Introduction. Pancreatic pseudocysts are a common complication of acute pancreatitis. Pancreatic pseudocyst's natural history ranges between its spontaneous regression and the settlement of serious complications if untreated, such as splenic complications, hemorrhage, infection, biliary complications, portal hypertension, and rupture. The rupture of a pancreatic pseudocyst to the peritoneal cavity is a dangerous complication leading to severe peritonitis and septic conditions. It requires emergent surgical exploration that is often of great technical difficulty and with important morbidity and mortality. Case Study. We present two cases of spontaneous rupture of pancreatic pseudocysts, managed differently according to the local and systemic conditions. Conclusion. The best surgical choice is the internal drainage of the cyst to the GI tract; however, in some conditions, the external drainage is the only choice available.

Overall n=208ELECTIVE n=141 EMERGENT n=67Age in years,

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Introdução: As neoplasias de cabeça e pescoço atingem 5% de todos os casos diagnosticados de câncer no mundo. E este pode afetar a Qualidade de Vida das pessoas acometidas, pois o tratamento é agressivo (mutilador) mesmo anos após o tratamento. Objetivo: Traçar o perfil das pessoas acometidas por câncer no trato aerodigestivo superior, atendidas no Hospital Universitário Cassiano Antônio Moraes (HUCAM); identificar os domínios de Qualidade de Vida afetados com o tratamento para este câncer; e relacionar os dados sociodemográficos e clínicos com domínios afetados de Qualidade de Vida dos pacientes pesquisados. Método: Estudo de abordagem quantitativa. Utilizaram-se os instrumentos: Inventário I com dados sociodemográficos e clínicos dos pacientes, instrumentos da Organização Europeia para Pesquisa e o Tratamento do Câncer (EORTC ) QLQ-C30 (versão 3) e QLQ-H&N35. Resultados: Os pacientes com três tipos de tratamento combinado e estádio avançado apresentaram função física menor com significância estatística (p=0,031 e p=0,010 respectivamente). A localização primária da laringe teve maior associação com Saúde/Qualidade de Vida Global, desempenho de papel e função social, com significancia estatística (p=0,037, p=0,045 e 0,047, respectivamente). Conclusão: O diagnóstico tardio interfere na escolha da terapêutica, sendo mais comum o uso de tratamento combinado e mais agressivo, acarretando inúmeras consequências que influenciam na Qualidade de Vida. Há necessidade de conhecer os domínios que estão sendo prejudicados na realização do tratamento para uma abordagem adequada visando à atenção integral desses pacientes.

PurposeSurgical intestinal resection margins in colon cancer are a longstanding debate in terms the optimal distance between the tumor and the colonic section line. The aim of this study is to define the oncological outcomes in relation to surgical margins, measured in terms or recurrence rate, time-to-recurrence, disease-free survival and overall survival in a population of node negative colon cancer patients.MethodsWe conducted a retrospective observational longitudinal single institution study. All patients submitted to colon cancer surgery between January 2006 and December 2010 were analyzed. Only node negative patients were included in the study, with analysis of 215 patient charts, divided in two groups (Intestinal margin lower than 5 cm—group 1; and 5 cm or higher—group 2).ResultsMean age of patients was 70.4 years (±11.7), with a male predominance (57.7%). Group 2 more frequently corresponded to Stage II (83 vs 71%; p = 0.05). Global mean total lymph nodes harvested were 12, and were higher in group II than in group I (13.8 ± 8.2 vs 10.4 ± 5.7; p = 0.001). In terms of time-to-recurrence patients of group 2 had longer time than patients of group 1 (32.3 ± 12.1 vs 21.8 ± 13.8 months; p = 0.03), as well as a lower recurrence rate in group I (13.7 vs 17.2%), despite not statistically significant.ConclusionsThis study has showed that patients with 5 cm or higher bowel resection margins had longer time-to-recurrence that was statistically significant. Recurrence rates were lower in the group of patients with longer surgical margins, however not statistically significant.