Surgical management of thoracic malignancy in childhood: eight years' experience in Leeds.

Abstract:

:During the period 1978 to 1986, 13 children aged 2-15 years underwent surgical resection of malignant thoracic tumours. Five children with neuroblastomas presented with chest pain and infections, pleural effusions, dysphagia, lymphadenopathy and paraplegia. Chemo- and radiotherapy were given preoperatively to previously diagnosed cases and postoperatively to all survivors. At operation, complete tumour clearance was possible in only two cases. Two children remain alive with no sign of recurrence at 6 and 7 1/2 years. Eight children with pulmonary metastases had undergone resection of the primary tumour and systemic chemotherapy. All were asymptomatic and were detected by chest radiographs. Wedge resection or lobectomy was performed. Two required contralateral resections at 4 months. Two children remain alive with no evidence of recurrence at 2 and 6 1/2 years. We conclude that aggressive surgical resection of childhood thoracic malignancy is worthwhile, but cooperation with a paediatric oncology team is essential.

journal_name

Ann R Coll Surg Engl

authors

Lodge JP,Hamilton JR,Walker DR,Bailey CC

subject

Has Abstract

pub_date

1988-03-01 00:00:00

pages

109-12

issue

2

eissn

0035-8843

issn

1478-7083

journal_volume

70

pub_type

杂志文章
  • Pancreatic injury: an audit and a practical approach.

    abstract::Pancreatic injuries are uncommon, difficult to diagnose and there is no uniform standard for treatment. The purpose of this study was to audit the management of pancreatic injuries in our practice. Equally important is to attempt to find out a simple management plan particularly in the era of increasing conservative t...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: el-Boghdadly S,al-Yousef Z,al Bedah K

    更新日期:2000-07-01 00:00:00

  • Ecthyma gangraenosum--a trap for the unwary.

    abstract::Neutropaenic patients are at particular risk of developing a pseudomonal fasciitis known as ecthyma gangraenosum. Despite the similarities with necrotising fasciitis, Fournier's gangrene has a very different aetiology and management. ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Arul GS,Spicer RD

    更新日期:2001-01-01 00:00:00

  • Simulated laparoscopic cholecystectomy.

    abstract::A new simulator specifically designed for practising techniques in laparoscopic cholecystectomy is described. The simulator is inexpensive and utilises pig gallbladders. It allows a surgeon to practice without the need for assistance. ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Majeed AW,Reed MW,Johnson AG

    更新日期:1992-01-01 00:00:00

  • What impact will shortened training have on urological service delivery?

    abstract:INTRODUCTION:Modernisation of Medical Careers dictates a shortening of the training required to achieve consultant status. Precisely what type of work these consultants could be expected to accomplish, and be trained to do, is not clear. The objective of this study was to demonstrate a method of stratifying urological ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/1478708051748

    authors: Payne SR,Shaw MB

    更新日期:2005-09-01 00:00:00

  • Limited role for intraoperative intact PTH measurement in parathyroid surgery.

    abstract::Primary hyperparathyroidism may be cured surgically by complete excision of abnormal parathyroid tissue. Reoperation for persistent hypercalcaemia due to residual abnormal parathyroid tissue may be associated with a high complication rate. It is possible to assay intact parathormone (iPTH) intraoperatively and as iPTH...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 临床试验,杂志文章

    doi:

    authors: Tan P,Leveson SH,Wilkinson H

    更新日期:1995-01-01 00:00:00

  • Myocardial function following cardiopulmonary bypass.

    abstract::Twenty-one patients have been studied in the 48 h after valve replacement to determine the possible contribution of abnormalities of left ventricular myocardial blood flow and oxygen consumption to the impaired cardiac performance which is sometimes evident in such patients. In the 14 patients making an uneventful rec...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Wisheart JD

    更新日期:1975-08-01 00:00:00

  • Retroperitoneal paraganglioma: a chameleon masquerading as an adrenal pheochromocytoma.

    abstract::Retroperitoneal paragangliomas are rare tumours arising from neural crest cells located near or in the autonomic nervous system; right from the skull bass to the pelvic floor. Often called the great masqueraders, their diagnosis and treatment is often difficult and fraught with danger, considering the close proximity ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/rcsann.2018.0193

    authors: Parmar K,Chandna A,Kumar S

    更新日期:2019-02-01 00:00:00

  • Patient outcomes after treatment with percutaneous cholecystostomy for biliary sepsis.

    abstract:INTRODUCTION:Acute cholecystitis is among the most common general surgical presentations. There is a cohort of patients who develop systemic sepsis and complications of acute cholecystitis. These patients are often elderly and co-morbid. Conservative management with percutaneous cholecystostomy has been shown to be a s...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588414X13814021679799

    authors: Flexer SM,Peter MB,Durham-Hall AC,Ausobsky JR

    更新日期:2014-04-01 00:00:00

  • Emergency thoracotomy for thoracic trauma in the accident and emergency department: indications and outcome.

