Abstract：
BACKGROUND:To evaluate the possible role and the effectiveness of videothoracoscopy (VATS) in the treatment of pleural empyema. METHODS:Personal experience on 40 cases of pleural empyema treated by (VATS) during 5 years is reported. The underlying diseases were: pneumonia (32), pneumothorax (3), tuberculosis (2), abdominal diseases (2) and lung cancer (1). Before VATS at least one thoracentesis was performed to evaluate the characteristic of the pleural fluid. RESULTS:Due to complications related to thick pleural adhesions, in one case (2.5%) the procedure was converted to open surgery, while in the remaining 39 cases VATS was able to achieve a complete cleaning of the pleural space with re-expansion of the pulmonary parenchyma. The improvement of the clinical symptoms were observed after a mean period of 3.5 days (range: 1-12 days). Chest tube was removed in a mean period of 4.8 days (range: 3-11 days); five patients had prolonged air leak from 6 to 10 days after surgery. CONCLUSIONS:In conclusion we are of the opinion that VATS has to be considered a very important mean for the treatment of pleural empyema; its use in the fibrinopurulent phase of the disease should give very good results, while in the following phase its indications are controversial.
journal_name
Minerva Chirjournal_title
Minerva chirurgicaauthors
Solaini L,Prusciano F,Di Francesco F,Bagioni P,Poddie DBkeywords:
subject
Has Abstractpub_date
2000-12-01 00:00:00pages
829-33issue
12eissn
0026-4733issn
1827-1626journal_volume
55pub_type
杂志文章abstract：:The authors describe the application of Nissen-Rossetti fundoplication for the treatment of hiatus hernia using a laparoscopic approach. They report excellent results both immediately after surgery and in the medium term. ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1993-11-01 00:00:00
abstract：AIM:The aim of this study was to make a contribution to improve the care of patients with colorectal cancer by optimizing times and methods of the follow-up; particular attention is given to factors which may be important for the prognosis and for the quality of life in the immediate postoperative period. METHODS:The ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2007-06-01 00:00:00
abstract：BACKGROUND:To investigate the efficacy of percutaneous catheter drainage (PCD) and peritoneal dialysis (PD) in the treatment of severe acute pancreatitis (SAP) and its underlying mechanism. METHODS:Totally 64 SAP patients were included in our study and randomly assigned into PCD+PD group (the combination group, N.=32)...
journal_title：Minerva chirurgica
pub_type： 杂志文章,随机对照试验
doi：10.23736/S0026-4733.18.07813-6
更新日期：2019-06-01 00:00:00
abstract：AIM:Outcome of patients with locally advanced non-small-cell lung cancer (NCSLC) is generally poor, with five-year survival rate of only 23%, when patients are treated with surgery only. The presentation of positive adjuvant therapy trials in NSCLC has changed clinical practice, doubling the number of patients with com...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：2013-04-01 00:00:00
abstract：:Posterior partial fundoplication can be as effective as total fundoplication in the long-term control of gastroesophageal reflux if the gastric fundus valve is encircled around the distal esophagus for no less than 270 degrees to obtain effective pressures in the newly built sphincter. In order to minimize the adverse...
journal_title：Minerva chirurgica
pub_type： 临床试验,杂志文章,评审
doi：
更新日期：1995-01-01 00:00:00
abstract：:The authors report a case of popliteal artery adventitial cystic disease. They discuss diagnosis and treatment. ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1990-11-01 00:00:00
abstract：:The literature concerning accidents and complications of transcutaneous splenoportography is examined and compared with personal experience. The technique used is discussed and some of its advantages with respect to selective arteriography of the coeliac tripod are stressed. It is concluded transcutaneous that splenop...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1975-09-30 00:00:00
abstract：:The Authors reports a case of Verneuil's disease in a perineal location. They focus on etiopathogenetic aspects and problems of differential diagnosis, before reviewing the various therapeutic options. Surgery is the only effective therapy and takes the form of an extensive excision of the cutaneous zone affected with...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1992-06-30 00:00:00
abstract：:A series of 27 cases of biliary-digestive fistulae is presented. 26 were due to calculi and 1 to ulcer and calculi. 20 led to the duodenum, 6 to the colon, and 1 to the stomach from the gallbladder. The series constituted 1.4% of bile ducts operations. Females (mostly multiparae) formed 66%. The mean age was 64 yr. Di...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1976-12-15 00:00:00
abstract：:Acute limb ischemia (ALI) is one of the most common vascular emergencies and characterized by sudden worsening of limb perfusion mainly caused by embolization of thrombotic masses or acute graft occlusion. It is a serious condition with potential thread to limb viability accompanied by significant mortality, morbidity...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：2010-06-01 00:00:00
abstract：:Solitary fibrous tumors of the pleura represent a rare clinicopathological entity: 456 cases only have been reported since 1991. A interesting case of solitary fibrous tumor of the pleura is described here, because it turned up in a female patient followed up for a bilateral breast cancer and so with the exact determi...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：1996-06-01 00:00:00
abstract：:Vagal paragangliomas are rare tumors of neural crest origin. This neoplasm is generally located at various points along the peripheral distribution of the vagus nerve, in the region of the jugular and nodose ganglia, just beneath the perineurium of the nerve, but may arise anywhere along the course of the vagus nerve....
