Abstract:
:During the period March 1991-June 1992 5 single lung transplantations were successfully performed at the Ospedale Maggiore Policlinico in Milan. All patients underwent regular fibrobronchoscopies within the context of a complex follow-up programme in order to monitor the resolution of the bronchial anastomosis and identify the onset of intercurrent lung infections and rejections using bronchioalveolar lavage (BAL) and transbronchial biopsies (TBB). Forty-four fibrobronchoscopies were performed of which 24 for anastomotic follow-up, BAL and TBB, and 20 for the simple monitoring of the anastomosis. Fibrobronchoscopies confirmed the optimal resolution of bronchial anastomosis in 4 patients, whereas one patient showed a granulomatous anastomotic reaction which was successfully treated using local steroid injections. Although recovery was normal in one patient, kinking appeared in the bronchus of the receiving lung which was successfully treated by the insertion of Gianturco prosthesis. BAL enabled the identification of 2 CMV infections, one Pseudomonas aeruginosa, one Haemophilus influenzae and one Pneumocystis carinii infection. TBB allowed 3 cases of CMW lung infection and 7 episodes of rejection to be diagnosed. The authors' personal experience confirms the decisive role played by bronchoscopy in the follow-up of lung transplant patients. This procedure allowed bronchial anastomosis to be closely monitored and was of vital importance in the diagnosis of lung infections and rejection.
journal_name
Minerva Chirjournal_title
Minerva chirurgicaauthors
Zannini P,Melloni G,Solca M,Cavagnoli Rsubject
Has Abstractpub_date
1993-12-01 00:00:00pages
1379-85issue
23-24eissn
0026-4733issn
1827-1626journal_volume
48pub_type
杂志文章abstract::The A. studied the behaviour of gastric acid secretion, of gastrinemia and of the parietal cell mass in 14 patients with duodenal ulcer (in active state and then in quiescent state) and in 20 symptom free control subjects, in absence of circumscribed gastroduodenal lesions. The analysis of the results demonstrates the...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1977-12-15 00:00:00
abstract::Palliative care represents a new field among clinical approaches to patients with advanced or terminal cancer. The modern concept of palliative care can be considered in several ways: 1) the relationship between palliative care and primary treatments of cancer (surgery, radiotherapy or chemotherapy); 2) the treatment ...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:2005-08-01 00:00:00
abstract::Three cases of diverticulum of the IV duodenal portion are presented. The Authors, after having summarized the general features of the duodenal diverticula, remembered the rareness of the ones of its fourth portion, describe the clinical cases and conclude synthetizing the main indications to this type of surgery: com...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1980-09-15 00:00:00
abstract::After a wide analysis of peptic gastroduodenal ulcer medical therapy, before and after the era of cimetidine, the Authors, after a brief account of the Anatomy and Physiology of the stomach, examine surgical therapy, from the end of the last century till now. After giving the results of the surgical cases of one of th...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:1990-04-30 00:00:00
abstract:BACKGROUND:Since the 1980's, thanks to the introduction of new techniques and methods for the study of thyroid function, new light has been shed on certain aspects of thyroid disease that constitute the basis for surgical therapy. Multinodular goiter is a disorder affecting the entire gland, even when alterations mostl...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:2003-06-01 00:00:00
abstract:AIM:Although many studies on laparoscopic surgery of the stomach have been conducted so far, yet they have not provided surgeons with criteria for gradual and safe training with this technique. The results of gastric surgery with 30 patients operated on by laparoscopic approach are hereby described. The aim of this iss...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:2005-02-01 00:00:00
abstract:AIM:The aim of the present study was to prospectively evaluate the Stretta radiofrequency (RF) treatment for gastroesophageal reflux disease (GERD) -related respiratory symptoms over a 5-years follow-up period. METHODS:A total of 132 patients underwent the Stretta procedure between April 2007 and February 2009; 122 of...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:2014-10-01 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::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::A case of endothoracic goitre with crossed, left-right, retrovascular, retro-tracheo-oesophageal migration is used as the basis for pathogenetic and diagnostic discussion and for stressing the surgical importance of correct topographic and migratory classification of each form. ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1977-02-28 00:00:00
abstract::Obesity is the leading public health concern in the industrialized world with the advent of the very obese or "super obese" increasing exponentially. Bariatric surgery remains the only effective and enduring treatment for morbid obesity and can be safely accomplished in experienced centers. Surgery in the very obese m...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:2010-12-01 00:00:00
abstract::The authors make a wide-ranging review of the literature, examine the epidemiological aspect of fail chest and underline the importance of its correct anatomopathological classification for a more qualified physiopathologist, diagnostic and therapeutic approach. They make a historical excursion on volet's treatment an...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:1994-03-01 00:00:00
abstract::Following a brief review of the various types of local anesthesia, including a recent method using EMLA cream, the paper focuses on the different complications which arise in relation to the technique used. Treatment protocols are also analysed in relation to the toxic stage. ...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:1992-05-15 00:00:00
abstract::The Authors report a case of benign mucocele which was brought to their attention for emergency treatment. Following a review of the literature, they examine the clinical, anatomopathological, pathogenetic and therapeutic problems related to this rare disease. In conclusion, it is important to assess the benign nature...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1990-10-31 00:00:00
abstract:BACKGROUND AND AIMS:The use of steroids was recently extended to the various forms of ulcerative rectocolitis by the introduction of topical formulations, above all steroids with an hepatic "first pass" devoid of systemic interference. The aim of this study was to evaluate the efficacy and tolerability of Beclomethason...
