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Aim: To assess the feasibility and safety of laparoscopic cholecystectomy (LC) in very elderly patients with particular attention to the predicitive factors of difficulty.
Patients And Methods: All patients aged ≥ 80 undergoing elective LC for lithiasis at our institution since 1st January 2015 to 31st December 2015 were included in the study. Exclusion criteria were: a) acute cholecystitis; b) biliary pancreatitis; c) biliary tract neoplasms; d) urgent procedure.
[A rare case of cholostasis from tuberculotic infiltration of Vater's ampulla].
Minerva Gastroenterol Dietol
March 2000
Azienda USL n. 2--Lucca, Unità Operativa di Medicina Generale.
A rare case of cholostasis from tuberculotic infiltration of the Vater's ampulla is described and was observed in a patient 83 years old. The diagnosis was made at operation after a positive radiologic evidence of an oddian stenosis with cholostasis and an important dilatation of the bile ducts. The surgical operation and the antituberculotic therapy allowed to overcome the cholostasis and the specific infection of the patient and to improve his quality of life and to prolong his survival.
View Article and Find Full Text PDF[Gallbladder agenesis in the laparoscopic era: report of a case].
Ann Ital Chir
March 2000
Divisione di Chirurgia Generale, Prestidio Ospedaliero di Lanciano.
The authors report an observed case and re-examine the incidence of this defect; they underline the possibility of the diagnosis during the fetal age and the association with one o more defects, sometimes incompatible with the life; in the adult, on the contrary, may be evidence of an associated litiasic pathology of the ++epato-choledocus or of the stenosis of the oddian sphincter. On the base of the diagnostic previous experiences, they elaborate the proposal of an algorythm and underline the utility of a laparoscopic diagnosis either in the pre-operative doubious cases or in the intra-operative diagnosed cases.
View Article and Find Full Text PDF[Immediate and long-term results of endoscopic or surgical Oddi sphincterotomy in the treatment of lithiasis of the common bile duct].
J Chir (Paris)
January 1990
Cattedra di Semeiotica Chirurgica la, Viale Benedetto, Gênes, Italie.
Ninety-one patients with choledocholithiasis were admitted for endoscopic (51 cases) or surgical (40 cases) sphincterotomy of Oddi's muscle, and were followed up on a yearly basis thereafter for a period spanning 1 to 5 years. The study protocol included clinical examinations, ultrasonographic investigations and biochemical tests. The post-surgery mortality rate was 3.
View Article and Find Full Text PDFBetween 1959 and 1987 we operated on 18 patients for malignant oddian tumor. Eleven had a Whipple resection, 3 a bilio-enteric anastomosis, 4 a local excision with or without bilio-enteric anastomosis. The overall operative mortality was 11% and the median survival was 13.
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