Staged laparoscopic adjuvant intraperitoneal chemohyperthermia after complete resection for locally advanced colorectal or gastric cancer: a preliminary experience.

Background: Cytoreductive surgery followed by intraperitoneal chemohyperthermia (IPCH) is a promising treatment for patients with peritoneal carcinomatosis, a disease with dismal prognosis.

Methods: We describe our preliminary experience with staged adjuvant laparoscopic IPCH after complete resection in patients with locally or regionally advanced colorectal or gastric cancer.

Results: Twenty-one patients underwent resection for colorectal (N = 16) or gastric cancer (N = 5) followed by staged laparoscopic IPCH.

[Retroperitoneal cystic lymphangiomas in adults: four case reports and review of the literature].

Retroperitoneal location of cystic lymphangiomas in adult patients is rare. Their clinical presentation is not specific. Magnetic resonance imaging is the best radiological exam for the diagnosis.

Appendiceal abscess revealed by ureteral stenosis and hydronephrosis.

Acute appendicitis presenting with ureteral stenosis and hydronephrosis is very rare. Here, we report the case of a patient who had complicated acute appendicitis with perforation and abscess resulting in right pyeloureteral dilation.

[Elective laparoscopic colectomy in uncomplicated diverticulitis: when should surgery be performed].

Introduction: Surgical resection in acute diverticulitis is indicated after 2-4 episodes, as well as in patients with associated processes. However, the optimal time to perform elective surgery remains to be determined. Compared with open surgery, elective laparoscopic colectomy is associated with fewer postsurgical complications in patients with uncomplicated acute diverticulitis.

Laparoscopic two-stage left colonic resection for patients with peritonitis caused by acute diverticulitis.

Purpose: Purulent or fecal peritonitis is one of the most serious complications of acute diverticulitis. Up to one-fourth of patients hospitalized for acute diverticulitis require an emergent operation for a complication, including abscess, peritonitis, or stenosis. Open Hartmann's procedure has been the operation of choice for these patients.

Perforation of the rectum and colon during barium enema examination. Report of four cases.

Background: The barium enema examination (BEE) is an important diagnostic study and considered to be safe without adverse effects. Perforation of the bowel is rare but is the most frequent complication of BEE and can be life-threatening.

Study Design: We report four cases of barium extravasation due to BEE treated at our institution, three rectal perforations and one perforation in the descending colon.