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 introducer was inserted on the dorsal side, and the operation to treat spontaneous pneumothorax was performed under observation with a thin endoscope, that was 2 mm to 3 mm in diameter. RESULTS:This study enrolled 540 patients, in whom thoracoscopic surgery was performed in order to treat spontaneous pneumothorax during the period from 1995 to 2004. The cases were divided into two groups: the first group comprised 324 cases (TWM group) in which surgery was performed by the two windows method (TWM), and the second group comprised 216 cases (1WP group) in which surgery was performed by the one window plus puncture method (1WP) using a thin endoscope. After surgery the two groups were compared. The TWM group consisted of 282 males and 42 females, and the patients' mean age was 32+/-14.5 years (range: 15 to 76 years). The 1WP group consisted of 202 males and 14 females, and the patients' mean age was 21.6+/-6.1 years (range: 15 to 48 years). The mean interval between hospital admission and surgery was 1.5+/-2.8 days in the TWM group and 0.9+/-1.5 days in the in the 1WP group. The mean interval between surgery and hospital discharge was 3.3+/-2.5 days in the TWM group and 2.3+/-0.7 days in the 1WP group. There was a postoperative recurrence in 13 (4%) of the cases in the TWM group, and reoperation was performed in 8 of them; and there was a recurrence in 7 (3.2%) of the cases in the 1WP group, and reoperation was performed in all of them. Thoracoscopic surgery using the thin endoscope was esthetically superior, surgical invasion was minor, and the patients were able to return to their daily lives sooner. CONCLUSIONS:A thoracoscopic surgery performed aggressively to treat spontaneous pneumothorax made it possible for the patients to return to their daily lives sooner. As thoracoscopic surgery by the 1WP method eliminates the access site on the dorsal side, used in the TWM, and utilizes only a 2 mm to 3 mm puncture, it is a more esthetic procedure, similar in terms of appearance to inserting a pleural drain without performing surgery.
journal_name
Minerva Chirjournal_title
Minerva chirurgicaauthors
Iwazaki M,Inoue Hsubject
Has Abstractpub_date
2008-12-01 00:00:00pages
475-9issue
6eissn
0026-4733issn
1827-1626journal_volume
63pub_type
杂志文章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：BACKGROUND:The authors describe the advantages and disadvantages of plastic surgery performed in a day-care public hospital unit. METHODS:A retrospective study was made of the day-surgery activities over 16 months (1998-1999) as part of a centralized system. Data were compared to day-surgery activities undertaken in 1...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2000-09-01 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：BACKGROUND:Meconium ileus (MI) is a form of neonatal intestinal obstruction due to an abnormal thickened meconium within the terminal ileum. The aim of this retrospective paper is to review our experience with neonates affected from MI treated at our institute over a twenty year period. METHODS:This report deals with ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1999-12-01 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：:Open Nissen fundoplication has been established as an effective treatment in the management of gastroesophageal reflux disease (GORD). Progress in minimally invasive surgery has given the chance of performing laparoscopic Nissen fundoplication. The short-term results are encouraging and its outcome promising. The need...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：2001-08-01 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：BACKGROUND:The incidence of perforative diverticulitis of the left colon is steadily increasing. Today the decision is generally taken to perform two-stage surgery: segmentary resection without (Hartmann's operation) or with anastomosis, but protected by a colostomy ("limited intervention"). This study aimed to examine...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1998-12-01 00:00:00
abstract：:The authors describe a case of pancreatic encephalopathy. This uncommon condition, rarely described in the literature, occurs with neuropsychiatric signs 3-4 days after the onset of acute pancreatitis. Diagnosis is due to clinical and biochemical findings and to post mortem examinations revealing also amylase in CSF. ...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：1995-03-01 00:00:00
abstract：:The authors report a case of associated injuries (thoracoabdominal trauma with multiple rib and sternum fractures, perforation of the small intestine, abdominal cutaneous ecchymosis) caused by a seat belt, and describe the possible seat-belt mechanisms of lesion in road accidents. Some clinical aspects are discussed; ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1993-05-15 00:00:00
abstract：:The paper reports the results of a follow-up of 25 patients who underwent gastric resection using Roux's technique, 15 patients undergoing reconstructive surgery according to Pean-Billroth and 15 who underwent Billroth II operations. Controls were performed more than 5 years after surgery and included endoscopic tests...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1991-06-30 00:00:00
abstract：:The A. studied the behaviour of gastric acid secretion, of gastrinemia and of the parietal cell mass in 14 patients with duodenal ulcer (in active state and then in quiescent state) and in 20 symptom free control subjects, in absence of circumscribed gastroduodenal lesions. The analysis of the results demonstrates the...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1977-12-15 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：:Following a review of the literature, the paper reports a case of duodenal injury. This rare pathology most frequently affects the second half of the organ and may cause damage ranging from a simple hematoma to parietal laceration with peritonitis and/or retroperitonitis. Symptoms are often confusing and delayed, and ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1991-09-15 00:00:00