    abstract::To assess the efficacy of emergency thoracotomy performed for thoracic trauma in the accident and emergency department, a retrospective analysis of patients who underwent this procedure and were brought to hospital by the Helicopter Emergency Medical Service was carried out. Between 1991 and 1994, 16 patients had emer...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Jahangiri M,Hyde J,Griffin S,Magee P,Youhana A,Lewis T,Wood A

    更新日期:1996-05-01 00:00:00

  • Penile prosthetic surgery and its role in the treatment of end-stage erectile dysfunction - an update.

    abstract::The treatment of erectile dysfunction has been revolutionised with the introduction of orally active phosphodiesterase inhibitors which are successful in 70-80% of men. However, there remain a group of men in whom conservative treatment fails and surgical insertion of a penile prosthesis is required. This type of surg...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章,评审

    doi:10.1308/003588406X114758

    authors: Jain S,Terry TR

    更新日期:2006-07-01 00:00:00

  • Tongue metastasis from a poorly differentiated urothelial carcinoma of the bladder.

    abstract::Chemotherapy may cause oral ulceration but a thorough investigation of symptoms and signs is important to determine the underlying diagnosis accurately. We describe a case of a patient with a poorly differentiated urothelial carcinoma of the bladder developing a tongue metastasis. This is a challenging diagnosis to ma...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588414X14055925060794

    authors: Kaleva AI,Hone RW,Szakacs SM,Streeter E,Nixon IJ

    更新日期:2015-03-01 00:00:00

  • A day of day plastic surgery in a district general hospital.

    abstract::In spite of the suitability of the day surgery environment for most patients undergoing elective plastic surgery, day plastic surgery has not been universally adopted in the United Kingdom. The experience of one plastic surgeon gained in treating 5970 patients as day cases out of a total of 12,461 patients over 10 yea...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Ward C

    更新日期:1994-03-01 00:00:00

  • Minimal surgery for chronic obstruction in patients with extensive or universal Crohn's disease.

    abstract::Patients with extensive chronic Crohn's disease of the small bowel, who may have had repeated excisional surgery, sometimes develop intestinal obstruction due to the development of a stricture. Surgery is usually thought to be contraindicated since further resections would leave the patient with insufficient small int...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Lee EC,Papaioannou N

    更新日期:1982-07-01 00:00:00

  • Surgical treatment of grade III gynaecomastia.

    abstract::Gross enlargement of the male breast with skin redundancy and ptosis cannot be effectively managed by subcutaneous mastectomy alone. A technique is described in which the excess breast tissue and skin are excised along a design which allows the nipple-areolar complex, mounted on a vertical deepithelialised pedicle, to...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Ward CM,Khalid K

    更新日期:1989-07-01 00:00:00

  • Thiersch repair of a spontaneous rupture of rectal prolapse with evisceration of small bowel through anus - a case report.

    abstract::Spontaneous rupture of colon or rectum is a rare event. Protrusion of several loops of small bowel through the anal orifice is a bizarre condition which has only rarely been reported in the literature. We report the first case where Thiersch repair was used to manage spontaneous perforation of rectal prolapse and prov...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/147870807X160362

    authors: Shoab SS,Saravanan B,Neminathan S,Garsaa T

    更新日期:2007-01-01 00:00:00

  • Influence of injection site for low-dose heparin on wound complication rates after inguinal hernia repair.

    abstract::A high incidence of complications related to bleeding was observed after open prosthetic inguinal hernia repair. The site of injection of low-dose heparin into the abdominal wall was thought to be a possible causal factor for these complications. The wound complication rate after repair of primary unilateral inguinal ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 临床试验,杂志文章,多中心研究

    doi:

    authors: Wright DM,O'Dwyer PJ,Paterson CR

    更新日期:1998-01-01 00:00:00

  • Mortality in patients with obstructing colorectal cancer.

    abstract::Of 1,033 patients with colorectal carcinoma, 238 (23%) presented with obstruction. The majority of tumours (74%) were potentially curable (Dukes B/C) at presentation. Tumours situated at the splenic flexure, transverse or descending colon were most likely to obstruct. Perioperative mortality was high following either ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Waldron RP,Donovan IA

    更新日期:1986-07-01 00:00:00

  • The hazards of rehabilitation.

    abstract::Falls are the most common accident occurring to patients in hospital, especially those undergoing rehabilitation. The types, causes, and consequences of such falls are discussed in relation to the patients' age and underlying condition with reference to 386 accidents occurring over a 5-month period in a hospital with ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Watkins JS,Robson P

    更新日期:1981-11-01 00:00:00

  • Multi-disciplinary management of complex pressure sore reconstruction: 5-year review of experience in a spinal injuries centre.

    abstract::INTRODUCTION In our regional spinal injuries unit, complex pressure ulcer reconstruction is facilitated by a monthly multidisciplinary team clinic. This study reviews a series of the more complex of these patients who underwent surgery as a joint case between plastics and other surgical specialties, aiming to provide ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章,评审

    doi:10.1308/rcsann.2016.0227

    authors: Thomson CH,Choudry M,White C,Mecci M,Siddiqui H

    更新日期:2017-02-01 00:00:00

  • Necrotising fasciitis after laparoscopic rectal cancer surgery.

