Abstract:
PURPOSE:The overall incidence of postoperative alveolar air leakage (AAL) remains high; however, the mechanism regarding how to adequately heal such postoperative AAL remains to be elucidated. The aim of this study was to determine any correlations between the activity of the fibrinolytic and coagulation system in the postoperative pleural effusion and appearance or disappearance of postoperative AAL. METHODS:This study prospectively investigated 25 patients who underwent a pulmonary lobectomy from July 2005 to March 2006. Pleural effusion was collected through the chest tube. Alpha 2 plasmin inhibitor-plasmin complex (PIC), as a fibrinolytic marker, and thrombin-antithrombin complex (TAT), as a coagulation marker, were measured. RESULTS:The activity of the coagulation system was higher than that of the fibrinolytic system. The concentration of TAT tended to increase (3rd vs 4th postoperative day [POD], P = 0.0907). The mean time of appearance and disappearance of postoperative AAL was 1.4 days and 3.2 days, respectively. The patients with postoperative AAL had a TAT level significantly below the average on the 3rd POD in comparison to the patients without postoperative AAL (P = 0.0163). Moreover, the concentration of TAT in patients with postoperative AAL was significantly lower than that in patients without postoperative AAL (1824.0 +/- 137.3 ng/ml vs 3444.0 +/- 287.6 ng/ml, P = 0.0113) on the 3rd POD. On the 4th POD, the concentration of TAT was almost same and there was no significance (P = 0.6759). CONCLUSIONS:This study demonstrated for the first time the course of the fibrinolytic and coagulation activity in the pleural effusion after a pulmonary lobectomy, and showed that the delayed activity of the coagulation system is associated with the appearance of the postoperative AAL.
journal_name
Surg Todayjournal_title
Surgery todayauthors
Shoji F,Yano T,Yoshino I,Kawano D,Takenaka T,Miura N,Ito K,Morodomi Y,Maehara Ydoi
10.1007/s00595-008-3865-9subject
Has Abstractpub_date
2009-01-01 00:00:00pages
320-5issue
4eissn
0941-1291issn
1436-2813journal_volume
39pub_type
杂志文章相关文献
SURGERY TODAY文献大全abstract:PURPOSE:The aim of this study was to compare the outcomes of surgery and stereotactic body radiotherapy (SBRT) for elderly clinical stage I non-small cell lung cancer (NSCLC) patients. METHODS:Patients ≥80 years of age with clinical stage I NSCLC between August 2008 and December 2014 were treated either surgery or SBR...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-017-1536-4
更新日期:2017-12-01 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::Although stapling colorectal anastomosis is widely accepted as an alternative for hand-sewn anastomosis, we continue to experience postoperative complications such as anastomotic hemorrhage and leakage, which sometimes lead to serious morbidity or even mortality. To secure stapling colorectal anastomosis, we adopted i...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-007-3740-0
更新日期:2008-01-01 00:00:00
abstract::Hepatic steatosis is one of the most common hepatic disorders in developed countries. The epidemic of obesity in developed countries has increased with its attendant complications, including metabolic syndrome and non-alcoholic fatty liver disease. Steatotic livers are particularly vulnerable to ischemia/reperfusion i...
