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/or CT-scan, we successfully removed the tumor en bloc through combined left atrial resection and radical left pneumonectomy with cardiopulmonary bypass. In both cases, the postoperative course was uneventful, and PS was improved. However, seven months later one patient died of widespread metastases, while the other is alive but has recurrence. The other two patients underwent ordinary lobectomy because there were no abnormal findings in the hilar examinations. However, the lumens of the resected pulmonary veins were filled with tumor tissue. One patient developed a massive embolism, never regained consciousness, and died on the second postoperative day. The last case was discharged without trouble, although the intra-atrial portion of the tumor dislodged intraoperatively into the circulation. As a result, he developed multiple brain metastases four months after the operation. There were no clear patterns in terms of the histological type or tumor location in these cases. On the other hand, all the tumors showed rapid growth and comprised a large mass in the lung parenchyma. Especially the cardiac and intravascular portions of each tumor were less differentiated and more necrotic than the primary focus in the lung. We conclude that radical surgery using a cardiopulmonary bypass for lung cancer patients with such intracardiac involvement is effective for improvement of PS and reduces the risk of sudden death due to cardiac failure or tumor emboli.(ABSTRACT TRUNCATED AT 250 WORDS)
journal_name
Int Surgjournal_title
International surgeryauthors
Kodama K,Doi O,Tatsuta Msubject
Has Abstractpub_date
1990-01-01 00:00:00pages
22-6issue
1eissn
0020-8868issn
2520-2456journal_volume
75pub_type
杂志文章abstract：:Solitary fibrous tumor of the pleura is a rare clinical entity. Approximately 600 such cases have been reported in the literature. The purpose of this study was to review the surgical outcome of this disease. This is a retrospective review of seven cases of solitary fibrous tumor of the pleura. There were five women a...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2007-11-01 00:00:00
abstract：BACKGROUND:Traumatic rupture of thoracic aorta caused by blunt trauma has been observed more frequently in recent years. The aim of this study was to evaluate the state of the art of diagnostic methods used to identify this injury and the surgical techniques used to repair it. METHODS:The study was performed in 29 pat...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1997-01-01 00:00:00
abstract：:Results obtained with temporary ileal cecostomy in 23 patients are reported. Particular attention is given to the incidence of anastomotic leakage, morbidity, mortality, hospitalization and nursing. The results achieved were successful and, although the series presented is small, the authors suggest that this techniqu...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1982-10-01 00:00:00
abstract：:One hundred cases of malignant tumors of the larynx, pharynx, oral cavity, nose and paranasal sinuses were studied. The hypopharynx was the most frequent site and the most common type of tumor was squamous cell carcinoma. Lymph nodes were palpable in 59% of cases, of which 72.8% showed histological evidence of metasta...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1977-06-01 00:00:00
abstract：:To test whether serotonin release from the argentaffin cells of the intestinal tract can elicit peptic ulcer, rats were given intraduodenal infusions of N/10 and N/20 hydrochloric acid. Serotonin measured in the portal venous blood of rats which had had an intraduodenal infusion of N/20 HCl for five minutes was signif...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1976-06-01 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：:The authors performed a total of 237 endolaser treatments for insufficiency of great and small saphenous veins and assessed 5-year results. It was found that this method, especially if performed with a 1470-nm-wavelength laser combined with instrumental removal of some lateral veins, was very effective. It was delicat...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2010-07-01 00:00:00
abstract：:Two rare cases of carcinosarcoma of the esophagus are presented. In the first case the decision to operate was based on an initial diagnosis of leiomyosarcoma made by endoscopic biopsy. In the second, a diagnosis of carcinosarcoma was also obtained by endoscopic biopsy. The pathology is commented on. The authors discu...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1980-09-01 00:00:00
abstract：:Precutaneous Kirschner wire fixation of displaced Gartlands types II and III supracondylar fractures with image guidance remains a preferred procedure for most orthopaedic units. Various K-wire configurations have been in use, but recent objective evaluation of pin stability has favoured two techniques; the 2 crossed ...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1998-07-01 00:00:00
abstract：:A 68-year-old man underwent pancreaticoduodenectomy with lymph nodes dissection for carcinoma of the ampulla of Vater. The patient had anxiety neurosis and had been treated with a selective serotonin reuptake inhibitor (SSRI). Postoperatively, SSRI was resumed on postoperative day 2. His serum sodium concentration gra...
journal_title：International surgery
pub_type： 杂志文章
doi：10.9738/INTSURG-D-13-00032.1
更新日期：2013-10-01 00:00:00
abstract：:Record-files of 126 pyeloplasties of different types performed on 119 patients (7 bilaterally), between 1966 and 1989, have been reviewed in an attempt to illustrate the selective approach to hydronephrosis due to ureteropelvic junction obstruction. Clinical success was achieved in all cases. A new grading system for ...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1992-07-01 00:00:00
abstract：:The present study was to evaluate the accuracy of bedside index for severity in acute pancreatitis (BISAP) in predicting the severity and prognoses of acute pancreatitis (AP) in Chinese patients. Clinical data for 497 patients with AP were analyzed retrospectively to compare BISAP with acute physiology and chronic hea...
