Recurrence of mitotically active cellular fibroma of the ovary.

Background. 10% of ovarian fibromatous tumours typically exhibit increased cellularity, mitotic activity, and less frequently nuclear atypia. Therefore, the classification within the group of fibromatous tumours may represent some difficulties, thus, one or several of these features should appear.

Surgical attitude towards carcinoid tumour of the appendix. Review of the literature.

Carcinoid tumours of the gastrointestinal tract are most frequently located at the appendix. We report two cases: In the first case, we realized a simple appendicectomy. In the second case, two weeks after the appendicectomy was performed, according to the histological characteristics of the tumoral specimen, the patient underwent a laparoscopic right hemicolectomy with regional lymphadenectomy.

Squamous cell carcinoma of the esophagus: multimodal therapy in locally advanced disease.

The aim of this prospective study is to report our experience in the multimodal management of locally advanced esophageal squamous cell carcinoma (LAESC; stage III cTNM), focusing on the results of chemoradiotherapy followed by surgery. These findings were compared to the results of a standard group of patients with locally advanced esophageal carcinoma (LAEC; stage III pTNM) treated in our center with surgery alone. Sixty-one patients with LAESC underwent preoperative chemoradiotherapy (5-fluorouracil + cisplatin) with concomitant 45 Gray radiotherapy in a 5-week course.

Guidelines to laparoscopic management of acute cholecystitis.

Objective: The present work aims at identifying preoperative variables that may help the surgeon choosing the most appropriate operative approach in various clinical presentation of acute cholecystitis.

Summary Background Data: Conversion rates up to 60% have been reported for laparoscopic management of acute cholecystitis. Previous works indicate that the severity of the gallbladder inflammatory process represents the main cause of laparoscopic conversion.

Mucinous cystadenocarcinoma of the appendix. A rare tumour of the right iliac fossa.

A case of mucinous cystadenocarcinoma of the appendix is presented. The clinical feature is a painful syndrome of the right iliac fossa. In our observation, the diagnosis was not allowed by preoperative imaging.

Cranio-facial and humeral melorrheostosis.

First described by LERY and JOANNY in 1992, melorrheostosis is an uncommon linear hyperostosis of unknown aetiology, which may be associated with soft tissures changes. Although all bones may be affected, cranio-facial involvement is very rare. Only six such cases have been found in the literature.

Laparoscopic repair of perforated duodenal ulcer. A prospective multicenter clinical trial.

Background: A series of 100 consecutive patients with perforated peptic ulcer were prospectively evaluated in a multicenter study. The feasibility of the laparoscopic repair was evaluated.

Methods: All patients had peritonitis, 20% were in septic shock, and 57% had delayed perforation.

[Indications for and limitations of celioscopic digestive surgery].

Digestive laparoscopic surgery, which appeared in 1987, has developed rapidly, and has effected many procedures. After seven years, the time has come for surgeons to analyse whether their operative results are conclusive in justifying the continual use of this surgical procedure. If laparoscopic surgery respects the basic principles of conventional surgery, it should increase the patient's comfort during the postoperative period.

Elective cholecystectomy without drainage and without prophylactic antibiotics. A prospective randomized trial with clinical and bacteriological aspects.

A consecutive series of 50 patients undergoing elective cholecystectomy without prophylactic antibiotics entered a prospective randomized trial to compare the post-operative clinical course whether the subhepatic space was drained or not. 26 patients (mean age 58 yrs) were drained and 24 patients (mean age 59 yrs) were not. The incidence of positive gallbladder bile cultures were respectively 8 and 19% (N.

[Jejunal perforation indicating the metastatic extension of a bronchial neoplasm].

After curative pneumonectomy for bronchogenic carcinoma, the first sign of generalization was a peritonitis secondary to the perforation of a jejunal metastasis. The authors review the frequency and etiology of this type of intestinal metastasis as well as the mechanism of perforation.

[Analysis of 66 cases of colorectal side-to-end anastomosis by the Baker method].

From 1976 to 1985, 66 elective side to end colorectal anastomosis according to Baker's technique were performed. 36 of those 66 anastomoses (54.5%) were performed lower than 10 cm from the anal verge.

[Clinical trial of Trive 1000 in long-term parenteral nutrition (author's transl)].

The authors report a study of long-term parenteral nutrition with a homogeneous media (produce? Solution?) containing glucido-lipidic calories and essential amino-acids. This solution has the advantage of an easy dosage of the number of calories and of grams of nitrogen to administer; it also decreases the risks of bacterial contamination from "handicraft" mixing and excessive manipulations.