Acute appendicitis--open or minimally-invasive approach?

Background: Although laparoscopy has become the standard approach in other procedures, this technique is not generally accepted for acute appendicitis.

Aim: To evaluate the results after minimally invasive appendectomies.

Methods: All medical records of patients operated for acute appendicitis during the last year were retrospectively reviewed.

[Pancreaticoduodenectomy with or without pylorus preservation: a retrospective analysis of 137 patients].

Objective: We performed a retrospective study to assess the postoperative results, long-term survival and quality of life after pylorus preserving pancreaticoduodenectomy (PPPD) versus standard Whipple pancreaticoduodenectomy (WPD).

Methods: A retrospective study was performed in a nonselected series of 137 patients who were operated in the Surgical Clinics of "St. Spiridon" University Hospital Iaşi, Romania, from January 1st, 1995 till December 31, 2005.

[Gastric stromal tumor. Case report].

Unlabelled: Gastrointestinal stromal tumors (GIST) are the most common mesenchymal tumors of the gastro intestinal tract and express the c-kit proto-oncogene protein (CD-117). We report herein a case of a 58 years old male with upper abdominal pain and anaemia. Preoperative endoscopic and barium meal exams showed a submucosal tumor in the gastric fornix.

[Necrotizing fasciitis].

The management of a right foot necrotizing fasciitis and severe sepsis in an old diabetic patient is presented. The early and aggressive surgery, adequate antibiotherapy and correction of organic disfunction (cardio-circulatory, renal, respiratory) eliminated the vital risk and resulted in a satisfactory morpho-functional recovery of the foot.