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A Farah

Publications and source records attributed to A Farah.

85 records · Page 5Linked to original sources
PubMedDate not supplied

Palliative treatment of bile duct tumoral compression by an endoprosthesis: clinical results.

The palliative therapy of stenoses of the biliary tract is a difficult choice. Because percutaneous or endoscopic drainage methods are fraught with complications, an endoprosthesis for surgical intubation of the biliary tract has been developed. Thirty patients were treated by this method. After choledochotomy, the endoprosthesis is positioned surgically above the sphincter of Oddi, thereby avoiding ascending cholangitis. Twenty-nine patients (13 with gallbladder cancer, 11 with cholangiocarcinomas, 5 with metastases) presented with neoplastic compression, and one patient had an early postoperative stricture with loss of substance after right hepatectomy for hepatic metastases. The operative mortality was 3.3% (one pulmonary complication). Resolution of jaundice was obtained in all but two patients, and pruritus always resolved. The mean survival time for the patients with cholangiocarcinoma was 12.2 months and 6.33 months for those with gallbladder cancer. Indices of satisfaction (Bismuth's method) were 71% (gallbladder cancer), 93.5% (hilar cholangiocarcinoma), and 92% (metastatic compressions). This new type of surgical endoprosthesis is an alternative in the palliative treatment of neoplastic hilar compression because it is well tolerated, has a low rate of operative mortality or morbidity, and affords an acceptable quality of life for the patients.

Adenoma, Bile Duct↗
PubMedDate not supplied

[Giant appendiceal mucocele. Apropos of a case].

One case of giant appendiceal cyst secondary to obstruction is presented. The clinical feature is a pseudotumoral syndrome with the discovery of a cyst of the right iliac fossa by a pre-menopause woman. It is pre-operatively misdiagnosed as an ovarian cyst. Only an appendectomy is made for this benign lesion. The mucoceles of the appendix are rare, considered as an entity of macroscopic anatomy. The review of the literature allow us to recall the histologic classification of these lesions, their diagnostic patterns and their treatment.

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