Background: Advanced cutaneous T-cell lymphomas (CTCL) are rare, generally refractory to therapeutic options, and have a poor prognosis. Haematopoietic stem cell transplantation (HSCT), mainly allogeneic HSCT (allo-HSCT), is considered a potentially curative option in CTCL refractory to other therapies. However, around half of patients relapse, and allo-HSCT is associated with significant adverse events.
View Article and Find Full Text PDFOne-hundred and twenty-seven consecutive patients with acute cholecystitis were operated using laparoscopic technique. Average Surgical operating time was 113 minutes with an average of 127 minutes if operative cholangiogram was performed and 96 minutes when cholangiogram was not done. Technical difficulties related to gallbladder edema and hyperemia was seen in all cases (100%), also poor exposure and difficulty in grasping the gallbladder in 87%.
View Article and Find Full Text PDFThe cholecystectomy by video laparoscopy has made a big revolution in biliary surgery during de last three or four years. We present the first 25 cases with acute cholecystitis operated on by this technique with very low morbidity a convalescence period and hospitalization time inferior to the one expected for open cholecystectomy and a conversion to open laparotomy in a relatively low percentage of the cases. In order to perform this procedures a basic training in surgery and laparoscopy is necessary groups of surgeons that work coordinated with adequate instrumentation as well as experience in laparoscopic cholecystectomy in non acute cases is always necessary.
View Article and Find Full Text PDFThe cholecystectomy by video-laparoscopy has made a revolution in biliary surgery. We present the first 100 cases operated with this technique in acute and chronic cholecystitis. Eighty five percent (85%) with admissions of less than 24 hours, a low morbidity and convalescence period of less than seven days.
View Article and Find Full Text PDF