Abstract:
BACKGROUND:Personal preliminary experience with Minimally Invasive Repair of Pectus Excavatum (MIRPE), "Nuss" procedure, using VATS is reported. METHODS:From January 2001 to February 2002, MIRPE has been performed on 5 patients (age range 13-18 y; mean 14.8 y). Under general anesthesia, a curved steel bar is inserted into the retrosternal tunnel between 2 bilateral midaxillary line incisions. The tunnel passes initially under the pectoral muscles and enters the pleural space at level of the mammilary line. Under thoracoscopic vision, the bar is passed through the tunnel with the concavity facing the front and then is turned over thereby correcting deformity. An epidural catheter relieved perioperative pain successfully. RESULTS:In all patients the repair has been good. Mean hospital length of stay has been 6.8 d. Pneumothorax occurred in 1 patient requiring tube thoracostomy. After 45 d 1 patient had a bar displacement requiring a reoperation. All patients have a normal life. CONCLUSIONS:The Minimally Invasive Repair of Pectus Excavatum is an effective procedure even in adolescence. Thoracoscopic vision makes safer the creation of the retrosternal tunnel and the passage of the bar. Short-term results have been good. Further follow-up is necessary to determine long-term results.
journal_name
Minerva Chirjournal_title
Minerva chirurgicaauthors
Anile M,De Giacomo T,Venuta F,Angelo Rendina E,Andreetti C,Diso D,Coloni GFkeywords:
subject
Has Abstractpub_date
2004-02-01 00:00:00pages
31-5issue
1eissn
0026-4733issn
1827-1626journal_volume
59pub_type
杂志文章abstract::Pancreatoblastoma is a very rare tumor of the pancreas, affecting children in the first decade of life. Ultrasound and CT scan may be useful but pre-operative diagnosis is often quite difficult. High level of seric alpha-fetoprotein could be suggestive of pancreatoblastoma. The definitive diagnosis is however made by ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1996-09-01 00:00:00
abstract::Microscopic examination of organs from outbred and inbred rats used in 5 groups for experiments in parabiosis with and without crossing of the digestive tubes and pseudoparabiosis showed that skin junctions soon became dehiscent, with boundary furrows tendings to separate the animals, in outbred rats, whereas continui...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1976-02-15 00:00:00
abstract:INTRODUCTION:Transanal endoscopic microsurgery (TEM) is a safe procedure and the rates of intra- and post-operative complications are low. The information in the literature on the management of these complications is limited, and so their importance may be either under- or overestimated (which may in turn lead to under...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:10.23736/S0026-4733.20.08405-9
更新日期:2021-01-12 00:00:00
abstract::Personal experience of thromboses of the inferior vena cava is presented and pathogenetic and symptomatological aspects stressed. In addition, in relation to the results presented and reported data, it is concluded that the role of surgical therapy is fundamental to integrate the thrombolytic and anticoagulant treatme...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1989-04-15 00:00:00
abstract::The finding of incidentalomas is becoming increasingly frequent during the course of routine diagnostic tests. At the hepatic level, the preclinical diagnosis of primary tumours has enabled a growing number of patients to undergo surgery with reduced operating trauma and greater oncological radicality. The authors rep...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:1998-09-01 00:00:00
abstract::Anaplastic carcinoma of the thyroid is a highly aggressive neoplasm with quickly total course. It is characterized by an average survival of 4-12 months. It infiltrates precociously into the windpipe, oesophagus, vessels of the neck and gives distant metastases in 10-48% of cases. In 30.8 to 80% of cases, this carcino...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:1993-11-01 00:00:00
abstract::Boerhaave's syndrome or postemetic rupture of the esophagus, carries a high morbidity and mortality. The authors report a delayed Boerhaave's syndrome diagnosis (3 days), successfully treated by right thoracoscopic debridement in prone position. Thanks to gravity the cardiopulmonary bloc drops back and the access to t...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:2008-06-01 00:00:00
abstract::A case of aneurysm of the hepatic artery associated with aneurysm of the abdominal artery in fissuration is discussed. The indications, possibilities and limits of exclusion or removal of the aneurysm without reconstructing the main artery axis in the treatment of cases involving the hepatic artery are examined in the...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1978-01-15 00:00:00
abstract::Retrospective analysis of risk-factors in 241 patients with large abdominal incisional hernia collected in a 16-year period at the Department of Surgery, University of Pavia, allows the Authors to identify the aetiological mechanism of herniation and to discuss the fundamental technical skills in wall reconstruction. ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1992-02-01 00:00:00
abstract:BACKGROUND:The aim of this study is to evaluate the biocompatibility of Angimesh mesh (polypropilene) in rats, usually used to replace or to strengthen the abdominal fasciae. METHODS:We made an abdominal longitudinal incision of skin and muscles in 20 rats was carried out and two muscular semilunae removed. The incisi...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1999-07-01 00:00:00
abstract::The finding of Merkel cell carcinoma is a rare but important event owing to the highly aggressive nature of this neoplasm. The authors report three cases of Merkel cell carcinoma with different onsets which were representative of the possible range of clinical symptoms and the prognosis of this pathology. In two cases...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:1999-03-01 00:00:00
abstract::Askin's tumour is a rare malignant small cell neoplasia of the thoracic wall; it most often effects females during childhood and is characterised by limited survival. The authors report a recent case of Askin's tumour in a young adult male. The case was characterised by multiple recidivation but a long survival. The a...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1994-12-01 00:00:00
