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Full text PDF (4.6MB) - Jurnalul de Chirurgie

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Articole multimedia <strong>Jurnalul</strong> <strong>de</strong> <strong>Chirurgie</strong>, Iasi, 2007, Vol. 3, Nr. 2 [ISSN 1584 – 9341]Diverticul <strong>de</strong> fereastra duo<strong>de</strong>nalaDilatatie congenitala CBPControl postopAlgoritm terapeutic inlitiaza coledocianaGRUP IGRUP IICOLEDOCCHIRURGICALCHIRURGIEDESCHISACOLEDOCENDOSCOPICREZOLVAREENDOSCOPICA1-a RECIDIVALITIAZAMIGRATALITIAZAAUTOHTONAESECCHIRURGIEDESCHISADEZOBSTRUCTIE+DRENAJ EXTERNRECIDIVAACDRECIDIVAGRUP IIESECCONCLUZIIGRUP IIICOLEDOCCHIRURGICAL LITOGENHJS”Y”RECIDIVACHIRURGIE DESCHISAHJS DE VIZITAREA 2-aRECIDIVAA 3-aRECIDIVALITIAZAINTRAHEPATICA• Chirurgia clasica pentru <strong>de</strong>zobstructie coledociana se aplica inaproximativ 50% din litiazele coledociene: : <strong>de</strong> prima intentie (10%), <strong>de</strong>secunda intentie (40%).• Ea corecteaza esecurile, acci<strong>de</strong>ntele si inci<strong>de</strong>ntele chirurgieiminiinvazive. Totodata ea este folosita “abinitio” in cazurile cele maidificile: litiazele complexe.• Calitatile <strong>de</strong>zobstructiei miniinvazive confera acesteia aureola <strong>de</strong> “goldstandard” in chirurgia litiazei coledociene.• Atunci cand nu se obtine efectul scontat - <strong>de</strong>zobstructia - prin“strategiafericita” (miniinvaziva),ramane ultima intentie: chirurgiaclasica.• Chirurgia miniinvaziva si cea clasica se <strong>de</strong>ruleaza in mod secvential,fiecare cu compartimentul ei.• Chirurgia clasica nu mai este astazi o “primadonna” dar ramane o“solutiesalvatoare” careia trebuie sa-i iertam <strong>de</strong>zavantajele.193

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