Cirugía laparoscópica: consideraciones sistémicas y anestésicas / Laparoscopic surgery: systemic and anesthetic considerations

La cirugía laparoscópica es ya ampliamente aceptada debido a las menores molestias postoperatorias, rápida recuperación e incisiones más estéticas. La insuflación de la cavidad peritoneal con bióxido de carbono (CO2) en el transoperatorio produce cambios hemodinámicos cardiovasculares y pulmonares que deben tomarse en cuenta por las posibles complicaciones. En este artículo se hace una revisión de estos conceptos

[Mirizzi's syndrome: a rare cause of obstructive jaundice]. / Síndrome de Mirizzi: una causa rara de ictericia obstructiva.

We present five patients with Mirizzi syndrome diagnosed by ERCP. This syndrome is a rare cause of obstructive jaundice due to common biliary duct compression by a gallstone impacted in the cystic duct, neck of the gallbladder or Hartmann's pouch. Complications are bilio-biliary fistula, cholangitis and secondary biliary cirrhosis. Diagnostic methods, importance of preoperative diagnosis and surgical technics are reviewed.

[Crohn disease. Medico-surgical experience. A 10-year retrospective study]. / Enfermedad de Crohn. Experiencia médico-quirúrgica. Estudio retrospectivo de 10 años.

Crohn's disease is rare in Mexico. The regarding of this pathology at Gastrointestinal Unit of the General Hospital of Mexico city, between january 1980 and december 1989, is presented. There were six cases of Crohn's disease, two women (33%) and four men (66%). The definitive diagnosis was done preoperatively only in one case, the other were diagnosed postoperatively. In all, intestinal obstruction was the surgical indication. A patient died (16.6%), three cases were followed for 12 months, only two patients are still under surveillance after 15 months.

[Choledochal cyst. Review of the literature and presentation of a case]. / Quiste de colédoco. Revisión de la literatura y presentación de un caso.

A 20 years old female patient with a history of 15 years with intermittent abdominal pain, who was diagnoses as type I choledochal cyst at the Division of Gastroenterology at the Hospital General de Mexico SS is presented. The clinical studies, treatment and evolution of this case are discussed and a literature review is presented with special attention to the new diagnostic and therapeutical approaches.

[Esophageal rehabilitation]. / Rehabilitación esofágica.

We present a review of the esophageal rehabilitation proceedings support, doing emphasis in dilation, the most important point of the treatment. Also we review some historic aspects, indications, contraindications, as well as the complication of the procedures.