abstract:UNLABELLED:Congenital lobar emphysema (CLE) is a rare congenital lung disease consisting in overinflation of a pulmonary lobe. Adult onset of CLE is therefore unusual, often presented with mild symptoms. The authors report a very uncommon case of congenital segmental emphysema diagnosed in a 21-year-old non-smoking man...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:2009-02-01 00:00:00
abstract::Emergency surgery is required for performed colonic diverticulitis. Surgical indications are not uniform in literature. In the experience of the authors the operations have been performed in the case of peritonitis subsequent to the perforation or in the case of failure of the conservative treatment. Twenty-four patie...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1994-07-01 00:00:00
abstract::The Authors analyse 121 cases of patients affected by abdominal malignant tumors, who underwent a palliative operation. Although the number of the examinated cases is small, it appears clear that the longest survival requires, when possible, the removal of most of the malignant tissue. This seems to be in accordance w...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1979-02-15 00:00:00
abstract::Postoperative infections are the most frequent complications in surgery and are the commonest cause of the lengthening of hospital stay. The purpose of this study is to prospectively evaluate the incidence and predisposing factors of postoperative infections in 1396 surgical patients admitted to our Institute from 198...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1992-07-01 00:00:00
abstract::Phlebology has made considerable efforts to free itself from empiricism in recent years. Careful scientific methods have enabled previously unhoped-for results to be obtained in very widespread and debilitating diseases. New and in some cases revolutionary concepts are described, whose application presupposes the exis...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1975-10-31 00:00:00
abstract::This paper presents guidelines for the safe outpatient practice of aesthetic surgery. These guidelines have been prepared by the Lombard Association of Plastic Surgery for Outpatients (ALChiPlA), an association confined to board certified plastic surgeons and holders of official authorizations issued by the Lombard AS...
journal_title:Minerva chirurgica
pub_type: 杂志文章,实务指引
doi:
更新日期:2010-04-01 00:00:00
abstract::Combined esophago-gastric pH measurements has been recently employed to better define gastroesophageal reflux and to simultaneously evaluate esophageal and gastric acidity. We studied 21 patients with esophagitis and 11 controls. Gastric acidity was rather similar in the two groups. A significant difference (p less th...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1991-04-15 00:00:00
abstract::In the orbital region the variety of tumors is so vast that even an expert oculoplastic surgeon may be deceived. The various tumors may be classified as benign, precancerous and malignant. Approximately 5-10% of all skin cancers occur in the eyelids. Incidence studies indicate that basal cell carcinoma is the most fre...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:2013-12-01 00:00:00
abstract:BACKGROUND:The emergency surgical treatment of inflammatory chronic bowel diseases is closely related to the classification of patients according to their symptoms and clinical conditions, as well as possible surgical options. In our study, an actual set of criteria is proposed for the classification of the degree of s...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1998-12-01 00:00:00
abstract::The pheochromocytoma is a catecholamine-secreting tumor, localized in the adrenal gland in 90% of the cases and in extra-adrenal site in the remaining 10%. It can be single or associated with other endocrine neoplasms. On the basis of the case presented, the several clinical manifestations, the treatment of the diseas...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:1999-04-01 00:00:00
abstract::An uncommon complication of the sigmoid diverticulitis personally observed is described. A woman, 59 years old, presented a septic shock caused by perforated sigmoid diverticulum into the space of Retzius. The diagnosis was carried out by an X-ray of the abdomen that suspected the presence of air in the retroperitoneu...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:2000-06-01 00:00:00
abstract::Ductal carcinoma in situ (DCIS) has been the subject of much controversy since the advent of population based breast screening programs. An increasing number of asymptomatic women are being diagnosed with this condition and there is uncertainty over the best treatment algorithm for this condition if treatment is to be...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:10.23736/S0026-4733.18.07729-5
更新日期:2018-06-01 00:00:00
abstract:AIM:Postoperative air leaks and in particular persistent air leaks (>5 days) after pulmonary resection still represent a common complication and the first cause of hospital stay delay. Aim of this experimental trial was to investigate the efficacy of the use of bovine pericardium strips (in terms of reduction of postop...
journal_title:Minerva chirurgica
pub_type: 临床试验,杂志文章
doi:
更新日期:2012-02-01 00:00:00
abstract::Cholangiography carried out in laparoscopic surgery is a diagnostic exam considered by many authors to be very important for the anatomy and the research pre-existent pathologies of the biliary tree. Such are the effective advantages that many Schools suggest it be carried out any case as the risks, the costs and the ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1996-04-01 00:00:00
abstract:BACKGROUND:In this study all patients observed between January 1993 and October 1997 with malignant pleural mesothelioma (MPM) have been analyzed in order to describe the impact of treatment modality on survival. METHODS:Medical records of 56 patients with MPM (44 male, 12 female, median age = 59 yrs) were reviewed. I...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:2001-06-01 00:00:00
abstract::The efficacy of two methods of orthograde lavage preparation in elective colorectal surgery was tested in 133 consecutive patients: the results obtained with whole gut irrigation (50 patients, group A) were compared with the results of oral lavage solution (83 patients, group B). All patients received a parenteral ass...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1992-08-01 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::The behaviour and distribution of "vasa recta" in the jejunum-ileal tract of the small intestine are described. ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1975-07-15 00:00:00