Abstract：
:A review of 238 patients aged over 75 years and operated on for colorectal cancer was undertaken to analyse factors influencing short and long-term operative mortality. Operative mortality in the first postoperative month was 13% (n = 31) and 17% (n = 35) in the first year. Four factors influenced significantly postoperative mortality in the first month: postoperative complications (p = 0.0001) related to medical complications (p = 0.0001), emergency surgery (p = 0.007), type of anesthesia (p = 0.01). Mortality during the first year (excluding patients who died in the first month) was higher in females (p = 0.05), in patients subjected to emergency operation (p = 0.004), in patients with preexisting, cerebrovascular accident (p = 0.04) and in patients with Dukes C staging (p = 0.0001). A multivariate analysis with Cox's model revealed 3 prognostic factors: Dukes staging (p = 0.0001), medical complications in the postoperative period (p = 0.0001) and type of anesthesia (p = 0.0009). Age as an isolated factor is not a contraindication to colorectal surgery in elderly patients presenting colonic or rectal carcinoma. Prognosis in elderly patients is first correlated to the control of postoperative mortality undergoing until the first year and then to the cancer itself.
journal_name
Int Surgjournal_title
International surgeryauthors
Fabre JM,Rouanet P,Ele N,Fagot H,Guillon F,Deixonne B,Balmes M,Domergue J,Baumel Hsubject
Has Abstractpub_date
1993-07-01 00:00:00pages
200-3issue
3eissn
0020-8868issn
2520-2456journal_volume
78pub_type
杂志文章abstract：:A free jejunal autograft reconstruction after debulking high stage larynx and hypopharynx tumors has become a popular method in our 10-year experience. We retrospectively studied the efficacy and outcome. Nine patients (M/F, 8/1) underwent a total of 10 free jejunal autograft reconstructions. The median age was 58.6 y...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2006-07-01 00:00:00
abstract：:Cutaneous metastasis from primary visceral malignancy is a relatively uncommon clinical entity, with a reported incidence ranging from 0.22% to 10% among various series. However, the presence of cutaneous metastasis as the first sign of a clinically silent visceral cancer is exceedingly rare. We describe here a case o...
journal_title：International surgery
pub_type： 杂志文章,评审
doi：10.9738/INTSURG-D-13-00070.1
更新日期：2014-07-01 00:00:00
abstract：:In a group of 82 women with congenital or acquired uterine malformation (such as intrauterine adhesions or uterus myomatosus), cerclage was successfully performed according to the McDonald method. The percentage of term deliveries increased from 29.8% to 69.2% and the percentage of spontaneous abortions decreased from...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1977-04-01 00:00:00
abstract：:Due to the rarity and large diversity of the primary retrorectal tumors (RTs), the diagnoses are often difficult and they can be misdiagnosed. We present our experience in light of scarce information available on the clinical manifestations of RTs. The retrospective study included 17 patients diagnosed as RTs between ...
journal_title：International surgery
pub_type： 杂志文章
doi：10.9738/INTSURG-D-15-00068.1
更新日期：2015-07-01 00:00:00
abstract：:Experimentally produced angulatory deformities of rat tibia with and without physeal injury were observed at two to three-week intervals for an eight-week period by x-ray studies, in order to estimate the spontaneous correctability of tibial deformity in growing rats. The results obtained were as follows: 1) In the re...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1980-07-01 00:00:00
abstract：:No topic in the field of vascular surgery evokes more controversy than the management of the patient with asymptomatic carotid artery stenosis. The fact remains, however, that patients can and do develop stroke without any antecedent TIA, and there is no definite and predictable way to identify the stroke-prone group....
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1984-07-01 00:00:00
abstract：:This paper deals with the indications, techniques and results of laparoscopic total or partial posterior fundoplications (Nissen and Toupet procedures, respectively) performed in 41 patients with gastroesophageal reflux disease (GERD) failing to respond to medical treatment. Stationary manometry and 24-hour esophageal...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1995-10-01 00:00:00
abstract：:Operative stabilization of massive chest wall instability is described in 38 patients. 35 patients were young combat casualties with penetrating chest injuries operated upon at front hospitals with limited resources, two patients sustained automobile accidents with blunt thoracic trauma resulting in an extensive flial...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1990-10-01 00:00:00
abstract：:Results of immediate reconstruction of the defects resulting from excision of cancer of the cheek, lower jaw, upper jaw and lip in 13 patients using temporal island, deltopectoral and cervicoacromial flaps have been described. The surgical techniques have been outlined. Previous radiotherapy is not a contraindication ...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1977-11-01 00:00:00
abstract：:Duodenoscopic sphincterotomy (DS) is a well established treatment for common bile duct (CBD) stones in post-cholecystectomy patients, but not in patients with gallbladder in situ. The main argument against the procedure in the latter set of patients has been that by performing it, one is leaving behind the diseased ga...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1991-07-01 00:00:00
abstract：:The authors present their experience with 39 cases of pre and postoperative percutaneous transhepatic cholangioscopy (PTCS), listing the indications and advantages of this new tool for the study of the biliary tract and the therapy of several pathological conditions that would otherwise be untreatable. ...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1983-10-01 00:00:00
abstract：:Laparoscopic Heller myotomy with antireflux procedure seems the procedure of choice in the treatment of patients with esophageal achalasia. Persistent or recurrent symptoms occur in 10% to 20% of patients. Few reports on reoperation after failed Heller myotomy have been published. No author has reported the realizatio...
