Abstract:
:Between January 1989 and December 1994 we accomplished 130 CT-guided transthoracic fine needle aspirations (FNA) in 120 patients. Ten patients underwent a second FNA because of the negativity and doubts of the first. Diagnosis was targeted in 114 (95%) patients and 89% showed cytological evidence of malignancy. FNA-CT guided is reliable in the diagnosis of lung cancer, but less accurate in excluding diagnosis of malignancy. In our experience FNA had an accuracy with regard to lung cancer, of 92%. Sensitivity and specificity were respectively 93.8% and 100%. There were 6 false negative and 9 very negative. All patients should have bronchoscopy rather than FNA as the initial diagnostic procedure and perform it only in the absence of endobronchial lesions and malignant cells obtained with cytologic sputum or fiber bronchoscopy. In our experience 91 patients have lung cancer and thoracotomy was performed in 21% with confirm of diagnosis. FNA offers several advantages over other diagnostic procedures used in the evaluation of patients with intra-thoracic nodules and masses. The uses of small needles (20-22 gauge) and CT-guide has practically eliminated the risk of major haemorrhage. Deep and superficial lesions of the lung may be approached safely with FNA-CT guided and complications are no fatalities. Pneumothorax occurred in our experience in 5 cases and no occurred a chest drainage.
journal_name
Minerva Chirjournal_title
Minerva chirurgicaauthors
Chisari A,Nicolosi M,Tornambene F,Compagnone S,Pulvirenti G,Guarino D,Deodato Gsubject
Has Abstractpub_date
1996-01-01 00:00:00pages
11-5issue
1-2eissn
0026-4733issn
1827-1626journal_volume
51pub_type
杂志文章abstract::Primitive tumor of the liver, associated with cirrhosis with 40-80% of incidence, isn't one of the most common malignant neoplasms in the western area but it holds low survival and diminished possibilities of radical exeresis. A few years ago it has enrolled several non-invasive imaging-guided techniques, alternative ...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:1996-05-01 00:00:00
abstract::The incidence and prevalence of obesity continues to increase globally. Physicians will therefore provide care for an increasing number of obese patients in their clinical practice. Optimal management of these patients is required to minimize the risk of perioperative complications that increase morbidity and mortalit...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:10.23736/S0026-4733.17.07310-2
更新日期:2017-06-01 00:00:00
abstract:AIM:The aim of this paper was to investigate the effect of non-surgical internal intestinal splinting using an ileus tube under X-ray guidance. METHODS:Sixteen patients with recurrent postoperative adhesive small bowel obstruction (SBO) received internal splinting using intubation of a 300 cm long ileus tube. Under X-...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:2015-10-01 00:00:00
abstract::In the orbital region the variety of tumors is so vast that even an expert oculoplastic surgeon may be deceived. The various tumors may be classified as benign, precancerous and malignant. Approximately 5-10% of all skin cancers occur in the eyelids. Incidence studies indicate that basal cell carcinoma is the most fre...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:2013-12-01 00:00:00
abstract::The aetiology and clinical manifestations most commonly noted in pseudocysts of the pancreas are briefly described. Particular attention is given to the treatments of lesions operated under emergency conditions and the clinical aspects of pancreatic effusions sometimes encountered during the course of the disease. ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1977-05-15 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:BACKGROUND:Neoadjuvant therapy is recommended for patients with borderline-resectable pancreatic cancer (BRPC). In this study, we compare survival outcomes of neoadjuvant therapy with upfront surgery. METHODS:From January 2011 to June 2016, 1415 patients underwent treatments for pancreatic cancer in Samsung Medical Ce...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:10.23736/S0026-4733.19.07958-6
更新日期:2020-02-01 00:00:00
abstract:BACKGROUND:The authors report the gynaecological pathology of surgical interest occurring in an Emergency Department in the first half of 2000 and occasionally found during an operation in women who presented a pelvic mass or abdominal pain. METHODS:Six women, average age of 50 years, reached the Emergency Department:...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:2002-10-01 00:00:00
abstract::Three cases of acute torsion of the greater omentum two unipolar in two 5-yr-old children and one bipolar in a man of 46 are reported. Correct diagnosis was impossible and never suspected in any of the patients and was only made during surgery. The postoperative course was normal in all three cases. ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1980-02-29 00:00:00
abstract::Authors describe a rare case of malignant schwannoma of the omentum. The diagnosis of schwannomas is often late because of the absence of early clinical signs. Clinical, diagnostic and histopathological considerations of these neoplasias are described in this work. ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1993-01-01 00:00:00
abstract:BACKGROUND:We investigated the application value of nanocarbon lymphatic tracer in thoraco-laparoscopic esophagectomy. METHODS:A total of 80 patients were enrolled and randomly divided into the experimental group (N.=40) and the control group (N.=40). Patients in the experimental group were injected with nanocarbon su...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:10.23736/S0026-4733.17.07298-4
更新日期:2017-12-01 00:00:00
abstract::Authors personal experience during ten years in surgery Oddi's sphincter is reported. Indications and technique of papillosphincteroplasty and wirsungsphincteroplasty are described; results obtained in 504 surgical treatment of PSP (combined with WSP in 121 cases) are referred; failures and complications are described...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1981-10-15 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 surgical procedure in the haemorrhoidal disease, performed in one day surgery, using a local anaesthesia (posterior perineal block), where suggested and possible, presents many advantages: for the patient whose stay in the hospital is shorter, for the hospital which is facilitated in the organization and...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1999-07-01 00:00:00