abstract：:A case of distal volvulus of the stomach as a cause of acute intestinal obstruction in a paraesophageal hernia is presented. The patient, an old woman aged 82, had been suffering from abdominal pain and vomiting for about 48 hours. She successfully underwent emergency operation for the reduction of hernia and plasty o...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1989-10-31 00:00:00
abstract：:After an introduction on the various aetiological factors involved in toxic megacolon, its onset, medical treatment and indications to surgery, the paper describes personal experience with seven cases. The report highlights the importance of medical treatment which is recommended as the appropriate initial therapeutic...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1993-07-01 00:00:00
abstract：AIM:This study was designed to investigate the risk factors of pelvic lymph node metastasis in early stage cervical cancer in order to establish a prediction model for this metastasis and to explore the feasibility of conservative surgery. METHODS:The records of 207 stage IB-IIA cervical cancer patients were retrospec...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2011-12-01 00:00:00
abstract：:Forty-nine consecutive patients with early gastric cancer (EGC), observed from January 1978 to December 1992 in the Surgery Department of our Institute, were included in a retrospective study. The EGC prevalence in the overall cases of gastric cancer was 11%. This frequency was 8% in the period 1978-1985 and 15% in th...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1994-12-01 00:00:00
abstract：:Breast cancer is the most frequent form of tumour in women. The only weapon at our disposal to reduce the mortality rate for breast cancer is early diagnosis. A number of studies have shown, using appropriate prevention programmes, an increasing number of minimum 20-30% lesions. The probability that a non-palpable les...
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 report a case of right diaphragmatic hernia due to road-traffic accident. They discuss the problems of early diagnosis because it is delayed for multiple associated lesions or a low index of suspicion. The ratio of laceration of the left side to that of the right is twenty to one. The clinical and diagnost...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1992-12-01 00:00:00
abstract：:A total of 148 patients underwent colon resection between June 1993 and November 1994 at the General Surgery Division of Busto Arsizio Hospital; anastomosis was performed using BAR Valtrac in 58 patients (39%), namely 28 males and 30 women with a mean age of 66.3 years. Surgery was elective in 90% of cases and in 84% ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1997-12-01 00:00:00
abstract：:Personal experience in the aggression of the CNS for various purposes is considered. It is thought that the internal trans-jugular route is the easiest approach and procedures the fewest complications with appropriate techniques. ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1990-03-31 00:00:00
abstract：:The bacterial infections constitute a serious problem for the surgeon: the choice of antibiotic drugs is really important and, as often as possible, should be guided by antibiotic sensitivity tests. In this study we used sulbactam-ampicillin (Unasyn) who is an antibiotic combination between sulbactam, inhibitor of bet...
journal_title：Minerva chirurgica
pub_type： 临床试验,杂志文章
doi：
更新日期：1992-10-31 00:00:00
abstract：:The authors report their experience concerning the outpatient echo Doppler mapping of peripheral venous circulation in the lower limbs. Out of a total of 240 patients examined, 190 showed monolateral venous insufficiency and 50 bilateral. These results were correlated to the age of the patients and showed that sapheno...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1998-07-01 00:00:00
abstract：:The jejunal free flap is a standard technique in the reconstruction of hypopharyngeal and cervical esophageal defects. Conventional harvesting of the jejunal segment is performed with midline open laparotomy, which is associated with complications including prolonged ileus, abdominal pain, wound infection or dehiscenc...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2006-04-01 00:00:00
abstract：:Carotid-jugular arteriovenous fistulas (AVF) are extremely rare with only 20 cases reported in the literature up to December 1996. The case of a 74-year-old man (the oldest reported in the literature) with abnormal communications between the external carotid artery and the internal jugular vein is reported. The condit...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1998-10-01 00:00:00
abstract：:This article addresses emergent endoluminal technologies currently available for the treatment of gastroesophageal reflux disease (GERD) and compares it to the laparoscopic Nissen fundoplication. To date the mainstay of GERD therapy has been achieved with either open or laparoscopic fundoplication or life-long medical...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：2004-10-01 00:00:00
abstract：:The clinical records and pathologic patterns of all the cases of primary small bowel malignancies, treated in the last 15 years, were reviewed. There were 12 patients: 8 men and 4 women ranged from 41 to 86 years old. Carcinoma was the most common (82%) followed by carcinoid and lymphoma (9%). The distribution of the ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1990-06-15 00:00:00
abstract：:Myocardial revascularization among patients with porcelain aorta is a real dilemma regarding bypass technique, choice of conduit and site of proximal anastomosis. The experience reported here is about two cases of patients (aged 28 and 73 years) with porcelain aorta. Both patients had successful myocardial revasculari...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2007-12-01 00:00:00
abstract：:A small contribution is made to the work of widening the knowledge of the main principles followed in the emergency management of injuries to the face and jaws. The topic is rendered easily comprehensible by the nonspecialist through the use of many pictures. A short compendium of emergency therapies and personal expe...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1980-10-15 00:00:00
