Abstract：
:The prognosis of pancreatic duct carcinoma is determined mainly by the degree of local invasion, particularly of the portal system and/or associated arteries supplying the carcinoma. Intraoperative (25-36.5 Gy of betatron) and/or external (14.4-25.6 Gy, preoperatively, and 24-61.2 Gy, postoperatively, using lineac photon beams) radiotherapy was combined with pancreatectomy or by-pass surgery for patients with pancreatic carcinoma involving the surrounding vessels but with no distant metastases. Twelve- and 24-month survival rates were 25.9% and 3.2%, respectively, in patients with pancreatectomy (n = 35) and 6.4% and 0%, respectively, in patients with by-pass operations (n = 32). However, in patients with combined surgery and radiotherapy the prognosis was markedly improved to 12- and 24-month survival rates of 33.5% and 20.1%, respectively, for patients with pancreatectomy (n = 13) and rates of 25% and 13%, respectively, for patients with by-pass operations (n = 8). Moreover, radiotherapy produced a significant advantage for local control of pain in patients with unresectable pancreatic carcinoma. This suggests that combined treatment using radiotherapy will be a valuable therapeutic improvement for patients presenting advanced pancreatic carcinoma with vessel involvement.
journal_name
Int Surgjournal_title
International surgeryauthors
Manabe T,Baba N,Nonaka A,Asano N,Yamaki K,Shibamoto Y,Takahashi M,Abe M,Tobe Tsubject
Has Abstractpub_date
1988-07-01 00:00:00pages
153-6issue
3eissn
0020-8868issn
2520-2456journal_volume
73pub_type
杂志文章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：:The application of microsurgical neurolytic techniques in cases of peripheral nerve entrapments offers greater advantages than other techniques, as it allows a better understanding of the neural alterations. In most cases, a longitudinal epineurectomy is necessary to free the fascicles of the epineural fibrosis. Less ...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1980-11-01 00:00:00
abstract：:Pathological and clinical characteristics of thyroid carcinoma are reported. In 379 routine consecutive autopsies in which carcinoma was not suspected, serial sections of thyroid gland were histologically examined. Latent thyroid carcinoma was detected in 15.7% of the glands. Papillary adenocarcinoma comprised 76.3%, ...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1976-10-01 00:00:00
abstract：:Charnley's compression clamps have hastened the union of cancellous bones but not much success has been obtained in the slender shafts of cortical bones. The principles of biophysics show that a fracture site under compression acts as a hinge joint. If friction is increased in such "joints" along indicated axes, immob...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1977-01-01 00:00:00
abstract：:Thirty four patients with funnel chest were operated on using the Zimmer plate and/or U shaped rod. There were no recurrences of the chest deformity and 78.6% were satisfied with the result. The low % VC significantly improved after the operation. Five cases had one of the following complications, massive bleeding fro...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1995-07-01 00:00:00
abstract：:A consecutive series of 385 patients with intussusception treated between January 1, 1982 and December 31, 1987 was analysed. Male patients predominated over female by a ratio of 2.2:1. Seventy nine per cent of patients were under 12 months of age. There was no seasonal variation in the incidence of intussusception. R...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1989-04-01 00:00:00
abstract：:Seven cases of symptomatic non-parasitic congenital cysts of the liver are reported. Preoperative correct diagnosis can be established with non-invasive examinations, essentially with echotomography. Laparoscopy can represent a decisive investigation, permitting the direct view of the cysts. Surgical treatment of non-...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1982-10-01 00:00:00
abstract：:Early diagnosis of intersex is essential to avoid indecision and to establish the correct sex of rearing before mistakes have been made. Diagnosis of adrenogenital syndrome is singularly important for delay in diagnosis may lead to stunted growth or death from electrolyte imbalance. All others except the hormonally in...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1975-02-01 00:00:00
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：:A series of one hundred consecutive patients who underwent prosthetic repair of inguinal hernia through a preperitoneal approach is reported. In 49% the hernia was recurrent. A large prosthetic sheet (Dacron or Teflon) is placed between the peritoneal sac and the wall, to cover the inguinal, femoral and hypogastric re...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1985-07-01 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：:Pancreaticoduodenectomy is considered the standard operation for periampullary tumors. Despite major advances in pancreatic surgery, pancreatic fistula is still an important cause of morbidity and mortality after pancreaticoduodenectomy. Meticulous surgical technique and proper reconstruction of the pancreas are essen...
