Abstract:
:One-hundred seventy four consecutive patients who underwent curative resection for gastric and colorectal cancer between 1983 and 1985, were studied prospectively to evaluate the roles of sequential CEA, TPA and GICA determinations and independent clinical examinations, in the early diagnosis of resectable recurrences. Sixty-six recurrences (33 from gastric and 33 from colorectal cancer) were detected between 6 and 42 months after primary surgery. In gastric cancer CEA, TPA and GICA showed a sensitivity of 64%, 73%, and 60%, and a specificity of 67%, 65% and 54% respectively. Nine patients (27%) underwent surgical treatment for the recurrent disease, and 4 of them (44.4%) had resectable recurrence, for a total resectability rate of 12%. Out of these four patients, three patients are still living after 12, 36 and 44 months respectively from re-operation without evidence of neoplastic disease. In one of these patients re-operation was performed on the basis of the elevation of the three markers, without any other clinical sign of disease, this patient had a resectable solitary hepatic recurrence. In colorectal cancer CEA, TPA and GICA showed a sensitivity of 73%, 73%, and 49%, and a specificity of 77%, 87%, and 97% respectively. Fourteen patients (42.4%) underwent surgical treatment for the recurrent disease, and 8 of them (57%) showed a resectable recurrence, for a total resectability rate of 24.2%. Six patients are still living after 9, 16, 21, 31, 41 and 53 months respectively from reoperation without evidence of neoplastic disease.(ABSTRACT TRUNCATED AT 250 WORDS)
journal_name
Minerva Chirjournal_title
Minerva chirurgicaauthors
Barillari P,Ricci M,Broglia S,Manetti G,Cerasi A,Cesareo S,Calcaterra D,Cioè I,Caronna R,Sammartino Psubject
Has Abstractpub_date
1994-10-01 00:00:00pages
953-61issue
10eissn
0026-4733issn
1827-1626journal_volume
49pub_type
杂志文章abstract::Totally implantable central venous accesses systems are presently widely used in cancer patients. Perioperative and long-term morbidity of 750 consecutive implants performed from 1985 to 1994 were retrospectively reviewed. Our Series consisted in 616 (82.1%). Ports and 134 (17.9%) external tunnelled catheters with sub...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1996-06-01 00:00:00
abstract::Authors report on their experience about ceftriaxone in surgical prophylaxis in childhood. 30 patients have been treated, suffering from surgical diseases, either thoracic or abdominal ones, including malignancies. Ceftriaxone was administered once a day; patients received ceftriaxone only once preoperatively: Results...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1990-05-31 00:00:00
abstract::The authors report on their initial experience with pylorus-preserving pancreatoduodenectomy. In the last three years 11 patients with neoplastic disease of the pancreatic head and ampullary region underwent the above mentioned procedure. The surgical technique carefully preserved the blood supply and innervation to t...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1989-10-31 00:00:00
abstract::The diagnosis of benign, malignant or borderline phylloides tumor of the breast is based on a combination of clinical and histological features but the biological behavior of this neoplasm is not often predictable: the most important indicators of malignant behavior are underscored. Only a few patients with malignant ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1992-06-15 00:00:00
abstract::After a review of the literature on the subject, all IIIrd and IVth age patients admitted for acute abdomen to the Department of Surgical Pathology I of the University of Pavia between 1-1-1974 and 31-12-1988 were studied. The various pathologies encountered in acute abdomen are considered on the basis of the results ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1990-02-01 00:00:00
abstract:INTRODUCTION:Transanal endoscopic microsurgery (TEM) is a safe procedure and the rates of intra- and post-operative complications are low. The information in the literature on the management of these complications is limited, and so their importance may be either under- or overestimated (which may in turn lead to under...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:10.23736/S0026-4733.20.08405-9
更新日期:2021-01-12 00:00:00
abstract::Acute limb ischemia (ALI) is one of the most common vascular emergencies and characterized by sudden worsening of limb perfusion mainly caused by embolization of thrombotic masses or acute graft occlusion. It is a serious condition with potential thread to limb viability accompanied by significant mortality, morbidity...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:2010-06-01 00:00:00
abstract::Personal experience in the aggression of the CNS for various purposes is considered. It is thought that the internal trans-jugular route is the easiest approach and procedures the fewest complications with appropriate techniques. ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1990-03-31 00:00:00
abstract::The extreme variations with which atherosclerotic disease presents as regards progression index, arterial bed localization frequency, malignity and invasiveness in different ages and often as regards different anatomopathological aspects characterizing the formation and course of the primary lesion, mean that there ar...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1977-04-15 00:00:00