    abstract::Necrotising fasciitis is a rare, serious infection of the deep fascia leading to subcutaneous tissue necrosis. It is extremely important for this condition to be identified and treated promptly as it bears significant mortality. We describe a case of necrotising fasciitis after laparoscopic rectal cancer surgery. To o...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/rcsann.2017.0045

    authors: Yiasemidou M,Majumder S,Basheer M

    更新日期:2017-04-01 00:00:00

  • The use of examination under anaesthesia and panendoscopy in patients presenting with oral cavity and oropharyngeal squamous cell carcinoma.

    abstract:INTRODUCTION:Although examination under anaesthesia and panendoscopy (EUAP) has traditionally been used in the assessment of patients presenting with oral cavity and oropharyngeal squamous cell carcinoma (SCC), the era of modern medicine with its advanced imaging techniques has meant that the indications for this techn...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588409X432446

    authors: Kerawala CJ,Bisase B,Lee J

    更新日期:2009-10-01 00:00:00

  • Small bowel knots.

    abstract:INTRODUCTION:Intertwining of bowel loops to form a knot is very rare cause of intestinal obstruction. Among intestinal knots, ileoileal knotting is the most rare, with only a handful of cases reported in literature. We present a rare case of ileoileal knotting and review of small bowel knots. The aim of this review was...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章,评审

    doi:10.1308/rcsann.2020.0122

    authors: Beg MY,Bains L,Lal P,Maranna H,Kumar N P

    更新日期:2020-10-01 00:00:00

  • Is it acute cholecystitis?

    abstract::In a prospective study of 100 patients presenting with acute right hypochondrial pain and diagnosed clinically by a qualified surgeon as having acute cholecystitis, we have shown that the diagnostic error can be considerable. Twenty-five of these patients were found to have a different diagnosis on subsequent investig...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Schofield PF,Hulton NR,Baildam AD

    更新日期:1986-01-01 00:00:00

  • Auxiliary partial orthotopic liver transplantation for acute liver failure.

    abstract:INTRODUCTION:Auxiliary partial orthotopic liver transplantation (APOLT) in acute liver failure acts as a bridge to native liver regeneration with potential for immunosuppression free survival. While technical concerns limit its universal acceptance, the indications in acute liver failure also need to be examined for th...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/rcsann.2018.0204

    authors: Shrivastav M,Rammohan A,Reddy MS,Rela M

    更新日期:2019-03-01 00:00:00

  • Research output of a cohort of orthopaedic consultants in Great Britain.

    abstract::There has been renewed emphasis on research following the Calman recommendations for higher training. It is often considered essential for progression in training to have participated in research projects and to have some publications to one's credit. Orthopaedic surgery is usually thought to lag behind other discipli...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588403321001417

    authors: Singh GK,Qadir W,Deshmukh RG

    更新日期:2003-01-01 00:00:00

  • Preparing a clinical activities database in plastic surgery using existing information systems.

    abstract::The collection of data for audit and clinical activity analysis is time consuming. This report outlines a technique by which data held on hospital data systems, such as the PAS and theatre management systems, can be made available to clinical investigators. The saving in time and effort can be enormous. ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Dunn K,Bazire N,Housley L,Shakespeare P

    更新日期:1994-11-01 00:00:00

  • Experience in the surgical management of medullary thyroid carcinoma.

    abstract::The management of 12 patients with medullary thyroid carcinoma is reviewed. All patients underwent total thyroidectomy. Local nodal and extracapsular spread was aggressively resected, followed by radiotherapy. No patient died from uncontrolled local disease. Prolonged survival after radical treatment is demonstrated e...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Lannigan FJ,Watkinson JC,Clarke SE,Maisey MN,Shaheen OH

    更新日期:1991-01-01 00:00:00

  • The continuing challenge of parastomal hernia: failure of a novel polypropylene mesh repair.

    abstract::In an attempt to reduce the high recurrence rate after repair of parastomal hernia, a technique was devised in which non-absorbable mesh was used to provide a permanent closure of the gap between the emerging bowel and abdominal wall. Seven patients were treated during the period 1990-1992. Five-year follow-up has giv...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Morris-Stiff G,Hughes LE

    更新日期:1998-05-01 00:00:00

  • Oxford elbow scores in an asymptomatic population.

    abstract:INTRODUCTION:Patient reported outcome measures (PROMs) are being used increasingly to assess the quality of healthcare delivery in the UK. It is important when using PROMs to know the score of the background population against which any clinical intervention may be benchmarked. The purpose of this study was to measure ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588413X13629960048352

    authors: Guyver PM,Cattell AE,Hall MJ,Brinsden MD

    更新日期:2013-09-01 00:00:00

  • Videocystography with synchronous detrusor pressure and flow rate recordings.

    abstract::The addition of pressure and flow rate recordings to conventional cystourethrography is relatively inexpensive in terms of cost and of radiologist's time, each investigation requiring approximately half an hour.The value of this investigation in males lies in assessing the severity and site of outlet obstruction, part...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Arnold EP,Brown AD,Webster JR

    更新日期:1974-08-01 00:00:00