Abstract：
:Peritoneal carcinomatosis has always been regarded to have a poor prognosis. Surgery is usually limited to palliation of bowel obstruction by performing an intestinal bypass or ostomy. This severe disease has been considered as equal to distant metastasis and intravenous (i.v.) chemotherapy is commonly used in order to achieve a regression of the tumour. However, resistance to cytotoxic drugs, a poor vascular supply and high osmotic pressure might prevent the efficient uptake of i.v. chemotherapeutic agents into tumour tissues. A new concept in dissemination of gastrointestinal cancer and gynecologic cancer now require that peritoneal implants are regarded in a different way. In many patients peritoneal dissemination is a locoregional spread of disease with no manifestation of systemic disease. A locoregional therapeutic approach combining cytoreductive surgery with hyperthermic intraperitoneal intraoperative chemotherapy evolved. This new treatment option seems to be an effective therapeutic approach in carefully selected patients, and offers a chance for cure or palliation in this condition with few alternative treatment options.
journal_name
Minerva Chirjournal_title
Minerva chirurgicaauthors
Mahteme H,Påhlman Lkeywords:
subject
Has Abstractpub_date
2005-06-01 00:00:00pages
151-7issue
3eissn
0026-4733issn
1827-1626journal_volume
60pub_type
杂志文章,评审abstract：BACKGROUND:Procalcitonin (PCT) is a new marker for severe infection that is supposed to have a useful role in the early detection of bacterial infection in the perioperative period. AIM OF THE STUDY:to test the hypothesis that PCT is useful as an early marker of postoperative infectious complications. METHODS:Thirty-...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2002-02-01 00:00:00
abstract：AIM:Facial blushing represents the peculiar symptom in social phobia and is defined as the ''hallmark of embarrassment''. At present, endoscopic thoracic sympathectomy (ETS) is the technique only able to guarantee long-term results in the treatment of sympathetic disorders. The aim of our study was to evaluate results,...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2006-10-01 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：:The authors present a case of bilateral adrenal pheochromocytoma that occurred at their observation and surgically treated with a bilateral adrenalectomy. The authors review the literature in order to discuss the diagnostic and therapeutic option to treat these cases. They stress the importance of preoperative abdomin...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：1997-05-01 00:00:00
abstract：:The authors underline that, although rarely found, leiomyomas of the gastrointestinal tract are the most frequent benign tumours of the small intestine. On occasions, from being a simple autoptic finding or diagnosed during the course of explorative laparotomy, they may be responsible for emergency abdominal surgery, ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1996-11-01 00:00:00
abstract：:The Authors perform a retrospective study on the incidence of postoperative jaundice in a selected group of 2060 patients, who underwent operations of general or vascular surgery. The incidence of jaundice in the postoperative period appears to be quite high in vascular surgery: out of 96 patients became jaundiced, 78...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1980-06-30 00:00:00
abstract：:The authors report a case in which a PTFE prosthesis, used to treat a voluminous hiatal sliding hernia, dislocated inside the cardial lumen. Within two months the prosthesis had become decubitant and penetrated the cardial lumen, causing dysphagia, inappetence and weight loss. The use of radiological and tomographic i...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2000-05-01 00:00:00
abstract：:In a double blind, controlled clinical study, 40 patients, 20 of whom were subjected to mastectomy or quadrantectomy and 20 to inguinal hernioplasty, were randomly assigned to two treatment groups of 20 subjects each, balanced by type of operation. Treatment lasted 3 days and involved the administration of 3 supposito...