abstract::The authors report a retrospective study of four patients treated for sigmoid volvulus at the Clinica Chirurgica II of IRCCS Policlinico S. Matteo of Pavia between April 1974 and June 1989. They are collected from a series of 74 consecutive operations for colonic obstruction not related to hernias of the inguinal-crur...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:1993-05-31 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:AIM:It is generally impossible to make a distinction between benign and malign with a cytopathological examination using a fine needle aspiration biopsy (FNAB) in follicular lesions of the thyroid gland. This is the reason why lesions are frequently reported as follicular neoplasia (FN). Our study aims to examine the p...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:2012-12-01 00:00:00
abstract::In this paper the authors consider the problem of incisional hernias as late complications of bariatric surgery. After a description of relationships between obesity and incisional hernias they report their experience on this topic, consisting of 56 patients submitted to bilio-pancreatic diversion between March 1989 a...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1993-04-15 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::Leiomyosarcoma of rectum is a rather rare malignant tumour. Generally, it manifests late when pain, tenderness, rectal bleeding and obstruction occur or ulceration through the rectal mucose with bleeding or discharge occur. Rectal examination leads to the diagnosis of malignancy. The histological report confirms the t...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1980-11-30 00:00:00
abstract::A case of multiple mesentery cysts is presented and the etiopathogenesis, anatomopathology, symptomatology and therapy of this disease discussed. ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1976-04-30 00:00:00
abstract::A case of pseudocyst of an asymptomatic right suprarenal gland found by chance is reported. Some aetiopathogenetic, anatomopathological and clinico-radiological aspects of the condition are discussed and, after reviewing the possible complications that may arise out of a suprarenal cyst, the value of surgery is stress...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1980-02-29 00:00:00
abstract::An increased risk of colorectal cancer has been reported in first-degree relatives of affected patients, and following cholecystectomy or partial gastrectomy for benign peptic ulcer disease. The aim of this study was to examine the incidence of these potential risk factors in 197 patients (127 males, 70 females, mean ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1996-12-01 00:00:00
abstract::Among 94 cases of pulmonary metastases treated by the exeresis of one or more nodules, 28 cases produced metastasis located in the lung only. Radical metastasectomy was performed on 250. Analysis of survival, also assessed in relation to every prognostic factor reveals the efficacy of surgical therapy even in iterativ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1989-09-30 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::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 ultrasonic scalpel has been used for some time in surgery in tissue with a predominantly cellular component since it can be used selectively on the parenchymatous component while respecting the vasculo-stromal component. On the basis of their earlier experience and using a versatile ultrasonic device currently uti...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1994-01-01 00:00:00
abstract::The Authors examine retrospectively all the cases of obstruction of the small bowel operated at the surgical department of the Verbania Hospital in the last twenty years. The records of 341 cases, 1.4% of the total amount of the surgical operations carried out in the same space of time, were retrospectively reviewed. ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1992-12-01 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::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:BACKGROUND:The conservative surgery is considered currently the treatment of choice for the carcinoma of the breast in the initial stage. METHODS:From 1993 to the 2000, 46 patients (median age 52 years) affected by intraductal carcinoma of the breast, have been submitted to surgical intervention. In 10 cases (21,7%) a...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:2003-08-01 00:00:00
abstract::Exceptional surgical reports of widespread atherosclerotic involvement of both internal and external carotid arteries required us to carry out an unusual surgical procedure. During a four years period an original carotid endarterectomy's technique was performed in four patients. We point on the importance of a correct...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1991-05-31 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::This paper is a critical review of the clinical records of 20 patients who underwent a Transduodenal Sphincteroplasty (PSP), from October 1990 to January 1992 at our Department (General Surgery). The age was 64.9 (14.2) years (mean and standard deviation), but 14 (70%) of those patients were older than 60 (range: 63 t...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1994-09-01 00:00:00
abstract::The paper reports the results of a follow-up of 25 patients who underwent gastric resection using Roux's technique, 15 patients undergoing reconstructive surgery according to Pean-Billroth and 15 who underwent Billroth II operations. Controls were performed more than 5 years after surgery and included endoscopic tests...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1991-06-30 00:00:00