abstract::Barrett's esophagus is the most serious form of gastroesophageal reflux disease. It may develop due to uncontrolled chronic duodenogastroesophageal reflux and represents a premalignant abnormality. The question of the development of Barrett's esophagus and the progression to adenocarcinoma of the esophagus is addresse...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:2002-08-01 00:00:00
abstract:AIM:This study reports a series of 7 patients who experienced small-bowel obstruction (SBO) after laparoscopic gastric bypass (LGBP). METHODS:Between July 2001 and June 2004, 211 patients underwent surgery for morbid obesity in 2 different institutions and 7 of them required reoperative laparoscopic surgery or laparot...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:2006-06-01 00:00:00
abstract::The paper reports two cases of adenocarcinoma of the appendix. Following a review of the literature on this neoplasia, it concludes that prognosis is poor on account of the early spread of the disease, the low ratio of suspected disease, and difficulties of diagnosis prior to surgery. The preferred surgical treatment ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1991-10-15 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:AIM:Severe obesity is a major health problem affecting more than 1,000,000 people in Italy, with a 95% failure rate of nonsurgical treatments. We report our over five-years experience with laparoscopic Roux-en-Y gastric bypass (LRYGBP), evaluating the postoperative course of the patients undergoing 3 different gastro-e...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:2007-04-01 00:00:00
abstract::Videolaparoscopic cholecystectomy is considered the treatment of choice for simple cholelithiasis. Now many surgeons consider the laparscopic procedure usable also in the complicated biliary lithiasis like acute cholecystitis and choledocholithiasis. The authors report their recent experience of the laparoscopic treat...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1998-03-01 00:00:00
abstract:AIM:Systematic surveys with advanced non-invasive imaging techniques have revealed that hepatic cysts are quite common in the general population. Therefore, we retrospectively examined our case series and compared it with the literature. METHODS:Between January 1990 and December 2000, 228 patients with non-parasitic l...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:2004-08-01 00:00:00
abstract::Double pylorus is an extremely rare pathology: it can be an acquired or congenital lesion. Two new cases complicating a peptic ulcer are reported and the clinical appearance and evolution of the different etiological type are described. ...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:1998-10-01 00:00:00
abstract::Meckel's diverticulum occurs in approximately 2 percent of the population and may present at any age. Although Meckel's diverticulum may produce an intestinal obstruction or perforation, simulating an appendicitis, hemorrhage is its most important clinical presentation. From 1989 to 1994, Meckel's diverticulum was dis...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1997-12-01 00:00:00
abstract::The use of an external oblique muscle-cutaneous flap in the reconstruction of large chest wall defects after mastectomy is described. The flap is drown as a V-Y advancement-rotation flap, laterally based, on the ipsilateral abdominal wall. The flap extends from the posterior axillary line to the linea alba, vascular s...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:2002-04-01 00:00:00
abstract::A series of 27 cases of biliary-digestive fistulae is presented. 26 were due to calculi and 1 to ulcer and calculi. 20 led to the duodenum, 6 to the colon, and 1 to the stomach from the gallbladder. The series constituted 1.4% of bile ducts operations. Females (mostly multiparae) formed 66%. The mean age was 64 yr. Di...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1976-12-15 00:00:00
abstract:BACKGROUND:Many reports emphasize the role of sub-lobar resections in the treatment of small peripheral lung cancer. The aim of this study was to investigate a range of prognostic factors, including the extension of resection, which may affect the prognosis in a homogeneous group of patients. METHODS:We retrospectivel...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:2016-02-01 00:00:00
abstract::40 patients with an endoscopic diagnosis of bleeding gastric or duodenal lesions have been examined in a double blind study. The haemorrhages were subdivided into slight and serious on the basis of objective parameters. Cimetidine (1.2 g/die i.v.) or placebo in a preparation indistinguishable from the drug were admini...
journal_title:Minerva chirurgica
pub_type: 临床试验,杂志文章
doi:
更新日期:1981-10-15 00:00:00
abstract::The finding of incidentalomas is becoming increasingly frequent during the course of routine diagnostic tests. At the hepatic level, the preclinical diagnosis of primary tumours has enabled a growing number of patients to undergo surgery with reduced operating trauma and greater oncological radicality. The authors rep...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:1998-09-01 00:00:00
abstract::A series of 100 patients suffering from deep venous thrombosis with prior episodes of pulmonary embolism or ilio-caval floating thrombi, submitted to surgery for the prevention of new embolic episodes, is analysed. Indications are discussed together with the various prevention techniques adopted over the past 5 years....
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1991-10-15 00:00:00
abstract::Age and survival data in a series of 178 patients operated for malignant breast tumour during the period 1957-67 are statistically assessed. The mean survival period was 9 yr. Young subjects had a greater chance of survival, while their mortality rate was the lowest after the fifth year. ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1975-11-30 00:00:00