[Advantages of lymph node staging in 872 stomach carcinoma patients].

Abstract:

:The German Stomach Cancer TNM Study Group registered 1444 patients from 1982 to 1984 in a multicenter observational study to validate the tumor node metastasis stage groupings. The follow-up-rate in 1989 was 99.4%. Among others the pattern of lymph node metastases and the benefit of systematic lymphadenectomy (SLA) was studied. 872 patients had a resection with or without lymph node staging lymph node metastases were under- or overestimated intraoperatively in 7-23%. More than expected lymph nodes distant from the primary were involved. The survival rate of patients with resected tumors in the distal third of the stomach could be evaluated. We found statistically significant benefit for stage I (UICC 1987) of patients resected with SLA vs. without: 86% respectively 66%. The conclusions are as follows: lymph node involvement is numerous, widespread and also far away from the tumor. The intraoperative statements about lymph node metastases are doubtful. The R0-resection includes the SLA which is improving the survival rate for stage I.

journal_name

Zentralbl Chir

authors

Keller E

subject

Has Abstract

pub_date

1996-01-01 00:00:00

pages

139-43

issue

2

eissn

0044-409X

issn

1438-9592

journal_volume

121

pub_type

杂志文章
  • [Simulation of a hypophyseal tumor in carotid-ophthalmic aneurysms].

    abstract::Case report. A 59 year old woman was thought to suffer from a neoplasm of the hypophysis. This "tumour" was simulated by a giant aneurysm of the infraorbital segment of the left carotid artery. For technical reasons the left carotid artery had not been demonstrated in the angiogram. For final clarification CT as well ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Assmann H,Basche S,Pothe H,Dietrich J

    更新日期:1983-01-01 00:00:00

  • [Surgical therapy of complicated diverticular disease].

    abstract::From 1975-1989 55 patients were operated on for complicated diverticular disease at our unit. Intraoperative we found the following complications: 21 walled of perforations, 22 stenosis of the sigmoid colon combined with obstruction of the small and/or large bowel, 8 free perforations with generalized, faecal peritoni...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Huber MA,Woisetschläger R,Sulzbacher H,Wayand W

    更新日期:1991-01-01 00:00:00

  • [Surgical therapy of giant tubulovillous adenoma of the duodenum and incidental serous cystadenoma of the head of the pancreas].

    abstract::A villous giant adenoma of the duodenum was diagnosed in a 56-year-old female patient with uncharacteristic upper abdominal discomfort after multiple previous laparotomies for various indications. A partial pancreaticoduodenectomy was performed as radical oncological procedure since the dignity of the neoplasm was unc...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2001-11720

    authors: Knoop M,Vorwerk T,Lüders P,Hendrich F

    更新日期:2001-01-01 00:00:00

  • [Management of complications after liver resection].

    abstract::Hepatic resections represent a standard procedure for both benign and malignant liver diseases. Nevertheless, typical complications arise follow-ing hepatic surgery. Besides common problems, such as bile leakage or impaired wound healing, rare complications, like progressive liver failure or portal vein thrombosis are...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0030-1247331

    authors: Heise M,Jandt K,Rauchfuss F,Settmacher U

    更新日期:2010-04-01 00:00:00

  • [Laparoscopic total gastrectomy with extended lymphadenectomy and intracorporal circular stapled esophagojejunostomy].

    abstract::Laparoscopic total gastrectomy for early and advanced gastric cancer is an exacting procedure which is increasingly performed in specialised institutions. Not only gastric resection and extended lymphadenectomy but especially the reconstruction by oesophagojejunostomy is a technically demanding and vulnerable operativ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-0033-1360122

    authors: Hoeppner J,Kulemann B,Hopt UT,Marjanovic G

    更新日期:2014-02-01 00:00:00

  • [Documentation and therapeutic standards in anesthesia and intensive care medicine--means for quality assurance and cost control].

