Abstract：
BACKGROUND:To investigate the efficacy of percutaneous catheter drainage (PCD) and peritoneal dialysis (PD) in the treatment of severe acute pancreatitis (SAP) and its underlying mechanism. METHODS:Totally 64 SAP patients were included in our study and randomly assigned into PCD+PD group (the combination group, N.=32) and convention group (N.=32). SAP patients in the combination group were treated with percutaneous catheter drainage combined with peritoneal dialysis, while those in the convention group were treated with conventional method. The treatment efficacy of both methods were evaluated by comparing levels of plasma inflammatory cytokines (IL-6, IL-8, TNF-α, C-reactive protein, procalcitonin and leukocyte count), relative indexes of important organs (aspartate aminotransferase, alanine aminotransferase, creatinine and urea nitrogen) and other clinical data (amelioration time of abdominal pain and abdominal distension, Balthazar CT scores, acute physiology and chronic health enquiry II score, length of hospital stay, complications and prognosis). RESULTS:The expression levels of inflammatory cytokines were significantly decreased in the combination group in a time-dependent manner in comparison with those of the convention group. In addition, the amelioration time of abdominal pain and abdominal distension, length of hospital stay, Balthazar CT scores and the acute physiology and chronic health care II scores in the combination group were also significantly decreased in comparison with those of the convention group. CONCLUSIONS:The combination treatment of PCD and PD effectively relieves the clinical symptoms of SAP by clearing plasma inflammatory cytokines.
journal_name
Minerva Chirjournal_title
Minerva chirurgicaauthors
Zhang W,Sun J,Shen X,Xue Y,Meng C,Yuan Sdoi
10.23736/S0026-4733.18.07813-6subject
Has Abstractpub_date
2019-06-01 00:00:00pages
207-212issue
3eissn
0026-4733issn
1827-1626pii
S0026-4733.18.07813-6journal_volume
74pub_type
杂志文章,随机对照试验abstract：:The Authors reports a case of Verneuil's disease in a perineal location. They focus on etiopathogenetic aspects and problems of differential diagnosis, before reviewing the various therapeutic options. Surgery is the only effective therapy and takes the form of an extensive excision of the cutaneous zone affected with...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1992-06-30 00:00:00
abstract：:We evaluated the effectiveness of sulbactam/ampicillin (S/A) as a perioperative prophylaxis regimen in elective colic surgery (procedures lasting less than 4 hours). We studied 18 patients (11 males, 7 females; mean age 46 yrs, range 21-72), by an open, non-comparative trial: S/A was given soon before anesthesia (1 g ...
journal_title：Minerva chirurgica
pub_type： 临床试验,杂志文章
doi：
更新日期：1990-04-15 00:00:00
abstract：BACKGROUND:Peripheral lymphadenopathy can be caused by benign disease, or it could be a manifestation of underlying hematological disease or metastasis of a yet undiagnosed malignant condition. Fine-needle aspiration cytology (FNAC) and image-guided core biopsy usually make up the first line of investigation. There are...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：10.23736/S0026-4733.18.07752-0
更新日期：2019-06-01 00:00:00
abstract：:Twenty-six patients submitted to surgery using BAR in intestinal anastomosis have been studied. The results were compared with data of the literature concerning this device of anastomosis and about mechanical staplers and manual suture. The following data were taken into consideration: type of operation, type of anast...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1999-10-01 00:00:00
abstract：:Operations and follow-up examinations were conducted on 106 patients with ulcerative colitis, 33 with colitis Crohn, and 163 with diverticulitis, at the University Clinics of Cologne and Munich. Overall mortality rates were 24.5% (n = 26), 6.1% (n = 2) and 16% (n = 26), respectively. In the surgical treatment of ulcer...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1978-06-15 00:00:00
abstract：:Blunt transhiatal esophagectomy is largely performed in selected cases of esophageal cancer following the experience of Mark Orringer. We have recently performed five consecutive video-laparoscopy-assisted transhiatal esophagectomies in order to help the esophageal dissection and to avoid injuries to mediastinal struc...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1997-06-01 00:00:00
abstract：:A typical case of spontaneous rupture of the oesophagus (Boerhaave's syndrome) successfully operated at the Surgery Division of the Lodi Greater Hospital is presented. An account of the aetiopathogenetic, anatomopathological and clinical problems involved is followed by an examination of the possibilities of diagnosis...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1975-10-15 00:00:00
abstract：:Peritoneal dialysis (PD) catheter insertion can be accomplished by any 1 of 3 techniques. These include dissective or surgical, the blind or modified Seldinger, and laparoscopic techniques. The dissective technique solely utilized by surgeons, places the catheter by mini-laparotomy under general anesthesia. In the bli...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：2005-10-01 00:00:00
abstract：:Authors personal experience during ten years in surgery Oddi's sphincter is reported. Indications and technique of papillosphincteroplasty and wirsungsphincteroplasty are described; results obtained in 504 surgical treatment of PSP (combined with WSP in 121 cases) are referred; failures and complications are described...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1981-10-15 00:00:00
abstract：:The paper reports two cases of adenocarcinoma of the appendix. Following a review of the literature on this neoplasia, it concludes that prognosis is poor on account of the early spread of the disease, the low ratio of suspected disease, and difficulties of diagnosis prior to surgery. The preferred surgical treatment ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1991-10-15 00:00:00
abstract：:In the orbital region the variety of tumors is so vast that even an expert oculoplastic surgeon may be deceived. The various tumors may be classified as benign, precancerous and malignant. Approximately 5-10% of all skin cancers occur in the eyelids. Incidence studies indicate that basal cell carcinoma is the most fre...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：2013-12-01 00:00:00
