Abstract:
:Fibrolamellar hepatocellular carcinoma (FHCC), a rare variant of hepatocellular carcinoma, is becoming more prevalent; however, up until 1999, only 18 cases had been reported in Japan. We recently diagnosed a case of FHCC in a 46-year-old Japanese man who had visited four hospitals before being finally admitted to our department. On admission, he was diagnosed as having multiple liver tumors, with lymph node metastasis and peritoneal dissemination. Both hepatitis B antigen and hepatitis C antibody were negative, and the levels of serum alpha-fetoprotein and PIVKA-II were within normal limits. Under a provisional diagnosis of atypical hepatocellular carcinoma (HCC), a right hepatic lobectomy with resection of the metastatic lymph nodes and peritoneal dissemination was performed. The histopathological diagnosis made by our pathologist was atypical HCC. He underwent another operation for a recurrence in the left external iliac lymph node. It has been 29 months since his first surgery in this hospital and he is progressing well, which led us to establish the diagnosis of FHCC. Moreover, his serum carbohydrate antigen 125 levels have been well correlated with this condition.
journal_name
Surg Todayjournal_title
Surgery todayauthors
Yoshimi F,Asato Y,Amemiya R,Itabashi M,Nakamura Kdoi
10.1007/s005950200015subject
Has Abstractpub_date
2002-01-01 00:00:00pages
174-9issue
2eissn
0941-1291issn
1436-2813journal_volume
32pub_type
杂志文章,评审相关文献
SURGERY TODAY文献大全abstract::Using a questionnaire survey, we analyzed the relationship between the frequency of breast self-examination (BSE) and the clinical stage and course of breast cancer in Japanese patients. BSE had been performed monthly by only 5.4% of the patients (M group), occasionally by 35.4% (O group), and not at all by 59.2% (N g...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF02348564
更新日期:1994-01-01 00:00:00
abstract:PURPOSE:The aim of this study was to determine the utility of the peritoneal lavage cytology findings in predicting the clinical outcomes of resectable left-sided pancreatic cancer. METHODS:Peritoneal lavage samples were collected from 39 consecutive patients who underwent surgery for left-sided pancreatic cancer betw...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-014-0964-7
更新日期:2015-04-01 00:00:00
abstract::We describe herein the case of a 68-year-old man with malignant mesothelioma of the tunica vaginalis testis. The pathological diagnosis was based upon the clinical findings, gross and microscopic morphology, and special stains. Malignant mesothelioma is a rare tumor associated with asbestos exposure that can be effect...
journal_title:Surgery today
pub_type: 杂志文章,评审
doi:10.1007/s005950050654
更新日期:1999-01-01 00:00:00
abstract:PURPOSE:The purpose of this study was to evaluate the effectiveness of a wound closure method using a combination of subcuticular sutures and subcutaneous closed-suction drainage (SS closure) for preventing incisional surgical site infection (SSI) in loop ileostomy closure. METHODS:A total of 178 consecutive patients ...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-020-02128-x
更新日期:2020-09-04 00:00:00
abstract:PURPOSE:Prolonged chest drain placement can extend the postoperative hospital stay after esophagectomy in esophageal cancer (EC) patients. This study aimed to identify whether or not the risk factors associated with this prolonged chest tube placement are clinically important. METHODS:A total of 138 patients who under...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-019-01849-y
更新日期:2019-12-01 00:00:00
abstract:PURPOSE:The use of aprotinin in cardiac surgery is associated with overriding safety concerns. Therefore, there is increased research on alternatives. This study investigated the relative benefits of strategic leukofiltration on polymer-coated extracorporeal circuits (ECC), aprotinin, and combined therapy in high-risk ...
journal_title:Surgery today
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00595-011-0012-9
更新日期:2012-04-01 00:00:00
abstract::A 51-year-old Japanese man who underwent a standard distal gastrectomy for cancer of the stomach developed abdominal pain when oral intake was commenced on the 6th postoperative day after an uneventful postoperative course. Complete obstruction of the jejunum led to a sudden deterioration in his general condition and ...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF01367459
更新日期:1994-01-01 00:00:00
abstract:PURPOSE:To determine if the preoperative administration of tegafur and uracil (UFT) to patients with lung adenocarcinoma could induce apoptosis. METHODS:We conducted a randomized prospective study on 30 patients with lung adenocarcinoma, divided into two groups of 15 patients each. One group received UFT 600 mg/day pr...
