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Articole multimedia Jurnalul de Chirurgie, Iasi, 2007, Vol. 3, Nr. 2 [ISSN 1584 – 9341]CHIRURGIA LAPAROSI CLASICATRATAMENTUL LITIAZEICOLEDOCIENEMIJLOACE PROPRII DE ENDOSCOPIEINTRAOPERATORIE Colangiografie Ultrasonografie ColedocoscopieTIMP VEZICULAR -> COLECISTECTOMIATIMP COLEDOCIAN -> DEZOBSTRUCTIAMORTALITATE 1987AUTORICHIRURGIEDEZOBSTRUCTIECLASICAENDOSCOPICAJ. L. DUPAS 9% 3,4%CHIRURGIA COLEDOCIANACLASICA• “AB INITIO” COLECISTECTOMIE CONVERTITA 5-7% LITIAZE COMPLEXEK. H.SCHRIEFFERSJ. P.NEOPTOLEMOS3,1% 3.8%4,3% 5,8%• DE SECUNDA INTENTIE ESEC ENDOSCOPIC ESEC LAPAROSCOPICTIMP VEZICULAR95% COLECISTECTOMIELAPAROSCOPICACOLECISTECTOMIE5% CLASICATIMP COLEDOCIANDEZOBSTRUCTIE8% esecENDOSCOPICADEZOBSTRUCTIELAPAROSCOPICA• TRANSCISTIC - 23% esec• COLEDOCOTOMIE – 7,3% esecDEZOBSTRUCTIEENDOSCOPICADEZOBSTRUCTIECLASICA7 BRISBANE METROPOLITANHOSPITALSLITIAZA SIMPLALITIAZACOMPLEXALITIAZA COLEDOCIANA•LITIAZA MIGRATA•CALCULI RESTANT•STENOZA ODDI•LITIAZA AUTOHTONA•PANLITIAZA•LITIAZA INTRAHEPATICA•LITIAZA DUPA ABD•STENOZE CBP•PANCREATITA CR. COMPRESIVA•FISTULE BILIOBILIARE SI BILIODIGESTIVE•DILATATII CHISTICE CONGENITALE•DIVERTICULI VATERIENI?187
Articole multimedia Jurnalul de Chirurgie, Iasi, 2007, Vol. 3, Nr. 2 [ISSN 1584 – 9341]DEZOBSTRUCTIACOLEDOCIANASOLUTII TERAPEUTICECOLECIST LAPARO + DEZOBSTRUCTIE TRANSCISTICALAPAROSCOPIAASOCIATENDOSCOPIAESEC7%ESEC 30%SECVENTIALESEC40%RENDEZ - VOUSDEZOBSTRUCTIEENDOSCOPICA PRE CL30% ESECCOLEDOCOTOMIELAPARO7,3% ESEC17% MORBIDITATE37% ESEC 45% ESECDEZOBSTRUCTIEENDOSCOPICA8% ESEC13% MORBIDITATEDEZOBSTRUCTIE CLASICACHIRURGIE CLASICAREZOLVA ESECURILE LAPARO-ENDOSCOPICEDEZOBSTRUCTIETRANSCISTICAMORBIDITATEDEZOBSTRUCTIE17% 13%ENDOSCOPICABILIRAGIE 14,6% 0%PANCREATITA 7,3% 8,8%CALCULI RESTANTI 2,4% 4,4%REOPERATI 7,3% 6,6%ESEC = 33% ESEC = 30%BRISBANE20061959 - 1998 - 40 DE ANI10015 INTERVENTII PE CAI BILIARE2127 INTERVENTII CBP (21,2%)1420 LEZIUNI BENIGNE CBP• 982 LITIAZE CBP – 69%• 438 ALTE LEZIUNI CBP – 31%7 REINTERVENTII DUPA S O - 0,7%4 DECESE SPECIFICE S O - 0,85%BENIGN 66.7%MALIGN 33,3%50%CHIRURGIE CLASICA DE SECUNDA INTENTIE = 30%CHIRURGIE CLASICA DE PRIMA INTENTIE = 10%42 REINTERVENTII DUPA DEZOBSTRUCTIE+ DRENAJ / DEZOBSTRUCTIE + ABD4,2%CLINICA CHIRURGIE CARITASIAN 1997 - SEPT 2006LITIAZE CBP = 347 CAZURILITIAZA MIGRATA = 282 CAZURI -> 81,2%• MIGRATA - 204 CAZURI - 58,7%• RESTANTA - 78 CAZURI - 22,4%DEZOBSTRUCTIE COLEDOCIANAABORDTERAPEUTICCLEARENCEENDOSCOPICCLEARENCECHIRURGICALCLASICMIGRATARESTANTA AUTOHTONA AUTOHTONA+ RESTANTA49,5% 89,7% 73,8%X50,5% 10,3% 26,2% 6,62%LITIAZA AUTOHTONA = 42 CAZURI -> 12,1%LITIAZA MIGRATA SI AUTOHTONA = 23 CAZURI -> 6,6%CLEARENCE ENDOSCOPIC =49,3%CLEARENCE CHIR CLASIC = 50,7%ESEC ENDOSCOPIC = 22,6%AB INITIO = 36,3%188
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Editorial Jurnalul de Chirurgie, Ia
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Articole de sinteza Jurnalul de Chi
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Page 60 and 61: Articole originale Jurnalul de Chir
Page 84 and 85: Cazuri clinice Jurnalul de Chirurgi
Page 90 and 91: Anatomie si tehnici chirurgicale Ju
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Page 114 and 115: Istorie Jurnalul de Chirurgie, Iasi
Page 116 and 117: Recenzii Jurnalul de Chirurgie, Ias
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