RESUMEN
A series of 311 consecutive patients undergone surgery for pancreatic carcinoma in the Department of General Surgery from July 1979 to March 2003. We performed 41 standard pancreaticoduodenal resections (13%: 30 DCP, 2 total pancreatectomies, 9 splenopancreatectomies), 235 by-passes (75.5%: 114 Roux-en-Y hepaticojejunostomies, 99 hepaticojejunostomies with GEA, 22 GEA), 35 explorations and biopsy (11.2%: 28 LE and 7 VLS). Mortality rate was: 2.4% in Resection, 3.7% in BB(+)-GEA, 18.8% in GEA, 0% in LE-VLS. Morbidity rate was: 43.9% in resection (pancreatic fistula 21.9, haemorrhage 12.1, pneumonia 4.8, infection and delayed gastric emptying 2.4), 10.3% in BB(+)-GEA, 27% in GEA, 5.7% in LE. Actual survival rate was at 3 and 5 years after resection 9.7% and 4.8% respectively with median 18 months; mean survival was after by-pass 11 months (min 3, max 38) with median 9 months.
Asunto(s)
Carcinoma/cirugía , Neoplasias Pancreáticas/cirugía , Análisis Actuarial , Adulto , Anciano , Anciano de 80 o más Años , Anastomosis en-Y de Roux , Anastomosis Quirúrgica , Carcinoma/mortalidad , Femenino , Gastroenterostomía , Humanos , Yeyuno/cirugía , Hígado/cirugía , Masculino , Persona de Mediana Edad , Pancreatectomía , Neoplasias Pancreáticas/mortalidad , Pancreaticoduodenectomía , Complicaciones Posoperatorias/epidemiología , Estudios Retrospectivos , Esplenectomía , Tasa de SupervivenciaRESUMEN
In our Department of General Surgery 34 patients underwent surgery for GIST from 1983 to 2002. In stomach (21 cases) we performed: 7 local resections, 7 partial gastric resections, 5 total gastrectomies, 1 total gastrectomy + splenopancreatectomy, 1 diagnostic laparoscopy with biopsy. In small bowel (5 cases) we performed a typical intestinal resection, while in colon localization (4 cases) 2 anterior colorectal resections and 2 right partial colectomies. In duodenal and omental localization (2 cases each) we performed local resection. There was no operative mortality or morbidity. Actual survival is 67.6%. Prognostic prediction on the basis of histological findings is difficult, thus after surgery we suggest a long last follow-up.
Asunto(s)
Neoplasias Gastrointestinales/cirugía , Sarcoma/cirugía , Análisis Actuarial , Adulto , Anciano , Anciano de 80 o más Años , Neoplasias del Colon/cirugía , Neoplasias Duodenales/cirugía , Femenino , Estudios de Seguimiento , Gastrectomía , Humanos , Neoplasias del Íleon/cirugía , Masculino , Persona de Mediana Edad , Epiplón/cirugía , Pancreatectomía , Neoplasias Peritoneales/cirugía , Pronóstico , Esplenectomía , Neoplasias Gástricas/cirugía , Análisis de Supervivencia , Tasa de Supervivencia , Resultado del TratamientoRESUMEN
In the present study the structure of obsessive-compulsive phenomena in non-clinical adolescents was investigated by 'The Padua Inventory' (PI). The PI is a self-report measure of obsessive and compulsive symptoms which is used in clinical and research settings. The use of PI in adolescents has been limited by the lack of normative data. Consequently, adolescent validation has both theoretical and practical implications. PI was administered to 566 normal Italian high school subjects, ranging in age from 15 to 18 years. The mean total score of PI and the mean score of 'mental activities', 'becoming contaminated' and 'urges and worries' sub-scales points to significant differences between males and females. Females reported more obsessions and cleaning rituals than males. Males show more urges and fears than females. Moreover, our data underline that younger subjects get higher mean scores than older subjects in all scales.
