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 study analyzes retrospectively the diagnostic and therapeutic management of a series of 35 patients, with an asymptomatic lesion of the liver discovered incidentally. These patients had been observed over a period of five years (1988-1993). There were 22 benign lesions and 13 hepatic cell carcinomas (HCCs), three of which discovered in patients with non diagnosed cirrhosis. The presence of a risk factor for HCC in the past history of the patient with a hepatic incidentaloma strongly suggests that the lesion is malignant (p < 0.05). The average age of patients with malignant lesions was significantly higher than that of patients with benign lesions (65 vs 45 years; p < 0.01). Symptoms and/or signs did not help to distinguish between patients with benign and malignant lesions. Serum alkaline phosphatase (SAP) and alpha-fetoprotein levels were significantly higher in patients with malignancies (p < 0.01). A certain diagnosis was achieved preoperatively in 85% of the cases. In the remaining 15%, a definitive diagnosis was reached only after surgery. Surgical or percutaneous treatment was required in 80% of the cases. In conclusion, although in a minority of cases, surgery is still required for definitive diagnosis of a hepatic incidentaloma.
journal_name
Int Surgjournal_title
International surgeryauthors
Belli G,D'Agostino A,Iannelli A,Marano Isubject
Has Abstractpub_date
1996-04-01 00:00:00pages
144-8issue
2eissn
0020-8868issn
2520-2456journal_volume
81pub_type
杂志文章abstract：:Radiofrequency ablation of the liver for primary and metastatic disease is used for patients who are not candidates for resection or in conjunction with resection. The technique is simple, and the morbidity rate is low. A case of intrahepatic pseudoaneurysm after radiofrequency ablation of a centrally located hepatoce...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2008-11-01 00:00:00
abstract：BACKGROUND:The prognostic value of intra-operative peritoneal lavage cytology and chemotherapy was evaluated retrospectively. METHOD:Lavage cytology was performed in 257 patients. Prognosis was investigated in 85 of pT3 and pT4 patients with radical gastrectomy. Intra-operative chemotherapy was selected according to t...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1999-07-01 00:00:00
abstract：:Nonspecific inflammatory lesions of the prostate are described and illustrated. The spectrum of inflammation in this group of lesions caused by exposure of prostatic secretions to, or their escape into, the stroma has not been fully recognized. Inflammation ranges from acute, through chronic lymphoplasmacytic to granu...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1975-03-01 00:00:00
abstract：:The purpose of this study is to introduce and evaluate a new technique of repairing bile ducts by the tubular gastric wall with a vascularized pedicle. Both the end-to-end bile duct repair and Roux-en-Y hepatoenterostomy have limitations in the treatment of benign bile duct strictures after cholecystectomy. There are ...
journal_title：International surgery
pub_type： 杂志文章
doi：10.9738/INTSURG-D-14-00260.1
更新日期：2015-06-01 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
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：:For many years, treatment of spontaneous pneumothorax (SP) has been a matter of debate. Since the introduction of videothoracoscopy, videothoracoscopic procedures have replaced thoracotomy as the ultimate procedure for treatment of complicated cases of SP in many institutes. However, the place of (video) thoracoscopy ...
journal_title：International surgery
pub_type： 杂志文章,评审
doi：
更新日期：1996-10-01 00:00:00
abstract：:A retrospective study of 46 patients who received bupivacaine local injections after hemorrhoidectomy were compared to a matching group of 46 patients of similar age and sex distribution who underwent the same operation. Pain medications requirement on the same day of operation and on subsequent days were measured and...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1998-01-01 00:00:00
abstract：OBJECTIVE:Our hypothesis was that a low concentration (30%) of phenol would be more effective than a high concentration (80%) in the treatment of pilonidal disease. The purpose of our study was to compare the effects of high and low doses of liquid phenol in the treatment of pilonidal disease. SUMMARY OF BACKGROUND DA...
journal_title：International surgery
pub_type： 杂志文章
doi：10.9738/INTSURG-D-15-00120.1
更新日期：2016-03-23 00:00:00
abstract：:Between April 1989 and November 1991, 500 consecutive patients (393 women and 107 men, aged 17 to 87 years) underwent laparoscopic cholecystectomy at our institution. The most common indication for surgery was chronic calculous cholecystitis. Twelve (2.4%) patients underwent emergency surgery, and the rest had electiv...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1993-10-01 00:00:00
abstract：:Seven cases of symptomatic non-parasitic congenital cysts of the liver are reported. Preoperative correct diagnosis can be established with non-invasive examinations, essentially with echotomography. Laparoscopy can represent a decisive investigation, permitting the direct view of the cysts. Surgical treatment of non-...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1982-10-01 00:00:00
abstract：:This report illustrates the case of a 79-year-old woman in whom a severe type of rectus sheath hematoma was found during conservative therapy for myocardial infarction. Although establishing a correct diagnosis and initiating conservative therapy is usually considered the most appropriate management of this clinical e...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2001-04-01 00:00:00
abstract：:A retrospective analysis of 1,856 patients treated by esophageal achalasia in 23 different surgical departments from seven countries is reported. The predominant symptom was dysphagia (100%), pain, vomiting and weight loss (76.1%). The most useful diagnostic methods were: barium meal (85%), manometry (100%), endoscopy...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1988-04-01 00:00:00
abstract：:Fifty-one cases of elbow ankylosis treated with fascial arthroplasty were studied. Forty-two cases (85.4%) of elbow ankylosis were due to injuries; chronic dislocation (24), traumatic myositis ossificans (14) and gunshot wounds (4). Eight were due to infection and one to congenital humero-radial synostosis. Seventy-si...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1983-01-01 00:00:00
abstract：:The results of a prospective study of infection control carried out in the Division of Abdominal Surgery of the Federal University of Pernambuco over a two year period are presented. A total of 760 patients operated on by the various teams of the Division were studied and rates of wound, respiratory and urinary infect...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1984-01-01 00:00:00
abstract：:A case of acinar cell carcinoma of the pancreas with elevated serum alpha-fetoprotein (AFP) is presented. The diagnosis was reached using histopathological techniques. AFP was positive in the tumor specimen, immunohistochemically. Serum AFP had fallen temporarily after surgery and chemotherapy. The patient survived 6....
