Abstract：
:The incidence of gastroesophageal junction adenocarcinoma is increasing. About 30% of the tumors cannot be completely resected, and 40% of the patients relapse after complete resection. There is much controversy over the role of neoadjuvant therapy, the approach route, lymphadenectomy, and the extent of esophageal resection. The aim of our study was to report our experience in the treatment of gastroesophageal junction adenocarcinoma. From January 1987 until February 2005, 157 patients (125 men, 32 women), mean age 72.1 +/- 3.2 years, came for observation. One hundred sixteen patients underwent curative intervention. Mean operative time was 185 +/- 45 minutes. Mean postoperative hospital stay was 16.4 +/- 6.1 days. Postoperative complications were observed in 25 patients (21.6%); 6 patients (5.2%) died during the postoperative period. Overall survival was 36.2% and 27.6% at 3- and 5-year follow-up, respectively. Five-year survival rate was significantly lesser in R1/R2 versus R0 resections (0% versus 33.7%), N+ versus N- patients (11.3% versus 53.3%), and worsened with progression of pT histological staging (T1, 100%; T2, 24.1%; T3, 15.1%; T4, 0%). Determining prognostic factors are the radicality of resection, lymph nodal invasion, and histological staging.
journal_name
Int Surgjournal_title
International surgeryauthors
del Genio A,Rossetti G,Maffettone V,Napolitano V,Brusciano L,del Genio G,Russo G,Limongelli P,Fiume I,Pizza F,Tolone S,Di Martino Msubject
Has Abstractpub_date
2006-05-01 00:00:00pages
174-80issue
3eissn
0020-8868issn
2520-2456journal_volume
91pub_type
杂志文章abstract：:The standard surgical approach to multiple polyposis has been a total proctocolectomy and an end ileostomy because of the premalignant nature of the disease. This operation has been successful, but has resulted in a significant amount of psychological trauma due to the presence of an abdominal stoma. For that reason, ...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1985-10-01 00:00:00
abstract：:The infiltration of extrahepatic bile duct carcinoma along the bile duct wall was studied in 29 resection cases. Histologically, spreading took place by mucosal infiltration in one case, mucosal and transmural in three, and transmural in 25. The average microscopic infiltrating distance from the gross margin of the tu...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1988-04-01 00:00:00
abstract：:A totally implantable system was used for prolonged intravenous treatment in patients whose peripheral veins could no longer be punctured. Our experience showed this device, which was used for short periods in 20 patients, to be an effective solution to the problem of permanent venous access. ...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1985-07-01 00:00:00
abstract：:The activity of serum xanthine oxidase, an enzyme mainly found in the liver, was determined in a random series of patients who underwent abdominal surgery of varying severity. Enzyme activity rose markedly on completion of operation in almost all patients undergoing biliary tract and gastric surgery, but not in those ...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1976-03-01 00:00:00
abstract：:The aim of this study is to analyze the risk factors for complications and recurrence in pilonidal sinus disease. The prospective study consisted of 144 patients with pilonidal sinus disease who were operated on at Dicle University Medical Faculty, Department of General Surgery, between February 2008 and December 2010...
journal_title：International surgery
pub_type： 杂志文章
doi：10.9738/CC86.1
更新日期：2012-07-01 00:00:00
abstract：:The history of inguinal herniorrhaphy certainly presents some peculiar aspects. Until the 18th century this disease was studied with interest and found a place in the books of several important authors, but in practice it was treated by empiricists and barbers. We must recognize however that some of their surgical met...
journal_title：International surgery
pub_type： 历史文章,杂志文章
doi：
更新日期：1986-07-01 00:00:00
abstract：:Many patients die each year lacking only a functional small bowel to survive. The minimum amount of small intestinal absorptive surface required to sustain life varies from patient to patient. Prolonged survival with oral alimentation alone has been reported in a few patients with an intact duodenum and as little as 1...
