Abstract:
OBJECTIVE:Cervical radiation for head and neck cancer has been associated with an increased incidence of carotid arterial stenosis. Modern radiation therapy delivers higher doses with increasing long-term survival. In our study 50 patients with head and neck malignancies treated with radiotherapy are analized with colour Doppler ultrasonographic scanning of the carotid arteries. These patients were compared with a population of asymptomatic historical controls (40) These findings suggest that radiation has an adverse effect on large vessels. Colour Doppler follow-up may be indicated for patients receiving head and neck radiation therapy.
METHODS:50-70 Gy is the local dose that all patients received. during a period of about 8 weeks. The ecodoppler scan of carotid arteries was performed in all patients with estimation of Common and internal carotid artery's intimal medial thickness (IMT). Stenosis grade were divided into low (0-30%), moderate (31-49 %) and severe (= >50%). In add we considered ematochimics and flogosys parameters. Patients recruited from a hospital Radiation-oncology-surgery department from April 2007 to September 2011, 90 consecutive head and neck cancer patients were enrolled in this study. 50 of these patients had previously undergone RT (RT group) and 40 had no RT (control group). All patients were screened with bilateral carotid arterial duplex ultrasonography. We defined disease as "normal or mild" if the carotid stenosis was <50%, and "significant" if >50%. The relationship between standard demographic risk factors and screening outcomes was then analyzed.
RESULTS:We found that severe carotid stenosis (= >50% ) was higher (41%) in patients who underwent to radiotherapy than in control group. The Eco Doppler examination demonstrated that the most affected site was Internal Carotid Arthery 's fork . There were no differences in age or gender between the two groups. The RT group had a significantly higher plaque score than the non-irradiated group. Bilateral plaque score was significantly correlated with age, hyperlipidemia, and RT. This analysis showed that in RT patients > 50 years old, age was inversely correlated with plaque score; however, in RT patients
journal_name
Ann Ital Chirjournal_title
Annali italiani di chirurgiaauthors
Simonetti G,Pampana E,Di Poce I,Orsini A,Pugliese F,Izzo S,Basso L,Nicolanti V,Al Mansour M,Di Cello P,Izzo Lsubject
Has Abstractpub_date
2014-11-01 00:00:00pages
533-6issue
6eissn
0003-469Xissn
2239-253Xpii
S0003469X14021022journal_volume
85pub_type
杂志文章abstract:AIM:To evaluate accuracy of endorectal ultrasonography (ERUS) both in staging and restaging rectal cancer after neoadjuvant chemoradiotherapy treatment. METHODS:In a group of 80 patients with rectal cancer, we retrospectively selected 67 patients and divided in two groups: 41 patients affected by a stage I were invest...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2014-11-01 00:00:00
abstract:AIM OF THE STUDY:To demonstrate how, on the basis of the personal experience, the rendezvous technique, in the management of cholelithiasis associated with choledocolithiasis , whenever there is the indication, is better than the sequential treatment. METHODS:From January 2008 to May 2011, 48 patients with cholelithia...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2012-09-01 00:00:00
abstract::A new classification of gallstones is reported, which has interesting implications for diagnostic and therapeutic purposes. Gallstones have been divided according to "type" into the following categories: cholesterol (single, multiple), mixed, black pigment, brown pigment, combination and composite. In addition, gallst...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章,评审
doi:
更新日期:1998-11-01 00:00:00
abstract::The authors present clinical and instrumental results of N. 543 operations executed by CHIVA system. These cases are the result of trial performed in seven SIOC (Italian Society of CHIVA Operators) centers executed from November '87 to July '89. Functional and aesthetic results had been very good on over 85% of all ca...