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1993-12-01 00:00:00
abstract：AIM:This study reports a series of 7 patients who experienced small-bowel obstruction (SBO) after laparoscopic gastric bypass (LGBP). METHODS:Between July 2001 and June 2004, 211 patients underwent surgery for morbid obesity in 2 different institutions and 7 of them required reoperative laparoscopic surgery or laparot...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2006-06-01 00:00:00
abstract：:Patients with cirrhosis have reduced life expectancy. Surgery is often associated with clinical decompensation in this group of patients. The purpose of this paper is to study the surgical risk in cirrhotic patients undergoing nonderivative operations. Unfortunately, most of the studies in the literature about this pr...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：2000-11-01 00:00:00
abstract：:Among the anomalies of internal carotid artery, agenesis and aplasia recur with a low rate: only about sixty cases are reported in literature. We observed a case of aplasia of the left internal carotid in a 49 year old male suffering from hypertension and showing cerebro-vascular symptoms due to TSA pathology: it was ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1991-01-01 00:00:00
abstract：:A retrospective series of 30 (2.8%) cases of cholelithiasis out of 1064 abdominal aortic aneurysmectomies is presented. 21 subjects underwent aneurysmectomy and prosthetic grafting combined with cholecystectomy. Complications related to the combined operation, early or late (6 months to 8 years follow-up was available...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1994-12-01 00:00:00
abstract：:After a wide analysis of peptic gastroduodenal ulcer medical therapy, before and after the era of cimetidine, the Authors, after a brief account of the Anatomy and Physiology of the stomach, examine surgical therapy, from the end of the last century till now. After giving the results of the surgical cases of one of th...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：1990-04-30 00:00:00
abstract：:Advanced hepatocellular carcinoma remains an entity that is hard to approach therapeutically and has shown disappointing results in terms of survival. For many years, the only accepted option for this setting was the use of a multikinase inhibitor, sorafenib. Nevertheless, through the years, a deeper knowledge has ari...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：2015-04-01 00:00:00
abstract：AIM:Splenic injuries, like other blunt traumatic injuries, are very frequent, especially in case of traffic accident. The purpose of this study was to present the authors' experience of blunt splenic trauma and to compare it with the studies described in literature. METHODS:Over a 5-year period 512 injured patients we...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：2009-08-01 00:00:00
abstract：AIM:Severe obesity is a major health problem affecting more than 1,000,000 people in Italy, with a 95% failure rate of nonsurgical treatments. We report our over five-years experience with laparoscopic Roux-en-Y gastric bypass (LRYGBP), evaluating the postoperative course of the patients undergoing 3 different gastro-e...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2007-04-01 00:00:00
abstract：AIM:Although many studies on laparoscopic surgery of the stomach have been conducted so far, yet they have not provided surgeons with criteria for gradual and safe training with this technique. The results of gastric surgery with 30 patients operated on by laparoscopic approach are hereby described. The aim of this iss...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2005-02-01 00:00:00
abstract：:The authors report in a retrospective study their experience in the treatment of anal fistulas suggesting the total exercises of the fistula with primary closure of external and internal anal sphincters and rectal mucosa. In our department of surgery between 1987 and 1993, 36 patients (22 males and 14 females) with an...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1997-04-01 00:00:00
abstract：:A new system has been developed for transanal endoscopic microsurgery (TEM), which allows all the conventional surgical techniques within the rectal cavity. The main indication is the removal of sessile adenomas. "Early rectal carcinomas" are also suitable for local excision. We perform local excision of advanced canc...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1992-06-30 00:00:00
abstract：:A series of 100 patients suffering from deep venous thrombosis with prior episodes of pulmonary embolism or ilio-caval floating thrombi, submitted to surgery for the prevention of new embolic episodes, is analysed. Indications are discussed together with the various prevention techniques adopted over the past 5 years....
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1991-10-15 00:00:00
abstract：AIM:This prospective study was done to evaluate the efficacy of commercial fibrin glue application in the healing of patients with fistulas-in-ano from a short follow up period (one year). METHODS:This randomized clinical trial of 26 patients was performed during the period from January 2012 to July 2012. Nineteen men...
journal_title：Minerva chirurgica
pub_type： 杂志文章,随机对照试验
doi：
更新日期：2014-08-01 00:00:00
abstract：:Twenty autotransplantations and five allotransplantations were performed in female pigs; exocrine secretion was suppressed by injecting an acrylic glue into the ductal system; pancreatic segment was transplanted extraperitoneally in the iliac fussa. We describe an original technique most suitable to the morfologic car...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1980-05-31 00:00:00
abstract：AIM:The aim of this article is to present a new method for treating spontaneous pneumothorax, the one window plus puncture method (1WP) in which a thin endoscope is used. METHODS:With the patient in the lateral position and under one-lung ventilation, a one-window working port was created on the ventral side. An intro...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2008-12-01 00:00:00
abstract：:A particular cell-mediated immune response is tested in this work: the leukocyte adherence inhibition (L.A.I.) in the presence of organ tumor antigens. Forty-two patients suspected of having pancreatic cancer were submitted to the L.A.I. test and Ca 19.9 and TPA determination. The diagnosis of pancreatic cancer was ev...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1989-08-31 00:00:00
abstract：:We evaluated the effectiveness of sulbactam/ampicillin (S/A) as a perioperative prophylaxis regimen in elective colic surgery (procedures lasting less than 4 hours). We studied 18 patients (11 males, 7 females; mean age 46 yrs, range 21-72), by an open, non-comparative trial: S/A was given soon before anesthesia (1 g ...
journal_title：Minerva chirurgica
pub_type： 临床试验,杂志文章
doi：
更新日期：1990-04-15 00:00:00
abstract：:The majority of patients diagnosed with adenocarcinoma of the pancreas have advanced disease at presentation, with only 20% surviving beyond one year. Even among the 10% to 15% of patients who present with localized disease, only 20% will be alive 5 years post surgical resection. Systemic therapy for pancreatic adenoc...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：2009-10-01 00:00:00
