scholarly journals Clinical Analysis of 12 Cases of Colon Cancer Postsurgical Gastric Paralysis

1970 ◽  
Vol 1 (2) ◽  
Author(s):  
Mingming Su
Keyword(s):  
Colon Cancer ◽  
Surgical Treatment ◽  
Retrospective Analysis ◽  
Clinical Data ◽  
Metabolic Disorders ◽  
Radical Resection ◽  
Clinical Analysis ◽  
Diagnosis And Treatment ◽  
Multiple Factors ◽  
Non Surgical Treatment

Objective: To explore the causes, diagnosis and treatment of gastric paralysis after radical resection of colon cancer. Methods: A retrospective analysis was performed on the clinical data of 12 cases of patients with gastroparesis syndrome after colon cancer surgery in our department from January, 2011 to December, 2013. Results: Gastric paralysis after radical resection of colon cancer is caused by multiple factors and its incidence is linked to factors like nervous and mental factors, surgical traumas, post-surgical metabolic disorders and anesthesia drugs and other factors. All patients are healed with non-surgical treatment. Conclusions: Comprehensive and conservative treatments are carried out for gastric paralysis after radical resection of colon cancer and satisfactory curative effects can be obtained. Surgical treatment should be chosen carefully and considerately.

scholarly journals Cause Analysis and Diagnosis and Treatment of Intestinal Fistulas After Ultrasound-Guided Microwave Ablation of Abdominopelvic Lesions

2021 ◽  
Vol 8 ◽  
Author(s):  
Shuilian Tan ◽  
Xiaoling Yu ◽  
Zhigang Cheng ◽  
Jing Zhang ◽  
Jie Yu ◽  
...  
Keyword(s):  
Risk Factors ◽  
Surgical Treatment ◽  
High Risk ◽  
Clinical Data ◽  
Microwave Ablation ◽  
Diagnosis And Treatment ◽  
Ultrasound Guided ◽  
Cause Analysis ◽  
High Risk Factors ◽  
Intestinal Fistulas

Objective: To determine the cause and high-risk factors for the development of intestinal fistulas (IFs) after ultrasound-guided microwave ablation (MA) of abdominopelvic lesions, and to identify effective prophylactic and therapeutic actions.Methods: Clinical data were collected from patients with an IF after ultrasound-guided MA of abdominopelvic lesions in our hospital from January 1, 2010 to December 31, 2018. The cause, diagnosis, and treatment of IFs in these patients were analyzed.Results: Among 8,969 patients who underwent ultrasound-guided MA of abdominopelvic lesions, eight patients developed IF after MA, Seven patients were discharged after being cured and one died.Conclusion: Abdominopelvic lesions are close to the intestines, so histories of surgery, radiotherapy, and abdominopelvic infection are high-risk factors for IF development after MA of these lesions. Surgical treatment should be provided as soon as an IF is identified.

Retrospective Analysis of Non-Surgical Treatment of Acute Cholecystitis

2020 ◽  
Vol 21 (5) ◽  
pp. 428-432 ◽  
Author(s):  
Emmy R.I. Janssen ◽  
Tom Hendriks ◽  
Tinatin Natroshvili ◽  
Andreas J.A. Bremers
Keyword(s):  
Surgical Treatment ◽  
Acute Cholecystitis ◽  
Retrospective Analysis ◽  
Non Surgical Treatment

A retrospective review of treatment outcomes following definitive chemoradiotherapy or single modality radical radiotherapy among patients with locally advanced esophageal cancer.