journal_title:Annali italiani di chirurgia
pub_type: 临床试验,杂志文章,多中心研究
doi:
更新日期:1990-07-01 00:00:00
abstract:AIM OF THE PAPER:To discuss the diagnostic and therapeutic aspects of spontaneous esophageal perforation. It is considered a surgical emergency with high rate of mortality. Its diagnosis can be difficult since the presentation is often nonspecific and can be confused with others disorders. Many strategies have been adv...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2008-05-01 00:00:00
abstract::Radiation enteropathy is a disease that seldom requires surgical treatment, in the chronic variety. We report the findings of four cases we operated in an attempt to identify the weak points of surgery involving a high percentage and morbidity of mortality. NPT (total parenteral nutrition) can favour a positive evolut...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:1990-09-01 00:00:00
abstract:OBJECTIVE:To evaluate methods of diagnosis and treatment, and the long term survival of patients treated for bronchial carcinoid tumor by the review of recent literature. METHODS:The Authors conducted a retrospective study on internet-based-evidence of patients treated for bronchial carcinoid tumor since 1993 to 2004....
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章,评审
doi:
更新日期:2005-05-01 00:00:00
abstract::The problem of relationship between obesity and psychological distress is debated in the literature wherein a lot of studies exists with controversial results. The phenomenon of obesity is actually considered with criteria aimed to evaluate almost exclusively the weight excess. Even if such criteria have the advantage...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章,评审
doi:
更新日期:2005-09-01 00:00:00
abstract:AIM:The success rates of free flaps in patients undergoing head and neck cancer (HNC) surgery are very high (95%- 97%) but the development of a surgical site infection (SSI) can put flap viability at risk. The aim of our study is to identify the risk factors for SSI in patients undergo free flaps reconstruction after h...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND AND AIMS:vertical banded gastroplasty (GPV) is the most frequently performed restrictive procedure for morbid obesity, but long-term follow-up is almost nonexistent. A poor outcome after GPV and a low quality of life has been reported. The aim of the study was to determine long-term outcome after 5 years fol...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2003-11-01 00:00:00
abstract::We have studied the levels of the MEGX test in a heterogeneous group of 50 patients with chronic liver disease and with hepatic tumours and we have compared it with the routine LFTS commonly used to assess liver function and with the Child-Pugh Classification system. Our results demonstrate a statistically significant...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:1998-03-01 00:00:00
abstract::A dissection of a manometric trace of the upper esophageal sphincter and the crico-esophageal coordination Although manometry is the most accurate method for diagnosing esophageal motility disorders, several patient suffering of high dysphagia remain undiagnosed. Most Authors concentrate their efforts in studying the ...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2013-03-01 00:00:00
abstract::Cavernous hemangioma is the most common benign tumor of the liver. Most patients are asymptomatic and the tumor is discovered incidentally during diagnostics procedures, at laparotomy or at autopsy. Only 10% of hepatic hemangiomas reach dimensions that need surgical treatment. The role of surgical excision in their tr...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:1996-03-01 00:00:00
abstract::Agenesis of the gallbladder is a rare anomaly that is usually asymptomatic, but sometimes the patients may have symptoms compatible with a biliary disorder like cholelithiasis. Its preoperative diagnosis is often difficult, especially if dysplastic cyst is associated and simulates the gallbladder. When the diagnosis i...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2007-01-01 00:00:00
abstract:OBJECTIVES:Acute hypercalcemia is a serious condition and represents a physician-surgical emergency: the difficulty in setting a precise diagnosis is due to several possibilities that can cause the condition. It is our purpose to critically evaluate the most actual schemes of treatment and the conditions that could fav...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2004-05-01 00:00:00
abstract::In the period 1992-1997, 211 cases of acute pancreatitis were observed: 81 grave cases; 130 slight cases. The ERCP and endoscopic sphincterotomy were performed in 84 cases. From the critical revision 2 groups of patients emerged, homogeneous for etiology and clinical classification, the first submitted to ERCP within ...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:1999-01-01 00:00:00
abstract::A 76 year-old female patient with a long-time history of nonspecific abdominal pain admitted to our hospital. Imaging studies showed 5 cm liver hydatid cyst between segments 2 and 3. She was recommended surgery and was informed about the details of single incision laparoscopic surgery (SILS). We performed single-incis...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2013-07-01 00:00:00
