Staging non-small lung cancer with positron emission tomography: diagnostic value, impact on patient management, and cost-effectiveness.

Abstract:

:The aim of this study was to compare two preoperative staging procedures of non-small cell lung cancer (NSCLC): one using positron emission tomography (PET) and one using conventional imaging studies. Accuracy, effects on patient management, and costs were calculated. Four hundred thirteen consecutive patients with NSCLC were prospectively examined with PET and conventional imaging studies. A simulation calculated the costs of the two strategies. The accuracy of PET for metastases was 97.5% versus 84% of conventional imaging (P < 0.001). The accuracy of PET for mediastinal staging was 97%, whereas that of computed tomography was 68% (P < 0.001). The expected number of unnecessary surgeries was 24 for the conventional strategy and 8 for the PET strategy (P= 0.007). The PET strategy was less expensive. This study shows that PET is an economical tool in NSCLC staging (even in the European economic environment), with high accuracy and important management aspects.

journal_name

Int Surg

journal_title

International surgery

authors

Nosotti M,Castellani M,Longari V,Chella B,Baisi A,Rosso L,Santambrogio L

subject

Has Abstract

pub_date

2008-09-01 00:00:00

pages

278-83

issue

5

eissn

0020-8868

issn

2520-2456

journal_volume

93

pub_type

杂志文章
  • Primary intestinal obstruction complicated by persistent descending mesocolon.

    abstract::Persistent descending mesocolon is an uncommon developmental anomaly which results from failure of fusion of the descending mesocolon with the posterior parietal peritoneum. It is asymptomatic in most cases and rarely causes intestinal obstruction. We report here a case of primary intestinal obstruction complicated by...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Ogihara M,Kawamura YJ,Minami M,Watanabe T,Sunami E,Matsuda K,Masaki T,Muto T

    更新日期:2000-07-01 00:00:00

  • Lymph node metastasis in early gastric cancer.

    abstract::From 1969 through 1984, 304 case of early gastric cancer (EGC) were resected. Nodal status was studied in 272 cases in which lymph node dissection was performed. The lymph nodes were negative for metastasis in 90% of the cases. In 7%, metastasis was noted in the Group 1 lymph nodes alone and in 3%, as far as the Group...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Habu H,Takeshita K,Sunagawa M,Endo M

    更新日期:1986-10-01 00:00:00

  • Pneumatic dilatation in the treatment of achalasia.

    abstract::The results of a European survey on pneumatic dilatation in the treatment of achalasia have been compiled from a questionnaire completed by 18 different surgical teams. The total number of patients investigated was 2,161. Surgical treatment was prescribed by 94% of teams, whereas pneumatic dilatation was only prescrib...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Monges B,Grimaud JC,Richieri JP,Botti G,Salducci J

    更新日期:1985-01-01 00:00:00

  • Primary enteric-type mucinous adenocarcinoma of the urethra in a patient with ulcerative colitis.

    abstract::Primary carcinoma of the male urethra accounts for less than 1% of malignancies in men. Mucinous adenocarcinoma of the urethra is extremely rare, and its biologic behavior is poorly understood. We present herein a rare case of mucinous urethral adenocarcinoma in a male patient with longstanding ulcerative colitis and ...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:10.9738/INTSURG-D-13-00073.1

    authors: Dimitroulis D,Patsouras D,Katsargyris A,Charalampoudis P,Anastasiou I,Kouraklis G

    更新日期:2014-09-01 00:00:00

  • Effects of selective iNOS inhibition in sepsis: evaluation of lung tissue damage and blood gases.

    abstract::NO is an important mediator in the generalized inflammatory response of the body during sepsis and septic shock. We investigated the possible effects of L-arginine and aminoguanidine on plasma NO levels and the interaction between NO levels and lung tissue damage and blood gases in sepsis. Fifty Wistar male rats were ...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Ceran S,Erikoglu M,Sahin M,Sunam GS,Gölcük M,Pasaoğlu H,Avsar F,Hücümenoglu S

    更新日期:2008-01-01 00:00:00

  • Operated bronchial carcinoma: a review of 230 cases.

    abstract::Two hundred and thirty patients, treated by resection for bronchial carcinoma, were analysed. The histological examination showed in 80% a squamous cell carcinoma, in 11.3% an adenocarcinoma, in 5.3% a large cell and in 3.4% a small cell carcinoma. There was a great difference between preoperative and postsurgical TNM...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Oehy K,Vogt B

    更新日期:1986-04-01 00:00:00

  • Silent uterine perforation with Lippes' loop and its management.

    abstract::14 cases of silent perforation of the uterus by the Lippes loop are presented. Loop perforations are usually asymptomatic and can be treated conservatively. If complications occur, they require surgical intervention with posterior colpotomy being the procedure of choice if the loop is in the pelvic cavity. Laparoto...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Mahran M,Karim M,Mahgoub SE

    更新日期:1973-05-01 00:00:00

  • Direct surgery on the aorto-iliac area. Prostheses--endarterectomy?

