[Blood constituents and senile cataract].

In cataractous older age group subjects, different blood constituents have the mean concentrations and standard deviations within normal limits but, of course, differing significantly from the corresponding means in the control population. Various morphological types of senile cataract have different risk factors. The mechanisms underlying the associations between different blood constituents with different patterns of lens opacification remain to be elucidated.

[Retroperitoneal tumor].

This paper presents the case of a 69 year old patient who has a benign retroperitoneal tumor (lipofibroma) presenting differential diagnosis problems (in special preoperative one, and intraoperative technique difficulties, revealing the fact that, in this case, paraclinical investigations have an orientative value, without offering etiologic information, and do not allow a clear preoperative strategy. Tumor resection was performed under an intraoperative histologically diagnosis of lipofibroma of the retroperitoneal region. Postoperative evolution was good.

[The importance of forseeing and early diagnosis of thromboembolic disease].

The aim of this study is to assess the incidence of thromboembolism in laparoscopic cholecystectomies. 100 unselected patients undergoing laparoscopic procedures performed by the same team were studied. All patients received preoperative prophylaxis with low/molecular weight heparin (LMWH), which was continued until full mobility.

[Gall bladder carcinoma].

The study comprises a lot of 989 cholecystectomies for gall bladder lithiasis performed in the First Surgery Clinic of the University Emergency Hospital of Bucharest throughout three years and a half (2000-June 2003). Half out of them--493 cases (50%)--were laparoscopic interventions. All of the organ material was submitted to pathological examination.

[Hereditary pancreatitis].

We present the cases of three brothers (a woman and two men) with recurrent attacks of necrotic acute pancreatitis that were treated in our clinic. Two of them have diabetes mellitus controlled through insulin treatment. All patients have presented the first episode of acute pancreatitis around age of 35.

[Laparoscopic cholecystectomy during pregnancy].

Cholecystectomy is after appendectomy the second most frequent surgical procedure made in pregnant women. The operation is indicated in all cases of symptomatic gallbladder stones which do not respond to medical treatment and all complicated forms such as acute cholecystitis or acute pancreatitis. Laparoscopic cholecystectomy, considered in the beginning as a high risk procedure both for mother and child, is nowadays safer and useful comparing to open surgery.

[Gastric stromal tumors--Clinical and histopathological analysis of four cases].

Background: The aim of this study is to present our experience concerning a rare form of gastric tumor--gastrointestinal stromal tumor (GIST).

Methodology: We reviewed data of four patients with gastric stromal tumors, which have been admitted in our department from 1998-2002.

Results: There were two females and two males with age of 75, 70, 65 and 63 years old.

[Laparoscopic cholecystectomy of cirrhotic patients].

In a period of 9 years in our clinic were performed 18 laparoscopic cholecystectomies (1.5%) at cirrhotic patients. In most of the cases (16) cirrhosis was diagnosed intraoperative.

[Technic, indications and contribution of choledochoscopy in the diagnosis and treatment of biliary diseases].

Choledochoscopy it's a common method of intraoperative exploring of the extrahepatic biliary ducts and partially of the intrahepatic ones. He is used both in the open and laparoscopic surgery. We consider the operative cholangiogram, preferably transcystic, as a first step who precedes the endoscopic exploration.

[Ascites--a complication of chronic alcoholic pancreatitis].

We present the case a 44 year old patient previously diagnosed with chronic alcoholic pancreatitis with pancreatic ascites during hospitalization in the Gastro-Enterology department. As the conservative therapy performed for 21 days was not effective in diminishing the ascites, the patient was admitted in our Surgical Department and scheduled for surgical intervention. He was operated and we discovered a small dimension cyst (7/4 cm) developed in the body and tail of the pancreas, fistulized in the peritoneal cavity through an outlet positioned below the insertion of the mesocolonum transversum, fairly close to the duodeno-jejunal angle.

[Intestinal tuberculosis--cause of acute surgical abdomen].

Tuberculosis, in its various forms, remains an important cause of morbidity and mortality in developing countries in immunodeficitary patients. The indicatives of epidemiology of tuberculosis show that Romania presents a fresh outbreak of the disease in the last few years. The purpose of this paper is to present from the various forms of extrapulmonary tuberculosis, the intestinal tipe which have a high incidence.

[Therapeutical difficulties in a patient with TB panuveitis and open angle glaucoma].

The article present the case of a young female patient showing TB panuveitis associated with primary glaucoma, as well as all the implications of the symptomatic and ethiological treatment of TB panuveitis on the increased intraocular pressions (IOP). There are also underlined the difficulties of maintaining the IOP between normal ranges under combined therapy for glaucoma.