Laparoscopic approach for acute appendicular peritonitis: efficacy and safety: a report of 96 consecutive cases.

Several authors have demonstrated the feasibility and efficacy of the laparoscopic approach in the acute abdomen. The aim of this study was to evaluate the diagnostic performance and safety of laparoscopy as a routine approach in the management of appendicular peritonitis. This retrospective study included 96 consecutive cases of acute appendicular peritonitis.

[Is laparoscopic cholecystectomy effective and reliable in acute cholecystitis? Results of a prospective study of 221 pathologically documented cases].

From December 1989 to May 1995, a prospective study of laparoscopic cholecystectomy was carried out in our department, in order to assess the reliability and safety of this method in the case of acute cholecystitis. During this period, 1453 patients underwent laparoscopic cholecystectomy. Acute cholecystitis was diagnosed in 280 patients, based on clinical history and macroscopic lesions.

Laparoscopy for management of nontraumatic acute abdomen.

The diagnostic and therapeutic influence of laparoscopy has been studied in 255 patients presenting with nontraumatic acute abdominal pain. Laparoscopy provided a correct diagnosis in 93% (236 of 255) of the cases, the others requiring a laparotomy. An erroneous preoperative diagnosis was corrected by laparoscopy in 50 patients (20%), which called for a change of treatment in 25 patients (10%).

[Laparoscopic cholecystectomy in the elderly patient].

Biliary surgery in the elderly is associated with a high morbidity and mortality rate. The aim of this prospective study is to determine the complications or benefits of laparoscopic cholecystectomy in patients over 75. From December 1989 to July 1992, 60 women and 15 men, all aged over 75, underwent laparoscopic cholecystectomy.

[Value of celioscopy in non-traumatic acute abdomen].

The diagnostic and therapeutic value of laparoscopy in emergency was studied in 314 patients presenting with non-traumatic acute abdomen. Laparoscopy gave a correct and complete diagnosis of the underlying disease in 92% (290/314) of cases. An erroneous preoperative diagnosis was corrected by laparoscopy in 18% (58/314) of cases.

[Bilateral ureteral amyloidosis manifested by anuria].

Ureteral amyloidosis is an uncommon disease. It usually presents as an ureteral stenosis and resembles ureteral malignancy. The lesion consists of localized amyloidosis, containing lambda light chains, the etiology of which remains unknown.

[Fatal myocardiopathy due to adriamycin in spite of a reportedly non-dangerous cumulative dose].

We report a case that illustrates the risk of major, irreversible heart failure despite theoretically safe cumulative doses of adriamycin. We discuss risk factors for cardiotoxicity, predictive methods among which echocardiography is the most useful, and preventive measures. Data are still lacking concerning long term consequences on cardiac function.

[Anatomo-pathological diagnosis of neonatal malformations of the urinary tract. II. Excreto-urinary tract malformations].

Congenital anomalies of the urinary tract are of great pathological importance and account for about 10.9 per cent of all fetal and neonatal autopsies. This paper reports 17 cases of such lesions compiled from 156 consecutive autopsies of newborn infants performed during 33 months at C.

[Anatomo-pathologic diagnosis of neonatal malformations of the urinary tract. 1: Malformations of the kidney parenchyma].

Congenital anomalies of the urinary tract are of great pathological importance and account for about 10,9 per cent of all fetal and neonatal autopsies. This paper reports 17 cases of such lesions compiled from 156 consecutive autopsies of newborn infants performed during 33 months at C.H.

[Primary carcinoid of the larynx].

Primary carcinoid of the larynx is an extremely rare neoplasm. Only seven cases could be traced in the literature so far. The authors report another case in a 71 year-old male patient.

[Upper tract urothelial tumors following bladder tumors. Report of seven cases (author's transl)].

Among 138 new cases of bladder tumours treated between 1974-1979, 7 patients developed an upper urinary tract urothelial tumor, 2 after prostatocystectomy, 2 after radical irradiation curing the bladder disease, and 4 after multiple trans-urethral procedures. Four patients had a nephro-ureterectomy out of the 7 cases 3 died of their tumor, 2 before any procedure, and 4 are alive, 1 with diffuse metastatic disease.

[Abrikossof tumor in the esophagus].

Among the benign tumours of the oesophagus, the discovery of an Abrikossof tumour is exceptional. Although modern methods of investigation now permit recognition of this tumour and suspect its benign nature, only histology permits one to determine its precise nature, either by biopsy or by frozen section. Histogenetically, the schwann cell and histiocytic theories are not completely incompatible to the extent that they are considered from the point of view of general pathology, where there is evidence in favour of the mesoectodermic origin of the granular cell myoblastomas.

[Organ culture of human skin using dermis from cadavers].

An original method for organ culture of human skin epithelial cells using as a support human skin grafts obtained from the Human tissue Band of "C.H.R.