RESUMEN
A glomus tumour situated at the posterior wall of the trachea in a 65-year-old man presenting with dyspnoea and haemoptysis is described. The tumour was excised with an Nd-YAG laser, with no visible recurrence a year later. This is the fifth reported case of tracheal glomus tumour.
Asunto(s)
Tumor Glómico/patología , Neoplasias de la Tráquea/patología , Anciano , Disnea , Tumor Glómico/cirugía , Hemoptisis , Humanos , Terapia por Láser , Masculino , Radiografía , Ruidos Respiratorios , Tráquea/patología , Neoplasias de la Tráquea/diagnóstico por imagen , Neoplasias de la Tráquea/cirugíaRESUMEN
A non-sleeve resection technique was used in 15 patients requiring reconstruction of the main or secondary carina because of malignant invasion. The technique, which can be employed only in cases of partial carina invasion, utilizes healthy bronchial tissue to cover the defect after resection. The operations comprised right pneumonectomy with reconstruction of the main carina (11 cases), left lower lobectomy with reconstruction of the secondary carina (2) and right upper lobectomy (1) and right lower bilobectomy (1), both with reconstruction of the upper lobe carina. There were no intraoperative deaths or major complications, except for one bronchopleural fistula. Six patients died after 20-month to 4-year observation, six are alive (2 with and 4 without malignant disease) after 6 months to 3 years, and three have survived for more than 5 years. These initial results that our "modified sleeve resection technique" is a reliable option when the carina is partially invaded.
Asunto(s)
Bronquios/cirugía , Neoplasias de los Bronquios/cirugía , Adulto , Anciano , Femenino , Humanos , Masculino , Métodos , Persona de Mediana Edad , NeumonectomíaRESUMEN
Experience is presented of 18 patients in whom surgical treatment of esophageal diverticulum included use of an automatic stapling device. Ten diverticula were pharyngoesophageal, three mid-esophageal and five epiphrenic. One-stage diverticulectomy with myotomy was performed in all cases. Postoperative follow-up was 6-66 months. The results were excellent, without early or late complications or recurrence.
Asunto(s)
Divertículo Esofágico/cirugía , Engrapadoras Quirúrgicas , Femenino , Estudios de Seguimiento , Humanos , Masculino , Persona de Mediana Edad , Complicaciones Posoperatorias/epidemiología , Complicaciones Posoperatorias/prevención & control , Factores de TiempoAsunto(s)
Circulación Asistida , Gasto Cardíaco Bajo/terapia , Circulación Extracorporea , Contrapulsador Intraaórtico , Adulto , Circulación Asistida/efectos adversos , Enfermedad Coronaria/cirugía , Circulación Extracorporea/efectos adversos , Femenino , Prótesis Valvulares Cardíacas , Hemodinámica , Humanos , Contrapulsador Intraaórtico/efectos adversos , Masculino , Persona de Mediana Edad , Complicaciones Posoperatorias/terapiaAsunto(s)
AMP Cíclico/análisis , Vagotomía/normas , Femenino , Gastrinas/análisis , Humanos , MasculinoAsunto(s)
Cardiomiopatías/complicaciones , Equinococosis/complicaciones , Embolia Pulmonar/etiología , Adolescente , Adulto , Cardiomiopatías/diagnóstico , Cardiomiopatías/etiología , Cardiomiopatías/cirugía , Equinococosis/diagnóstico , Equinococosis/cirugía , Equinococosis Pulmonar/etiología , Humanos , MasculinoRESUMEN
The effect of omental wrapping on the safety of intestinal anastomosis was studied experimentally in 12 dogs. In six animals serving as controls, complete division of the small intestine and immediate restoration of continuity was carried out, after rendering the intestinal segment ischemic by ligating the mesenteric vessels for a distance of 10 cm. In a second group of animals, the ischemic anastomosis was wrapped with a pedicled strip of omentum. Gangrene and peritonitis developed in all animals of the control group, whereas the omental graft afforded complete protection against leakage from the devascularized anastomosis and peritonitis in the test animals.