2篇
您的检索式：作者名="Orlando Contrucci"
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| 1 | Spleen preserving distal pancreatectomy in an isolated blunt pancreatic trauma显示文摘Blunt isolated pancreatic trauma is uncommon,accounting for 1%-4% of high impact abdominal injuries.In addition,its diagnosis can be difficult;physical signs may be poor and laboratory findings nonspecific,resulting in delayed treatment.Preserving the spleen during distal pancreatectomy (DP) is controversial.One of the spleen's functions regards immunity;complications following splenectomy include leukocytosis,thrombocytosis,overwhelming post splenectomy sepsis and some degree of immunodeficiency.This is why many authors favor its preservation.We describe a case of a young man with an isolated pancreatic trauma due to a blunt abdominal trauma with a delayed presentation who was treated with spleen-preserving DP and we discuss the value of this procedure with reference to the literature. | Alexandre Zanchenko Fonseca Marcelo Augusto Fontenelle Ribeiro Jr Orlando Contrucci Alexandre Pompeo Adriana Orsetti Herico Arsie Neto | 2011 | World Journal of Gastrointestinal Surgery2011，3，9： | 3 |
| 2 | Esophagectomy for a traumatic esophageal perforation with delayed diagnosis显示文摘Esophageal perforations are rare,and traumatic perforations are even more infrequent.Due to the rarity of this condition and its nonspecific presentation,the diagnosis and treatment of this type of perforation are delayed in more than 50% of patients,which leads to a high mortality rate.An 18-year-old male patient was brought to the emergency room with a penetrating neck injury,caused by a gunshot wound.He was taken to the operating room and underwent surgical exploration of the neck and a chest tube was inserted to treat the hemo-and pneumothorax.During the procedure,a 2 cm lesion was detected in the esophagus,and the patient underwent a primary repair.A contrast leakage into his right hemithorax was noticed on the 4th postoperative day;he was submitted to new surgery,and a subtotal esophagectomy and jejunostomy were performed.He was discharged from the hospital in good condition 20 d after the last procedure.The discussion around this topic focuses on the importance of the timing of diagnosis and the subsequent treatment.In early diagnosed patients,more conservative therapeutics should be performed,such as primary repair,while in those with delayed diagnosis,the patient should be submitted to more aggressive and def initive treatment. | Alexandre Zanchenko Fonseca Marcelo Augusto Fontenelle Ribeiro Jr Mariana Frazo Maurício Campanelli Costas Lanes Spinelli Orlando Contrucci | 2009 | World Journal of Gastrointestinal Surgery2009，1，1： | 0 |
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