The impact of splenic weight on laparoscopic splenectomy for splenomegaly.

Background: Enlarged spleens increase the technical difficulties associated with laparoscopic splenectomy (LS). The aim of this study was to analyze the impact of splenic weight on the results of LS.

Methods: We performed a prospective analysis of 20 LS for splenomegaly and 40 LS for normal spleen in terms of intraoperative and early postoperative outcome.

Intraoperative cholangiography in laparoscopic cholecystectomy during residency in general surgery.

Background: The role of laparoscopic intraoperative cholangiography (IC) in the diagnosis of asymptomatic choledocholithiasis is still controversial. The aim of this study was to evaluate the diagnostic-therapeutic impact and the educational implications of this method for residents specializing in general surgery.

Methods: We reviewed the records of 835 patients who underwent laparoscopic cholecystectomy for cholecystolithiasis without choledocholithiasis.

Elective transumbilical compared with standard laparoscopic cholecystectomy.

Objective: To compare the transumbilical technique of laparoscopic cholecystectomy with standard laparoscopic cholecystectomy.

Design: Randomised open study.

Setting: Teaching hospital, Italy.

Primary lymphoma of the liver: a case report and review of the literature.

Primary lymphoma of the liver (PLL) is a rare disease and estimation of the real number of cases may be difficult because strict diagnostic criteria for the definition of a primary lesion are quite often not followed. We report here on a case of a patient affected by PLL who underwent successful surgical resection of the lesion followed by chemotherapy and autologous bone marrow transplantation. The patient is alive and disease free 62 months after resection.

[Trans-umbilical cholecystectomy: a new laparoscopic cholecystectomy technique. Description of the technique and preliminary results].

The aim of videolaparo-cholecystectomy is to achieve a good results with minimal surgical trauma. Recently there has been an evolution of this technique toward the progressive reduction of trauma with an improvement of the results, also from the aesthetical point of view. In this article we describe our new videolaparo-cholecystectomy technique.