J Ruiz-Tovar

..The postoperative period was uneventful and the patient was discharged from the hospital five days later. A sumbmucous colonic lipoma was diagnosed in the pathological study...

..The patient underwent a second operation with resection of the gallbladder bed and lymph node dissection of the hepatic hilium, without evidence of neoplastic infiltration...

..To our knowledge, only five cases of laparoscopic resection of retroperitoneal ganglioneuroma have been previously reported...

..5 in Group 1 versus 1.5 in Group 2 (P=0.04). Conclusions: The three-midline-ports approach is a feasible technique, safe and easy to implement, associating lower postoperative pain than the standard "French" approach...

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..In handsewn anastomosis, the colonic lumen is more exposed to the peritoneum, despite colonic occlusion with clamps while the suture is performed...

..In the present study, we investigated the effect of three DNA polymorphisms within the thymidylate synthase gene and two within hypoxia inducible factor-1α on the prognosis of pancreatic cancer...

..Fournier gangrene is a necrotizing fasciitis, arising in the genital and perineal area. This entity is still associated with a high mortality rate despite improvements in antibiotic and surgical treatment...

..The main outcomes investigated were the clinical benefit achieved by the insertion of the drain, the hospital stay, and the quantifying of the pain by the patients 24h after surgery, using a visual analogue scale...

..Despite routine supplementation of vitamins and minerals after bariatric surgery, an important number of patients suffer from deficiencies. Little is still known about the novel restrictive procedure, sleeve gastrectomy...

..To date there is no consensus about the treatment of choice for symptomatic or complicated simple liver cysts...

..Colorectal surgery may lead to infections because despite meticulous aseptic measures, extravasation of microorganisms from the colon lumen is unavoidable...

..Outcome data beyond 10 years are available for open fundoplication, but few studies report long-term follow-up after laparoscopic fundoplication and comparison between laparoscopic and open approaches...

..CT scan is the imaging test with the best diagnostic accuracy. Primary volvulus, the presence of necrotic loops, and patients with cardiopathies, diabetes mellitus, and with previous abdominal surgery are associated with a worse outcome...

..In sessile polyps (0-Is) or non-polypoideal elevated (0-IIa) or plain (0-IIb) lesions, recommendations will be similar, without applicability of Haggitt levels...

..Every colorectal surgeon must know all the possible complications of colon surgery to achieve an early diagnosis and correct management...

..Resection of liver metastases is accepted as treatment for diverse tumours, implying a survival improvement. Metastases often recur after first hepatectomy and, very few would be potentially resectable...

..In our patients, masculine gender, constitutional syndrome and abdominal mass at diagnosis, small bowel and retroperitoneal location, and actin negative tumors are bad prognostic factors...

..Identification of prognostic factors preoperatively may help to improve the treatment of these patients, focusing on individually management based on the expected response...

..In our experience Toupet fundoplication should be the elective approach for the surgical treatment of gastroesophageal reflux disease...

..Peritoneal adenomatoid tumours are rare benign neoplasms originating from mesothelial cells. We present a case of peritoneal adenomatoid tumour penetrating into the bowel wall and causing massive intra- and extraluminal bleeding...

..Outcome is poor, even in those resected cases. Identification of prognostic factors preoperatively may help to improve treatment of these patients, based on the expected response...

..In up to 7.5% of the cases, the haemorrhage cannot be controlled with electrocautery. Compression with Foley catheter balloon is a safe and efficient method to stop bleeding...

..In these cases, the presence of a rectal tumour at the time of, or prior to, diagnosis of Fournier gangrene could not be ruled out. We present three cases of rectal cancer whose first manifestation was as Fournier gangrene...

..Radiation enteritis is a complication of radiation therapy for pelvic tumours. It appears after a variable period of time and is often progressive...

..Meckel's diverticulitis is an infrequent disease that must be considered in the differential diagnosis of acute abdominal pain...

..Primary small bowel adenocarcinoma is an uncommon tumour, with non-specific symptoms that cause a delay in the diagnosis and consequently a worse outcome for the patient. We analyse our experience in the management of this disease...

..Carcinoid dissemination as peritoneal carcinomatosis has been rarely described in the literature. Cytoreductive surgery, always when complete resection is aimed, achieves asymptomatic long-term survivals...

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..Because of the mild, nonspecific symptoms, the diagnosis can even be missed and only achieved when chronic complications take place...

..Among these disorders, the most important is idiopathic thrombocytopenic purpura (ITP)...

..Mucocele of the appendix is an infrequent event, representing 0.3%-0.7% of appendiceal pathology and 8% of appendiceal tumors. It is characterized by a located or diffuse distension of the appendix with a mucus-filled lumen...

..We report on 5 cases of inflammation and perforation of a solitary cecal diverticulum, and perform a literature review...

..It is a locally aggressive tumour with a high recurrence rate. Surgical excision with adequate margins is the main treatment...

..A diverticulectomy with cricopharingeal myotomy was performed in 74% of patients. Complications developed in 5 cases (21%), and the recurrence rate was 4% (1 of 3 cases, where myotomy was not performed)...

..It is likely that hamartoma is a coincidental finding. The identification of suspicious microcalcifications in a typical mammographic image of a hamartoma should prompt continued examination to exclude an underlying tumor...

..In the literature, there are only 25 described cases of rectal Dieulafoy lesion...

..Visceral artery aneurysms are an infrequent entity. Most of them are asymptomatic, but when they present as a rupture, a high mortality is associated...

..It usually shows up as bowel obstruction. MATERIAL Y METHOD: We review our experience of 18 cases of cecal volvulus treated in our centre between 1987 and 2007...

..Complications resulting from its use are uncommon. We report a case of jejunal and bladder perforation 24 h after Nd-YAG bladder irradiation of a recurrent bladder tumour...

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..CT-scan images of caecal wall thickening are often misinterpretated as acecal neoplasm or abscess. We present a case of isolated ischaemic caecal necrosis misinterpretated as a caecal neoplasm...

..Management must be initially conservative, but surgery is indicated in progressive hematomas. We present a case report of rectus sheath hematoma conservatively managed...

..Laparoscopic splenectomy is an effective and safe technique in the management of benign splenic pathologies...

..Upper gastrointestinal bleeding has been described, but it is an infrequent complication. We describe the 14th case reported in the literature of massive upper gastrointestinal bleeding originating from a duodenal diverticulum...

..Pancreatic neuroendocrine tumours (PNT) are infrequent epithelial neoplasms associated with a better outcome than pancreatic adenocarcinoma...

..paraesophageal hiatal hernia represents 5-10% of hiatal hernias. Its importance is based on the severe complications it may have, including gastric volvulus, and surgical treatment is recommended when a diagnosis is established...

..This report describes a case of an 11-cm mammary hamartoma in a 46-year-old woman...

..Management of PSPC is similar to ovaric neoplasms, although prognosis should be worse. Long-term survival has been described with cytoreductive surgery and adjuvant chemotherapy with platinum. We present hereby 2 cases of PSPC...

..Axillary lymphadenectomy is nowadays not recommended to treat ductal carcinoma in situ (DCIS), but there is controversy surrounding the indication for sentinel lymph node biopsy (SLNB)...

..A new metastases in remanent portal pediculum was considered non-operable. The patient died 29 months after first surgery...

..In the last few years, laparoscopic adrenalectomy has become widely used in the management of adrenal disease...

..CT and magnetic resonance imaging revealed a 1-cm cystic lesion in the head of the pancreas. Cytology showed mucoid material and atypia. Given a probable diagnosis of mucinous cystoadenoma, pancreatoduodenectomy was performed...