Abstract:
:Resection and thermal ablation procedures are frequently used for the treatment of primary and secondary liver tumors. Various tools for the virtual planning of liver resections and ablation are available and some of them are already used clinically. Resection planes and ablation volumes can be optimized for sufficient safety margins while preserving a maximal amount of functional liver tissue. Connecting the pre-operative planning with intraoperative guidance based on the 3D imaging data would be desirable. Interactive image guided surgery enables visualization of the actual spatial location of the surgical instrument on preoperatively acquired images in real time. However, extensive soft tissue deformations during open and laparoscopic surgical and ablative procedures may occur, causing unacceptable inaccuracies. The current focus of research is the adaptation of the preoperative virtual planning models to surgery by using intraoperative imaging and biomechanical models. In contrast to open and laparoscopic surgical procedures percutaneous punctures can be performed with high accuracy under stereotactic conditions. Important prerequisites include patient immobilization, respiratory triggering and intraoperative imaging. Due to the high accuracy of probe positioning the virtual preoperative ablation plan can be precisely transferred into the real patient. A total of 350 patients with primary and secondary liver tumors have already successfully been treated with stereotactic radiofrequency ablation (SRFA). Due to its low complication rates and similar local recurrence and survival rates as compared to conventional surgery SRFA is an attractive alternative for the treatment for primary and secondary liver tumors.
journal_name
Minerva Chirjournal_title
Minerva chirurgicaauthors
Bale R,Widmann G,Jaschke Wsubject
Has Abstractpub_date
2011-10-01 00:00:00pages
435-53issue
5eissn
0026-4733issn
1827-1626pii
R06115596journal_volume
66pub_type
杂志文章abstract::Clinical, radiological and endoscopic results at follow-up about 1-5 yr after surgery in a series of 62 patients subjected to Billroth I resection are compared with those in the literature. Recurrence of ulcers was observed in 8% (as opposed to 5% with the Billroth II). In addition, there was a marked reduction in the...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1980-07-15 00:00:00
abstract::The pheochromocytoma is a catecholamine-secreting tumor, localized in the adrenal gland in 90% of the cases and in extra-adrenal site in the remaining 10%. It can be single or associated with other endocrine neoplasms. On the basis of the case presented, the several clinical manifestations, the treatment of the diseas...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:1999-04-01 00:00:00
abstract::The Authors report a case of leiomyosarcoma of the small bowel, a rare neoplasm with severe limitations of pre-operative diagnosis. A discussion of the pathological staging, diagnosis and surgical therapy follows. At the moment, better diagnostic techniques and greater awareness of the disease notwithstanding, the pro...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1991-09-30 00:00:00
abstract::Infected vascular grafts are associated with very high rates of limb loss and mortality. "Classic" treatment has invariably included graft excision. Recent reports have suggested that a more conservative approach may be indicated in selected cases, leaving the graft in place and using an aggressive local treatment ass...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:1994-05-01 00:00:00
abstract:AIMS AND BACKGROUND:Helicobacter pylori is known to be the pathogenic agent of atrophic gastritis and above all ulcer disease. It is also thought to play a role, together with other factors, in the development of stomach cancer and is currently the focus of numerous studies. In industrialised countries, infection is re...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1999-06-01 00:00:00
abstract::Following and exhaustive review of the literature on this topic, the paper reports the results of the treatment of 16 patients with male breast cancer. From an analysis of findings, it was observed that diagnosis is frequently delayed (mean 1 year), disease is at a locally advanced stage in the majority of patients, a...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1990-01-01 00:00:00
abstract::In 1965, Kerr described a type of death, apoptosis, with different characteristics from necrosis. Apoptosis has an important role in the development and cell homeostasis. Excessive or insufficient apoptosis contributes to the pathogenesis of pathology like ischemia, neurodegeneration, autoimmunity, viral infection, an...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:2002-10-01 00:00:00
abstract::The extensive literature on the efficacy of chlorhexidine is reviewed. Personal experience with the substance in the daily and preoperative disinfection of the hands of medical and paramedical personnel in a surgical department, and the medication of surgical wounds, over a period of one year confirmed its low toxicit...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1977-10-31 00:00:00
abstract::Even today, traumatic lesions of the popliteal artery mean in a large percentage of cases (from 25% to 45% according to recent reports) loss of the extremity, notwithstanding the considerable advances made by reconstructive vascular surgery. The most important series are reported in relation to events of war in the pa...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1989-04-30 00:00:00
abstract::Plication of the long saphena at the sapheno-femoral junction (SFJ) is an alternative to flush ligation and stripping. This technique abolishes reflux at the SFJ without altering the vein which may be used for arterial surgery or coronary grafting. The selection of the candidate for plication is done with ambulatory v...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1991-10-31 00:00:00
abstract:BACKGROUND:Personal experience about substernal goiter is reported. Stressing laid on the importance of definition: a goiter that is totally or in the most part below the superior thoracic outlet, with normal vascularization. METHODS: DESIGN:retrospective evaluation of patients observed in the last six years. SETTIN...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1999-04-01 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::Persistent postmastectomy pain (PPMP) syndrome is characterized by neuropathic pain that develops following surgery in breast cancer patients. The reported incidence of PPMP ranges between 30% and 50% and is estimated to increase as the number of women surviving cancer continues to rise. Though effective, today's drug...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:2015-04-01 00:00:00
