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Biomedical subjects

J Perissat

Publications and source records attributed to J Perissat.

53 records · Page 3Linked to original sources
PubMed1975

[Success or failure factors in the treatment of insulin-secreting nesidioblastomas].

The authors report 5 cases of insulin- secreting nesidioblastoma which is not an exceptional tumour but may be suspected clinically before being confirmed in the laboratory. Fasting hypoglycemia or hyper-insulinism may be present, leading to arteriography and surgical exploration. The only valid forms of treatment are enucleation of the tumour or pancreatectomy, depending on whether it is situated on the right or on the left. The authors consider removal must be complete, if not, medical treatment should be preferred.

Adenoma, Islet Cell↗
PubMedDate not supplied

Laparoscopic cholecystectomy in the obese patient.

Between September 1990 and September 1991 laparoscopic cholecystectomy (LC) was performed in 310 patients with symptomatic cholelithiasis by using a four-cannula technique. Of this group, 282 were normal or overweight (group A) and 28 were obese (group B) according to classification using the Body Mass Index. Forty-one patients had cholecystitis of varying degree. There were no deaths in this series. The conversion rate to laparotomy was 2.9% and the morbidity was 5.4%. There was no statistical difference between groups A and B in relation to the length of procedure, conversion rate, or morbidity. This small series suggests that laparoscopic access is still feasible, if at times difficult, in obese patients. Specific surgical techniques concerning instrument length and cannula placement that may be useful in obese patients are described.

Acute Disease↗
PubMedDate not supplied

[Cholecystectomy by laparoscopy. Operative technic. Results of the first 100 cases].

The authors describe their own technique for the treatment of gallbladder stones using a laparoscopic approach. They squeletonsie the cystic artery and duct. Their clamp them by clips. Next they introduce into the gallbladder an ultrasonic lithotriptor which fragments the stones into powder evacuated by aspiration. The empty and clear gallbladder is severed off the liver and extracted out of the abdomen through an 8 mm orifice formerly used for the introduction of the lithotriptor. Among the 104 first cases performed between November 1988 to December 1989 the mortality is zero. On three patients the laparoscopic procedure has had to be stopped and replaced by a traditional open cholecystectomy. 3 complications occurred postoperatively: 1 biliary fistula which cured spontaneously within 7 days and 2 intra abdominal abscess which were treated by a secondary laparoscopic drainage. In the other cases the postoperative time has been uneventful. The patients appreciate mostly the painless postoperative time the absence of skin scar the short hospital stay 4 days and the possibility to go working one week later.

Adolescent↗