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 likely to benefit from D2 dissection, even with N2 metastasis. Two groups, N2 cases with (n = 40) and without (n = 24) the development of recurrence after curative surgery, were compared. Borrmann type IV and serosal invasion were significantly related to recurrence. The number of metastatic nodes did not differ significantly between the two groups. All (7/7) of the Borrmann type IV cases with N2 metastasis developed recurrence and died. However, one quarter (7/30) of the cases with serosal invasion and N2 metastasis showed no sign of recurrence. D2 dissection is a surgical treatment which offers the potential to cure gastric cancers, other than Borrmann type IV tumor, with N2 metastasis.
journal_name
Int Surgjournal_title
International surgeryauthors
Seto Y,Nagawa H,Muto Tsubject
Has Abstractpub_date
1997-07-01 00:00:00pages
257-61issue
3eissn
0020-8868issn
2520-2456journal_volume
82pub_type
杂志文章abstract::En bloc resection of the esophagus was attempted by right thoracotomy, laparotomy, and left cervicotomy in 82 patients suffering from an esophageal cancer. Tumors were classified by the depth of wall penetration and node involvement: 21 tumors penetrated at the most into but not through the muscle (W1), and 61 invaded...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1991-10-01 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::The records of patients treated for vulvar carcinoma at the University of Milan from January 1967 through December 1991 have been studied retrospectively, making an analysis of the results of surgical staging in terms of prognosis, morbidity and long-term survival. All cases have been reevaluated and restaged accordin...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1996-01-01 00:00:00
abstract::We have reported one case of a rare combination of multiple primary malignancies in the stomach, a leiomyosarcoma and an adenocarcinoma in a 72-year-old male. He also had a leiomyoma of the stomach and a cavernous hemangioma of the spleen. Since he has had two malignant and two benign tumors, it would appear that this...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1979-03-01 00:00:00
abstract::The aims of the present study were to: (1) assess surgical site infection (SSI) incidence in a cohort of surgical patients and (2) estimate the compliance with national guidelines for perioperative antibiotic prophylaxis (PAP). SSIs, among the most common health care-associated infections, are an important target for ...
journal_title:International surgery
pub_type: 杂志文章
doi:10.9738/INTSURG-D-14-00042.1
更新日期:2015-03-01 00:00:00
abstract::Cervical cancer is the most prevalent cancer of women in Ethiopia and sexually transmitted diseases are highly prevalent in the country. In order to establish a possible cause and effect relationship between sexually transmitted diseases and cervical cancer, likely etiological socio-economic factors for these two cond...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1993-04-01 00:00:00
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::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
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::Congenital defects presenting at an adult age are subject to diagnostic errors because of their relative rarity and often odd clinical presentation. We illustrate a 63-year-old male patient with multiple ileal carcinoid tumors along with a carcinoid tumor in Meckel's diverticulum. The Meckel's diverticulum is a congen...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:2003-01-01 00:00:00
abstract::This is a 1 year study on the use of a culdoscopic sterilization technique on 250 patients aged 25 or more with at least 4 children and at least 6 weeks Postpartum. Clinical examination was made to exclude tumors, infections, or endometriosis. The laparoscope was used for transvaginal female sterilization employing ...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1973-01-01 00:00:00
abstract::Immediate breast reconstruction with the transverse rectus abdominis musculocutaneous (TRAM) flap after skin-sparing mastectomy is becoming an increasingly performed procedure in patients with ductal carcinoma in situ, early invasive breast cancer, and prophylactic mastectomy. Through a periareolar approach, it is pos...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:2001-10-01 00:00:00
abstract::Seventy-seven colostomies were performed in 74 patients: 35 for high anorectal agenesis, 34 for Hirschsprung's disease, 2 for necrotizing enterocolitis, 2 for small left colon syndrome, and 1 for volvulus neonatorum with perforation. There were 55 boys and 19 girls with a mean age of 0.8 years. The different types of ...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1992-07-01 00:00:00
abstract::AbstractObjective: During fiscal crisis there was a period of shortage of staplers in our hospital, which drove us to manual suturing of bronchi and pulmonary vessels during major lung resections. We present our experience during that period in comparison to a subsequent period when staplers became available again. M...