    abstract::Patient data management in anaesthesia and intensive care should include besides medical data of individual patients economically important parameters, e.g. working time or cost of material. Integration of this data management system in the hospital information network enables case-oriented analyses for costs in relat...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:

    authors: Bach A,Martin E

    更新日期:1996-01-01 00:00:00

  • [Postoperative abdominal complications after thoracic surgery (author's transl)].

    abstract::Between 1964 to 1974 2940 patients underwent chest operations. 15 cases with abdominal complications among them are analyzed. 10 patients had bleeding gastric or duodenal ulcers with a high mortality rate. Postoperative gastric distention was one of the most important causes. A gastric tube should be introduced whenev...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Franz WD

    更新日期:1977-01-01 00:00:00

  • [Solitary plasmocytoma (author's transl)].

    abstract::The problem of solitary plasmacytoma is demonstrated in a rare case. The diagnosis was delayed for different causes. The course was followed up over 6 years. The difficulties of diagnosis and further treatment are discussed. ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Wittig KH,Motsch H

    更新日期:1977-01-01 00:00:00

  • [Asbestos-induced malignant mesothelioma of the tunica vaginalis testis].

    abstract::Since 1977 the diffuse malignant mesothelioma of the pleura and peritoneum caused by asbestos represents one of the most often compensated occupational cancers in Germany. Because of the probability of an asbestos-related etiology, it is considered as a "signal tumour", mainly indicating exposure to asbestos dust at t...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2001-12499

    authors: Schneider J,Woitowitz HJ

    更新日期:2001-03-01 00:00:00

  • [Palliative treatment in gastroenterology at the border to (abdominal) surgery].

    abstract:BACKGROUND:In the management of gastrointestinal tumour lesions, palliative treatment has attained an increasing role. As also in curative treatment, an interdisciplinary cooperation between gastroenterologists and surgeons has to be aimed for. AIM:The aim of this study is to illustrate the diagnostic and therapeutic ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0030-1262702

    authors: Schütte K,Weigt J,Meyer F,Malfertheiner P

    更新日期:2010-12-01 00:00:00

  • [General practice-relevant conclusions based on 74,400 documented biliary surgery interventions].

    abstract::A statewide report card system for cholecystectomy as a surgical tracer has been established in Westfalia-Lippe as part of a program of external quality assurance. 74,400 data between 1993 and 1997 were analyzed. Pathologic findings in preoperative diagnostics (sonography, elevated bilirubin) do not lead to therapeuti...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Windhorst T,Hupe K,Wenning M

    更新日期:2000-01-01 00:00:00

  • [Primary hemiarthroplasty after complex fracture of the humeral head--functional late results].

    abstract:UNLABELLED:Treatment of complex fractures of the humeral head remains an obviously unsolved problem. Under consideration of the problems of head preserving methods, the development of the last years tended towards the hemiprosthetic replacement. As the discussion about the methods and implants continues to be controver...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2003-37766

    authors: Kollig E,Kutscha-Lissberg F,Roetman B,Mielke E,Muhr G,Hahn MP

    更新日期:2003-02-01 00:00:00

  • [Value of ultrasound in diagnosis of appendicitis in childhood].

    abstract::Ultrasonography has been shown to be valuable in diagnosis of appendicitis in children. For the management of cases where clinical and ultrasonography findings lead to different results, we evaluated standard therapeutical concepts which have been proved to be reliable in our clinic. ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Scholz M,David S,Stöver B,Wit J,Mau H

    更新日期:1998-01-01 00:00:00

  • [10 years results after repair of recurrent problem inguinal hernia with prolene mesh].

    abstract::The repair of multiple recurrences of inguinal hernias remains a surgical challenge. In 38 patients with a problematic recurrent inguinal hernia we implanted a polypropylene mesh (Prolene) in order to reinforce the transversalis fascia and to repair the inguinal hernia. 20 of these were medial and 14 lateral hernias; ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Bauer KH,Kemen M,Senkal M,Zumtobel V

