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At least 1,027 records · Page 57Linked to original sources
PubMed1981

Pancreatic fistula complicating pancreatectomy for malignant disease.

The incidence of pancreatic fistula in a series of 178 pancreatic resections was 25 per cent and was influenced by the type of pancreatectomy, the management of the remaining pancreas and the size of the pancreatic duct. Thus, fistulas appeared in 52 per cent of patients undergoing pancreatoduodenectomy as compared to only 7 per cent of those undergoing distal pancreatectomy (P less than 0.001). Ligation of the pancreatic, duct in pancreatoduodenectomy led to a 70 per cent incidence; the incidence was 33 per cent if the pancreas was anastomosed to the jejunum instead (P less than 0.001). Fistulas were rare in patients who had dilated pancreatic ducts. Fistulas, once they were established, were rarely influenced by treatment. One out of 5 patients developing pancreatic fistula died, while fistulas were responsible for half of the operative deaths. The study indicated that pancreatojejunostomy is safe in the presence of ductal dilatation; it does not, however, protect from fistula if the pancreatic duct is normal. It also indicated that radiation of the pancreatic remnant in selected patients with persistent fistulas might be a useful therapeutic alternative.

Duodenum↗
PubMedDate not supplied

Causes of abnormal right diaphragmatic position diagnosed by ultrasound.

Fifty patients with an abnormal right diaphragmatic position on posterior-anterior and lateral chest films and five patients following right thoracotomy were examined by ultrasound. The transabdominal and intercostal approach with the liver as an acoustic window was used. In all patients the cause for the change in the diaphragmatic position and the nature of an opacified right hemithorax after thoracotomy and pulmonectomy were identified.

Ascites↗
PubMed1979

The application of radioactive labeled leucocytes for the proof of inflammations.

The methods we have tested are reliable for the labeling of granulocytes and monocytes as well as with colloidal substances and with soluble 99mTc-phytate. Supravital colorations and electronmicroscopic pictures do not show any damage of the cells caused by the labeling procedures. In the clinical application after the reinjection of the labeled granulocytes and monocytes, inflammations in the abdomen and in the bone could be proved and localized exactly. A final evaluation of the described methods and its differentiation from other diagnostic possibilities will only be possible after further investigations.

Adolescent↗
PubMed1979

[Is total pancreatectomy still responsible treatment for chronic pancreatitis? (author's transl)].

A total of 61 pancreatectomies for chronic pancreatitis are reported. The operative mortality rate was 21% and the later mortality rate 29%, although caused by diabetes. The results are so poor that this method should only be performed in extreme situations. Left or right resection of the main inflammation site is proposed as an alternative. To prevent recurrence of the pancreatitis, the in situ remaining part of the pancreas should be sclerosed by occlusion of the pancreatic duct system.

Adult↗
PubMed1982

Gastroplasty for morbid obesity. Roentgen evaluation and spectrum of complications.

With the advent of autosuture devices, gastric partitioning procedures have recently become popular surgical treatment of morbid obesity. One such procedure is Gomez gastroplasty. Using an autosuture device a small gastric fundal pouch, having a reservoir capacity of 60 ml and communicating with the remaining stomach through a 12 mm stoma is created along the greater curvature of the stomach. A 3-0 polyprolene internal seromuscular suture is used to reinforce the stoma without incising the stomach. This gastroplasty is extremely attractive because of the disarming simplicity of the procedure and its noninterruption of the normal sequence of the digestive tract. This report is based on a joint review of 280 cases subjected to Gomez gastroplasty to combat morbid obesity. Postoperative radiological evaluation and the spectrum of observed complications are herein described.

Adolescent↗
PubMed1985

Catheter drainage of the left posterior subphrenic space: a reliable percutaneous approach.

Catheter drainage of left posterior subphrenic collections can be difficult because of lack of a safe access route. We have found that manual compression of the soft tissues of the posterior left flank can create a safe route for catheter drainage, which otherwise would not be possible. This report describes the technique we have used successfully in 8 cases.

Catheterization↗
PubMed1995

The retrospective study on high risk factors of subphrenic infection after hepatectomy.

In order to identify the high risk factors that determine subphrenic infection after hepatectomy, 187 liver resections performed during January, 1985 to December, 1990 in Department of Surgery of Tongji Hospital were reviewed. Thirteen patients developed subphrenic infection with the incidence of subphrenic infection being 6.95%. The results of retrospective study on 187 liver resections demonstrated that the high risk factors related to subphrenic infection after hepatectomy were as follows: (1) The extent of liver resection was associated with subphrenic infection. (2) The incidence of subphrenic infection after liver resection of primary liver cancer patients with hepatic cirrhosis was higher than that of non-cirrhotic patients. (3) Intraoperative estimated blood loss greater than 1500 ml was found to be a significant risk factor in the development of postoperative subphrenic infection. (4) Adequate postoperative drainage of subdiaphragm and the raw surface of the liver was one of critical factors of decreasing subphrenic infection after liver resection.

Adolescent↗
PubMed1976

Surgical management of pancreatic trauma.

Ninety-one patients treated for pancreatic injuries are reviewed. Difficulty of diagnosis, including the surgical management of these injuries and their complications, are discussed in detail. The presence of associated multiple injuries, delay in diagnosis, and lack of sound surgical principles of treatment are directly proportional to the rate of complication and mortality.

Adolescent↗