journal_title：International surgery
pub_type： 杂志文章
doi：10.9738/INTSURG-D-14-00095.1
更新日期：2015-02-01 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：:The therapeutic value of extended lymph node dissection (D2) for gastric cancer remains controversial. Limited lymph node dissection, however, leaves cancer cells in the second tier of nodes (N2) in patients with N2 metastasis. This retrospective study was, therefore, undertaken to clarify which patients would be most...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1997-07-01 00:00:00
abstract：:Ten cases of renal hypertension with uncommon causes were presented and unusual problems in their diagnosis and surgical management were discussed. These causes included segmental stenosis involving aberrant renal artery, renal artery stenosis in association with renal arteriovenous fistula, postoperative renal hypert...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1976-03-01 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：: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：:Splenitis can complicate blood-borne sepsis in hemodialysis patients. Symptoms include left upper quadrant pain and tenderness in addition to generalized systemic manifestation of infection. Clinical diagnosis is difficult and there is no specific investigation to confirm it. Computed tomography scan of the spleen can...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2002-10-01 00:00:00
abstract：:A free jejunal autograft reconstruction after debulking high stage larynx and hypopharynx tumors has become a popular method in our 10-year experience. We retrospectively studied the efficacy and outcome. Nine patients (M/F, 8/1) underwent a total of 10 free jejunal autograft reconstructions. The median age was 58.6 y...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2006-07-01 00:00:00
abstract：:Hydatid disease, which is caused by the parasite Echinococcus granulosis, is endemic in certain parts of the world in which humans and sheep live in proximity. Hydatid cysts occur most often in the liver, and affliction with multiple cysts is rare. We present the case of a 48-year-old woman with 55 hydatid cysts (47 i...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2008-03-01 00:00:00
abstract：BACKGROUND:Extended cholecystectomy is the common operation for gallbladder carcinoma. When extended cholecystectomy is performed, the liver bed can be generously resected from the fundus to the body of the gallbladder; however, the thickness of the liver parenchyma to be removed is limited to the neck of the gallbladd...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1998-01-01 00:00:00
abstract：:Postoperative complications, such as pancreatic fistulae, after pancreaticoduodenectomy for pancreatic cancers are associated with surgical outcomes of patients with pancreatic cancers. A total of 160 patients with pancreatic cancers undergoing pancreaticoduodenectomy were retrospectively analyzed. Patients were group...
journal_title：International surgery
pub_type： 杂志文章
doi：10.9738/cc17.1
更新日期：2011-07-01 00:00:00
abstract：:A gallstone ileus is an unusual form of bowel obstruction. Colonic gallstone ileus is rare, difficult to diagnose, and still has a high mortality rate. We present a case of biliary ileus caused by an impacted gallstone, causing necrosis and perforation of the rectosigmoid junction. A Hartmann's procedure was performed...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2009-01-01 00:00:00
abstract：:A case of cardiac tamponade as the first manifestation of bronchogenic adenocarcinoma is presented. Diagnosis of metastatic pericarditis with effusion was made by echocardiography and cytology of the pericarditis fluid. Because of rapid recurrence of the effusion, a pericardial window was created. This operation was w...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1985-01-01 00:00:00
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：
更新日期：1975-06-01 00:00:00
abstract：:Twenty-two cases to tuberculosis of the skull (14% of 156 cases of chronic osteomyelitis) verified by demonstration of tubercle bacilli in the discharge of cutaneous sinuses or histological examination of bone or granulation tissue are reported. Most of these patients had multiple operations elsewhere and non-healing ...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1981-01-01 00:00:00
abstract：:This is the first publication of a rare benign tumor; mesenteric panniculitis causing acute on chronic ischemic bowel injury. ...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2008-07-01 00:00:00
abstract：:It has been reported that avoidance of recurrences after laparoscopic ventral hernia repair (LVHR) depends on using sutures to secure the mesh. We developed a successful sutureless LVHR. The "Double Crown" LVHR using ePTFE mesh (overlap, 23 cm) was done in 140 cases. Tacks were placed 1 cm apart at the edge of the mes...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2005-07-01 00:00:00
abstract：:Nine primary intra-abdominal or retroperitoneal liposarcomas, of which eight were recurrent tumors, were surgically resected and enrolled in this study. Histopathological examination of primary tumors revealed that the number of well-differentiated, pleomorphic and myxoid type was two, four and three, respectively. In...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1999-04-01 00:00:00
abstract：:We examined eight patients with adenocarcinoma of the small intestine: four were localized in the duodenum and four in the jejunum. We performed six curative resections: two pancreatoduodenectomy, two total pancreatectomy and two jejunal resections; in two cases, only by-pass was performed. Three patients who were res...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1991-10-01 00:00:00