journal_title:Minerva chirurgica
pub_type: 临床试验,杂志文章,多中心研究
doi:
更新日期:1999-09-01 00:00:00
abstract:AIM:Gastro-esophageal reflux disease (GERD) has emerged as one of the most common diseases in modern civilization. We investigated functional evaluation after total fundoplication without division of short gastric vessels and review of literature. METHODS:From January 2007 to June 2008 43 patients with chronic gastroe...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:2011-04-01 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::Of 220 patients operated for gastric cancer, 74 with subtotal gastrectomy and 145 with total gastrectomy (60 with lymphadenectomy), the results and indications for total gastrectomy extended with lymphadenectomy are analysed. The importance of lymph node emptying in relation to the possibility of breakdown of the lymp...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1990-05-15 00:00:00
abstract::The paper describes a recent case of carcinoid of the appendix in a 15 year old patient, operated for appendicitis. The diagnosis was found incidentally by histologic examination. Following a review of the literature the Authors discuss the epidemiology and clinical aspects of the appendiceal carcinoid, the most commo...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1991-05-15 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::Personal experience with papillotomy and papillosphincterotomy in calculosis of the PBD is reported. The indications and results obtained are discussed. The techniques employed are described and an assessment is made of the extent to which these operations can be performed without causing unnecessary damage to the sph...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1978-06-30 00:00:00
abstract:AIM:Electromagnetic navigation bronchoscopy (ENB) was reported to increase diagnostic yield in pulmonary nodules (PNs). The aim of this study was to assess if rapid on site evaluation (ROSE) associated with ENB could improve diagnostic accuracy in PNs after non-diagnostic fluoroscopy-guided bronchoscopy added to ROSE. ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:2013-12-01 00:00:00
abstract::The Authors analyse 121 cases of patients affected by abdominal malignant tumors, who underwent a palliative operation. Although the number of the examinated cases is small, it appears clear that the longest survival requires, when possible, the removal of most of the malignant tissue. This seems to be in accordance w...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1979-02-15 00:00:00
abstract:BACKGROUND:In this study all patients observed between January 1993 and October 1997 with malignant pleural mesothelioma (MPM) have been analyzed in order to describe the impact of treatment modality on survival. METHODS:Medical records of 56 patients with MPM (44 male, 12 female, median age = 59 yrs) were reviewed. I...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:2001-06-01 00:00:00
abstract::Twenty autotransplantations and five allotransplantations were performed in female pigs; exocrine secretion was suppressed by injecting an acrylic glue into the ductal system; pancreatic segment was transplanted extraperitoneally in the iliac fussa. We describe an original technique most suitable to the morfologic car...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1980-05-31 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:AIM:Ischemic gastritis is poorly known by physicians and is often fatal if not correctly diagnosed. Here, we report on the clinical, endoscopic and imaging features and treatment outcomes for five ischemic gastritis patients. METHODS:This was a retrospective, single-centre study of patients treated for ischemic gastri...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:2012-10-01 00:00:00
abstract::The anatomical region identified with the "head and neck region" has got the highest functional concentration of the human body and the highest incidence of malignant tumours per unit of surface. A pathology, that forced to serious and destroying surgical interventions in this area, will carry necessarily out a series...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1996-07-01 00:00:00
abstract::The aim of this work is to assess the list of fine needle aspiration in the diagnosis of lesions of the parotid. Thirty-nine patients suffering from parotid pathology were subjected to cytology examination through fine needle aspiration. Thirty seven patients subjected to surgical operation have a histological compari...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:1993-10-31 00:00:00
abstract::Seventeen cases of acute volvulus of the sigmoid colon are presented. Comparison with other series showed that the mortality rate for fixation with or without a shunt are more or less the same. Excellent results were obtained with the Paul Mikulicz method. An intention to use this method in all cases in the future, ir...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1980-08-15 00:00:00