journal_title：International surgery
pub_type： 杂志文章,评审
doi：
更新日期：1999-10-01 00:00:00
abstract：:The aims of regional therapy are to increase the exposure of regional confined cancers to drugs and to decrease their systemic levels. Two main approaches are available: intra-vascular and intra-lymphatic (I.L.) therapy. The former is comprised of different methods of delivering chemo-radio therapeutic agents directly...
journal_title：International surgery
pub_type： 杂志文章,评审
doi：
更新日期：1986-01-01 00:00:00
abstract：:The skin bacterial flora of subjects who scrub their hands routinely was compared to subjects who usually do not scrub their hands, to determine the influence of the surgical scrub on the skin bacterial population. Aerobic, anaerobic and yeast cultures of 15 surgical residents and 15 internal medicine residents were o...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1984-10-01 00:00:00
abstract：:Experimentally produced angulatory deformities of rat tibia with and without physeal injury were observed at two to three-week intervals for an eight-week period by x-ray studies, in order to estimate the spontaneous correctability of tibial deformity in growing rats. The results obtained were as follows: 1) In the re...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1980-07-01 00:00:00
abstract：:Of the 365 surgical techniques performed on the aorto-iliac area in 354 patients, 448 extremities were revascularized by means of the insertion of a prosthesis as a by-pass, and 165 by thromboendarterectomy (TEA), either global or ilio-femoral. The patency rate at five years was 83% for prostheses, and 72% for TEAs, s...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1988-10-01 00:00:00
abstract：:The aim of this study was to retrospectively evaluate the outcome of stapled, functional, end-to-end anastomosis (FEEA) for the reconstruction of right hemicolectomy. We enrolled 204 patients who underwent a right hemicolectomy for colon carcinomas or adenomas by open surgery. One hundred two patients received an FEEA...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2009-07-01 00:00:00
abstract：:We analyzed data on the three-dimensional vascular anatomy of the right colon from the operative documents of 215 patients undergoing oncologic resection for right colon cancer. The right colic artery (RCA) was absent in 146 patients (67.9%), with the ileocolic artery (ICA) crossing the superior mesenteric vein (SMV) ...
journal_title：International surgery
pub_type： 杂志文章
doi：10.9738/cc20.1
更新日期：2011-10-01 00:00:00
abstract：:Fifteen patients with 16 histologically verified heterotopic pancreas lesions were encountered at our department during a period of 22 years. The incidence was 0.25% of the findings of all abdominal operations during the same period. Heterotopic pancreas caused symptoms in 5 patients. All the remaining 10 patients wer...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1993-01-01 00:00:00
abstract：PROBLEM:The function of hepatic allograft from non-heartbeating donors (NHBD) is significantly affected by warm ischemic injury before harvesting. MATERIALS AND METHODS:The effects of the endothelin (ET) antagonist TAK-044 and the platelet activating factor (PAF) antagonist E5880 on the function of grafts from NHBD we...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1998-07-01 00:00:00
abstract：:A subcutaneously placed afferent jejunl loop pexis, which is often performed during a hepaticojejunostomy, opens a route to the biliary tract, through which appropriate instruments can be passed should postoperative complications arise, requiring a choledochoscopy, the removal of calculi, and for the dilatation of the...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1989-07-01 00:00:00
abstract：:A randomized prospective study of 202 patients undergoing peripheral vascular surgery, with the use of autotransfusion, is presented. Hematologic and hemostatic studies were performed on 50 samples of reclaimed and bank blood. The study showed a lower hemoglobin content in autotransfused blood. At the same time it sho...
