Biomedical subjects

C Saccone

Publications and source records attributed to C Saccone.

165 records · Page 10Linked to original sources

PubMedDate not supplied

[Roux-en-Y reconstruction with defunctionalized jejunal loop, after gastric resection].

Authors report their personal experience on Roux-en-Y reconstruction, after partial gastric resection. They have considered 39 patients: 24 of them had been operated for a peptic ulcer of the lesser gastric curve and 15 for a pyloric cancer for which a partial gastric resection had been adopted for various reasons (age, stage or else). The follow-up lasted on an average of 42 months (4 to 68). Controls concerned secretory activity and motility. A prolonged stasis of solids, in the gastric stump or in the isolated loop, has been observed in two of the long controlled patients, together with superficial ulcers of the digiunal mucosa. Alcaline reflux was absent or very small; inflammatory changes of the gastric mucosa were hardly evident. In conclusion the authors regard the partial gastric resection, followed by the reconstruction with a digiunal isolated loop, as a valid surgical technique, for peptic ulcers of lesser gastric curve and for gastric cancers for which total gastrectomy seems not indicate.

Anastomosis, Roux-en-Y↗

PubMedDate not supplied

[Segmental liver transplantation. Experimental studies in swine].

Authors report the results of an experimental application of one of the more recent techniques of liver transplantation, which has the preparation ex situ as a basilar step of the procedure. 18 pig were operated on, from september 1991 to march 1993; they were divided in two groups: the first (group A) underwent an auxiliary segmental autotransplantation of left lobe to heterotopic subdiaphragmatic location; in group B an orthotopic segmental autotransplantation of right lobe after ex situ preparation of the liver according the technique of Pichlmayr was performed. The results show that a bigger application of ex situ surgery may help to find a resolution to the problem of the small number of liver donation.

Animals↗

PubMedDate not supplied

[Ultra-low laparoscopic rectal resection and colo-anal anastomosis. Experimental study on swine].

Nowadays oncologic surgery is defining new criteria in the treatment of rectal cancer: preservation of sfincterial function, ultra-low resections with distal margin at only 2 cm distally to the tumor, role of mesorectum as preferential site of lymphatic diffusion, preservation of lombo-aortic and pelvic nerves. Laparoscopy is showing good results in bowel surgery so as previously got on biliary tract: less visceral manipulation, less stimulation of immunologic system, less pain, early resumption of peristalsis and food intake, better recovery, less hospital stay. We experimented on pig ultra-low laparoscopic resection of the rectum, with preservation of sfincterial function, and mechanical anastomosis at the upper edge of the sfincterial ring. The evaluation of surgical technique, post-operative supervision, and follow-up instrumental control (anal manometry, endo-rectal ultrasonography, sfincterial electtromanometry, Rx barium enema) show technical feasibility and confirm a better recovery with regular defecatory function.

Anal Canal↗