humanos , Pessoa de Meia-Idade , Resultado do Tratamento , Veia Cava Inferior/cirurgiaAssuntos
Ducto Colédoco/lesões , Cálculos Biliares/cirurgia , Adulto , Colangiografia , Colecistectomia Laparoscópica/efeitos adversos , Colecistite/cirurgia , Ducto Colédoco/diagnóstico por imagem , Ducto Colédoco/cirurgia , Feminino , Humanos , Ligadura , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias , ReoperaçãoAssuntos
Endoscopia/efeitos adversos , Artéria Ilíaca/lesões , Laparoscopia , Adulto , Feminino , HumanosRESUMO
Laparoscopic cholecystectomy (LC) emerges as an effective alternative to classical cholecystectomy, but its safety, benefits and indications still need to be clarified. From September 1989 to March 1991, 178 LC were performed by 8 surgeons in 2 hospitals, on 142 women and 36 men with a mean age of 48.2 years. The gall bladder wall was thin in 160 cases and thick in 18 cases (with 6 cases acute cholecystitis). We observed no deaths, 147 simple procedures with a hospital stay and drug requirement lower than with the usual cholecystectomy via laparotomy. But in 21 cases, the procedure needed a laparotomy, and in 10 cases complications occurred, requiring laparotomy in 6 cases. Our results suggest: a) LC is an improvement in the treatment of uncomplicated gallstones; b) a trained surgeon and extreme caution are required in complicated cholelithiasis; c) classical cholecystectomy is still useful in many circumstances.