journal_title:Surgery today
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1007/s00595-004-2814-5
更新日期:2004-01-01 00:00:00
abstract::Late graft failure of autologous vein grafts is associated with intimal hyperplasia resulting from the migration and proliferation of vascular smooth muscle cells (VSMCs). Endothelial nitric oxide synthase (eNOS) is an enzyme that synthesizes nitric oxide (NO). An impairment of NO-mediated vasorelaxation and increases...
journal_title:Surgery today
pub_type: 杂志文章,评审
doi:10.1007/s00595-008-3912-6
更新日期:2009-01-01 00:00:00
abstract::Secondary aortoenteric fistulas (AEFs) are a well-known but uncommon cause of gastrointestinal hemorrhage. They usually occur secondary to reconstructive surgery of an abdominal aneurysm. We report six cases of secondary aortoduodenal fistulas, involving patients who, despite presenting with classic "herald bleeding,"...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-004-2970-7
更新日期:2005-01-01 00:00:00
abstract:PURPOSE:We compared the results of prospective and retrospective cohort studies in the field of digestive surgery to clarify whether the results of prospective cohort studies were more similar to those of randomized controlled trials (RCTs). METHODS:We conducted a secondary analysis of the results to compare the resul...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-017-1479-9
更新日期:2017-07-01 00:00:00
abstract::The aim of this study was to investigate the expression of the immediate early genes (IEGs), c-fos and c-jun, in the rat kidney and liver in two types of hemorrhage shock/resuscitation models. In the first group, hemorrhagic shock was induced by the withdrawal of blood through the carotid artery. A mean arterial blood...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950050193
更新日期:1998-01-01 00:00:00
abstract::Due to the fact that no effective conditioning agent for hemodynamically unstable donors exists, the number of suitable donors is limited. The efficacy of OP-41483, a stable analog of prostaglandin I2, as a conditioning agent of the liver was investigated in this study using pigs. OP-41483 was administered via the por...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF02385788
更新日期:1997-01-01 00:00:00
abstract::Portal venous blood flow (PVF), hepatic arterial blood flow (HAF), and systemic arterial pressure (SAP) were examined after prostaglandin E1 (PGE1) was injected into the vena cava superior (VCS) of liver-transplanted pigs. The injection of PGE1 at 0.2 micrograms/kg/min for 2 min on the day of transplantation and 3 day...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF01833727
更新日期:1994-01-01 00:00:00
abstract::To evaluate the influence of potassium ion concentration in an organ preservation solution on lung preservation, four types of solutions were produced. These preservation solutions consisted of sodium and potassium ions on the cation and phosphate ions on the anion with glucose. Contents of solutions were: (1) 155 mmo...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950050104
更新日期:1998-01-01 00:00:00
abstract::Delayed sternal closure following cardiothoracic surgery facilitates the treatment of heart failure and arrhythmias caused by sternal closure, and also allows access to treat uncontrollable bleeding. The present study examines the use of stents made from disposable syringes for keeping the sternum open. The syringes d...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF02482250
更新日期:1999-01-01 00:00:00
abstract::A retrospective 10-year study was conducted on 473 patients who underwent rectal cancer surgery, to evaluate a surgical procedure which has been generally abandoned, but which we believe has a significant potential to reduce the incidence of the severe and often fatal complications caused by anastomotic breakdown foll...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF00311662
更新日期:1996-01-01 00:00:00
abstract::Mesenchymal hamartoma of the liver (MHL) is an uncommon benign tumor found primarily in children younger than 2 years of age. We report a rare case of MHL with a daughter nodule and atypical histological findings in a 14-month-old girl. On admission, computed tomography, magnetic resonance imaging, and angiography sho...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-007-3494-8
更新日期:2007-01-01 00:00:00
abstract:PURPOSE:We aimed to identify the key proteins that influence the prognosis of non-small cell lung cancer (NSCLC) using protein expression profiles of previously known prognostic markers. METHODS:Thirty-one cases of Stage II NSCLC with 5-year follow-up data were selected. Tissue microarrays (TMA) and immunohistochemist...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-006-3319-1