    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:

    authors: Lazaro T,Gesto R,Fernández Valderrama I,Fonseca JL,Lozano P,Porto J

    更新日期:1988-10-01 00:00:00

  • Prevalence of surgical site infection in orthopedic surgery: a 5-year analysis.

    abstract::Surgical site infection (SSI) is disastrous in orthopedic practice as it is difficult to rid the bone and joint of the infection. This study was aimed to assess the prevalence of SSI in orthopedic practice and to identify risk factors associated with surgical site infections. All patients admitted to the orthopedic ma...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:10.9738/INTSURG-D-13-00251.1

    authors: Al-Mulhim FA,Baragbah MA,Sadat-Ali M,Alomran AS,Azam MQ

    更新日期:2014-05-01 00:00:00

  • Angiomyolipoma of the liver.

    abstract::Angiomyolipoma, a form of mixed mesenchymal tumor, a not uncommon tumor of the kidney, is rarely found in the liver. We report a case of angiomyolipoma of the liver in a 34-year-old woman, in whom diagnosis was made by computed tomography (CT), magnetic resonance imaging, superior mesenteric and celiac trunk angiograp...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Chaib E,Pugliese V,Garbugio-Filho V,Saad WA,Pinotti HW

    更新日期:1996-07-01 00:00:00

  • Elevated serum xanthine oxidase activity following biliary tract and gastric surgery.

    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:

    authors: Giler S,Sperling O,Brosh S,Urca I,de Vries A

    更新日期:1976-03-01 00:00:00

  • Melanoma of the iris: conservative or radical therapy?

    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:

    authors: Freiwald MJ

    更新日期:1980-03-01 00:00:00

  • Conservative hepatic resection for hepatocellular carcinoma of cirrhotic patients.

    abstract::We evaluated in retrospect the applicability of conservative hepatic resection for hepatocellular carcinoma (HCC) of cirrhotic patients. Eighty (14.6%) of 548 patients with HCC underwent liver resection over a period of 10 years in this hospital. They were divided into two groups according to surgical procedures. In g...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Sheen PC,Lee KT,Chen HY,Chen JS,Ker CG

    更新日期:1996-07-01 00:00:00

  • Transabdominal esophageal transection by using a suture device in cases of esophageal varices.

    abstract::We have devised a method of esophageal transection using a suture device. This method interrupts the esophageal varices directly. We have performed this operation in 30 cases with satisfactory results. Blood loss is minimal. The operation is both shorter and simpler than conventional technics. ...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Takasaki T,Kobayashi S,Muto H,Suzuki S,Harada M,Nakayama K

    更新日期:1977-08-01 00:00:00

  • Results of surgical treatment of esophageal achalasia. Multicenter retrospective study of 1,856 cases. GEEMO (Groupe Européen Etude Maladies Oesophagéennes) Multicentric Retrospective Study.

    abstract::A retrospective analysis of 1,856 patients treated by esophageal achalasia in 23 different surgical departments from seven countries is reported. The predominant symptom was dysphagia (100%), pain, vomiting and weight loss (76.1%). The most useful diagnostic methods were: barium meal (85%), manometry (100%), endoscopy...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Moreno González E,Garcia Alvarez A,Landa Garcia I,Gómez Gutierrez M,Rico Selas P,Garcia Garcia I,Jover Navalón JM,Arias Diaz J

    更新日期:1988-04-01 00:00:00

  • Carcinoid tumor in a Meckel's diverticulum: hypothesis on mutual embryological origin.

    abstract::Congenital defects presenting at an adult age are subject to diagnostic errors because of their relative rarity and often odd clinical presentation. We illustrate a 63-year-old male patient with multiple ileal carcinoid tumors along with a carcinoid tumor in Meckel's diverticulum. The Meckel's diverticulum is a congen...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Grossmann I,Akkersdijk GJ

    更新日期:2003-01-01 00:00:00

  • A newer plate system for internal fixation of un-stable pelvic fractures.

    abstract::To fit for internal fixation of unstable fractures of various parts of the curved pelvis, plates of different shapes and sizes were devised. The plates were used in 18 clinical cases. The late complications such as leg length inequality, pelvic obliquity and low back pain were effectively avoided. ...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Wen Y,Liu X,Ge B,Liu Z,Shiji Z

    更新日期:1998-01-01 00:00:00

  • Unusual extension of lung cancer into the left atrium via the pulmonary vein.

    abstract::Four operative cases of lung cancer with intra-atrial extension via the pulmonary vein were reviewed. Three of them had circulatory as well as respiratory symptoms, and their performance status (PS) was extremely poor. In two cases, after assessment of the cardiac involvement using two-dimensional echocardiography and...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Kodama K,Doi O,Tatsuta M

    更新日期:1990-01-01 00:00:00

  • Hypertonic balanced sodium solution in burn shock.

    abstract::This study was designed to ascertain the most effective sodium solution for resuscitation after potentially fatal thermal injury. Solutions containing from 75 to 300 mEq/L of sodium were administered in various doses to mice subjected to a standarized scald. Their effectiveness was evaluated by comparison of the 24-ho...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Fox CL Jr

    更新日期:1975-06-01 00:00:00

  • Hyaline vascular Castleman's disease of the mediastinum.