journal_title：International surgery
pub_type： 杂志文章
doi：10.9738/0020-8868-98.1.6
更新日期：2013-01-01 00:00:00
abstract：:Paragangliomas or chemodectomas are neoplasms that arise from neural crest cells and histologically resemble their adrenal counterpart, the pheochromocytoma. Seventy-one percent of the extra-adrenal paragangliomas are located in the superior or inferior para-aortic area. This tumor usually presents as an abdominal mas...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2006-01-01 00:00:00
abstract：:This paper deals with the indications, techniques and results of laparoscopic total or partial posterior fundoplications (Nissen and Toupet procedures, respectively) performed in 41 patients with gastroesophageal reflux disease (GERD) failing to respond to medical treatment. Stationary manometry and 24-hour esophageal...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1995-10-01 00:00:00
abstract：:The study was undertaken to investigate the use of one-stage circumferential ring-constriction release with Z-plasties regarding the safety, aesthetic appearance, and limb function. A thorough review was conducted on all English publications in PubMed during the period of 2001 through 2011. Titles and abstracts were i...
journal_title：International surgery
pub_type： 杂志文章,评审
doi：10.9738/INTSURG-D-13-00230.1
更新日期：2015-02-01 00:00:00
abstract：:A new classification of proximal bile duct tumors mainly based on endo- and exobiliary neoplastic invasion, indicating radical or palliative surgery is proposed. Fifty-eight patients underwent radical (12) or palliative (46) surgery. The 5-year survival rate of patients treated radically is 40% compared to 0% in patie...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1985-01-01 00:00:00
abstract：:This paper reports an unusual case of orthopedic trauma in a 29-year-old man who experienced concomitant bilateral anterior shoulder fracture dislocation with associated brachial plexus and axillary artery injury. We also highlight the mechanism underlying this rare workplace injury related to use of a forklift. ...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2007-03-01 00:00:00
abstract：:Between 1965 and 1979, 934 patients underwent 1,057 operations for extracranial carotid stenosis at this institute, and over a recent 30-month period 463 patients underwent 511 operations of this type. This number is equal to the total of operations performed during the years 1965-1976. The increase in the frequency o...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1981-07-01 00:00:00
abstract：:The objective of this study was to assess the diagnostic value of preoperative cytology and galactography in women with nipple discharge using a simple intraductal aspiration method. From May 1997 to February 2002, 172 patients with unilateral, spontaneous nipple discharge without palpable masses underwent intraductal...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2003-04-01 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：:The prophylactic use of the antifibrinolytic drug, PAMBA, in a small intravenous dose preoperatively, combined with local irrigation postoperatively, effectively reduces blood loss. The drug is safe and relatively free of adverse side effects, but attentive postoperative care is warranted. ...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1979-03-01 00:00:00
abstract：:The purpose of this study is to introduce and evaluate a new technique of repairing bile ducts by the tubular gastric wall with a vascularized pedicle. Both the end-to-end bile duct repair and Roux-en-Y hepatoenterostomy have limitations in the treatment of benign bile duct strictures after cholecystectomy. There are ...
journal_title：International surgery
pub_type： 杂志文章
doi：10.9738/INTSURG-D-14-00260.1
更新日期：2015-06-01 00:00:00
abstract：:We prove the safety and feasibility of single-incision plus 1 port (SILS+1) laparoscopic total mesorectal excision (TME) + lateral pelvic lymph node dissection (LPLD) via a medial umbilical approach for rectal cancer. Only a few reports have been published about single-incision multiport laparoscopic low anterior rese...
journal_title：International surgery
pub_type： 杂志文章
doi：10.9738/INTSURG-D-14-00091.1
更新日期：2015-03-01 00:00:00
abstract：:Salivary gland neoplasms represent the most complex and diverse group of tumors encountered by the head and neck oncologist. Their diagnosis and management is complicated by their relative infrequency. The significance of the study was to analyze the different types of salivary gland tumors, the modalities of treatmen...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2004-07-01 00:00:00
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：
更新日期：1996-07-01 00:00:00
abstract：:The effectiveness of low-molecular weight heparin CY 216 in the prophylaxis of fatal pulmonary embolism in patients undergoing general surgery was assessed in a multicentre, double-blind, randomized, clinical trial against placebo. A total of 4,498 patients aged over 40 undergoing general surgery were enrolled in the ...
journal_title：International surgery
pub_type： 临床试验,杂志文章,多中心研究,随机对照试验
doi：
更新日期：1989-10-01 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：:Results of immediate reconstruction of the defects resulting from excision of cancer of the cheek, lower jaw, upper jaw and lip in 13 patients using temporal island, deltopectoral and cervicoacromial flaps have been described. The surgical techniques have been outlined. Previous radiotherapy is not a contraindication ...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1977-11-01 00:00:00
abstract：:Breast conserving treatment (BCT) is an alternative to mastectomy, and prospective randomized trials have demonstrated that BCT and radical mastectomy result in similar actuarial survival rates. BCT should fulfil two criteria: (1) it should afford the same local control of disease as radical mastectomy, and (2) it sho...
journal_title：International surgery
pub_type： 杂志文章,评审
doi：
更新日期：1994-04-01 00:00:00
abstract：:Endometriosis is an ectopic occurrence of tissue morphologically and functionally resembling endometrial tissue in regions outside the uterine cavity. Although scar endometriosis after surgery has been shown to be most common among all the extrapelvic forms of endometriosis, endometriosis after bladder exstrophy surge...
journal_title：International surgery
pub_type： 杂志文章
doi：10.9738/INTSURG-D-12-00011.1
更新日期：2013-04-01 00:00:00