    更新日期:1998-01-01 00:00:00

  • [Diagnosis and treatment strategy of intra-abdominal abscess].

    abstract::Intraabdominal abscesses are life-threatening complications of inflammatory processes or major surgery. Ultrasonography, computed tomography, magnetic resonance, and scintigraphy are the diagnostic methods of choice. The sole diagnosis intraabdominal abcess" is insufficient to recommend a specific therapeutic strategy...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:

    authors: Schöffel U,Häring R,Farthmann EH

    更新日期:1993-01-01 00:00:00

  • [Animal experiments in electrophysiology of the canine stomach in reference to esophageal substitution with a tubal stomach in man].

    abstract::In an effort to demonstrate and explain the peristalsis and intact pylorus-function of an oesophagus substituted by a transformed stomach-tube and despite total vagotomy, acute tests were undertaken on 14 dogs of mixed breed in the form of electromyographic examinations on the normal stomach, the stomach after vagotom...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Lindecken KD

    更新日期:1992-01-01 00:00:00

  • [Prevention and Surgical Therapy of Chylothorax].

    abstract:BACKGROUND:Chylothorax is a rare complication after thoracic trauma or surgery, especially oesophagectomy, which, if left untreated, can be potentially life-threatening. METHODS:This article provides an overview of the existing literature on the prevention and surgical therapy of chylothorax. RESULTS:The risk of chyl...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/a-0608-5082

    authors: Glatz T,Marjanovic G,Hoeppner J

    更新日期:2018-06-01 00:00:00

  • ["Tension band"-osteosynthesis (author's transl)].

    abstract::This report deals with the early results of the tension-band-osteosynthesis in 365 patients. With this simple method functional stability can be achieved even in fractures where the implanation of plates, screws and so on is impossible (near a joint, fractures of hand and foot, some fractures in children). ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Ansorge D

    更新日期:1978-01-01 00:00:00

  • [Multimodal therapy for colon cancer: state of the art].

    abstract::In UICC stage I a selected group of patients with T1 tumours and a low risk profile regarding simultaneous lymph node metastases can be treated by endoscopic resection alone, if the tumour is thereby completely removed. In UICC stage II an adjuvant chemotherapy (CT) should not be routinely performed. However, in high ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0031-1271562

    authors: Weber T,Link KH

    更新日期:2011-08-01 00:00:00

  • [Surgical options in the treatment of rectal prolapse: indications, techniques and results].

    abstract::Two different approaches can be distinguished in the surgical treatment of rectal prolapse, i. e. the transabdominal route and the perineal procedures. The following article deals with both operative options with a detailed discussion of the Delorme's operation and the perineal rectosigmoidectomy, also known as the Al...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:10.1055/s-2007-981237

    authors: Sailer M,Bönicke L,Petersen S

    更新日期:2007-08-01 00:00:00

  • [Use of the dynamic condylar screw in fractures of the coxal end of the femur--are there advantages in gerontologic traumatology?].

    abstract::Till now instable fractures of the upper end of the femur were treated by using the 95 degrees fixed angle blade in gerontotraumatology, too. As an alternative treatment within 16 month we used the dynamic condylar screw (DCS) in 87 cases of patients elder than 65 years. The results were compared to 81 patients, who h...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Bäumer F,Jurowich B,Taruttis H

    更新日期:1992-01-01 00:00:00

  • [Pilonidal Sinus -- Primary Closure also in Case of Abscess?].

    abstract::After excision of pilonidal sinus treatment consists either in open procedure or primary closure. We present the results of 45 consecutive patients (male 29, female 16, age 32 +/- 13 years), who underwent surgery between September 2001 and December 2002. Fourteen patients had simple fistula without infection, 18 had f...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2004-822742

    authors: Ommer A,Pitt C,Albrecht K,Marla B,Peitgen K,Walz MK

    更新日期:2004-06-01 00:00:00

  • [The anatomy of the surgical treatment of migraine].

