Abstract:
:Clinically, solitary thyroid nodules are common, being present in up to 50% of the elderly population. The majority are benign with thyroid cancer representing an uncommon clinical problem. Investigation should include careful history and examination and thyroid function tests. Toxic or autonomous nodules are rarely malignant and require radionuclide scan for assessment. If euthyroid, then fine needle biopsy provides direct specific information about the cytology of the nodule from which the histology can be inferred. Thyroid 'incidentalomas' are a common management problem. Non-palpable nodules greater than 1.0 to 1.5 cm represent an absolute indication to perform an ultrasound-guided fine needle biopsy. An atypical fine needle biopsy mandates formal diagnostic excision. Because it is not possible to distinguish a follicular carcinoma from a follicular adenoma on cytological grounds alone, this category must simply be interpreted as indicating a follicular tumour and up to 20% will be malignant. Hemithyroidectomy via a 'collar' incision, with submission of the specimen to formal pathological examination, remains the standard of care, with completion total thyroidectomy for cancers other than low risk papillary cancer and 'minimally invasive' follicular cancer without vascular invasion. The issue of whether follicular adenomas can potentially develop into follicular carcinomas has yet to be satisfactorily resolved. The major challenge in the management of the solitary thyroid nodule remains the assessment as to which nodules require surgical excision and which can be followed conservatively.
journal_name
ANZ J Surgjournal_title
ANZ journal of surgeryauthors
Delbridge Ldoi
10.1111/j.1445-2197.2006.03727.xsubject
Has Abstractpub_date
2006-05-01 00:00:00pages
381-6issue
5eissn
1445-1433issn
1445-2197pii
ANSjournal_volume
76pub_type
杂志文章,评审abstract:BACKGROUND:Quad bikes are a prominent cause of morbidity and mortality in Australia in both agriculture and recreation. This study describes the clinical and epidemiological characteristics of quad bike injuries at the Royal Darwin Hospital (RDH). METHODS:A retrospective review of the RDH Trauma Registry for all quad ...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.15631
更新日期:2020-04-01 00:00:00
abstract:BACKGROUND:The role of minimally invasive approach for pancreaticoduodenectomy has not yet been well defined in Australia. We present our early experience with laparoscopic pancreaticoduodenectomy (LPD) from Brisbane, Australia. METHODS:Retrospective review in a prospectively collected database of patients undergoing ...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.14020
更新日期:2018-05-01 00:00:00
abstract:BACKGROUND:A systematic review with meta-analysis was performed to compare perioperative outcomes between minimally invasive oesophagectomy (MIE) and open oesophagectomy (OE). METHODS:PubMed and Cochrane databases were searched up to January 2015 using keywords: esophageal cancer, MIE, OE, hybrid MIE. Randomized contr...
journal_title:ANZ journal of surgery
pub_type: 杂志文章,meta分析,评审
doi:10.1111/ans.13334
更新日期:2017-03-01 00:00:00
abstract:BACKGROUND:Haemorrhoidectomy is associated with significant post-operative pain which is primarily managed pharmacologically. Whether a non-pharmacological adjunct such as a checklist can improve pain outcomes after an open haemorrhoidectomy has yet to be studied. The purpose of this study was to determine if a patient...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.15732
更新日期:2020-04-01 00:00:00
abstract:BACKGROUND:Open cholecystectomy is still a fairly frequently performed operation worldwide, and is used where laparoscopic surgery has failed or is contraindicated, and where some surgeons do not operate laparoscopically for technical reasons. In developing countries laparoscopic cholecystectomy is costly and is availa...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1046/j.1440-1622.2001.02046.x
更新日期:2001-02-01 00:00:00
abstract::McCune-Albright Syndrome is a rare condition characterized by endocrine abnormalities, precocious puberty, pigmented skin lesions and polyostotic fibrous dysplasia with consequent fractures and limb deformity. Patients with this syndrome might have had multiple operations on a limb and might also have extensive intern...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1046/j.1445-2197.2003.t01-4-.x
更新日期:2003-12-01 00:00:00
abstract:BACKGROUND:The diagnosis of severe acute respiratory syndrome (SARS) in surgical patients can potentially be missed based on current World Health Organization (WHO) case definitions. METHOD:We report a retrospective case series of 10 surgical inpatients diagnosed with SARS following an outbreak in the surgical wards. ...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2005.03285.x
更新日期:2005-01-01 00:00:00
abstract:BACKGROUND:Abdominal actinomycosis (AA) is a rare infection. The aim of this study was to summarize the evidence available on AA. METHODS:A systematic review was conducted. Data sources included Trip Database, BIREME, SciELO, Cochrane Library, WoS, MEDLINE, EMBASE, SCOPUS, IBECS and LILACS. Eligibility criteria includ...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.16141
更新日期:2020-07-01 00:00:00
abstract:BACKGROUND:Recent analyses of the surgical literature have suggested a general trend towards increasing numbers of published articles and an improved quality of evidence produced. The aim of this bibliometric analysis was to identify trends in the publication of general surgical research in New Zealand from 1996 to 201...
