Abstract:
:During 1982-90 we changed the surgical treatment of acute necrotizing pancreatitis twice. The operative strategy consisted of early formal resection (n = 13) during 1982-84, early lavational surgery (n = 15) during 1985-87 and late necrosectomy (n = 17) during 1988-90. The mortality rate decreased from 54% to 40% and to 24%, respectively. The pattern of complications changed from bleeding in resections to pseudocysts and fistulas in late necrosectomy. Sepsis and multiorgan failure were still main problems. These results led us to begin a prospective study of planned repeated debridement by open packing after delayed necrosectomy.
journal_name
Int Surgjournal_title
International surgeryauthors
Paajanen H,Jaakkola M,Karjalainen J,Oksanen H,Nordback Isubject
Has Abstractpub_date
1994-01-01 00:00:00pages
72-5issue
1eissn
0020-8868issn
2520-2456journal_volume
79pub_type
杂志文章abstract::A new classification of proximal bile duct tumors mainly based on endo- and exobiliary neoplastic invasion, indicating radical or palliative surgery is proposed. Fifty-eight patients underwent radical (12) or palliative (46) surgery. The 5-year survival rate of patients treated radically is 40% compared to 0% in patie...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1985-01-01 00:00:00
abstract::Seventy-six patients with tricuspid insufficiency associated with other valvular lesions underwent De Vega annuloplasty. There were mitral lesions in 74 patients, aortic valve lesions in eight and atrial septal defects (ASD) in four. The radiographic and electrocardiographic findings and hemodynamic data are reported ...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1983-07-01 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::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::Seventy-seven colostomies were performed in 74 patients: 35 for high anorectal agenesis, 34 for Hirschsprung's disease, 2 for necrotizing enterocolitis, 2 for small left colon syndrome, and 1 for volvulus neonatorum with perforation. There were 55 boys and 19 girls with a mean age of 0.8 years. The different types of ...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1992-07-01 00:00:00
abstract::To assess the possible role of truncal ligation of inferior thyroid arteries on post-thyroidectomy hypocalcemia, a prospective study was carried out on 80 patients. Bilateral subtotal thyroidectomy was performed for non-toxic nodular goiter in two groups. Inferior thyroid arteries were ligated bilaterally in 50 patien...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1992-10-01 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::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::A retrospective analysis of 88 ovarian tumours diagnosed over five years (1980-1984) in multi-racial Singaporean Oriental women revealed 70 (79%) epithelial tumours (ET), 17 (8%) sex cordstromal (SCS), six (7%) germ cell (GCT) and five (6%) secondary (metastatic) (SEC) cancers. The racial proportions and histological ...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1990-04-01 00:00:00
abstract::This report describes an alternative technique for Petit hernia repair. The treatment of lumbar hernias should follow the concept of tension-free surgery, and the preperitoneal space can be the best place for prosthesis placement. An obese patient had a bulge in the right lumbar region, which gradually grew and became...
journal_title:International surgery
pub_type: 杂志文章
doi:10.9738/INTSURG-D-13-00135.1
更新日期:2014-09-01 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::Carotid endarterectomy is a method of prophylaxis. A total of 367 carotid endarterectomies in 335 patients were performed during the period of 1989-1997: 222 (66.3%) were symptomatic and 113 (33.7%) asymptomatic patients. In all, 262 (78.2%) had unilateral, 41 (12.2%) contralateral occlusion and 32 (9.6%) bilateral ar...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1998-10-01 00:00:00
abstract::En bloc resection of the esophagus was attempted by right thoracotomy, laparotomy, and left cervicotomy in 82 patients suffering from an esophageal cancer. Tumors were classified by the depth of wall penetration and node involvement: 21 tumors penetrated at the most into but not through the muscle (W1), and 61 invaded...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1991-10-01 00:00:00
abstract::We report nine cases of adrenal cysts, treated in our hospital, between 1980 and 1990. The majority of the cases (5/9) were incidental findings on US and CT examinations. We operated on 4/9 cases because of their symptomatology or their size. Four other cases were managed conservatively; one last case was treated by p...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1993-07-01 00:00:00
abstract::Results obtained with temporary ileal cecostomy in 23 patients are reported. Particular attention is given to the incidence of anastomotic leakage, morbidity, mortality, hospitalization and nursing. The results achieved were successful and, although the series presented is small, the authors suggest that this techniqu...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1982-10-01 00:00:00
abstract::Over a one year period (June 1992-June 1993), 260 patients (208 females and 52 males) with mean age of 37 years (range 13-80), underwent laparoscopic cholecystectomy (LC) for symptomatic gallstones. Thirty patients were admitted as emergency (20 acute cholecystitis, 10 acute pancreatitis). The procedure was performed ...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1995-04-01 00:00:00
abstract::The history of inguinal herniorrhaphy certainly presents some peculiar aspects. Until the 18th century this disease was studied with interest and found a place in the books of several important authors, but in practice it was treated by empiricists and barbers. We must recognize however that some of their surgical met...
