| 1. |
- Lindell, Gert, et al.
(författare)
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Management of cancer of the ampulla of Vater : Does local resection play a role?
- 2003
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Ingår i: Digestive Surgery. - : S. Karger AG. - 0253-4886 .- 1421-9883. ; 20:6, s. 511-515
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Tidskriftsartikel (refereegranskat)abstract
- Background: The clinical outcome of patients with ampullary carcinoma is significantly more favorable than for patients with pancreatic head carcinoma. The Whipple procedure is the operation of choice for both diagnoses. Still local resection is recommended in selected cases. The aim of this study was to assess the outcome of local resection of cancer of the ampulla of Vater by comparison with pancreaticoduodenectomy. Method: 92 patients with cancer of the ampulla of Vater treated between 1975 and 1999 with local resection (n = 10), pancreatic resection (n = 49) or laparotomy and no resection (n = 33) were studied retrospectively. The main outcome measures were postoperative morbidity and mortality, surgical radicality and long-term survival. Results: The postoperative complication rate was significantly lower after local resection (p = 0.036) whereas mortality did not differ between the 2 resection groups. UICC stages were less advanced in the local resection group (p < 0.04). Still, the frequency of positive resection margins and RO resections was the same in both groups, as was long-term survival. Local recurrence was diagnosed in 8/10 (80%) patients after local and in 11/49 (22%) patients after pancreatic resection (p = 0.001). Conclusion: Pancreaticoduodenectomy is the preferred operation for cancer of the ampulla of Vater in patients who are fit for the procedure. Local resection plays a limited role in carefully selected patients.
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| 2. |
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| 3. |
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| 4. |
- Tingstedt, Bobby, et al.
(författare)
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Appendicitabscesser i Lund
- 2001
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Ingår i: Svensk Kirurgi. - 0346-847X. ; , s. 59-59
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Konferensbidrag (refereegranskat)
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| 5. |
- Tingstedt, Bobby, et al.
(författare)
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Late Abdominal Complaints after Appendectomy - Readmissions during Long-Term Follow-Up.
- 2004
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Ingår i: Digestive Surgery. - : S. Karger AG. - 0253-4886 .- 1421-9883. ; 21:1, s. 23-27
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Tidskriftsartikel (refereegranskat)abstract
- <i>Background/Aims:</i> The postoperative risk of small bowel obstruction is a recognized complication following appendectomy. Few studies have reconsidered the whole extent of abdominal complaints and problems following appendectomy. This study tries to evaluate the long-term outcome describing abdominal complaints requiring readmission following appendectomy. <i>Methods:</i> A retrospective study of 3,230 patients undergoing open appendectomy at a single center university hospital in Sweden between 1981 and 1996. Late (>30 days) readmissions were noted and the cause for readmission and need for surgical intervention were analyzed. <i>Results:</i> Overall, late readmissions occurred in 2.94% during a median follow-up of 10 years after appendectomy. Females predominated among those readmitted, as did patients with complicated appendicitis or a ‘normal’ appendix. Nonspecific abdominal pain with no sign of small bowel obstruction caused almost half of the readmissions (45%). To a large extent this group consisted of females (76%). Small bowel obstruction was seen in 1.24% and was surgically treated in 0.68% of all appendectomies. Incisional hernias were also seen (0.4% of all appendectomies). <i>Conclusion:</i> The magnitude of readmissions due to abdominal complaints is more pronounced than previously reported with as many patients with signs of small bowel obstruction managed nonoperatively as surgically, and frequent readmissions due to nonspecific abdominal pain.
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| 6. |
- Tingstedt, Bobby, et al.
(författare)
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Management of appendiceal masses.
- 2002
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Ingår i: European Journal of Surgery. - : Oxford University Press (OUP). - 1102-4151. ; 168:11, s. 579-582
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Tidskriftsartikel (refereegranskat)
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