RESUMO
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.
Assuntos
Carcinoma/cirurgia , Neoplasias Pancreáticas/cirurgia , Análise Atuarial , Adulto , Idoso , Idoso de 80 Anos ou mais , Anastomose em-Y de Roux , Anastomose Cirúrgica , Carcinoma/mortalidade , Feminino , Gastroenterostomia , Humanos , Jejuno/cirurgia , Fígado/cirurgia , Masculino , Pessoa de Meia-Idade , Pancreatectomia , Neoplasias Pancreáticas/mortalidade , Pancreaticoduodenectomia , Complicações Pós-Operatórias/epidemiologia , Estudos Retrospectivos , Esplenectomia , Taxa de SobrevidaRESUMO
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.
Assuntos
Neoplasias Gastrointestinais/cirurgia , Sarcoma/cirurgia , Análise Atuarial , Adulto , Idoso , Idoso de 80 Anos ou mais , Neoplasias do Colo/cirurgia , Neoplasias Duodenais/cirurgia , Feminino , Seguimentos , Gastrectomia , Humanos , Neoplasias do Íleo/cirurgia , Masculino , Pessoa de Meia-Idade , Omento/cirurgia , Pancreatectomia , Neoplasias Peritoneais/cirurgia , Prognóstico , Esplenectomia , Neoplasias Gástricas/cirurgia , Análise de Sobrevida , Taxa de Sobrevida , Resultado do TratamentoRESUMO
We have carried out a study into retinal sensitivity alterations in the course of primary open angle glaucoma to see if their appearance and evolution might be influenced by concomitant diabetes mellitus. The visual field examination (Perimeter Octopus 500 EZ, programme G1) indicated prevalent sensitivity defects in the superior hemifield, both in glaucoma only subjects and in those with diabetes as well. As to the inferior hemifield, a greater, statistically significant, retinal sensitivity defect was found in the inferior temporal quadrant of the left eye in the group of diabetics.