journal_title:International surgery
pub_type: 历史文章,杂志文章
doi:
更新日期:1986-07-01 00:00:00
abstract::The diagnostic and therapeutic problems involved in 29 cases of isolated hepatic tumors have been presented. In nine cases the hepatoma was discovered during emergency treatment for complications. Selective arteriography was the most accurate method of establishing the etiologic diagnosis. Suprahepatic phlebography in...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1976-08-01 00:00:00
abstract::Twenty cases of carcinoma of the cervix uteri stage III and IV and ten cases of carcinoma of the rectosigmoid colon stage III were investigated by fractionated cystography to detect any infiltration of the destensible part of the urinary bladder wall. Cystography was normal in all cases except one. The finding was con...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1975-05-01 00:00:00
abstract::Multiple primary malignant neoplasm is the occurrence of a second primary malignancy in the same patient within 6 months of the detection of first primary (synchronous), or 6 months or more after primary detection (metachronous). Multiple primary malignant neoplasms are not very frequently encountered in clinical prac...
journal_title:International surgery
pub_type: 杂志文章,评审
doi:10.9738/INTSURG-D-13-00056.1
更新日期:2014-01-01 00:00:00
abstract::A totally implantable system was used for prolonged intravenous treatment in patients whose peripheral veins could no longer be punctured. Our experience showed this device, which was used for short periods in 20 patients, to be an effective solution to the problem of permanent venous access. ...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1985-07-01 00:00:00
abstract::The records of 115 patients with stage D-2 prostate cancer treated with bilateral orchiectomy were reviewed to determine the effect of this procedure in previously untreated patients and in patients who had prior hormone therapy. Previously untreated patients survived 22.8 months while those who had prior hormone ther...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1993-01-01 00:00:00
abstract::Bronchobiliary fistula (BBF) is a rare condition which occurs most commonly as a complication of hydatid cyst liver disease. The following report describes a patient who presented with biliptysis 6 months following decortication of an empyema that had occurred following partial hepatectomy of a colon cancer metastasis...
journal_title:International surgery
pub_type: 杂志文章
doi:10.9738/INTSURG-D-13-00095.1
更新日期:2014-07-01 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::The purpose of this study was to investigate prognostic significance of Dopamine and cAMP-Regulated neuronal Phosphoprotein 32 (DARPP-32) expression in primary colorectal cancer. The study material consisted of clinical and histopathological data of 100 patients operated for colorectal cancer between 1994 and 1997. Fo...
journal_title:International surgery
pub_type: 杂志文章
doi:10.9738/INTSURG-D-14-00022.1
更新日期:2015-02-01 00:00:00
abstract::AbstractObjective: During fiscal crisis there was a period of shortage of staplers in our hospital, which drove us to manual suturing of bronchi and pulmonary vessels during major lung resections. We present our experience during that period in comparison to a subsequent period when staplers became available again. M...
journal_title:International surgery
pub_type: 杂志文章
doi:10.9738/INTSURG-D-15-00116.1
更新日期:2015-07-27 00:00:00
abstract::The objective of this study was to assess the diagnostic value of preoperative cytology and galactography in women with nipple discharge using a simple intraductal aspiration method. From May 1997 to February 2002, 172 patients with unilateral, spontaneous nipple discharge without palpable masses underwent intraductal...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:2003-04-01 00:00:00
abstract::Proximal gastrectomy (PG) has been introduced for patients who are preoperatively diagnosed with early gastric cancer located in the upper third of the stomach. In the present study, we compared the prognosis of patients who underwent PG with that of patients who underwent total gastrectomy (TG). Between 1997 and 2006...
journal_title:International surgery
pub_type: 杂志文章
doi:10.9738/CC150.1
更新日期:2012-07-01 00:00:00
abstract::The aims of regional therapy are to increase the exposure of regional confined cancers to drugs and to decrease their systemic levels. Two main approaches are available: intra-vascular and intra-lymphatic (I.L.) therapy. The former is comprised of different methods of delivering chemo-radio therapeutic agents directly...
journal_title:International surgery
pub_type: 杂志文章,评审
doi:
更新日期:1986-01-01 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