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1984-10-01 00:00:00
abstract：:The results of a European survey on pneumatic dilatation in the treatment of achalasia have been compiled from a questionnaire completed by 18 different surgical teams. The total number of patients investigated was 2,161. Surgical treatment was prescribed by 94% of teams, whereas pneumatic dilatation was only prescrib...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1985-01-01 00:00:00
abstract：:Small liver metastasis of rectal carcinoma is mostly solid and rarely accompanied by necrosis. Microscopic invasion of the hepatic vein is rare in colorectal metastasis. A 53-year-old man, 2 years after rectal carcinoma resection, was noted to have a 15-mm liver tumor. On imaging, it was difficult to determine if the ...
journal_title：International surgery
pub_type： 杂志文章,评审
doi：
更新日期：2005-11-01 00:00:00
abstract：:This study examined whether subcuticular absorbable sutures actually reduce incisional SSI in patients undergoing surgery for gastrointestinal (GI) cancer. Surgical site infection (SSI) is still a source of major complications in digestive tract surgery. Reportedly, incisional SSI can be reduced using subcuticular sut...
journal_title：International surgery
pub_type： 杂志文章
doi：10.9738/INTSURG-D-14-00185.1
更新日期：2015-06-01 00:00:00
abstract：:A series of one hundred consecutive patients who underwent prosthetic repair of inguinal hernia through a preperitoneal approach is reported. In 49% the hernia was recurrent. A large prosthetic sheet (Dacron or Teflon) is placed between the peritoneal sac and the wall, to cover the inguinal, femoral and hypogastric re...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1985-07-01 00:00:00
abstract：:Patients with incarcerated abdominal wall hernias (AWHs) are often encountered in emergency care units. Despite advances in anesthesia, antisepsis, antibiotic therapy, and fluid therapy, the morbidity and mortality rates for these patients remain high. Between 2006 and 2011, we retrospectively analyzed the cases of 13...
journal_title：International surgery
pub_type： 杂志文章
doi：10.9738/CC114.1
更新日期：2012-10-01 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：:Two hundred and thirty patients, treated by resection for bronchial carcinoma, were analysed. The histological examination showed in 80% a squamous cell carcinoma, in 11.3% an adenocarcinoma, in 5.3% a large cell and in 3.4% a small cell carcinoma. There was a great difference between preoperative and postsurgical TNM...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1986-04-01 00:00:00
abstract：:For a better quality of life in rectal cancer patients, high dose radiotherapy following abdominoperineal resection of the rectum with a pelvic partition is another surgical option replacing extended abdominoperineal resection. In addition to pelvic partition with polyglycolic acid mesh, the tissue expander was insert...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1994-01-01 00:00:00
abstract：:Incidence of cholelithiasis in the teaching hospital population of India has been reported. The study suggests that North Indians are more prone to cholelithiasis than South Indians. Apparently this variation is related to dietary and geographical factors. ...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1977-03-01 00:00:00
abstract：:Mouse unilateral ureteral occlusion (UUO) is widely used as a model of renal experimental obstructive nephropathy with interstitial fibrosis. Microcomputed tomography (micro-CT) imaging has the potential to produce quantitative images. The aim of this study was to establish standard images of micro-CT for renal anatom...
journal_title：International surgery
pub_type： 杂志文章
doi：10.9738/INTSURG-D-14-00273.1
更新日期：2015-07-01 00:00:00
abstract：:The application of microsurgical neurolytic techniques in cases of peripheral nerve entrapments offers greater advantages than other techniques, as it allows a better understanding of the neural alterations. In most cases, a longitudinal epineurectomy is necessary to free the fascicles of the epineural fibrosis. Less ...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1980-11-01 00:00:00
abstract：:A 57-year-old woman without any past medical history underwent abdominoperineal resection for rectal cancer in our department. On postoperative day 15, the patient complained of sudden abdominal pain, and high fever was noted in addition to the appearance of erythema around the stoma. The diagnosis of phlegmon was mad...
journal_title：International surgery
pub_type： 杂志文章
doi：10.9738/INTSURG-D-13-00206.1
更新日期：2015-01-01 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：:Breast conserving treatment (BCT) is an alternative to mastectomy, and prospective randomized trials have demonstrated that BCT and radical mastectomy result in similar actuarial survival rates. BCT should fulfil two criteria: (1) it should afford the same local control of disease as radical mastectomy, and (2) it sho...
journal_title：International surgery
pub_type： 杂志文章,评审
doi：
更新日期：1994-04-01 00:00:00
