The systematic employment of pancolonoscopy in patients with diseases of the large intestine has shown that histological typing is essential when a polyp or polyposis is observed, since this is the only way prognosis can determined, and is only possible through endoscopic polypectomy. Familial investigation is also mandatory. If its findings are positive, every "polyp", irrespective of its number, site, and distribution, is a possible sign of polyposis. In this context, rectum preservation techniques are justified in relation to factors associated with both the polyp itself and its host.

Aged↗

PubMedDate not supplied

[Surgical treatment of colo-rectal tumors. Immediate and long-term results in 1749 cases].

An assessment is made of the development of surgical techniques and results obtained throughout a series of 1748 cases of colon and rectum cancer observed over a period of 40 years. Attempts to improve survival have included an extension of lymph duct resection. This approach has proved successful, though a longer period of study is still needed. Lastly, rectal cancer is examined in terms of survival in function of various biological factors associated with the neoplasia.

Adult↗

PubMedDate not supplied

[Axillary thoracotomy: a simple and conservative approach to the thoracic cavity].

Morelli and Di Paola's thoracotomy allows to approach the pleural space with the only osteo-muscular sparing without any section of chest wall structures. With this kind of approach that we have been employing since twenty years, we report our experience about 82 cases recently operated on for both pulmonary and mediastinal disease. Unlike who don't consider this approach to allow adequate exposure of all endothoracic anatomic structures, it is our opinion that this thoracotomy not only allows every kind of operation in thoracic surgery, but is easy to perform and fast to repair. Moreover, postoperative pain is decreased, functional recovery is improved and patient can frequently be discharged earlier from the hospital with a very satisfactory aesthetic result.

Axilla↗