Abstract：
:We evaluated in retrospect the applicability of conservative hepatic resection for hepatocellular carcinoma (HCC) of cirrhotic patients. Eighty (14.6%) of 548 patients with HCC underwent liver resection over a period of 10 years in this hospital. They were divided into two groups according to surgical procedures. In group I, 22 patients underwent major hepatic resection, and in group II, 58 patients underwent conservative liver resection. The operative mortality for patients in group I was 13.6% while it was 3.5% for those in group II. The difference was significant (p<0.05). The five-year survival rate was 22% for patients in group I, while it was 21% for group II patients. The rate of HCC recurrence was 47.4% for group I patients while it was 57.1% for group II patients. The difference was not significant. The tumor-free survival rates at 6-, 12-, 24- and 36-months were 80%, 75%, 55% and 55% respectively for patients in group I, while they were 50%, 42.5%, 42.5% and 42.5% for patients in group II. It suggested that conservative liver resection was associated with early recurrence of HCC. But the difference of mean tumor-free survival time is not significant (35.82+/-5.47 vs 38.63+/-8.05 months, p>0.05). Using Cox's regression analysis, the presence of Child's B was identified as an independent adverse prognostic factor (p=0.000) for long-term survival. The factors associated with poor tumor-free survival rate were Child's classification (p=0.008), metastasis (p=0.021), liver cirrhosis (p=0.039) and tumor size (p=0.054). By evaluating the operative mortality, long-term survival rate, prognostic factors for cumulative survival time and tumor-free survival time, it suggests that conservative liver resection can be selectively used to treat HCC associated with liver cirrhosis.
journal_name
Int Surgjournal_title
International surgeryauthors
Sheen PC,Lee KT,Chen HY,Chen JS,Ker CGsubject
Has Abstractpub_date
1996-07-01 00:00:00pages
280-3issue
3eissn
0020-8868issn
2520-2456journal_volume
81pub_type
杂志文章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：:The aim of this study is to analyze the risk factors for complications and recurrence in pilonidal sinus disease. The prospective study consisted of 144 patients with pilonidal sinus disease who were operated on at Dicle University Medical Faculty, Department of General Surgery, between February 2008 and December 2010...
journal_title：International surgery
pub_type： 杂志文章
doi：10.9738/CC86.1
更新日期：2012-07-01 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：:This single-institution experience retrospectively reviewed the outcomes in 21 patients with primary duodenal adenocarcinoma. Twelve patients underwent curative surgery, and 9 patients underwent palliative surgery at the Chiba University Hospital. The maximum follow-up period was 8650 days. All pathologic specimens fr...
journal_title：International surgery
pub_type： 杂志文章
doi：10.9738/1381.1
更新日期：2011-04-01 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：:A retrospective study of 61 patients (61 legs) with recurrent varicose veins (RVV) and saphenofemoral junction (SFJ) incompetence was set up to assess the efficacy of re-exploration of the SFJ through a lateral approach. All the patients underwent re-exploration of the SFJ by a single surgeon (MPV) through a lateral a...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1996-10-01 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
abstract：:The authors give a brief review of the pathologic anatomy, the incidence and distribution, the probable etiologic factors in the development of spondylolysis and spondylisthesis, and a description of the clinical syndrome of this abnormality. It is pointed out that there are two distinct parts to the clinical syndrome...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1984-10-01 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：:Hürthle cell neoplasms (HNC) of the thyroid gland are uncommon, but potentially malignant lesions. Opinion is divided as to their most suitable surgical treatment. In the ten-year period between 1976 and 1986, 46 patients with Hürthle cell tumor underwent surgery in our Department. Preoperative diagnosis was made by f...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1989-04-01 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：:We examined eight patients with adenocarcinoma of the small intestine: four were localized in the duodenum and four in the jejunum. We performed six curative resections: two pancreatoduodenectomy, two total pancreatectomy and two jejunal resections; in two cases, only by-pass was performed. Three patients who were res...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1991-10-01 00:00:00
abstract：:A case of cystic hamartoma of the liver is reported. The clinical presentation and management is discussed. A review of the origin of this rare tumor and its clinical and pathological characteristics is made. ...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1979-01-01 00:00:00
abstract：:We investigated the effect of RET c.2307T>G polymorphism on the outcomes of posterior sagittal neurectomy for Hirschsprung disease (PSNHD) procedure in Indonesia. Hirschsprung disease (HSCR) is a neurocristopathy characterized by absence of enteric ganglia along variable lengths of the intestine in neonates. The RET c...