2015 ◽  
Vol 33 (3_suppl) ◽  
pp. 196-196
Author(s):  
Ben A Fulton ◽  
Joanna Gray ◽  
Vivienne MacLaren ◽  
David McIntosh ◽  
Alexander McDonald ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Retrospective Analysis ◽  
Oesophageal Cancer ◽  
Locally Advanced ◽  
Disease Free Survival ◽  
Radical Radiotherapy ◽  
Tumour Staging ◽  
Definitive Chemoradiotherapy ◽  
Non Surgical Treatment ◽  
Single Modality

196 Background: Definitive chemoradiotherapy (CRT) has been advocated as an alternative to surgical resection for the treatment of locally advanced oesophageal cancer (OC). We have retrospectively reviewed 4 years experience of patients (pts) who underwent contemporary staging and were treated with concurrent chemoradiotherapy (CRT) or single modality radical radiotherapy (RT) with curative intent. Methods: Retrospective analysis permitted identification of consecutive pts who underwent contemporary staging prior to non-surgical treatment for oesophageal carcinoma. The primary outcomes were overall (OS) and disease-free survival (DFS), adjusted for baseline differences in age, tumour staging and histological cell type. All patients were treated with either definitive CRT or single modality RT within a single centre treated between 2009 and 2012. Results: We identified 135 pts in total (median age 69.8 yrs, male=130pts, female=105pts, Adenocarcinoma=85pts, Squamous=150pts). 190 pts received CRT and 45pts were treated with RT. All pts were staged with CT of chest, abdomen and pelvis, 226 pts underwent Endoscopic ultrasound (EUS) and 183 pts had PET-CT. Patients treated with CRT demonstrated longer OS (37 versus 25 months, p=0.02) and DFS (31 versus 16 months, p=0.01) compared to those treated with RT. More advanced tumour stage (stage 3 v stage 1-2) at presentation conferred poorer OS (32 versus 38.2 months) and DFS (11 versus 28 months, p=0.013). We demonstrated an acceptable toxicity profile with only 77 pts (32.8%) and 9 pts (4.2%) experiencing grade III or IV CTC toxicities respectively. Conclusions: This retrospective analysis is in keeping with current treatment paradigms emphasising the importance and safety of concurrent CRT in maximising curative potential for pts undergoing non-surgical treatment of oesophageal cancer. Although retrospective, in comparison to similar retrospective series from our centre, our data suggest improvements in OS and DFS, possibly due to improved patient selection through the use of more effective tumour staging.

scholarly journals Summary of the Experience in the Diagnosis and Treatment of Complex Preauricular Fistulas in 78 Children

2021 ◽  
Vol 7 ◽  
Author(s):  
Ying Xu ◽  
Dongjie Seng ◽  
Lan Jiang ◽  
Shengcai Wang ◽  
Xin Ni ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Plastic Surgery ◽  
Clinical Data ◽  
Diagnosis And Treatment ◽  
Good Effect

Objective: This study aimed to investigate the application of mini-incisions in complex preauricular fistula resection in children.Methods: A total of 78 children who were diagnosed with preauricular fistula infection between January 2017 and December 2019 were included in the study. Their clinical data were analyzed retrospectively, and surgical treatment with mini-incisions based on plastic surgery principles and techniques was provided.Results: All the patients achieved healing following the first application of the treatment. The patients were followed up for 6–42 months, and no recurrence or local auricular deformation occurred.Conclusion: The application of mini-incisions and plastic surgery techniques in complex preauricular fistula resection in children can achieve a good effect and improve the satisfaction of the children and their parents.

scholarly journals Surgical Treatment of Primary Intracranial and Extracranial Communicating Leiomyosarcoma with One Case Recurred

2021 ◽  
Author(s):  
zeyi wang ◽  
kuairong pu ◽  
wencai zhang ◽  
peng chen ◽  
dongchuan shao ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Effective Treatment ◽  
Hospital Discharge ◽  
Clinical Features ◽  
Clinical Data ◽  
Diagnosis And Treatment ◽  
Treatment Experience ◽  
Medical University ◽  
Surgical Operations

Abstract backgroundTo analyze and summarize the clinical features and diagnosis and treatment experience on primary intracranial and extracranial communicating leiomyosarcoma to deepen clinicians’understanding of the rare disease.Cases presentationThe clinical data and recurrence of a patient who was diagnosed with primary intracranial and extracranial communicating leiomyosarcoma admitted to the Neurosurgery Department, The Affiliated Ganmei Hospital of Kunming Medical University in May 2015 were retrospectively analyzed. According to the patient data, two successful surgical operations were performed and the surgeries went well, with more than 2-year and 8-month follow-up so far. No obvious complications were found after hospital discharge, and follow-up was continued.ConclusionsSurgical removal is the most important and effective treatment means for primary intracranial and extracranial communicating leiomyosarcoma currently.

