Περιεχομενα


Τόμος 22, Τεύχος 1
Ιανουάριος-Μάρτιος 2017


Ερευνητικές εργασίες
1Total gastrectomy for non-neoplastic diseases
N. Bjorn , A. Ainsworth , M. Bau Mortensen
Πλήρες Κείμενο | Περίληψη
Background: The aim of this study was to describe patients who had total gastrectomy for non-neoplastic diseases within a well-defined geographical area. Material and Methods: Retrospective study of patients who had gastrectomy for a non-neoplastic disease at the Department of Surgery, Odense University Hospital from 1 January 2005 to 31 December 2014. Results: A total of 268 gastrectomies were performed with the 10-year period. Of these, ten (4%) were done for non-neoplastic diseases. Two were men and eight women with a median age of 51 years (range 31 to 96 years). Six had emergency surgery and four were planned procedures. Four patients had no complications following surgery, whereas severe complications where seen in 6 patients, where anastomotic leakage occurred in 3 patients. Median length of postoperative stay was 21 days (range 6 to 98 days), and the 30-days and 90-days mortality was 1 of 10 and 2 of 10, respectively. Histology of the resected specimens showed: Oedema, inflammation and/or necrosis (n=6), Menetrier?s disease (n=2) and perforation (n=2). Conclusions: Gastrectomy for non-neoplastic diseases accounts for less than 5% of all gastrectomies. The majority of these cases are performed as emergency procedures, and this may explain why the morbidity and short-term mortality is higher than seen in patients having gastrectomy for cancer.
4Periampullary carcinoma: An audit of an institutional experience with literature review
B.R. Malla , G. Rodrigues
Πλήρες Κείμενο | Περίληψη
Background: Periampullary carcinoma constitutes a distinct entity as compared to the classical pancreatic head cancer. Diagnosis, management and prognosis have improved considerably in the last few decades. The present study looks into the modes of presen-tation in patients with periampullary carcinoma, the different modalities of investigations, treatment along with the postoperative morbidity and mortality. Material and Methods: A retrospective and prospective observational study was done at Kasturba Medical College, Manipal Universi-ty, India between January 2007 and December 2009 and patients diagnosed to have periampullary carcinoma were included. Results: A total of 48 patients were studied, out of which, majority, i.e., 26 (54.16%) had carcinoma head of pancreas. Eight (16.66%) patients had carcinoma of duodenum and eight (16.66%), carcinoma of ampulla of Vater. Thirteen (27.08%) patients with resectable tumors underwent pancreatoduodenectomy (Whipple?s operation) while remaining 13 (27.08%) underwent palliative bypass sur-gery. Post Whipple?s operation mortality was less than 10%. Conclusions: Periampullary cancers vary in outcome after potentially curative resections that are well standardized. Tumor biology may play a crucial role in these differences.
7Laparoscopic management of acute adhesive small bowel obstruction
B. Nana Oumarou , G.A. Bang , E.P. Savom , Y.M. Ekani Boukar , O. Oumarou , A. Essomba , M.A. Sosso
Πλήρες Κείμενο | Περίληψη
Background. Laparoscopic management of acute adhesive small bowel obstruction (SBO) has been shown to be feasible and advantageous. However, widespread acceptance and application is still not observed particularly in developing countries. We report the first Cameroonian series of laparoscopic adhesiolysis for acute adhesive SBO. Methods. From January 2010 to November 2014, a consecutive cohort of selected patients who underwent a laparoscopic management of acute adhesive SBO in the visceral and laparoscopic surgery unit of the National Insurance Health Center of Essos (Yaound?/Cameroon) was analyzed prospectively. Results. Ten patients were recorded among whom 6 female, with a mean age of 51,8 years. Appendicectomy was the most frequent past surgical history. In 8 cases, there was a single band. Nine of our ten procedures were completely managed laparoscopically and one procedure was converted to midline laparotomy. The mean operative time was 49, 4 min and the mean length of hospital stay 2, 5 days. With a mean follow-up period of 32,1 months, the post-operative courses were uneventful. Cocnlusion. Laparoscopic adhesiolysis of acute adhesive small bowel obstruction is feasible and safe by skilled surgeons in selected patients even in developing countries. We encourage our colleagues to practice this approach.
10Factors affecting mortality and morbidity after splenectomy in hematologic diseases
S. Damar , Y. Ya?mur , O. Karak?se , H. Eken , ?. Zihni , K. ?z?elik , H. P?lat
Πλήρες Κείμενο | Περίληψη
Aim: The aim of the present study was to examine the factors associated with mortality in patients who underwent splenectomy for treatment of hematological diseases. Materials and Methods: This descriptive study consisted of a retrospective evaluation of the hospital records of 48 patients who underwent splenectomy for treatment of hematological disease between January 2005 - November 2008 in the General Surgery Department of Dicle University, Faculty of Medicine. Results: Of the 48 patients included in the study, 56.2% (27 patients) were female and the mean age was 36.65 ± 15.58 years. 60.4% of the patients (N=29) had Chronic ITP and the mean hospitalization time was 7.31 ± 3.45 days. There was a statistically significant difference between the pre- and post-operative leukocyte and thrombocyte counts (p<0.001). 22.9% (N=11) of the patients had been given blood transfusions before the operation and 29.1% of the patients (N=14) had been given blood transfu-sions after the operation. Complications arose in 62.5% of the patients and mortality was not observed in any of the patients during hospitalization. Conclusion: Similar to other reports in the literature, splenectomy was determined to be safe in terms of mortality

