摘要:

Although calculi in the parotid salivary gland are not common, the variability in their mode of presentation and their situation in the gland or its main ducts pose problems in management. They may be single or multiple and associated with sialadenitis or sialectasis. A review of 25 operations in 23 patients treated personally over the last 20 years has been undertaken with a view to establishing guide lines in the treatment of this condition.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1970.tb05594.x

出版商:Blackwell Publishing Ltd    

年代:1970

数据来源: WILEY

摘要:

The prognosis for patients suffering with parotid carcinoma is poor. One reason for this is the difficulty of eradicating the disease once cancer has spread to the bony parotid mould and to the ear. The anatomy of the parotid gland and the spread of malignant tumours are described with particular reference to the ear and parotid bed. Surgery is indicated if the tumour can be completely removed, and three cases are presented to illustrate radical parotidectomy achieved with the aid of temporal bone surgical techniques. When the facial nerve is sacrificed, immediate grafting offers the best chance of restoring satisfactory facial expression.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1970.tb05595.x

出版商:Blackwell Publishing Ltd    

年代:1970

数据来源: WILEY

摘要:

Experience at the Peter MacCallum Clinic appears to support the case against prophylactic dissection of at the neck in patients with oral cavity cancer. It is concluded that its performance is unjustified except as part of an in‐continuity resection of neck nodes together with the primary tumou

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1970.tb05596.x

出版商:Blackwell Publishing Ltd    

年代:1970

数据来源: WILEY

摘要:

The use of a feeding cervical Osophagostomy in 51 patients with cancer of the head and neck has been without complication. The procedure is easy to perform and preferable to transabdominal gastrostomy and nasogastric intubation for long‐term gavage feedin

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1970.tb05597.x

出版商:Blackwell Publishing Ltd    

年代:1970

数据来源: WILEY

摘要:

A report is given of two patients with parathyroid intoxication in order to exemplify the precipitation of acute hypercalcemic symptoms by minor operative procedures, the clinical recognition of the condition, with some of the difficulties encountered with differential diagnosis, and the simultaneous occurrence and significance of acute pancreatitis. The differential diagnosis is exemplified by a report of three other patients with hypercalcemia not due to parathyroid intoxication.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1970.tb05598.x

出版商:Blackwell Publishing Ltd    

年代:1970

数据来源: WILEY

摘要:

A case of choledochal cyst with Proximal as well as distal segmental biliary hypoplasia and anomalous insertion of the cystic duct is presented. The pathological and clinical features of choledochal cyst are outlined. Ordinarily. cystjejunostomy is the treatment of choice, but occasionally hepaticojejunostomy with or without excision of the cyst is preferable.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1970.tb05599.x

出版商:Blackwell Publishing Ltd    

年代:1970

数据来源: WILEY

摘要:

A case of complete severance of the common bile duct due to blunt trauma has been reported. It was repaired by anterior choledochoduodenostomy, and the suitability of this type of repair is discussed.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1970.tb05600.x

出版商:Blackwell Publishing Ltd    

年代:1970

数据来源: WILEY

摘要:

The purpose of this report is to bring attention again to the rare condition of congenital absence of the adult gndlbladder without other congenital billiard tract abnormality, to present the only case recorded as such at the Royal Melbourne Hospital, to state the conditions that must be satisfied before the operative diagnosis is made, and to point out the need for permanent drainage of the common bile duct, which at the stage at which the abnormality is diagnosed is abnormal.Summary1. A further case of congenital absence of the adult gallbladder is reported.2. Before it is reasonable to make a diagnosis of congenital absence of the gallbladder at operation, one must have dissected the extra‐hepatic ductal system, palpated binianually the lesser omentum, falciform ligament and liver, probed suspicious areas of the liver (“sounding” for stone) and performed an operative cholangiogram, this latter being the most important, and indeed an essential, manceuvre.3. In young patients a drainage procedure, preferably biliary fenestration, is necessary to prevent continued symptoms and recurrent stone formation. In the older, more frailpatient, permanent T‐tube drainage may

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1970.tb05601.x

出版商:Blackwell Publishing Ltd    

年代:1970

数据来源: WILEY

摘要:

The clinical features and pathology of emphysematous cholecystitis are briefly discussed. A description follows of a case which defied correct preoperative diagnosis in virtue of the presence of gas under the diaphragm without gas in the gallbladder wall or lumen.Summary1. Less than 150 cases of emphysematous cholecystitis have been described in the world literature. These all showed gas in the gall‐bladder wall or lumen, recognized either on X‐ray examination or at operation.2. A case is described where the preoperative X‐ray films showed free gas under the diaphragm and nowhere else. Laparotomy was undertaken with the provisional diagnosis of perforated viscus. An acutely inflamed gall‐bladder containing gas was removed. The patient died after operation; post‐mortem examination revealed gas in the spleen, an impacted stone at the ampulla of Vater and a necrotic liver and pancreas.3. A possible cause of pancreatitis other than one implicating the impacted stone is put forward.4. The frequent presence of clostridia in the bili

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1970.tb05602.x

出版商:Blackwell Publishing Ltd    

年代:1970

数据来源: WILEY

摘要:

A retrospective review of 35 patients treated for vesicocolic fistula due to diverticuclitis has been undertaken. The relative value of different methods of investigation and treatment is discussed. Pneumaturia was the most frequent presenting symptom. There was no mortality after staged surgical intervention, in contrast with the occurrence of two deaths after one‐stage resections.SummaryThirty‐five cases of vesicocolic fistula have been reviewed. Pneumaturia was the most frequent presenting symptom, and sometimes the only urinary symptom present. Both barium enema examination and cystoscopy were valuable investigations, frequently providing com‐ plementary information. There were two operative deaths following one‐stage resections, and none after staged pro

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1970.tb05603.x

出版商:Blackwell Publishing Ltd    

年代:1970

数据来源: WILEY