journal_title:Surgery today
pub_type: 杂志文章,评审
doi:10.1007/s00595-013-0736-9
更新日期:2014-09-01 00:00:00
abstract:PURPOSE:The aim of this study was to determine the clinicopathological characteristics and outcomes of Chinese colorectal cancer (CRC) patients aged 75 years and older undergoing potentially curative surgery. METHODS:A total of 2,482 CRC patients at TNM stage I-III undergoing surgical treatment between 1995 and 2005 w...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-013-0507-7
更新日期:2014-01-01 00:00:00
abstract::A 53-year-old woman who had end-stage renal disease and hypertension presented with back pain. Chest radiographs and chest computed tomography (CT) showed right pleural effusion with bilateral pleural masses. The patient underwent video-assisted thoracoscopic surgery (VATS) for a biopsy of the right pleural mass and f...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-007-3709-z
更新日期:2008-01-01 00:00:00
abstract::A 25-year-old man was admitted to our hospital for treatment of a painful ulcer on his left fourth toe, 9 years after undergoing lumbar sympathectomy and 4 years after undergoing bypass, both of which had been unsuccessful. Angiography demonstrated diffuse arterial occlusion in the lower extremities except for a persi...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF00309397
更新日期:1995-01-01 00:00:00
abstract::By employing three-dimensional computed tomography (CT) for portography, we analyzed the portal vein changes during the initial stage after a pancreaticoduodenectomy (PD), which seemed to affect postoperative complications. Four patients underwent PD without portal vein reconstruction with a standard radical lymph nod...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF02483962
更新日期:1998-01-01 00:00:00
abstract::We experienced a very rare case of male intracystic breast carcinoma. A 66-year-old man presented at our hospital because of a palpable mass in his right breast. The imaging diagnosis was an intracystic carcinoma with hemorrhagic fluid and two mural nodules. Modified radical mastectomy was performed under general anes...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950170052
更新日期:2001-01-01 00:00:00
abstract:PURPOSE:We assessed the effects of different types of prosthetic rings on mitral annular dynamics using real-time three-dimensional echocardiography (RT3DE). METHODS:RT3DE was performed in 44 patients, including patients undergoing mitral annuloplasty using the Cosgrove-Edwards flexible band (Group A, n = 10), the sem...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-015-1279-z
更新日期:2016-09-01 00:00:00
abstract::To elucidate the mechanism of enhancing survival in peritonitis rats treated with lentinan, a fully purified beta-1,3-glucan, we measured the active oxygen-producing ability of polymorphonuclear leukocytes (PMNs). Four groups of rats (group I, fecal peritonitis control; II, rats receiving 3 mg/kg lentinan intraperiton...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF00311908
更新日期:1993-01-01 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
abstract::We report a case of primary malignant melanoma (MM) of the stomach. The patient, a 73-year-old man, was referred to our hospital for investigation of an elevated lesion in the stomach, detected by gastroscopy. On admission, physical examinations and laboratory data were unremarkable. Gastroscopy revealed a pigmented, ...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-011-0077-5
更新日期:2012-01-01 00:00:00
abstract:PURPOSE:To assess a newly devised procedure for cardiac volume reduction without resecting any cardiac muscle and evaluate its effectiveness in an experimental settings. METHODS:Ten beagle dogs underwent a rapid pacing leading to heart failure for 3 weeks and then underwent left ventricular reduction by a procedure ca...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950300059
更新日期:2003-01-01 00:00:00
abstract:PURPOSE:As the incidence of HIV increases, the occupational risk of human immuno deficiency virus (HIV) infection also increases, leading to heightened anxiety within surgical practice. This study assessed the attitudes of surgeons treating HIV-infected patients. METHODS:Seventy surgical trainees working in two distri...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-011-0096-2
更新日期:2012-11-01 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:Managing postoperative pain is important to ensure a good quality of life and fast recovery after surgery. We examined the feasibility of peroral management for the postoperative pain after laparoscopic-assisted distal gastrectomy (LADG). METHODS:Between June 2012 and September 2013, we enrolled 34 patients pr...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-015-1155-x
更新日期:2016-01-01 00:00:00
abstract::The purpose of this retrospective study was to examine the influence of cigarette smoking on the recurrence of Crohn's disease after resection. Between 1975 and 1990, 141 patients underwent primary ileocolonic resection for ileocecal Crohn's disease, 79 of whom were nonsmokers and 62 of whom were smokers at the time o...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF02482360
更新日期:1999-01-01 00:00:00
abstract::We report herein the case of a ruptured liver abscess that resulted in pneumoperitoneum. A patient with diabetes mellitus presented with symptoms of acute abdomen. The plain abdominal radiograph and computed tomography findings revealed abdominal free air and a gas-containing liver abscess, whereby a diagnosis of a ru...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950170226
更新日期:2001-01-01 00:00:00
abstract::A 70-year-old man was admitted to our hospital with obstructive jaundice. Computed tomography revealed a tumor in the left intrahepatic bile duct extending to the common bile duct without any significant lesions in the liver. Cholangiography showed a filling defect due to an intraductal tumor. Cytology of the bile jui...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-006-3214-9
更新日期:2006-01-01 00:00:00
abstract::Solitary fibrous tumors (SFTs) develop most commonly in the pleura, although they have occasionally been reported to arise in the pelvic cavity. We report a case of an SFT presenting as a painless nodule in the pelvis of a 56-year-old woman. Histologically, the tumor was composed of spindle-shaped cells arranged witho...
