Les affections chirurgicales non malignes du caecum. [Surgery of non-malignant disorders of the cecum]

Détails

ID Serval
serval:BIB_5D5D38A3E399
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Les affections chirurgicales non malignes du caecum. [Surgery of non-malignant disorders of the cecum]
Périodique
Schweizerische Medizinische Wochenschrift
Auteur⸱e⸱s
von Segesser  L., Racloz  Y., Widgren  S., Rohner  A.
ISSN
0036-7672
Statut éditorial
Publié
Date de publication
04/1984
Peer-reviewed
Oui
Volume
114
Numéro
16
Pages
545-50
Notes
English Abstract
Journal Article --- Old month value: Apr 21
Résumé
In a total series of 207 complete or partial cecal resections during the last 6 years, 132 cecal lesions were found. 64 of the lesions were malignant and 68 benign. In the same period 2657 appendicectomies were performed. Histological analysis of the resected nonmalignant cecal lesions (partial cecectomy , ileocecectomy , right hemicolectomy and total colectomy) revealed ulcerative colitis in 25%, Crohn's disease in 20%, inflammatory pseudotumor in 15%, familial polyposis in 11%, benign tumors in 15% and various rare affections in 15%. From the topographical point of view one third of the lesions mainly involved the cecum, one third all of the colon, 20% the ileocecal area and 10% originated from the appendix vermiformis. The fact that the benign cecal lesions are probably as frequent as malignant cecal lesions shows that importance of good preoperative investigations in order to establish optimum surgical tactics and to prevent functional sequelae as a result of too generous resections. Therefore, histological analysis before or during surgery is of prime importance.
Mots-clé
Adult Cecal Diseases/diagnosis/epidemiology/radiography/*surgery Cecal Neoplasms/epidemiology Diagnosis, Differential Female Humans Male Middle Aged Preoperative Care Switzerland Tomography, X-Ray Computed
Pubmed
Web of science
Création de la notice
14/02/2008 15:19
Dernière modification de la notice
20/08/2019 15:15
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