abstract:INTRODUCTION:The aim of this study is to evaluate the impact of transthoracic endoscopic sympathectomy on plantar hyperhidrosis in patients operated on for upper limb hyperhidrosis. MATERIALS AND METHODS:From 2003 to 2011, 41 consecutive patients underwent videothoracoscopic T3-T4 sympathicotomy or T3-T4 ganglion bloc...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2014-03-01 00:00:00
abstract::Multiple symmetric lipomatosis (MSL) is a rare condition of the fatty tissue affecting mostly white men between 20 and 65 years old especially in the mediterranean region. The disease is characterized by a massive development of large unencapsulated lipomas mainly located on the subcutaneous tissue of the cervical, de...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章,评审
doi:
更新日期:1999-03-01 00:00:00
abstract::21 patients (19 women) who underwent rectal prolapse repair were prospectively studied. At the one year follow-up, 6 of the eleven incontinent patients (54 per cent) regained full continence and while three of the remaining 5 patients improved they still referred occasional imperfection of continence. Resting anal pre...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:1994-03-01 00:00:00
abstract::The authors review the results of clinical experiences regarding arterial and venous homografts. For the treatment of mycotic aneurysms and infected prostheses, in situ repair with vascular homografts represents a valuable alternative to conventional surgical treatments. In fact the large caliber arterial homografts a...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章,评审
doi:
更新日期:2001-03-01 00:00:00
abstract::The Authors report on a case of a 69 years old woman with an acute peritonitis secondary to a perforated jejunal diverticulum, treated by laparotomy and intestinal resection with end-to-end anastomosis in one layer. The patient was dismissed after seven days, in good general conditions. Jejunal diverticula occur in ar...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2008-01-01 00:00:00
abstract:AIM:Many methods have been described for the reconstruction of the lower lip, but each has its own advantages and its disadvantages. The purpose of this study is to evaluate the results obtained with the use of different methods in order to choose the most appropriate method, according to the characteristics of the los...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2012-07-01 00:00:00
abstract:AIM:Retroperitoneal hematomas (RPH) mostly occur after blunt and penetrating traumas. However, these hematomas may develop spontaneously in the elderly and the patients who use anticoagulants. Between January 2006 and December 2011, 31 patients with RPH were evaluated retropectively. The patients were allocated into th...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2013-01-01 00:00:00
abstract::The central venous catheterization (CVC) by subclavian vein puncture for total parenteral nutrition (TPN) has a high risk of complications in some situations such as neck or supraclavicular diseases, tracheostomies, costoclavicular deformities and coagulopathies. Surgical CVC approach to the basilic vein is indicated ...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:1991-03-01 00:00:00
abstract:AIM:Research of a starting point to debate about the possibility of identifying a unique sign of previous DVT. MATERIAL OF STUDY:A retrospective study involving 202 outpatients with venous insufficiency of the lower limbs (CEAP classes C 4/6), classified according to the affected venous district. Patients positive for...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2015-01-01 00:00:00
abstract::Metastasis are the most common malignant lesions of the liver. Liver is the most common site of visceral metastasis from colo-rectal carcinoma. Only in few patients are the lesions surgically resectable for cure and standard intravenous chemotherapy produces a low response rate. An intrahepatic arterial device for reg...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章,评审
doi:
更新日期:1994-05-01 00:00:00
abstract:AIM OF THE STUDY:To evaluate the role of nuclear medicine techniques in the management of patients with thymoma. MATERIALS AND METHODS:The Authors performed a review of the literature about the usefulness of traditional nuclear medicine and positron emission tomography in patients with thymic tumours. RESULTS AND DIS...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章,评审
doi:
更新日期:2007-09-01 00:00:00
abstract::After having examined different methods as to continence colostomy, the authors introduce their own control system for the stoma. The study was carried out on 6 colostomized patients. Preliminary, the intraluminal pressure in closed colostomy was recorded. Pressure waves, largely varying from patient to patient, were ...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:1990-01-01 00:00:00
abstract:AIM:Reporting our experience in the treatment of duodenal neoplasms. MATERIAL OF STUDY:Management and treatment of four patients presenting a duodenal neoplasm. RESULTS:Three out of four patients died after surgery for dehiscence and/or bleeding. One, who underwent palliative bypass, died after four months from unkno...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2014-07-01 00:00:00