Abstract:
:About half of 361 patients with intrahepatic stones had recurrent stone(s) requiring additional surgery in the past 10 years. In order to cope with this problem, a new tube referred to as the KMC (Kaohsiung Medical College) tube was developed to allow the removal of stones without additional surgery. This tube was implanted subcutaneously between the common bile duct and the abdominal wall after successful extrication of intra- or extra-hepatic stones. Thirty-nine patients with intrahepatic stones were accepted for this new trial. The surgical procedure consisted of first removing the biliary drainage tube followed by insertion of the KMC tube. The KMC tube was introduced through a small skin incision under local anesthesia and the KMC tube fixed with abdominal fascia. The benefit of this procedure is that the contrast medium could be percutaneously injected into the tube for follow-up cholangiographic study when necessary. The procedure for removal of recurrent stones included removing the KMC tube under local anesthesia, then inserting the choledochofiberscope through the original sinus tract to engage the stone(s) without laparotomy. This procedure had been performed on 4 patients with successful removal of their recurrent stones after 6 to 24 months without the necessity for abdominal surgery.
journal_name
Int Surgjournal_title
International surgeryauthors
Ker CG,Sheen PCsubject
Has Abstractpub_date
1986-04-01 00:00:00pages
79-83issue
2eissn
0020-8868issn
2520-2456journal_volume
71pub_type
杂志文章abstract::Regarding the complications of peptic ulcer, a perforation remains the most important fatal complication. The aim of our retrospective study was to determine relations between postoperative morbidity and comorbid disease or perioperative risk factors in perforated peptic ulcer. In total, 239 patients who underwent eme...
journal_title:International surgery
pub_type: 杂志文章
doi:10.9738/INTSURG-D-14-00187.1
更新日期:2015-05-01 00:00:00
abstract::The effect on cellular immunity of the administration of the non-specific immunopotentiator BCG and/or a streptococcal agent was studied in 90 non-cancer bearing Wistar rats under different nutritional support. The number of immunocompetent cells and the non-specific function of the immunocompetent cells significantly...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1984-01-01 00:00:00
abstract::This paper presents thermography as a useful method for the determination of regional thermal variations, during the pre- and postoperative periods, in the surgery and pathology of the hand. This method can give, directly or indirectly, very valuable information for both diagnosis and prognosis, and at times, can give...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1984-04-01 00:00:00
abstract::Of 144 cases of pancreatoduodenectomy we treated 6 patients (4.2%) with delayed massive bleeding. Massive hemorrhage occurred 14 to 38 days later. Leakage of the pancreatojejunostomy was confirmed in all patients. A "sentinel bleed" was evident in five patients with arterial bleeding. One patient with hemorrhage of th...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1998-04-01 00:00:00
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:
更新日期:1997-04-01 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::Primary tracheobronchial nonbronchogenic carcinoma tumors are uncommon. The presence of these tumors may cause asthmatic-like symptoms and marked respiratory distress. When seen, the patients are usually very apprehensive and present difficult decisions regarding treatment and surgery, especially with regard to anesth...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:2002-04-01 00:00:00
abstract::In a recent six-year-period, a total of 402 patients underwent parietal cell vagotomy (PCV) for duodenal ulcer. An overall clinical assessment by Visik grading placed 328 (82%) in grade I, 56 (14%) in grade II, 12 (3%) in grade III and 4 (1%) with recurrent ulcer in grade IV. Results of the gastric secretory tests sho...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1981-10-01 00:00:00
abstract::Benign nonparasitic cysts of the spleen are a rare entity. Surgical treatment is indicated when they become symptomatic. Splenic conservative techniques are preferred, given the important immunologic role of the spleen. Laparoscopy has been used in the treatment of different splenic diseases with favorable results in ...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:2005-09-01 00:00:00
