[Thymostimulin immunoprophylaxis in elective abdominal surgery]. / Immunoprofilassi con timostimolina in chirurgia addominale d'elezione.

The Authors report their experience of 121 patients who had undergone an elective abdominal operation and who had been previously considered under an immunological point of view and classified as anergic. The Authors have found a notable reduction of postoperative infection incidence in the 61 anergic operated patients who have been treated with Thymostimulin; they conclude by underlining the importance of careful consideration and eventual correction of immunological alterations of the patients of the patients who must undergo an operation.

[Current considerations on papillosphincterotomy]. / Considerazioni attuali sulla papillosfinterotomia.

A clinical review of 11 years of surgery of the sphincter of Oddi is presented. 106 patients underwent operations on the papilla because of cholodocholithiasis, stone impacted in the papilla, papillitis. The authors show the most meaningful statistical data and express their own preference for papillosphincteroplasty rather than other types of operations. They finally stress the importance of a careful evaluation of the actual indications for this type of surgery.

Cholecystectomy without drainage: a dilemma?

A retrospective study was carried out to show the uselessness of routine drainage after simple cholecystectomy. Cholecystectomy was performed in 1,425 patients with cholelithiasis; 164 (13 percent) were drained because of adhesions, concomitant pancreatitis, inadvertent injury, gangrene, empyema and perforation of the gallbladder. None of the complications for which the use of drainage after simple cholecystectomy is commonly advised were observed in any of the 1,261 patients without drainage.

[2 cases of juvenile metachronous cancer of the colon]. / Considerazioni su due casi di cancro metacrono giovanile del colon.

Two cases of cancer of the colon developed in young people and successively reproduced in another part of the large bowel are reported. The authors describe the two cases in the aim of remembering, besides the originality of this pathology, the importance, for the physician, to take in mind this opportunity and the possibility that these tumors develop as occupational diseases depending on environmental factors.

[Simple cholecystectomy without drainage. A dilemma?]. / La colecistectomia semplice senza drenaggio. Un dilemma?

A retrospective study was carried out to show the uselessness of the routine employment of the drainage after simple cholecystectomy. 1425 patients underwent cholecystectomy because for cholelithiasis; of these 164 (13%) were drained because of adhesions, concomitant pancreatitis, inadvertent damage, empiema, gangrena and perforation of the gallbladder. In no case of the 1261 patients without drainage it has been possible to demonstrate the presence of one of those complications for which the use of a drainage after simple cholecystectomy is commonly advised.

[Primary cancer of the gallbladder. Presentation of 54 cases]. / Il cancro primitivo della colecisti. Presentazione di 54 casi.

The Authors shortly describe some of the main aspects of the primitive cancer of the gallbladder and then expose their 54 cases referred to the last 16 years. Upon it they discuss two points concerning the actual position of surgery of these tumors and the meaning of the cancer-cholelithiasis relation. They finally conclude that notwithstanding the introduction of sofisticated radiological techniques, diagnosis has not recorded improvements in precocity and remember the usefulness of every laparotomy in individuals 50 years over.