    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:

    authors: Cioffi U,De Simone M,Nosotti M,Bellaviti N,Naimzada AN,Ferrero S,Santambrogio L

    更新日期:1999-04-01 00:00:00

  • Management of asymptomatic carotid artery stenosis.

    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:

    authors: Batson RC,Sottiurai VS

    更新日期:1984-07-01 00:00:00

  • Aortic blisters: diagnosis and evolution.

    abstract::In order to evaluate the incidence, the diagnostic modalities and significance of blisters of the abdominal aortic aneurysm wall, in a retrospective review, 14 patients (2.6%) having these lesions were identified between 1983 and 1995. At preoperative examination, aortography had less accuracy (1 case = 20%) than CT s...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Porcellini M,Selvetella L,Del Viscovo L,Capasso R,Baldassarre M

    更新日期:1997-04-01 00:00:00

  • Laparoscopic versus open preperitoneal prosthetic herniorrhaphy for recurrent inguinal hernia.

    abstract:BACKGROUND:Laparoscopic herniorrhaphy (LH) shares the same repair principle as open preperitoneal prosthetic herniorrhaphy (PPH). Theoretically, the recurrence rate of LH for recurrent inguinal hernia will match the low recurrence rate of PPH (1.2-3%). METHODS:One-hundred forty-five cases of recurrent inguinal hernia ...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Mok KT,Wang BW,Chang HT,Liu SI,Jou NW,Tsai CC,Chen IS

    更新日期:1998-04-01 00:00:00

  • Management of patients with challenging vascular access needs.

    abstract::The proportion of patients on dialysis with multiple access procedures, failed transplant(s), or no suitable sites for conventional arteriovenous (AV) fistula is increasing. We report on 4 patients at our institution requiring unusual measures to achieve vascular access for dialysis. All 4 patients had temporary femor...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Akoh JA,Riaz M

    更新日期:2009-04-01 00:00:00

  • Sigmoid perforation, an exceptional late complication of peritoneal prosthesis for treatment of inguinal hernia.

    abstract::Two cases of sigmoid perforation and fistula occurred as late complications after insertion of a nonresorbable prosthesis by the open preperitoneal inguinal route. These infrequent complications are favoured by peritoneal defects and use of materials which can cause extensive sclerous reactions. Indications for this t...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Hamy A,Paineau J,Savigny JL,Vasse N,Visset J

    更新日期:1997-07-01 00:00:00

  • Protection of trocar sites from gallbladder cancer implantation in a murine model by physically covering the sites.

    abstract::Laparoscopic surgery for malignant diseases is associated with a risk for port site recurrence (PSR), and this problem remains to be resolved. This study was performed to evaluate the role that Seprafilm and Interseed (TC7) play in the prevention of PSR, using a nude mouse model of PSR. Nude mice with 2-mm port sites ...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Sasaki T,Shimura H,Tanaka T,Nakashima K,Matsuo K,Ikeda S

    更新日期:2004-10-01 00:00:00

  • Treatment of biliary fistulas and cholelithiasis: is endoscopic sphincterotomy acceptable in the paediatric age group?

    abstract::Two children, both girls, aged 11 and 16 with a postoperative biliary fistula and cholelithiasis, choledochal cyst and common bile duct stones have undergone endoscopic sphincterotomy (EST), leading to a rapid recovery from their pathologies, thanks to cooperative work. In reviewing the literature we have not come acr...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Gökçora IH,Ormeci N,Dökmecí A,Barlas M

    更新日期:1989-01-01 00:00:00

  • Thoracoscopy in the management of spontaneous pneumothorax.

    abstract::For many years, treatment of spontaneous pneumothorax (SP) has been a matter of debate. Since the introduction of videothoracoscopy, videothoracoscopic procedures have replaced thoracotomy as the ultimate procedure for treatment of complicated cases of SP in many institutes. However, the place of (video) thoracoscopy ...

    journal_title:International surgery

    pub_type: 杂志文章,评审

    doi:

    authors: Janssen JP

    更新日期:1996-10-01 00:00:00

  • Secondary hyperparathyroidism and thyroid cancer.

    abstract::To the best of our knowledge this is the first report of two cases with concomitant secondary hyperparathyroidism and thyroid cancer. Despite previously published reports of a possible association between primary hyperparathyroidism and non-medullary thyroid cancer, we believe that such an association is coincidental....

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Linos DA,Ziroyannis PN

    更新日期:1985-07-01 00:00:00

  • Mesh plug migration into scrotum: a new complication of hernia repair.

    abstract::Hernia repair is one of the most frequent operative procedures performed throughout the world. The technique has continued to evolve and we now are performing these repairs utilizing mesh as a patch and also as a plug. The mesh plug concept has been advocated by Rutkow and others. With this change in technique, we hav...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Dieter RA Jr

    更新日期:1999-01-01 00:00:00