Arteriography in controlled hypotension.
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Angiography↗
Biomedical subjects
V Stancanelli
Publications and source records attributed to V Stancanelli.
Early gastric cancer: evaluation of diagnostic, clinicopathologic and therapeutic aspects in 60 cases.
A series of 60 patients with early gastric cancer (EGC) operated on from 1.1.1971 to 31.5.1983 is reviewed; since three cases had two and another case even had three synchronous primitive neoplastic lesions, a total of 65 EGC are reported. A prevalence of the "ulcerated" types, a large variability of lesion size and a prevalence of location along the lesser curvature and the antrum was observed; 38 EGC (58.46%) were confined to the mucosa (m), 27 (41.54%) also involved the submucosa; histologically, 53 EGC (81.54%) were of the intestinal type, and 12 (18.46%) were of the diffuse type. Associated lesions, above all chronic atrophic gastritis, intestinal metaplasia and adenomatous gastric polyps were often found. Clinical symptoms were not very specific (epigastric pain, abdominal distension, vomit, dyspepsia, GI hemorrhage) whereas x-ray and endoscopic evaluation had a very high diagnostic accuracy. Our policy is to perform curative resection for gastric cancer, in the form of partial or total gastrectomy with the removal of first level (n1) and second level (n2) lymph node groups and occasionally additional resection of enlarged lymph nodes in the tertiary (n3) group when metastases are suspected. All our patients have been followed up in order to detect any recurrences or metastases.
Adult↗
[Laparoscopic repair of bilateral and/or recurrent inguinal hernia].
The Authors report their three-year experience in the laparoscopic management of bilateral or recurrent hernia using a polypropylene mesh through a transabdominal extraperitoneal approach: out of a total of 500 laparoscopic hernioplasties performed, 162 patients with bilateral hernias and 51 with recurrent hernia underwent this procedure. In bilateral hernias a single wide patch was used to cover both the myopectineal foramen, therefore performing a Stoppa procedure by laparoscopy. Two major complications were registered in this series: 1 bleeding and 1 intestinal obstruction, both managed laparoscopically. Minor complications were: 2 cases of neuralgia and 6 seromas which required single or multiple evacuations. Patients were carefully followed up (1-31 months), and no relapses were recorded. Although the follow up is still too short, the Authors stress the characteristics of this technique which shows great advantages mainly represented by a good compliance, quick return to normal work and sport activity; in fact, recovery is obtained in a shorter period as compared to traditional surgery even when the latter includes the use of prosthetic mesh.
Adolescent↗
Pain therapy in elderly cancer patients.
In most (65-80%) cancer patients at an advanced stage of illness we find significant, invalidating symptoms of pain. Cancer pain is a complex pain (with a nociceptive, neuropathic and deafferentation component), which requires a multidisciplinary approach (surgery, radiochemotherapy, and pain therapy). Pain therapy has various pharmacological strategies at its disposal (opiates, anti-inflammatory and adjuvant drugs) together with modulation and neurodestructive techniques, which must be applied taking account of both the stage of the disease and the pain intensity. In elderly patients, a careful, tailored management of pharmacological therapy is required. In older age, personality disorders are also to be found (anxiety, depression, hypocondria and feeling of abandonment), which make therapy more complex and varied. Knowledge of these problems will, however, make it possible to control cancer pain in elderly patients to the best possible effect and improve the quality of life in the advanced and terminal stages.
Aged↗