journal_title：International surgery
pub_type： 临床试验,杂志文章,随机对照试验
doi：
更新日期：1983-01-01 00:00:00
abstract：:Video-assisted thoracoscopic surgery (VATS) has emerged as a minimally invasive therapy of bronchogenic carcinoma, when the diseases occur in patients unable to tolerate open thoracotomy who are 80 years old or older. We report on an 80-year-old man with poor pulmonary function and an 83-year-old man, who were treated...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1996-07-01 00:00:00
abstract：:Castleman's disease is rare and can be present in many sites and with a variety of symptoms. Surgery is always recommended for localized lesions to remove the mass as completely as possible, reserving other treatment modalities for unresectable cases. ...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1999-04-01 00:00:00
abstract：:A case of melanoma of the iris is reported. A simple enucleation of the eye was performed. The patient is alive 24 years after the operation. ...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1980-03-01 00:00:00
abstract：:Fecoflowmetry (FFM) has been introduced to simulate natural anorectal evacuation. So far, few reports have described the effect of the herbal medicine Daikenchuto (DKT) on impaired anorectal motor function. The aim of this pilot study was to assess anorectal motor function by FFM in postoperatively impaired patients w...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2010-10-01 00:00:00
abstract：:No topic in the field of vascular surgery evokes more controversy than the management of the patient with asymptomatic carotid artery stenosis. The fact remains, however, that patients can and do develop stroke without any antecedent TIA, and there is no definite and predictable way to identify the stroke-prone group....
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1984-07-01 00:00:00
abstract：:We describe the case of a patient with a diaphragmatic hernia associated with radiofrequency ablation for hepatocellular carcinoma who was successfully treated by laparoscopic surgery. A 62-year-old man with a long history of hepatitis C-induced liver cirrhosis was admitted to our institution because of recurrent post...
journal_title：International surgery
pub_type： 杂志文章
doi：10.9738/INTSURG-D-14-00025.1
更新日期：2014-07-01 00:00:00
abstract：:Hemobilia is the process of bleeding into the biliary tree and is an unusual cause of upper gastrointestinal hemorrhage. When this event results from a cystic artery pseudoaneurysm, it is a particularly rare phenomenon; fewer than 20 cases are described in the literature. Alongside the literature review, we report a c...
journal_title：International surgery
pub_type： 杂志文章,评审
doi：10.9738/CC52.1
更新日期：2012-04-01 00:00:00
abstract：:Duodenoscopic sphincterotomy (DS) is a well established treatment for common bile duct (CBD) stones in post-cholecystectomy patients, but not in patients with gallbladder in situ. The main argument against the procedure in the latter set of patients has been that by performing it, one is leaving behind the diseased ga...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1991-07-01 00:00:00
abstract：:A retrospective review was performed of 98 patients admitted to a Level I Trauma Center between July 1989 and December 1990 with a diagnosis of blunt chest trauma. Of these patients, 49% suffered either immediate or delayed complications. Immediate complications included hemothorax or pleural effusion in 21.4%, pneumo...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1993-10-01 00:00:00
abstract：:Tamoxifen (Nolvadex) has been in use for over 20 years and currently is probably the most prescribed anti-cancer medication in the world. It is an orally effective, synthetic, non-steroidal, estrogen antagonist and agonist agent. In studies and trials it has been shown to have only limited side effects. It has produce...
journal_title：International surgery
pub_type： 杂志文章,评审
doi：
更新日期：1993-04-01 00:00:00
abstract：:About half of 361 patients with intrahepatic stones had recurrent stone(s) requiring additional surgery in the past 10 years. In order to cope with this problem, a new tube referred to as the KMC (Kaohsiung Medical College) tube was developed to allow the removal of stones without additional surgery. This tube was imp...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1986-04-01 00:00:00
abstract：:Of 144 cases of pancreatoduodenectomy we treated 6 patients (4.2%) with delayed massive bleeding. Massive hemorrhage occurred 14 to 38 days later. Leakage of the pancreatojejunostomy was confirmed in all patients. A "sentinel bleed" was evident in five patients with arterial bleeding. One patient with hemorrhage of th...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1998-04-01 00:00:00
abstract：:We made clinical trials of en bloc extended radical mastectomy (EXT) of a new type in 118 patients from 1980 through 1985. A variety of conventional radical mastectomies (RDL) were also performed in 105 patients from 1973 through 1985. A multivariate analysis was performed of the results to compare EXT and RDL. The re...
journal_title：International surgery
pub_type： 临床试验,杂志文章
doi：
更新日期：1992-01-01 00:00:00