journal_title：International surgery
pub_type： 杂志文章,评审
doi：
更新日期：2009-10-01 00:00:00
abstract：:Nine primary intra-abdominal or retroperitoneal liposarcomas, of which eight were recurrent tumors, were surgically resected and enrolled in this study. Histopathological examination of primary tumors revealed that the number of well-differentiated, pleomorphic and myxoid type was two, four and three, respectively. In...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1999-04-01 00:00:00
abstract：:Our goals were to (1) identify risk factors associated with conversion from laparoscopic to open appendectomies and (2) establish criteria that predict the possibility of conversion to an open technique. We did a retrospective chart review of all patients who underwent laparoscopic appendectomies during a 5-year perio...
journal_title：International surgery
pub_type： 杂志文章
doi：10.9738/INTSURG-D-13-00058.1
更新日期：2013-10-01 00:00:00
abstract：:At present imaging techniques and laboratory tests are employed very extensively to investigate obscure visceral symptoms. During these investigations it can happen that a liver lesion is discovered. This lesion, solid or cystic, when discovered in the liver of a healthy person, is called hepatic incidentaloma. This s...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1996-04-01 00:00:00
abstract：:Among the causes of male infertility, the varicocele accounts for 40%. Videolaparoscopic varicocelectomy was used for the treatment of 800 men as day surgery cases. The operation enabled high bilateral ligation, with an average operating time of 1.5 hours. Operative difficulties were minor being colon adhesions, vascu...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2006-09-01 00:00:00
abstract：:The standard surgical approach to multiple polyposis has been a total proctocolectomy and an end ileostomy because of the premalignant nature of the disease. This operation has been successful, but has resulted in a significant amount of psychological trauma due to the presence of an abdominal stoma. For that reason, ...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1985-10-01 00:00:00
abstract：:A 61-year-old woman who had undergone total hysterectomy 16 years previously exhibited a pelvic tumor on computed tomography (CT). F-18 fluorodeoxyglucose (FDG) combined positron emission tomography (PET)/CT imaging revealed a solitary small focus of increased FDG activity in the pelvis. A gastrointestinal stromal tum...
journal_title：International surgery
pub_type： 杂志文章
doi：10.9738/INTSURG-D-14-00140.1
更新日期：2015-04-01 00:00:00
abstract：:The purpose of this study was to evaluate the success and morbidity of percutaneous nephrolithotomy (PCNL) performed through the 11th and 10th intercostal space. Between March 2005 and February 2012, 612 patients underwent PCNL, 243 of whom had a supracostal access. The interspace between the 11th and 12th rib was use...
journal_title：International surgery
pub_type： 杂志文章
doi：10.9738/INTSURG-D-13-00167.1
更新日期：2014-11-01 00:00:00
abstract：:The activity of serum xanthine oxidase, an enzyme mainly found in the liver, was determined in a random series of patients who underwent abdominal surgery of varying severity. Enzyme activity rose markedly on completion of operation in almost all patients undergoing biliary tract and gastric surgery, but not in those ...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1976-03-01 00:00:00
abstract：:This study was performed in order to determine the value of assessing the volume of intraperitoneal fluid, the leucocyte count and the corrected leucocyte count in the peritoneal lavage in patients with acute abdominal pain of gynecological origin. Peritoneal lavage using the dye-dilution technique with Evans-Blue-Hum...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1983-04-01 00:00:00
abstract：:The authors performed a total of 237 endolaser treatments for insufficiency of great and small saphenous veins and assessed 5-year results. It was found that this method, especially if performed with a 1470-nm-wavelength laser combined with instrumental removal of some lateral veins, was very effective. It was delicat...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2010-07-01 00:00:00
abstract：:Intussusception is a rare cause of adult intestinal obstruction. Clinical manifestations are not specific, which makes a preoperative diagnosis difficult to establish and often causes delay. We report a case of acute intestinal obstruction due to ileocolic intussusception. An emergency laparoscopy was performed reveal...
journal_title：International surgery
pub_type： 杂志文章
doi：10.9738/INTSURG-D-12-00005.1
更新日期：2013-10-01 00:00:00
abstract：:A total of 52 patients with different grades of liver injuries were treated in a 1 year period: 32 patients had penetrating injuries and in 20 patients injuries resulted from blunt trauma. Blunt trauma victims were frequently associated with chest and head injuries and with skeletal fractures. A 4-fold incidence of as...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1999-07-01 00:00:00
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 ...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1994-01-01 00:00:00
abstract：:A randomized prospective study of 202 patients undergoing peripheral vascular surgery, with the use of autotransfusion, is presented. Hematologic and hemostatic studies were performed on 50 samples of reclaimed and bank blood. The study showed a lower hemoglobin content in autotransfused blood. At the same time it sho...
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：1983-01-01 00:00:00
abstract：:Fifteen patients with 16 histologically verified heterotopic pancreas lesions were encountered at our department during a period of 22 years. The incidence was 0.25% of the findings of all abdominal operations during the same period. Heterotopic pancreas caused symptoms in 5 patients. All the remaining 10 patients wer...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1993-01-01 00:00:00
abstract：:A clinico-radiological study conducted on 124 patients including 89 cases of spinal canal stenosis and 143 normal (control) individuals is presented and the various causes of stenosis of the spinal canal are reviewed. Evaluation of canal to body ratio using plain radiographs of lumbo-sacral spine based on the Jones an...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1982-10-01 00:00:00
abstract：:Solitary fibrous tumor of the pleura is a rare clinical entity. Approximately 600 such cases have been reported in the literature. The purpose of this study was to review the surgical outcome of this disease. This is a retrospective review of seven cases of solitary fibrous tumor of the pleura. There were five women a...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2007-11-01 00:00:00
abstract：:The influence of exogenous insulin on oxidation of U-14C-glucose was investigated by monitoring the production of 14CO2 in septic rats. Ten Wistar rats underwent ligation of the distal third of the caecum and the ligated caecum was punctured with a 21-G needle (septic rats: group S). A group of ten rats was not subjec...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1989-04-01 00:00:00
