Abstract:
PURPOSE:We report our experience of resecting sternal tumors, followed by reconstruction of the skeletal and soft-tissue defects, and discuss the usefulness of sandwiched Marlex and stainless-steel mesh. METHODS:Fifteen patients underwent resection of a sternal tumor and chest wall reconstruction with autologous bone grafts, sandwiched Marlex and stainless-steel mesh or a titanium plate, and musculocutaneous flaps. The sternal tumors were from locally recurrent breast carcinoma in ten patients, metastasis from other organs in three, and primary chondrosarcoma in two. RESULTS:All patients were extubated without paradoxical respiration just after surgery. There was no operative mortality. A wound infection developed in the acute phase after a sandwiched Marlex and stainless-steel mesh reconstruction in one patient. A second repair with Marlex and stainless-steel mesh was required in two patients; for flail chest after an autologous bone graft in one; and following re-recurrence of breast carcinoma in another patient who had undergone a musculocutaneous flap repair. No signs of breakdown, dislodgment, severe depression, or deformity were seen in any of the six patients who underwent reconstruction with Marlex and stainless-steel mesh during a median follow-up period of 56 months. CONCLUSIONS:Wide resection of sternal tumors provides good local control. Reconstruction with Marlex and stainless-steel mesh seems to be the most effective technique for repairing a wide anterior chest wall defect.
journal_name
Surg Todayjournal_title
Surgery todayauthors
Haraguchi S,Hioki M,Hisayoshi T,Yamashita K,Yamashita Y,Kawamura J,Hirata T,Yamagishi S,Koizumi K,Shimizu Kdoi
10.1007/s00595-005-3134-0subject
Has Abstractpub_date
2006-01-01 00:00:00pages
225-9issue
3eissn
0941-1291issn
1436-2813journal_volume
36pub_type
杂志文章相关文献
SURGERY TODAY文献大全abstract::Double common bile duct (DCBD) is a rare congenital anomaly of the biliary system, often associated with biliary lithiasis, choledochal cyst, pancreaticobiliary maljunction (PBM), and upper gastrointestinal tract malignancies. We report a case of type I DCBD with choledochal cyst and cholelithiasis in a 52-year-old Ch...
journal_title:Surgery today
pub_type: 杂志文章,评审
doi:10.1007/s00595-013-0561-1
更新日期:2014-04-01 00:00:00
abstract::Primary ovarian malignant lymphomas are rarely encountered in children. We present herein the unusual case of an 11-month-old female infant with primary bilateral non-Hodgkin's lymphoma of the ovaries who was treated by bilateral salpingo-oophorectomy followed by chemotherapy. The clinicopathological features of this ...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950050066
更新日期:2000-01-01 00:00:00
abstract::We report a rare case of capillary hemangioma of the liver in an adult. The patient was a 55-year-old man, admitted for investigation of a hepatic tumor. The tumor was seen as a hypoechoic mass with a peripheral hypoechoic ring on ultrasonography. Computed tomography (CT) showed an enhancement pattern different from t...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-005-3007-6
更新日期:2005-01-01 00:00:00
abstract::Liver surgery is a process which induces various types of stress on the liver including the total occlusion of the blood inflow, hemorrhage, massive volume reduction, and postoperative infection. Animal studies have shown a gender dimorphic response of the liver for various stresses such as ischemia/reperfusion, hemor...