abstract::Endoscopic retrograde pancreatogram (ERP) has been recommended in patients with suspected pancreatic fistula to visualize the fistula tract and the ductal anatomy. Recently we have treated five men with chronic alcoholic pancreatitis complicated by pancreaticopleural or pancreaticoperitoneal fistula. The limited value...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1996-04-01 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 incidence of gastroesophageal junction adenocarcinoma is increasing. About 30% of the tumors cannot be completely resected, and 40% of the patients relapse after complete resection. There is much controversy over the role of neoadjuvant therapy, the approach route, lymphadenectomy, and the extent of esophageal res...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:2006-05-01 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::From 1979 to 1987, 1103 thoracotomies were performed in patients with lung cancer: 824 (74.7%) radical resections, 141 (12.7%) palliative resections and 138 (12.5%) exploratory thoracotomies. Among the 965 patients who underwent resection, 539 patients were N0, 190 patients N1 and 236 patients N2. Among patients with ...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1990-01-01 00:00:00
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:
更新日期:1989-01-01 00:00:00
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:
更新日期:1998-01-01 00:00:00
abstract::Obstructive jaundice in patients with chronic pancreatitis still constitutes a surgical problem deserving the attention of many specialized centers throughout the world. Out of a series of 149 patients operated upon for chronic pancreatitis, 45 (30.2%) with common duct stricture secondary to pancreatic disease have be...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1984-04-01 00:00:00
abstract::Temporary closure of the abdomen with a synthetic mesh and multiple planned relaparotomies are the essentials of the modern strategy for treating severe intra-abdominal sepsis or pancreatic necrosis. One of the complications associated with mesh closure of the abdomen is facial necrosis at the wound edges leading to e...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1997-01-01 00:00:00
abstract::The objective of this study is to diminish postoperative complications after pylorus-preserving pancreaticoduodenectomy. Pylorus-preserving pancreaticoduodenectomy is still associated with major complications, especially leakage at pancreatojejunostomy and delayed gastric emptying. Traditional pylorus-preserving pancr...
journal_title:International surgery
pub_type: 杂志文章
doi:10.9738/INTSURG-D-14-00246.1
更新日期:2015-05-01 00:00:00
abstract::Mouse unilateral ureteral occlusion (UUO) is widely used as a model of renal experimental obstructive nephropathy with interstitial fibrosis. Microcomputed tomography (micro-CT) imaging has the potential to produce quantitative images. The aim of this study was to establish standard images of micro-CT for renal anatom...
journal_title:International surgery
pub_type: 杂志文章
doi:10.9738/INTSURG-D-14-00273.1
更新日期:2015-07-01 00:00:00
abstract:OBJECTIVE:To compare the safety and effectiveness of laparosonic coagulating shears (LCS) and electrosurgery for use in laparoscopically assisted vaginal hysterectomy (LAVH). STUDY DESIGN:In this prospective study, patients undergoing LAVH performed by one of the authors from October 1997 to January 1998 were assigned...
journal_title:International surgery
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:2000-01-01 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::Three-hundred and forty-five cases of perforated duodenal ulcer were managed by suture plication alone. Perforated acute ulcers have a better ultimate outlook in terms of mortality and morbidity as compared with perforated chronic ulcers, which have a higher incidence of reperforation and reoperation. It is suggested ...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1982-10-01 00:00:00
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:
更新日期:1996-07-01 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::We made clinical trials of en bloc extended radical mastectomy (EXT) of a new type in 118 patients from 1980 through 1985. A variety of conventional radical mastectomies (RDL) were also performed in 105 patients from 1973 through 1985. A multivariate analysis was performed of the results to compare EXT and RDL. The re...
journal_title:International surgery
pub_type: 临床试验,杂志文章
doi:
更新日期:1992-01-01 00:00:00
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:
更新日期:2004-10-01 00:00:00
abstract::Cardiac metastases are uncommon and difficult to diagnose clinically; thus, they are most often found only at autopsy. Here we present a case of isolated right atrial cardiac metastasis found 7 weeks after the resection of the primary tumor, which was an adenocarcinoma of the lung. The patient presented with intractab...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:2001-07-01 00:00:00
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:
更新日期:1977-08-01 00:00:00
abstract::We evaluated 67 patients with acute bleeding of the lower gastrointestinal tract, for diagnostic accuracy of colonoscopy, and scintigraphy. Fifty-nine patients were stable after initial resuscitation and underwent colonoscopy. The source of hemorrhage was identified in 30 patients (50.8%). Tc-labeled red blood cells s...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1995-04-01 00:00:00