journal_title：Minerva chirurgica
pub_type： 临床试验,杂志文章,随机对照试验
doi：
更新日期：1990-12-01 00:00:00
abstract：:Ward nurses have a central role in postoperative pain management. Pain medication is prescribed by anesthetists and surgeons, but it is ward nurses who spend more time with patients and have the responsibility for assessing patient's pain intensity, administering some prescribed analgesic treatments and monitoring the...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2003-12-01 00:00:00
abstract：:The paper describes a recent case of carcinoid of the appendix in a 15 year old patient, operated for appendicitis. The diagnosis was found incidentally by histologic examination. Following a review of the literature the Authors discuss the epidemiology and clinical aspects of the appendiceal carcinoid, the most commo...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1991-05-15 00:00:00
abstract：:The rarity of benign primary neoformations in the parapharyngeal space associated with aspecific clinical symptomatology often leads to the identification of large size lesions with deformation of the lateral wall of the pharynx and homolateral hemiplate. The improved diagnostic specificity of radiological instruments...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：1998-06-01 00:00:00
abstract：:Following and exhaustive review of the literature on this topic, the paper reports the results of the treatment of 16 patients with male breast cancer. From an analysis of findings, it was observed that diagnosis is frequently delayed (mean 1 year), disease is at a locally advanced stage in the majority of patients, a...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1990-01-01 00:00:00
abstract：BACKGROUND:The choice of surgical technique in antral gastric cancer is still debated. Some authors support total gastrectomy in all cases. In recent years there is a trend to use total gastrectomy only if strictly necessary. Total gastrectomy allows a large lymph node excision, with better oncological results. The mor...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1998-01-01 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：:Successful resection of a leiomyoma of the epicardial segment of the oesophagus in a personal cases is reported. ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1976-03-31 00:00:00
abstract：BACKGROUND:To evaluate multiple osteochondral autografts for the treatment of traumatic chondral lesions of the knee. METHODS:Twenty-four (19 male and 5 female) patients underwent multiple osteochondral transplantation from 1995 to1999, the age ranging from 19 and 47 years old. Osteochondral lesion was localized on th...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2002-06-01 00:00:00
abstract：:The Authors present their personal experience in the surgical treatment, using the Shouldice modified method, of 85 cases of patients suffering from inguinal hernia. The rarity of general and local complications and the relatively low percentage of relapse, if compared with other surgical methods, testify to the valid...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1991-12-01 00:00:00
abstract：:The plexosarcomas or gastrointestinal autonomic nerve tumors (GAN tumors) are very rare neoplasms originating from the gastrointestinal autonomic nervous system. They have been differentiated from the other gastrointestinal stromal tumors due to ultrastructural features showed by electronic microscopy. Their mesenteri...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2000-03-01 00:00:00
abstract：:Thyroidectomy is one of the most frequently performed surgical procedure worldwide, even if the risks of lethal postoperative complications prevented its evolution and diffusion until the beginning of the XX century. At that time, T. Kocher described his meticulous technique, reporting excellent results in terms of mo...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：2007-10-01 00:00:00
abstract：:Deep venous thrombosis is a quite frequent pathology with a high degree of morbidity and death-rate. Two are the main problems of this disease: the risk of pulmonary embolism and outcome of a post-thrombotic syndrome, leading patients to infirmity. The patients max exposed to the risk of deep venous thrombosis are the...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1995-01-01 00:00:00
abstract：:Following the exclusion of the ventilation of a lung, perfusion is arrested as a consequence of the Von Euler and Liljestrand vasoconstrictive reflex. However it is as yet unknown how long this phenomenon takes to manifest itself in human beings. In order to verify whether hypoxic pulmonary vasoconstriction follows im...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1993-06-15 00:00:00
abstract：:Thoracic trauma occurs in an estimated 25% of all trauma victims, with approximately 50% of trauma mortalities attributable to these injuries. Only 4% of thoracic traumas involve injuries to thoracic vessels, including the aorta, innominate veins and artery, left carotid artery, internal mammaries, and pulmonary hilar...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：2013-06-01 00:00:00
abstract：:Mucinous cystadenocarcinoma of the cecal appendix is a very rare malignant neoplasia. The majority of these tumours are discovered during surgery performed for other pathologies or as a chance finding in the histological analysis of surgically removed inflamed appendix. There is no characteristic symptomatology of thi...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1998-01-01 00:00:00
abstract：:The authors present the diagnostic and therapeutic evolution of a case of duodenal duplication complicated by acute recurring pancreatitis in a eight-year-old boy. Abdominal pain and vomiting represented important clinical signs associated with a previous history of inexplicable episodes of acute pancreatitis. Abdomin...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2001-06-01 00:00:00
abstract：:The locoregional treatment of breast cancer has rapidly evolved from disfiguring approaches to nipple-sparing mastectomy (NSM) in selected patients. The goal of the nipple-sparing mastectomy procedure is to remove all glandular breast tissue in order to maximize oncologic therapy, while leaving the nipple-areola compl...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：2012-06-01 00:00:00
abstract：AIM:Despite improvement in the operative technique and graft and suture material, femoral anastomotic aneurysms (FAAs) represent a continuing problem for patients undergoing lower extremity revascularization. The present retrospective study investigates the clinical presentation, the infection as a cause of FAAs, the i...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2006-04-01 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：INTRODUCTION:Surgical management of external rectal prolapse (ERP) remains a challenge with the breadth of choices available and varies on the international, national, regional and locoregional level. Significant innovation has led to new techniques to manage ERP including changes to both abdominal and perineal approac...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：10.23736/S0026-4733.16.07205-9
更新日期：2017-02-01 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