更新日期:2006-01-01 00:00:00
abstract:PURPOSE:Our previous studies showed that tumor necrosis factor (TNF)-alpha and interleukin (IL)-6 are induced after hemorrhagic shock and that their induction is attenuated by hyperbaric oxygen treatment. In this study, we tried to identify the cell types in the liver that are responsible for the increase in TNF-alpha ...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950200130
更新日期:2002-01-01 00:00:00
abstract::Adrenal cysts are rare and are usually discovered incidentally during diagnostic imaging, surgery, or autopsy. Most cystic lesions of the adrenal gland are nonfunctioning and become symptomatic when complicated by rupture, hemorrhage, or infection. A 40-year-old woman presented with a history of gradual-onset pain in ...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-009-4207-2
更新日期:2011-01-01 00:00:00
abstract:PURPOSE:Postoperative pulmonary complications (PCs) after thoracoscopic esophagectomy for esophageal cancer (EC) still occur too frequently. We conducted this study to identify the risk factors for PCs developing in EC patients who undergo thoracoscopic esophagectomy. METHODS:The subjects of this retrospective study w...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-018-1721-0
更新日期:2019-02-01 00:00:00
abstract::A postoperative pseudoaneurysm is a rare complication that is difficult to diagnose. Computed tomography (CT) revealed a pseudoaneurysm in the ascending aorta of a 68-year-old female 8 days after mitral valve replacement and tricuspid annuloplasty. The defect was simply repaired during emergency surgery without cardio...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-012-0194-9
更新日期:2013-05-01 00:00:00
abstract::We describe our successful operative management of a solitary metastasis in the sternal body after modified left mastectomy. Because the primary lesion was well controlled and the sternal metastasis was isolated, we performed a subtotal sternectomy, with full-thickness resection of the anterior chest wall, including t...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-007-3527-3
更新日期:2007-01-01 00:00:00
abstract::It is sometimes difficult or inappropriate to adopt the standard surgical steps of adult laparoscopic procedures in pediatric patients because of the inevitably smaller anatomical structures and confined intra-abdominal working space. During laparoscopic Nissen fundoplication difficulties are usually encountered, espe...
journal_title:Surgery today
pub_type: 临床试验,杂志文章
doi:10.1007/s00595-004-2760-2
更新日期:2004-01-01 00:00:00
abstract::Staged esophagectomy was developed in the mid-twentieth century in an attempt to reduce high rates of postoperative morbidity and mortality. Nowadays, the operation has almost been abandoned due to its significant disadvantages, especially the need for multiple surgeries, inability of patients to feed between operatio...
journal_title:Surgery today
pub_type: 杂志文章,评审
doi:10.1007/s00595-019-01894-7
更新日期:2020-11-01 00:00:00
abstract::We report herein the case of a 76-year-old man with intractable dumping syndrome which had manifested itself 3 years after he underwent a gastric resection and Billroth I reconstruction for a gastric ulcer. Despite aggressive medical therapy by the time of admission, he had suffered from disabling dumping symptoms for...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF01651008
更新日期:1994-01-01 00:00:00
abstract:PURPOSE:We developed a new technique, sutureless mesh fixation, using 2-octyl cyanoacrylate (Dermabond®, a surgical tissue adhesive) for incisional hernia repair. The objective of this article is to introduce the new technique and to examine whether the technique provides sufficient resistance to abdominal pressure. M...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-015-1161-z
更新日期:2016-01-01 00:00:00
abstract:PURPOSE:No definitive surgical treatment for non-acute pilonidal disease has been established thus far. We herein report the short-term and long-term outcomes of 74 consecutive patients who underwent the cleft lift procedure for non-acute pilonidal disease. METHODS:A total of 74 consecutive patients who underwent the ...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-014-0923-3
更新日期:2014-12-01 00:00:00
abstract:PURPOSE:To determine whether the development of mid-term redissection after surgery for acute type A aortic dissection using gelatin-resorcin-formalin (GRF) glue could be prevented by applying less formalin. METHODS:Between 1995 and 1999, 59 patients underwent surgery with GRF glue to repair acute type A aortic dissec...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-004-2911-5
更新日期:2005-01-01 00:00:00