journal_title：International surgery
pub_type： 杂志文章
doi：10.9738/INTSURG-D-14-00082.1
更新日期：2014-11-01 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：:We report the case of a 57-year-old woman with Budd-Chiari syndrome, hepatocellular carcinoma (HCC), and intrahepatic cholangiocarcinoma (ICC). She underwent partial hepatectomy for HCC in April 2000. After surgery, alpha-fetoprotein (AFP) and protein induced by vitamin K absence II (PIVKA-II) returned to normal level...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2005-04-01 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：:Precutaneous Kirschner wire fixation of displaced Gartlands types II and III supracondylar fractures with image guidance remains a preferred procedure for most orthopaedic units. Various K-wire configurations have been in use, but recent objective evaluation of pin stability has favoured two techniques; the 2 crossed ...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1998-07-01 00:00:00
abstract：:The indications, results and evaluation methods of lumbar sympathectomy are very controversial. The authors present their experience and results with phenol lumbar sympathectomy (PLS). PLS (Reid's technique) was carried out in 25 patients with severe peripheral arterial disease. Sympathetic tone abolition was achieved...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1983-04-01 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：:From April 1985 to March 1986 there were 48 cases of laser breast operations. Twelve cases of breast cancer were treated by modified radical mastectomy using a CO2 laser. Another twelve cases of breast cancer were treated conventionally using a scalped and electrocautery for the purpose of comparison. Laser surgery of...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1987-10-01 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：:This paper presents thermography as a useful method for the determination of regional thermal variations, during the pre- and postoperative periods, in the surgery and pathology of the hand. This method can give, directly or indirectly, very valuable information for both diagnosis and prognosis, and at times, can give...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1984-04-01 00:00:00
abstract：:To inhibit local recurrence of rectal cancer, it is very important to ensure that there is a sufficient circumferential resection margin. We evaluated pathology studies of combined radical resection of seminal vesicles in the treatment of rectal cancer. We analyzed data from 7 cases of combined radical resection of th...
journal_title：International surgery
pub_type： 杂志文章
doi：10.9738/1362.1
更新日期：2011-01-01 00:00:00
abstract：:This paper reports a case of ectopic abdominal pregnancy following total hysterectomy and reviews the literature. Pregnancy following total hysterectomy is a rare event. Ectopic pregnancy following supracervical hysterectomy can be explained in view of the remaining patent cervical canal. In cases of total hysterectom...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1983-07-01 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：:Limy bile syndrome is a rare condition in which the gallbladder is filled with a paste-like radiopaque material. The presence of limy bile in the common bile duct is rare. A 72-year-old woman was admitted to our hospital with epigastric pain and jaundice. Plain abdominal radiography on admission showed a radiopaque ma...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2010-01-01 00:00:00
abstract：:Two hundred and seven patients aged from 37 to 65 years with noninflammatory breast cancer treated by surgery without radiation were studied over a ten year period with a view to forecasting the prognosis on the basis of the immune status and treatment. The immunocompetence or immune status was studied in 121 patients...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1988-01-01 00:00:00
abstract：:Hernia repair is one of the most frequent operative procedures performed throughout the world. The technique has continued to evolve and we now are performing these repairs utilizing mesh as a patch and also as a plug. The mesh plug concept has been advocated by Rutkow and others. With this change in technique, we hav...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1999-01-01 00:00:00
abstract：:The objective of this study is to diminish postoperative complications after pylorus-preserving pancreaticoduodenectomy. Pylorus-preserving pancreaticoduodenectomy is still associated with major complications, especially leakage at pancreatojejunostomy and delayed gastric emptying. Traditional pylorus-preserving pancr...
journal_title：International surgery
pub_type： 杂志文章
doi：10.9738/INTSURG-D-14-00246.1
更新日期：2015-05-01 00:00:00