journal_title:International surgery
pub_type: 杂志文章
doi:10.9738/INTSURG-D-15-00116.1
更新日期:2015-07-27 00:00:00
abstract::We analyzed data on the three-dimensional vascular anatomy of the right colon from the operative documents of 215 patients undergoing oncologic resection for right colon cancer. The right colic artery (RCA) was absent in 146 patients (67.9%), with the ileocolic artery (ICA) crossing the superior mesenteric vein (SMV) ...
journal_title:International surgery
pub_type: 杂志文章
doi:10.9738/cc20.1
更新日期:2011-10-01 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::To fit for internal fixation of unstable fractures of various parts of the curved pelvis, plates of different shapes and sizes were devised. The plates were used in 18 clinical cases. The late complications such as leg length inequality, pelvic obliquity and low back pain were effectively avoided. ...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1998-01-01 00:00:00
abstract::A subcutaneously placed afferent jejunl loop pexis, which is often performed during a hepaticojejunostomy, opens a route to the biliary tract, through which appropriate instruments can be passed should postoperative complications arise, requiring a choledochoscopy, the removal of calculi, and for the dilatation of the...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1989-07-01 00:00:00
abstract::Video-thoracoscopy was used to evaluate and manage patients after thoracic trauma. It was used in 29 patients. Indications included retained hemothorax in 16 patients, empyema in 11, evaluation for the source of thoracic bleeding in 1, and an airleak in 1. The mechanism of injury was blunt trauma in 8 cases, 10 with s...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1998-07-01 00:00:00
abstract::The use of imaging techniques and their increasing sensitivity have resulted in increased detection of incidentalomas of the endocrine organs. The aim of our study was to review the currently used evaluation schemes and the outcomes of surgical and conservative management of adrenal incidentalomas at an Indian center....
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:2006-03-01 00:00:00
abstract:PURPOSE:The infrequency of right-sided colonic diverticulitis prompted this presentation of our experiences, with emphasis on the diagnostic aspects. PATIENTS AND METHODS:Charts and documentation regarding 20 patients who underwent surgery for diverticulitis of the caecum and/or ascending colon over 22 years were revi...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:2000-01-01 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::Between 1965 and 1979, 934 patients underwent 1,057 operations for extracranial carotid stenosis at this institute, and over a recent 30-month period 463 patients underwent 511 operations of this type. This number is equal to the total of operations performed during the years 1965-1976. The increase in the frequency o...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1981-07-01 00:00:00
abstract::A rare case of wandering spleen herniating through a defect in transverse mesocolon, which was managed electively by splenopexy using polyglycolic acid mesh is reported. An enlarged wandering spleen is at constant risk of trauma, torsion and infarction. Internal herniation seems to increase the above risks. Early reco...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:2000-10-01 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:PROBLEM:The function of hepatic allograft from non-heartbeating donors (NHBD) is significantly affected by warm ischemic injury before harvesting. MATERIALS AND METHODS:The effects of the endothelin (ET) antagonist TAK-044 and the platelet activating factor (PAF) antagonist E5880 on the function of grafts from NHBD we...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1998-07-01 00:00:00
abstract::A new classification of proximal bile duct tumors mainly based on endo- and exobiliary neoplastic invasion, indicating radical or palliative surgery is proposed. Fifty-eight patients underwent radical (12) or palliative (46) surgery. The 5-year survival rate of patients treated radically is 40% compared to 0% in patie...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1985-01-01 00:00:00
abstract::We studied the reaction in rats to implants of heterotopic bone in the paravertebral region, using three types of material: bone preserved in alcohol, homologous bone preserved in alcohol associated with autogenous cancellous bone obtained from the iliac crest of the same animal, and isolated autogenous cancellous bon...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1975-06-01 00:00:00
abstract::Horseshoe kidney is probably the most common renal fusion anomaly. With the continuous donor shortage, transplant surgeons tend to accept donors previously considered unsuitable. We present a successful case of en bloc horseshoe kidney transplant in a single recipient. The literature is reviewed. The use of horseshoe ...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:2000-07-01 00:00:00
abstract::We developed a new method for thoracoscopically localizing pulmonary nodules using a tactile sensor. This sensor was originally designed to probe the hardness of an object, which is represented by changes in resonance frequency of the sensor (delta f: Hz). By moving over the lung surface, the sensor probe, introduced ...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1997-01-01 00:00:00