abstract::The authors report a number of cases of hemorrhoid disease and describe the therapeutic iter followed with particular reference to the surgical approach used. After a description of the physiopathological aspects linked to the disease, bearing in mind the use of electromanometry and electromyography in diagnosis, the ...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:2000-04-01 00:00:00
abstract::The finding of Merkel cell carcinoma is a rare but important event owing to the highly aggressive nature of this neoplasm. The authors report three cases of Merkel cell carcinoma with different onsets which were representative of the possible range of clinical symptoms and the prognosis of this pathology. In two cases...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:1999-03-01 00:00:00
abstract::A series of 234 patients who underwent Billroth I gastric resection for gastric and duodenal ulcerous lesions is reported. Special attention is paid to the immediate postoperative complications whose incidence was 5.5%. Particularly serious is the dehiscence of gastroduodenal anastomosis which requires emergency recon...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1979-02-15 00:00:00
abstract::Surgical correction of pectus excavatum et carinatum in a series of adult patients is described. The relationship between deformity of the anterior chest wall and cardiac, respiratory and digestive disturbances is assessed. The indications for surgical management are explained. Reference is also made to the satisfacto...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1975-02-15 00:00:00
abstract:BACKGROUND:Benign biliary strictures are a binding situation for clinicians when choosing the best treatment. This is a benign disease and needs safe, effective and lasting therapy. Up to day non surgical treatment have been suggested as the first therapeutical option but surgery seems to support the best late results....
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1999-03-01 00:00:00
abstract:BACKGROUND:Obesity has an impact on health-related quality of life (HRQoL) and bariatric surgery may improve HRQoL in addition to severe obesity-related comorbidities. Aim of the study was to evaluate HRQoL following sleeve gastrectomy and the sensitivity of two HRQoL questionnaires: the Impact of Weight on Quality Of ...
journal_title:Minerva chirurgica
pub_type: 杂志文章,多中心研究
doi:
更新日期:2016-08-01 00:00:00
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 intro...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:2008-12-01 00:00:00
abstract::The Authors perform a retrospective study on the incidence of postoperative jaundice in a selected group of 2060 patients, who underwent operations of general or vascular surgery. The incidence of jaundice in the postoperative period appears to be quite high in vascular surgery: out of 96 patients became jaundiced, 78...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1980-06-30 00:00:00
abstract::The authors report a rare case of gastric carcinoma metastasis localised in the anterior abdominal wall which was an isolated and primary sign of disease. After having underlined the rarity of the case, there is a brief discussion of aspects related to the spread of primary tumours in relation to other cases reported ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1992-09-15 00:00:00
abstract::Thymoma is the most common primary neoplasm of the tymus. The majority of thymomas are encapsulated masses and exhibit benign behavior. Less frequently they may be invasive, or rarely they may metastasize to distant sites. The usual clinical presentation is that of an anterior mediastinal mass found accidentally in an...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1996-09-01 00:00:00
abstract::The authors underline that, although rarely found, leiomyomas of the gastrointestinal tract are the most frequent benign tumours of the small intestine. On occasions, from being a simple autoptic finding or diagnosed during the course of explorative laparotomy, they may be responsible for emergency abdominal surgery, ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1996-11-01 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::The key concepts regarding nutrition of elderly patients prior to surgery are outlined. The main metabolic changes that occur during surgical stress, paying special attention to the characteristics of elderly patients, are described. Lastly, the caloric-energy intake required by postoperative geriatric patients is eva...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:1999-01-01 00:00:00
abstract::Biliodigestive fistulas are the most frequent internal biliary fistulas and occur when a calculus or neoplasia perforates the wall of the biliary tract of intestine at any point. Symptoms vary given that completely asymptomatic cases have been reported in which the findings of a biliodigestive fistula was completely c...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:1997-04-01 00:00:00
abstract::Explorative laparotomies and palliative surgery for pancreatic carcinoma have been reduced due to improved diagnostic tools, the spread of laparoscopic techniques and the growing use of external biliary drainage and endoprostheses. By comparing two successive observation periods the authors point out that, owing to th...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1993-12-01 00:00:00
abstract::The authors make a wide-ranging review of the literature, examine the epidemiological aspect of fail chest and underline the importance of its correct anatomopathological classification for a more qualified physiopathologist, diagnostic and therapeutic approach. They make a historical excursion on volet's treatment an...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:1994-03-01 00:00:00
abstract:BACKGROUND:Our aim is to propose the Video-Consulting Emergency (VCE) protocol as a tool to improve the decision-making process between an on-site emergency physician and a remote acute care surgeon using a smartphone, the FaceTime application, and the Acute Abdominal Decision Making (AADM®) model proposed by World Soc...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:10.23736/S0026-4733.18.07963-4
更新日期:2019-06-01 00:00:00