RESUMEN
AIM: The present retrospective study, which lasted about six months from the beginning of March to the end of August 2008, involved 60 patients suffering from symptomatic calculosis of the gall bladder. METHODS: The patients were operated on with laparoscopy: 30 with traditional instruments, 30 using ultrasound multifunctional scissors. RESULTS: The numerous advantages for the patient and surgeon are immediately evident; in addition, from the economic viewpoint the procedure is advantageous compared to the traditional method because single-use material is employed exclusively. We found less tissue trauma and a lower incidence of short-term complications, such as reoperation for faulty closure of the cystic duct and the cystic artery. It was never necessary to use permanent haemostatic clips. The use of a single instrument for gripping, sectioning and closing haematic and biliary vessels permitted faster, safer and more accurate surgery in the absence of any production of smoke. CONCLUSIONS: In lithiasic pathology of the gall bladder, videolaparoscopy for cholecystectomy is presently considered the operation of first choice. The technique enables the surgeon to respect to the utmost the patient's physical and mental integrity. As the third millennium dawns, technological innovation is able to bring a significant improvement to this procedure. The ultrasound dissector Ultracision is symbolic of development and constant progress.
Asunto(s)
Colecistectomía Laparoscópica/instrumentación , Colecistectomía Laparoscópica/métodos , Colecistolitiasis/cirugía , Terapia por Ultrasonido/instrumentación , Terapia por Ultrasonido/métodos , Colecistectomía Laparoscópica/economía , Humanos , Italia , Monitoreo Intraoperatorio , Estudios Retrospectivos , Resultado del Tratamiento , Cirugía Asistida por Video/métodosAsunto(s)
Trasplante de Médula Ósea , Trasplante de Células Madre Hematopoyéticas , Células Madre Hematopoyéticas/citología , Intestino Delgado/trasplante , Trasplante Homólogo/inmunología , Trasplante Homólogo/métodos , Animales , Células de la Médula Ósea/citología , Técnicas de Cultivo de Célula/métodos , Terapia de Inmunosupresión/métodos , Vértebras Lumbares/cirugía , Porcinos , Vértebras Torácicas/cirugíaRESUMEN
During CT scanning, a pancreatic lipoma was diagnosed in a 70 year-old woman presenting with abdominal pain, elevated amylase and abnormal liver function tests. The patient underwent surgical excision of the lipoma located in the head of the pancreas. The postoperative course was uneventful. This is the third case of pancreatic lipoma described in the literature. It is a very rare neoplasm that should be included in the category of "non-ductal" tumors of the pancreas. The role of different diagnostic tools for the differential diagnosis of ductal pancreatic adenocarcinoma is discussed.