    abstract:OBJECTIVE:The transpalpebral resection of the corrugator and depressor supercilii muscles is a new treatment option for migraine headaches. Hyperactive contractility of these muscles can provoke the peripheral compression of the supratrochlear nerve and induce a neurogenic inflammation triggering the symptoms of migrai...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2005-836786

    authors: Muehlberger T,Fischer P,Lehnhardt M

    更新日期:2005-08-01 00:00:00

  • [Pathophysiology of ileus].

    abstract:OBJECTIVE:To review the endogenous alterations generating critical illness in bowel obstruction. DATA SOURCES:Own experimental and clinical investigations and relevant articles published in international literature. DATA SYNTHESIS AND CONCLUSIONS:Large bowel obstruction is mostly confined to the colon. Passive dilata...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:

    authors: Roscher R,Lommel K

    更新日期:1998-01-01 00:00:00

  • [Breast carcinoma in pregnancy. Clinical, histological and immunohistochemical findings].

    abstract::The hormonally induced changes in the breast during pregnancy make the diagnosis of breast cancer difficult. Furthermore, examinations during pregnancy tend to concentrate only on the pregnancy itself. In this report the clinical, pathological and immunohistochemical results from 7 patients with breast cancer during p...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Meden H,Marx D,Rath W,Tsikuras P,Kuhn W,Schauer A

    更新日期:1992-01-01 00:00:00

  • [The clinical relevance of the dynamics of ventricular changes in surgically treated hydrocephalus of children with myelomeningocele].

    abstract::The normalisation of head circumference and ventricular dilatation are aims of the therapy of hydrocephalus. Sonographic follow-up after ventriculo-peritoneal shunt demonstrates a changed ventricular morphology and inform about clinical relevant questions in regard of effectivity and complications of the shunt. The di...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Gräfe G,Hörmann D

    更新日期:1990-01-01 00:00:00

  • [Post-traumatic hemobilia].

    abstract::Diagnosing posttraumatic haemobilia is difficult since the symptoms are neither specific nor early or easy to detect. At present the mortality rate comes up to 20%. Clinical signs and diagnostic procedures are described in detail. Selective ligation of the liver arteries or partial resection of the involved lobes of t...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Fleischer GM,Reppin G,Freitag J

    更新日期:1983-01-01 00:00:00

  • [Vacuum assisted closure therapy for the treatment of sternal wound infections after heart transplantation: preliminary results].

    abstract::Sternal wound infection after heart transplantation is a feared and potentially life threatening complication with reported incidences between 2.5 % and 3.6 %. However, optimal therapy of sternal wound infections in heart transplant recipients remains a matter of controversy, particularly the effect of immunosuppressi...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2007-960650

    authors: Fleck T,Moidl R,Grimm M,Wolner E,Zuckermann A

    更新日期:2007-04-01 00:00:00

  • [Analysis of Survival Time and Other Event Times - What Does the Surgeon Need to Know?].

    abstract:BACKGROUND:Survival time is an important parameter to investigate therapeutic measures. It plays a crucial role in study concepts, data analyses as well as publications. AIM:The aim of this study was to emphasise essential points, which need to be taken into account to (i) gain resilient results of survival time analy...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0034-1383077

    authors: Kropf S,Meyer F,Glimm E

    更新日期:2016-08-01 00:00:00

  • [Evaluation of postoperative pain therapy with patient-controlled analgesia from the viewpoint of the patient and nursing staff].

    abstract::Patient-controlled analgesia has been proven to be an effective technique in postoperative pain management. The aim of our study was to evaluate PCA on general surgery wards. 311 patients and their nurses were questioned about their experiences in using PCA for postoperative pain management. Satisfaction with pain rel...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Breme K,Stehr-Zirngibl S,Anthuber M,Jauch KW,Taeger K,Altmeppen J

    更新日期:1999-01-01 00:00:00