journal_title:ANZ journal of surgery
pub_type: 杂志文章,评审
doi:10.1111/ans.13821
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Surgical therapy for the thoracic aorta carries a high morbidity and mortality. Endovascular therapy for aneurysms and its adaptation to the thoracic aorta over the past 10 years is an exciting advance. This is a retrospective review of endovascular grafting of the thoracic aorta during the past decade at Ro...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2007.04293.x
更新日期:2007-11-01 00:00:00
abstract:BACKGROUND:Haemorrhagic complication occurs in 5-16% of patients following pancreaticoduodenectomy (PD). We report an analysis of patients with post-PD bleed, to identify predictors of bleed, predictors of survival following bleed and the management of post-PD bleed. METHODS:Two hundred and eighteen patients with peri...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-1433.2004.03212.x
更新日期:2004-11-01 00:00:00
abstract:BACKGROUND:The present paper examines the local recurrence rate following surgical treatment for carcinoma of the lower rectum with principally blunt dissection directed at tumour-specific mesorectal excision (including total mesorectal excision when appropriate). METHODS:During the period April 1987-December 1999, 12...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-1433.2004.03136.x
更新日期:2004-09-01 00:00:00
abstract:BACKGROUND:Surgical decision-making tools may help surgeons achieve better outcomes by providing more personally relevant information to patients. This paper describes approaches to developing statistical tools capable of estimating the probability of morbidity and mortality after cardiovascular surgery. Our aim is to ...
journal_title:ANZ journal of surgery
pub_type: 杂志文章,评审
doi:10.1111/j.1445-2197.2010.05644.x
更新日期:2011-11-01 00:00:00
abstract:BACKGROUND:Cruciferous vegetable consumption is inversely related to the incidence of prostate cancer. We examined the effect of indole-3-carbinol (I3C) and of sulforaphane (constituents of cruciferous vegetables) on cell proliferation of a PC-3 prostate cancer cell line, in order to observe if an inhibitory effect mig...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1046/j.1445-2197.2003.02652.x
更新日期:2003-03-01 00:00:00
abstract::About 50% of the trauma victims die at the scene mostly because of exsanguinating haemorrhage. Most trials of resuscitation fail in face of the ongoing bleeding. Ongoing research/studies to save these victims by inducing rapid hypothermia using cardiopulmonary bypass as an emergency initial measure along with delayed ...
journal_title:ANZ journal of surgery
pub_type: 杂志文章,评审
doi:10.1111/ans.14313
更新日期:2018-07-01 00:00:00
abstract:BACKGROUND:The work hours of junior doctors have been in the spotlight since the mid-1980s. Rostering and the structure of surgical units aim to balance quality and continuity of patient care with reasonable working hours. METHODS:Actual hours worked during two 12-week surgical registrar rosters were compared. Complia...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2010.05374.x
更新日期:2010-07-01 00:00:00
abstract:BACKGROUND:Neoadjuvant therapy, radical lymphadenectomy and treatment in high-volume centres have been proposed to improve outcomes for resectable oesophageal tumours. The aim of the present study was to review the oesophagectomy experience of a single surgeon with a moderate caseload who uses neoadjuvant therapy selec...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2009.04855.x
更新日期:2009-04-01 00:00:00
abstract:BACKGROUND:Improved life-expectancies have seen increased rates of older patients undergoing surgery worldwide. These patients are at increased risk of post-operative complications. Australian evidence is limited regarding the association between age and post-operative outcomes, especially rapid response calls (RRCs) a...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.14433
更新日期:2018-05-01 00:00:00
abstract:BACKGROUND:Recent follow-up studies have demonstrated significant improvement in overall survival as well as survival with native liver following geographic centralization of services to three centres in the UK. However, this model has not been replicated in countries with relatively low population density such as Aust...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.12522
更新日期:2015-11-01 00:00:00
abstract:BACKGROUND:Sentinel node biopsy is an accurate method for staging the axilla in early (small) breast cancers. However, data for the role of this technique for large breast cancers remain limited. METHOD:From the Royal Adelaide Hospital Sentinel Node database and the SNAC trial database, 100 subjects were identified wi...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.12139
更新日期:2014-03-01 00:00:00
abstract::To the ancient Greeks, physical exercise was an essential part of life, especially during adolescence and young adulthood. Long after the end of the Classical Greek era, Roman conquest brought a shift towards martial training, increased professionalism in athletic competition and a weak strand of restorative gymnastic...
