The lymphatics in the pathophysiology of thoracic and abdominal surgical pathology: Immunological consequences and the unexpected role of microsurgery
Identifieur interne : 007422 ( Main/Exploration ); précédent : 007421; suivant : 007423The lymphatics in the pathophysiology of thoracic and abdominal surgical pathology: Immunological consequences and the unexpected role of microsurgery
Auteurs : Francesco Boccardo [Italie] ; Carlo Bellini [Italie] ; Costantino Eretta [Italie] ; Davide Pertile [Italie] ; Elisa Da Rin [Italie] ; Emanuela Benatti [Italie] ; Mirko Campisi [Italie] ; Giuseppina Talamo [Italie] ; Alberto Macci [Italie] ; Corrado Campisi [Italie] ; Eugenio Bonioli [Italie] ; Corradino Campisi [Italie]Source :
- Microsurgery [ 0738-1085 ] ; 2007.
Abstract
The authors report their experience in the diagnosis and treatment of lymphatic and chylous disorders in the thoracic and abdominal areas. Sixteen patients (10 adults, 6 children) affected by primary chylous ascites with associated syndromes and consequent immunological incompetence were studied. Diagnostic investigations included abdominal sonography scans, lymphoscintigraphy, and lymphography combined with computed tomography and laparoscopy. Surgical treatment included laparoscopy, drainage of ascites and/or the chylothorax, treatment of abdominal and retroperitoneal chylous leaks, exeresis of lymphodysplastic tissues, ligation of incompetent lymph vessels also by CO2 LASER, and chylo‐venous and lympho‐venous microsurgical shunts. Eleven patients did not have a relapse of the ascites and four patients had a persistence of a small quantity of ascites with no protein imbalance. All patients had an improvement of their immunocompetence. Median follow‐up was 5 years. We demonstrated that the use of microsurgery is remarkably advantageous for performing a causal treatment of the dysfunction. © 2007 Wiley‐Liss, Inc. Microsurgery 2007.
Url:
DOI: 10.1002/micr.20347
Affiliations:
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Benzi 8, 16132 Genoa</wicri:regionArea><wicri:noRegion>16132 Genoa</wicri:noRegion></affiliation></author><author><name sortKey="Bellini, Carlo" sort="Bellini, Carlo" uniqKey="Bellini C" first="Carlo" last="Bellini">Carlo Bellini</name><affiliation wicri:level="1"><country xml:lang="fr">Italie</country><wicri:regionArea>Pediatric Clinics, Institute G. 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Sixteen patients (10 adults, 6 children) affected by primary chylous ascites with associated syndromes and consequent immunological incompetence were studied. Diagnostic investigations included abdominal sonography scans, lymphoscintigraphy, and lymphography combined with computed tomography and laparoscopy. Surgical treatment included laparoscopy, drainage of ascites and/or the chylothorax, treatment of abdominal and retroperitoneal chylous leaks, exeresis of lymphodysplastic tissues, ligation of incompetent lymph vessels also by CO2 LASER, and chylo‐venous and lympho‐venous microsurgical shunts. Eleven patients did not have a relapse of the ascites and four patients had a persistence of a small quantity of ascites with no protein imbalance. All patients had an improvement of their immunocompetence. Median follow‐up was 5 years. We demonstrated that the use of microsurgery is remarkably advantageous for performing a causal treatment of the dysfunction. © 2007 Wiley‐Liss, Inc. Microsurgery 2007.</div></front></TEI><affiliations><list><country><li>Italie</li></country></list><tree><country name="Italie"><noRegion><name sortKey="Boccardo, Francesco" sort="Boccardo, Francesco" uniqKey="Boccardo F" first="Francesco" last="Boccardo">Francesco Boccardo</name></noRegion><name sortKey="Bellini, Carlo" sort="Bellini, Carlo" uniqKey="Bellini C" first="Carlo" last="Bellini">Carlo Bellini</name><name sortKey="Benatti, Emanuela" sort="Benatti, Emanuela" uniqKey="Benatti E" first="Emanuela" last="Benatti">Emanuela Benatti</name><name sortKey="Boccardo, Francesco" sort="Boccardo, Francesco" uniqKey="Boccardo F" first="Francesco" last="Boccardo">Francesco Boccardo</name><name sortKey="Bonioli, Eugenio" sort="Bonioli, Eugenio" uniqKey="Bonioli E" first="Eugenio" last="Bonioli">Eugenio Bonioli</name><name sortKey="Campisi, Corradino" sort="Campisi, Corradino" uniqKey="Campisi C" first="Corradino" last="Campisi">Corradino Campisi</name><name sortKey="Campisi, Corrado" sort="Campisi, Corrado" uniqKey="Campisi C" first="Corrado" last="Campisi">Corrado Campisi</name><name sortKey="Campisi, Mirko" sort="Campisi, Mirko" uniqKey="Campisi M" first="Mirko" last="Campisi">Mirko Campisi</name><name sortKey="Da Rin, Elisa" sort="Da Rin, Elisa" uniqKey="Da Rin E" first="Elisa" last="Da Rin">Elisa Da Rin</name><name sortKey="Eretta, Costantino" sort="Eretta, Costantino" uniqKey="Eretta C" first="Costantino" last="Eretta">Costantino Eretta</name><name sortKey="Macci, Alberto" sort="Macci, Alberto" uniqKey="Macci A" first="Alberto" last="Macci">Alberto Macci</name><name sortKey="Pertile, Davide" sort="Pertile, Davide" uniqKey="Pertile D" first="Davide" last="Pertile">Davide Pertile</name><name sortKey="Talamo, Giuseppina" sort="Talamo, Giuseppina" uniqKey="Talamo G" first="Giuseppina" last="Talamo">Giuseppina Talamo</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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