scholarly journals Diagnosis and treatment of chronic colostasis in children with dolichosigmoid

2013 ◽  
Vol 94 (6) ◽  
pp. 831-838 ◽  
Author(s):  
Kh A Akilov ◽  
F Kh Saidov ◽  
N A Hodjimukhamedova
Keyword(s):  
Surgical Treatment ◽  
Virtual Colonoscopy ◽  
Sigmoid Resection ◽  
Blood Analysis ◽  
Diagnosis And Treatment ◽  
Morphological Examination ◽  
One Stage ◽  
Frequent Relapses ◽  
End To End ◽  
Non Surgical Treatment

Aim. To choose the proper tactics of constipation diagnosis and treatment in children with dolichosigmoid. Methods. 75 patents with various colonic diseases featured by constipation, were treated, dolichosigmoid was diagnosed in 36 (48%). All patients with dolichosigmoid were distributed to 3 groups. The first group included 22 (61.1%) patients with compensated stage, the second group - 9 (25%) with subcompensation, the third group included 5 (13.9%) patients with decompensated stage. The diagnosis was performed by anamnesis and results of clinical and laboratory examinations (blood analysis, urinalysis, stool analysis, intestinal microbiota test), fibrocolonoscopy was performed in 13 (36.1%), radiologic examination of colon - in 36 (100%), barium follow-through test - in 36 (100%), multispiral computed tomography with contrast media and virtual colonoscopy with 3D-reconstruction - in 8 (22.2%), sphincterometry - in 13 (36.1%), morphological examination of the biopsy samples obtained at fibrocolonoscopy - in 7 (19.4%), duplex ultrasonography of great intestinal vessels - in 9 (25%) of patients. Results. Out of 36 patients with dolichosigmoid, 29 (80.6%) received non-surgical treatment, remaining 7 (19.4%) children underwent surgery. One-stage sigmoid resection with colocolic end-to-end anastomosis formation was performed in 3 (8.3%) patients, one-stage left-sided hemicolectomy with colocolic end-to-end anastomosis formation - in 2 (5.6%), two-staged surgery - left-sided hemicolectomy with proctoplasty by Svenson-Chiatt-Isakov and colocolic end-to-end anastomosis formation - in 2 (5.6%). The best result was obtained in case of left-sided hemicolectomy, the sigmoid resection does not give a good result itself, with frequent relapses of constipation. Conclusion. The treatment of chronic colostasis should be started with non-surgical treatment, and only after rigorous evaluation; the indications for a surgical treatment are: subcompensated stage not responding to medical treatment and decompensated stage of the disease.

scholarly journals POSTOPERATIVE INTRAABDOMINAL COMPLICATIONS IN COLON CANCER SURGERY COMPLICATED BY BOWEL OBSTRUCTION AND PERFORATION OF THE TUMOR

2015 ◽  
Vol 174 (5) ◽  
pp. 98-104 ◽  
Author(s):  
S. A. Aliev ◽  
E. S. Aliev ◽  
B. M. Zeinalov
Keyword(s):  
Colon Cancer ◽  
Surgical Treatment ◽  
Postoperative Complications ◽  
Retrospective Analysis ◽  
Large Intestine ◽  
Bowel Obstruction ◽  
Abdominal Cavity ◽  
Cancer Surgery ◽  
Perioperative Prophylaxis ◽  
Colon Cancer Surgery

The article presents a retrospective analysis of the results of surgical treatment of postoperative intraabdominal complications in 42 patients with colon cancer complicated by bowel obstruction and perforation of the tumor. The pyoinflammatory processes such as peritonitis and abscesses of abdominal cavity took a leading place in the structure of postoperative complications according to the authors. Method of «closed» decompression and intraluminal irrigation of the large intestine without wide opening of organ lumen was developed and applied into practice as perioperative prophylaxis of pyoinflammatory processes. These measures allowed reducing the rate of postoperative intraabdominal complications from 19,2 to 7,7%.

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