Ενδιαφέρουσες περιπτώσεις
14Double Cystic Duct
D. Kostov , G. Kobakov , D. Yankov
Πλήρες Κείμενο | Περίληψη
Double cystic duct in a single gallbladder is one of the least common variances encountered
16Gigantic liposarcoma of the spermatic cord simulating an incarcerated inguinal hernia
M. J. Segovia , E. P. Zamora , A. Bianchi , X. G. Argente
Πλήρες Κείμενο | Περίληψη
The location scrotal level liposarcoma have a low incidence in adults. They are under-diagnosed preoperatively, having a form of presentation that can mimic other diseases. We report a case of a patient who comes to the emergency room for pain and a mass in inguinal region. With diagnostic orientation incarcerated inguinal hernia urgent surgical treatment is decided. During surgery inguinal hernia was not revealed, but a large mass of lipomatous and nodular appearance was observed. The final diagnosis was well-differentiated liposarcoma The differential diagnosis includes inguinal hernia, hydrocele, or testicular cancer. In our case, both preoperative tests and physical examination simulated a hernia incarcerated. Curative treatment is complete surgical resection with clear margins and including orchiectomy of the affected side.
18Giant posterior mediastinal goiter managed by cervical collar incision: A case report
A. Emre , S. Kayilioglu , T. Dinc , N. Yurttutan , I. Taner Kale , M. Sertkaya
Πλήρες Κείμενο | Περίληψη
Retrosternal goiters are mostly located in the anterior mediastinum, acording to literature, less often in the posterior mediastinum are located. Posterior mediastinal goiters can be removed to transcervical approach just as anterior mediastinal goiters. In spite of anterior localized goiters, surgical resection of the posterior mediastinal goiters have more complicated process and more frequently require sternotomy, thoracoscopy or thoracotomy approach. Extratranscervical approach when compared with cervical approach it has serious complications which can lead to higher morbidity and mortality. Those complications are variable and each one is specific to the patient. Here in we present a giant posterior mediastinal goiter case which grew into posterior mediastine extending to the azygous vein. Most of the retrosternal goitres transthoracic approach can be requirement, depending on the size and the elongation. In contrast, retrosternal goitres in some appropriate cases can remove successfully with standard cervical collar incision.

Πρακτικά Ημερίδας Β’ Χειρουργικής Κλινικής Α.Π.Θ. «Από τον όζο στον καρκίνο του θυρεοειδούς αδένα», 14/5/2017
21Ο θυρεοειδικός όζος και η κλινική σημασία του
Σ. Δελαρούδης
Πλήρες Κείμενο
24Εργαστηριακή διερεύνηση του θυρεοειδικού όζου
Φ.Η. Αδαμίδου
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26Αξιολόγηση υπερηχογραφήματος και ενδείξεις βιοψίας του θυρεοειδούς αδένα
Ε. Καρόγλου
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28Κατευθυντήριες οδηγίες για τη λήψη, ανάγνωση και ερμηνεία κυτταρολογικού υλικού
Χ. Ζιώγα
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29Αξιολόγηση της ιστολογικής εξέτασης του θυρεοειδούς αδένα
Ν.Βλαδήκα
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31Ενδείξεις χορήγησης ραδιενεργού ιωδίου
Β. Ζαχαροπούλου
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33Παρακολούθηση ασθενών με καρκίνο του θυρεοειδούς
Μ. Μπουντίνα
Πλήρες Κείμενο
34Προετοιμα?ζοντας» τον ασθενη? για την θυρεοειδεκτομη? - ενημε?ρωση χειρουργου?
Κ. Τουλής
Πλήρες Κείμενο
35Χειρουργική Αντιμετώπιση καλοήθων παθήσεων του θυρεοειδούς αδένα
Ν.Ρουκουνάκης
Πλήρες Κείμενο
36Χειρουργική αντιμετώπιση κακοήθων παθήσεων του θυρεοειδούς αδένα
Ι. Κουτελιδάκης
Πλήρες Κείμενο
38Επιπλοκές θυρεοειδεκτομής. Αποφυγή ? Αντιμετώπιση
Χ. Αγγέλη , Γ. Ν. Ζωγράφος
Πλήρες Κείμενο
40Αποκατάσταση φωνητικών επιπλοκών
Α. Πρίντζα
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Εκπαιδευτικό video
42Laparocopic Heller myotomy and Dor fundoplication for achalasia
B. Papaziogas , S. Kapoulas , G. Chatzimavroudis , I. Koutelidakis , D. Paikos , I. Moschos , S. Kalaitzis , T. Kaltsikis , E. Christoforidis
Πλήρες Κείμενο | video



Ειδικό άρθρο
43Historical aspects concerning the morphology and functions of the pericardium
G. Paraskevas , K. Koutsouflianiotis , K. Iliou , T. Bitsis , G. Chatzimavroudis , B. Papaziogas
Πλήρες Κείμενο

Επιστολές προς Εκδότη
46Methods of managing complicated cranium and skull wounds
F. F. Jaafar , S. Paramesvaran , R. Kumar , A.M. Zain , N. Basiron , F.H. Imran
Πλήρες Κείμενο