abstract：:The physiopathological premises for various methods of hepatic revascularisation are described and results wiht splenohepatoplasty in 40 rats are presented. This operation involves insertion of the upper pole of decapsulated spleen in the left hepatic lobe to create a new parenchymal supply and regenerate the liver ce...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1975-09-30 00:00:00
abstract：BACKGROUND:Meckel's diverticulum (MD) is the most common anomaly of the large intestinal tract (1-3%) and is more frequent in children (62% < 2 years) and in males (66%). It often involves ectopic gastric mucosa which manifests through gastrointestinal bleeding in 50% of cases. 99m-Technetium scintigraphy (99mTcO4) is ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1998-11-01 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：:The authors report their experience using biofragmentable anastomosis ring (BAR) in bowel anastomosis. Starting January 1993 to February 1994, 46 intestinal anastomoses were performed using BAR, and particularly 39 end-to-end colo-colostomies, 2 end-to-side colo-colostomies and 5 end-to-side ileo-colostomies. 35 patie...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1996-11-01 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：:Papillomatosis of the biliary tract is characterised by multicentric papillary lesions of intra and extrahepatic biliary epithelium. It's a rare benign neoplasm of the biliary tract that causes obstructive jaundice with a high rate of malignant transformation. We described a case of papillomatosis of the biliary tract...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2001-10-01 00:00:00
abstract：:Askin's tumour is a rare malignant small cell neoplasia of the thoracic wall; it most often effects females during childhood and is characterised by limited survival. The authors report a recent case of Askin's tumour in a young adult male. The case was characterised by multiple recidivation but a long survival. The a...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1994-12-01 00:00:00
abstract：BACKGROUND:This study aims to check the presence and the role of the Mycobacterium tuberculosis infection, in an Ambulatory and Day Surgery Out-Patient Centre. METHODS:Two periods of activity in this Centre are evaluated corresponding separately to the years 1989-1993 and 1994-1998 and the total number of patients, co...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2003-02-01 00:00:00
abstract：:Retrospective analysis of risk-factors in 241 patients with large abdominal incisional hernia collected in a 16-year period at the Department of Surgery, University of Pavia, allows the Authors to identify the aetiological mechanism of herniation and to discuss the fundamental technical skills in wall reconstruction. ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1992-02-01 00:00:00
abstract：:Following the exclusion of the ventilation of a lung, perfusion is arrested as a consequence of the Von Euler and Liljestrand vasoconstrictive reflex. However it is as yet unknown how long this phenomenon takes to manifest itself in human beings. In order to verify whether hypoxic pulmonary vasoconstriction follows im...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1993-06-15 00:00:00
abstract：BACKGROUND:Delayed graft function is a common and severe complication after cadaveric kidney transplantation. Besides a more complicated postoperative course, DGF can worsen the overall graft survival. In particular, DGF enhances the nephrotoxicity of mainstream immunosuppressants cyclosporine and FK506. This study eva...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1998-05-01 00:00:00
abstract：:The influence of warm and cold ischemia times on the long term survival of subsequent renal allografts has been evaluated. The retrospective study has involved 77 patients who in the year period 1966-1977 were submitted to 86 subsequent renal allografts at the Department of Surgery of the Addenbrooke's Hospital-Cambri...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1981-05-31 00:00:00
abstract：AIM:The main purpose of the trial was to evaluate the opinions expressed by a sample of subjects with permanent colostomy, as a result of the use of a new device designed for the execution of transtomal intestinal irrigation; their feedback was analyzed in relation to the concept of Quality of Life. METHODS:The device...
journal_title：Minerva chirurgica
pub_type： 临床试验,杂志文章
doi：
更新日期：2015-10-01 00:00:00
abstract：:A case series of 5 male patients afflicted with breast carcinoma is reported. The Authors describe symptomatology, diagnostic iter, principles of surgical treatment and results. Underlined is the wider surgical demolition in male breast cancer in comparison with females, even if natural history and biological conduct ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1990-09-15 00:00:00
abstract：:Data concerning a personal surgical series covering the last 10 years have been collected as far as cases regarded lumbar gangliectomy. The operative indication and incidence of this type of operation, performed for sclerotic obliterating arteriopathy of the lower extremities, out of total admissions and out of total ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1981-06-30 00:00:00
abstract：:Carcinoma of the gastric stump in patients who have undergone resection for duodenal and gastric ulcer represents a rare event which poses considerable diagnostic and therapeutic problems. 7 personal cases are examined, particular attention being paid to the utility of endoscopy, together with sampling for cytological...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1978-09-30 00:00:00
abstract：:On the basis of the anatomophysiological assumption that the abdominal oesophagus is kept in its seat by the meso-oesophagus and that the complex functional role of the gastro-oesophageal junction is conditioned essentially by the inferior oesophageal sphincter under the influence of intra-abdominal and endogastric pr...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1979-05-15 00:00:00
abstract：:A clinical case of cloacogenic anal carcinoma is reported. These neoplasms, deriving from embryonal residuals at different levels of the ano-rectal junction, have a better prognosis than squamous carcinomas; the surgical alternative to abdomino-perineal resection is a simple local exeresis for small tumours that do no...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1989-10-15 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