journal_title:Surgery today
pub_type: 杂志文章,评审
doi:10.1007/s00595-007-3508-6
更新日期:2007-01-01 00:00:00
abstract:PURPOSE:Complete mesocolic excision (CME) with central vascular ligation (CVL) has been widely accepted as a surgical treatment for right-sided colon cancer. Single-site laparoscopic colectomy (SLC) is associated with reduced pain and improved cosmesis, in comparison to the multi-site laparoscopic colectomy (MCL). Alth...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-016-1457-7
更新日期:2017-08-01 00:00:00
abstract::A 57-year-old man with a history of having consumed fresh-water crab 8 months previously presented with a solitary mass lesion in the left lung without any symptoms. Since neoplastic disease could not be ruled out, an open biopsy was performed, and histological examination confirmed a definite diagnosis of paragonimia...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF02483621
更新日期:1998-01-01 00:00:00
abstract::A 67-year-old man was admitted to our hospital because of an abnormal chest echoic lesion detected incidentally by echocardiography. A chest roentgenogram showed the presence of a giant mass, and computed tomography of the chest confirmed the presence of a mass with a nonhomogeneous density in the left mediastinum, ju...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-003-2648-6
更新日期:2004-01-01 00:00:00
abstract::Esophageal perforations are extremely difficult to diagnose and treat. We report herein our results of a review of 26 patients with esophageal perforation which were spontaneous in 11, iatrogenic in 11, and caused by a foreign body in 4. Surgical treatment was performed in 7 of the patients with spontaneous rupture, b...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF02385268
更新日期:1997-01-01 00:00:00
abstract::We herein report a rare case of ectopic pancreatic acinar cell carcinoma (ACC) which presented as a submucosal tumor of the pylorus. A 73-year-old man came to our hospital presenting with epigastralgia. Esophago-gastroduodenal endoscopy showed no mucosal lesions, but a submucosal tumor was observed around the pylorus....
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-006-3384-5
更新日期:2007-01-01 00:00:00
abstract:PURPOSE:Video review is a reliable method for surgical education in laparoscopic gastrectomy (LG), but more objective methods are still needed. The purpose of this study was to determine whether the energy device records reflected surgical competency, and thereby may improve surgical education. METHODS:A total of 16 p...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-020-02160-x
更新日期:2020-10-11 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::Primary mediastinal liposarcomas are rare malignancies, comprising fewer than 1% of all mediastinal tumors. We herein report a radical resection of a massive liposarcoma arising from the anterior mediastinum. A 63-year-old male patient presented with a 4-week history of dyspnea that had worsened over the previous seve...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-011-0013-8
更新日期:2012-01-01 00:00:00
abstract:PURPOSE:Tracheal surgery is an established treatment for various diseases; however, it is still a potentially challenging procedure. We herein discuss the safety of this procedure with regard to the coordination with airway interventional and anesthetic support. METHODS:A tracheal resection was performed on 18 patient...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-010-4303-3
更新日期:2011-04-01 00:00:00
abstract::This study was conducted to examine the characteristics of esophageal cancers with primary synchronous or metachronous cancer in another organ. We retrospectively evaluated 744 patients who underwent esophagectomy for esophageal cancers between 1985 and 1998. The patients were divided into two groups according to whet...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950170025
更新日期:2001-01-01 00:00:00
abstract:PURPOSE:To clarify the correlation between portal hypertensive gastropathy (PHG) and clinical features after surgery for biliary atresia (BA). METHODS:Routine upper gastrointestinal endoscopies were done over 3 years in 27 children who underwent surgery for BA. We reviewed the recorded endoscopic findings, and retrosp...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-004-2954-7
更新日期:2005-01-01 00:00:00
abstract::The influence of warm ischemia on the metabolism of prostaglandins was investigated using a pig liver transplantation model employing the temporary portal arterialization technique. Eighteen pigs were divided into three groups according to warm ischemia time: 0 min (group I, n = 6), 30 min (group II, n = 6), and 60 mi...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF02484623
更新日期:1998-01-01 00:00:00
abstract::We report herein the rare case of a 56-year-old man who gradually developed congestive cardiac failure 6 months after undergoing coronary artery bypass grafting and was found to have a fistula between the internal mammary artery and the pulmonary artery of the upper lobe diagnosed by selective left internal mammary ar...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF00311829