journal_title:ANZ journal of surgery
pub_type: 历史文章,杂志文章
doi:10.1111/j.1445-2197.2009.05149.x
更新日期:2009-12-01 00:00:00
abstract:BACKGROUND:The Pacific Island nation of Samoa faces a number of challenges in delivering surgical care. Our group aimed to identify the barriers and opportunities to improving the delivery of safe, affordable, timely surgical care in Samoa. METHODS:A mixed-methods approach was undertaken. The quantitative analysis use...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.15295
更新日期:2019-06-18 00:00:00
abstract:BACKGROUND:Groin hernia repairs (GHRs) are among the commonest general surgical procedures in the Western population. The introduction of minimally invasive surgery has prompted the development of laparoscopic totally extraperitoneal and trans-abdominal preperitoneal hernia repairs. We aimed to determine the hernia tre...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.13899
更新日期:2018-04-01 00:00:00
abstract:AIM:To establish a proinflammatory cytokine profile of the cerebrospinal fluid (CSF) following trauma. BACKGROUND:Trauma is associated with a postinjury syndrome consisting of loss of weight and nitrogen, pyrexia, anorexia and fatigue. It has been proposed that cytokines are pathophysiologically involved in this syndr...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2005.03530.x
更新日期:2005-09-01 00:00:00
abstract::Achalasia is a motility disorder encountered by surgeons during the investigation and treatment of dysphagia. Recent advances in manometry technology, a widely accepted new classification system and a new treatment rapidly gaining international acceptance, have changed the working knowledge required to successfully ma...
journal_title:ANZ journal of surgery
pub_type: 杂志文章,评审
doi:10.1111/ans.13497
更新日期:2016-07-01 00:00:00
abstract:BACKGROUND:Traumatic brain injury is a major cause of mortality and morbidity, particularly among young men. The efficacy and safety of most of the interventions used in the management of patients with traumatic brain injury remain unproven. Examples include the 'cerebral perfusion pressure-targeted' and 'volume-target...
journal_title:ANZ journal of surgery
pub_type: 杂志文章,评审
doi:10.1111/j.1445-2197.2006.03674.x
更新日期:2006-03-01 00:00:00
abstract:BACKGROUND:In Australia, there has been a shift from the traditional 'on-call' surgical model to the 'acute surgical unit' (ASU) model to improve outcomes in acute general surgery. Using emergency appendicectomy as a standardized procedure, we aimed to identify the different patterns of care between these on-call struc...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.16558
更新日期:2021-01-18 00:00:00
abstract:BACKGROUND:We describe a technique of U-shaped bulboprostatic anastomosis for urethral injury after pelvic trauma. METHODS:Sixty-eight male patients were included in our study. Suprapubic cystostomy was carried out initially, followed by U-shaped prostatobulbar anastomosis after 6-12 weeks. Follow ups were carried out...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2008.04584.x
更新日期:2008-07-01 00:00:00
abstract:INTRODUCTION:Sigmoid volvulus typically occurs in older patients who have multiple co-morbidities. Therefore, often, a conservative approach to management is chosen. However, there is little data on long-term outcomes of this approach in Australasia. The aim of this study was to review the recurrence and mortality outc...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2012.06182.x
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:For patients presenting with symptomatic internal carotid artery stenosis, carotid endarterectomy (CEA) surgery is recommended to be performed generally within a 48-hr to 14-day window. This study aimed to assess timeliness of delivery, and outcomes, of CEA surgery in a tertiary vascular centre. METHOD:Pati...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.15757
更新日期:2020-03-01 00:00:00