journal_title:Surgery today
pub_type: 杂志文章,评审
doi:10.1007/s00595-010-4535-2
更新日期:2011-11-01 00:00:00
abstract::Although lateral internal sphincterotomy is widely accepted as the treatment of choice for anal fissures, we report our experience of successfully treating 195 consecutive patients with posterior chronic anal fissures by performing fissurectomy with midline sphincterotomy and anoplasty (FPSA). The surgical technique i...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF02388152
更新日期:1997-01-01 00:00:00
abstract::Lymph node dissection is a critical part of surgery for colorectal cancer. Japanese D3 and complete mesocolic excision are two unique principles for lymph node dissection in colorectal cancer. Laparoscopic surgery magnifies the targets and provides insight about the micro-anatomy through high-quality, high-definition ...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-017-1595-6
更新日期:2018-03-01 00:00:00
abstract::When the stomach is unavailable for esophageal reconstruction due to previous gastrectomy or synchronous gastric cancer, a pedicled jejunum or colon, with or without vascular supercharge, has been the alternative. However, these reconstructions are not free from severe complications, such as necrosis. We have introduc...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-013-0797-9
更新日期:2014-02-01 00:00:00
abstract::A right liver graft lacking the middle hepatic vein can result in congestion of the anterior segment. We describe a method of reconstructing the middle hepatic vein tributaries by using the recipient's own middle hepatic vein with vascular closure staples. During a living donor right liver transplantation, the middle ...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-007-3603-8
更新日期:2008-01-01 00:00:00
abstract::To elucidate the effect of lithium carbonate in the preoperative preparation of patients with Graves' disease, it was given without any other antithyroid medication to two patients as an alternative to thionamide, which had caused adverse effects. The initial dose of lithium carbonate was 600 mg/day, and the final dos...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF01427042
更新日期:1994-01-01 00:00:00
abstract::Reduction of target coronary artery motion is imperative for successful off-pump coronary artery bypass surgery. We hypothesized that landiolol, a novel ultra-short-acting selective β-1 blocker, would reduce such coronary artery motion. To test this hypothesis, the motion of the left anterior descending artery of the ...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-011-0047-y
更新日期:2012-01-01 00:00:00
abstract:PURPOSE:To determine the optimal time to start nutritional support after traumatic brain injury (TBI). METHODS:Rats were divided into six groups of seven. All but one of these groups were subjected to moderate closed head trauma under general anesthesia. Groups Ia and Ib were commenced on immunonutrition and standard ...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-005-3034-3
更新日期:2005-01-01 00:00:00
abstract::An 87-year-old man presented with inguinal pain and swelling, and was later diagnosed as having Fournier's gangrene. The information gained from preoperative computed tomography (CT) proved very useful for defining the extent of necrosis, and emergency surgery saved his life. Thus, CT should be performed prior to trea...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-003-2693-1
更新日期:2004-01-01 00:00:00
abstract::Although a popliteal venous aneurysm is a rare entity, it is an important cause of pulmonary embolism (PE), which is occasionally life-threatening. We herein report a case of a popliteal venous aneurysm with deep venous thrombosis (DVT) in the contralateral calf. A 65-year-old male, who presented with sudden onset pal...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-013-0676-4
更新日期:2014-10-01 00:00:00