更新日期:1995-01-01 00:00:00
abstract:PURPOSE:The plasma D-dimer (D-dimer) level, a marker of hypercoagulation, has been reported to be associated with survival in several types of cancers. This retrospective study was conducted to evaluate the prognostic significance of the preoperative D-dimer level in patients with completely resected non-small cell lun...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-014-0894-4
更新日期:2015-01-01 00:00:00
abstract:PURPOSE:Near-infrared fluorescence angiography (NIR) detects the attenuation of fluorescence luminance intensity (FLI) through coronary artery bypass grafts affected by anastomotic stenosis. This study investigates the influence of residual blood flow of the host coronary artery (Ho) on bypass graft (Gr) FLI using a co...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-019-01850-5
更新日期:2020-01-01 00:00:00
abstract::We have attempted to clarify the clinicopathologic features of advanced gastric cancers that were detected in periodic mass screening by comparing them with those of cancers detected by an initial mass screening. The macroscopic type of the cancers detected by periodic mass screening included Borrmann's type 3 in 47% ...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF00311335
更新日期:1992-01-01 00:00:00
abstract:PURPOSE:A diagnosis of concomitant pulmonary carcinoma and abdominal aortic aneurysm is rare (<1% of treated cases). However, such an association makes the therapeutic decisions critical, especially regarding the priority and timing of treatment. This article reports on our experience of 14 cases of concomitant pulmona...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-006-3672-0
更新日期:2008-01-01 00:00:00
abstract::The indications for tumor-mass reduction surgery and subsequent immunotherapy in patients with stage IV hepatocellular carcinoma (HCC) were elucidated in this study. About 42% of the resected specimens from stage IV-A patients (n = 26) contained well-differentiated multicentrically occurring HCC, which was not found i...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF00311704
更新日期:1993-01-01 00:00:00
abstract::We report herein the case of a 6-year-old boy in whom a strangulated ileus was caused by a traumatic transmesenteric hernia. The boy had fallen from his bicycle and suffered a severe blow to the abdomen. Abdominal pain and vomiting developed 10 h after the accident and he was admitted to our hospital. Abdominal ultras...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950070126
更新日期:2000-01-01 00:00:00
abstract:PURPOSE:We evaluated the safety and efficacy of adult-to-adult right-lobe living donor liver transplantation (ARL-LDLT) in HBV-related benign liver disease recipients with high model for end-stage liver disease (MELD) scores. METHODS:The subjects of this study were 70 adult patients who underwent ARL-LDLT and 191 who ...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-013-0539-z
更新日期:2013-09-01 00:00:00
abstract:PURPOSE:To describe and evaluate our video-assisted neck surgery (VANS) method for thyroid and parathyroid diseases. METHODS:We describe in detail the VANS method for enucleation, lobectomy, total (nearly total) thyroidectomy, and lymph node dissection for malignancy and Graves' disease. In collaboration with the Japa...
journal_title:Surgery today
pub_type: 杂志文章,评审
doi:10.1007/s00595-019-01908-4
更新日期:2020-10-01 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::Ischemia-reperfusion (I/R) injury is a complex process involving numerous intracellular signaling pathways, mediators, cells, and pathophysiological disturbances; its prevention during liver surgery is of utmost importance. In this review, we divide hepatic I/R injury into two phases, intracellular and extracellular, ...
journal_title:Surgery today
pub_type: 杂志文章,评审
doi:10.1007/s595-002-8105-8
更新日期:2002-01-01 00:00:00
abstract::Laparoscopic esophagojejunostomy is a challenging procedure because of its technical difficulty. We herein report a new method involving circular-stapled anastomosis using a hand-sewn suture with four stay-sutures and evaluate its outcomes. Esophagojejunostomy using this method was performed in 36 consecutive patients...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-019-01867-w
更新日期:2020-03-01 00:00:00
abstract:PURPOSE:To compare the efficacy and safety of single-incision laparoscopic appendectomy (SILA) and conventional 3-port laparoscopic appendectomy (3-port LA) for appendectomy. METHODS:We searched the PubMed, Embase, Springer link, and the Cochrane library databases up to April, 2014, for relevant randomized controlled ...
journal_title:Surgery today
pub_type: 杂志文章,meta分析
doi:10.1007/s00595-014-1094-y
更新日期:2015-09-01 00:00:00
abstract::In this study, the risk factors related to intraperitoneal septic complications occurring after hepatectomy (IPSCH) as well as the effect of various perioperative variables on the outcome of IPSCH between 1985 and 1990 were analyzed. Twenty-one of 211 patients (10.0%) developed IPSCH. The findings in the patients with...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF00309385
更新日期:1995-01-01 00:00:00