[Indications and limits of thoracoscopy in surgical diagnosis and therapy of lung diseases].

Abstract:

:Thoracoscopy is an invasive form of endoscopy which, however, can be performed with the patient in local anaesthesia. Hence, when it comes to patients, for example, in somewhat advanced age and thus with the surgical risk clearly increased, it can be used as the smallest possible intervention to clear up causes of effusions of unknown origin and can thus be helpful in avoiding an otherwise necessary operation with all associated possible complications. It can be also used in many cases to clear up new growths in the thoracic wall of the mediastinum or diaphragm or, just as well, diffuse or locally delimited pulmonary diseases. When it comes to spontaneous pneumothorax, thoracoscopy should be restricted to selected cases because of relatively high rates of recurrence. Surgical indications in such cases should be handled with more generosity. Thoracoscopy is not indicated in cases of bullae of large size or radiological detectability. Here, thoracotomy should be the option.

journal_name

Zentralbl Chir

authors

Elfeldt R,Schröder D,Beske C

subject

Has Abstract

pub_date

1989-01-01 00:00:00

pages

281-5

issue

5

eissn

0044-409X

issn

1438-9592

journal_volume

114

pub_type

杂志文章
  • [Protocol for lymph node dissection in stomach carcinoma. Possibility for quality assurance].

    abstract::Since 1984 we have been using the opportunity to registrate the dissected lymph nodes at different locations of the lymph nodes and the carcinoma in case of D-2 dissection by means of a lymph node dissection protocol. The total rate of lymph nodes by the several patients is an indirect sign for the quality of the lymp...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Schramm H,Volkert S,Stroh C,Schmid M

    更新日期:2000-01-01 00:00:00

  • [Transport management in blunt abdominal trauma. Case report of a patient with delayed diagnosis of splenic rupture].

    abstract::Missed abdominal injuries after blunt abdominal trauma belong to the most frequent causes of death, especially in polytraumatized patients. Primary missing these injuries often is a tragedy due to a mortality-rate up to 50% after delayed treatment compared with a low complication- and mortality-rate after diagnosis in...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:

    authors: Ambacher T,Riesener KP,Kasperk R,Schumpelick V

    更新日期:1999-01-01 00:00:00

  • [Immunostaging (author's transl)].

    abstract::This survey covers the problems of immunologic monitoring of patients and the spectrum of methods of diagnosing various types of immunopathological reactions. ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Schütt Ch,Friemel H

    更新日期:1978-01-01 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

  • [Ciprofloxacin levels in pleural fluid and serum during systemic administration after pneumonectomy].

    abstract::Postpneumonectomy empyema represents a frequently lethal complication. It remains unsolved whether prophylactic antibiotics achieve a bactericidal concentration in the pleural cavity after pneumonectomy. 12 patients undergoing pneumonectomy received ciprofloxacin intravenously (2 x 200 micrograms/d) and orally (2 x 50...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Padberg WM,Jäger E,Buhr J,Zimmermann T

    更新日期:2000-01-01 00:00:00

  • [Controlled study of cremaster resection in Shouldice repair of primary inguinal hernia].

    abstract::237 Shouldice operations with resection of the cremaster muscle from the Department of Surgery of the RWT University of Aachen were compared with 153 Shouldice repairs without resection of the cremaster muscle from the Department of Surgery of the Elizabeth Hospital in Essen. The aim of this prospective controlled tri...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Töns C,Klinge U,Kupczyk-Joeris D,Rötzscher VM,Schumpelick V

    更新日期:1991-01-01 00:00:00

  • [Is curative treatment of breast cancer necessarily connected with radical mastectomy after Rotter-Halsted? (author's transl)].

    abstract::Lokal recidivation rate in carcinoma of the female breast represents besides the 5- to 10-years survival rate an important parameter for primary surgical treatment. At the Chirurgische Universitätsklinik Tübingen radical mastectomy in the Rotter-Halsted technique as well as extended radical mastectomy were abandoned b...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Durst J

    更新日期:1977-01-01 00:00:00

  • [The effect of arthroscopic joint debridement in advanced arthrosis of the knee joint].

    abstract::A retrospective study was performed examining 84 patients who had undergone arthroscopic debridement for high-grade osteoarthritis of the knee joint. After an average follow-up period of 52 (35-72) months only 14 (16.7%) patients indicated an improvement of the preoperative situation. 36 (42.8%) patients had severe jo...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Krüger T,Wohlrab D,Reichel H,Hein W

    更新日期:2000-01-01 00:00:00

  • [Indications and results of surgically treated, with temporary vena cava filter managed patients].

    abstract::Heavily injured patients, patients who underwent operations on pelvis, hips, abdomen or malignoma surgery, as well as gynaecology patients suffering from malignoma or previous deep femoral vein thrombosis in connection with pregnancy or obesity are at risk to suffer from pulmonary embolism with potentially lethal cour...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Zwaan M,Lorch H,Kagel C,Wenk H,Schwieder G,Eberhard J,Müller G,Weiss HD

    更新日期:1996-01-01 00:00:00

  • [Penetrating chest injuries--an indication for early thoracotomy].

    abstract::Indication for thoracotomy is undisputed in cases of gaping wounds with massive haemorrhage. However, discrete stab and gunshot wounds may quite often conceal imminent pericardial tamponade. Three quarters of all penetrating thorax injuries are located in or close to the cardiac silhouette. When it comes to patients w...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Huth C,Hoffmeister HE

    更新日期:1987-01-01 00:00:00

  • [Colon carcinoma after ureterosigmoidostomy--a case report].

    abstract::Ureterosigmoidostomy was the method of choice for continent urinary diversion in cases of bladder exstrophy. The development of colonic cancer at the ureterocolic junction is one of the major complications in the late course of this procedure. The risk of large bowel carcinoma is increased 150-500-fold compared to the...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Jansen M,Schippers E,Schumpelick V

    更新日期:1998-01-01 00:00:00

  • [Local treatment of thermal injuries in children. Results of a multicenter study].

    abstract::The study described in this paper helped to establish the present position in locally delimited treatment of children for thermic injuries. 25 hospitals or other medical institutions were involved in the inquiry programme, including 16 departments of paediatric surgery and nine departments of general surgery. Studies ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Reuter G,Laskus S

    更新日期:1986-01-01 00:00:00

  • [Infrarenal abdominal aortic aneurysm: morphological classification as decision aid for therapeutic procedures].

    abstract::This clinical trial aimed to prospectively investigate the morphological structure of infrarenal abdominal aortic aneurysms (AAA) to establish a valid dataset in the preoperative assessment supporting either the conventional or endovascular (TPEG) surgical approach. Regarding both the general feasibility testing and s...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Allenberg JR,Schumacher H,Eckstein HH,Kallinowski F

    更新日期:1996-01-01 00:00:00

  • [Surgical therapy of acute pancreatitis].

    abstract::Treatment was applied to 181 patients for acute pancreatitis at the Surgical Department of Friedrichshain Local Hospital, between December 1, 1985 and October 30, 1987. Ninety-two of these patients were in Stage I according to Kümmerle-Hollender, 62 in Stage II, and 27 in Stage III. Operations were performed on 57 pat...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Pahlig H,Göbel U

    更新日期:1988-01-01 00:00:00

  • [Gender-specific influencing factors on incidence, risk factors and outcome of carcinoma of the liver, gallbladder, extrahepatic bile duct and pancreas].

    abstract:BACKGROUND:This overview comments on gender-specific differences in incidence, risk factors and prognosis in patients with carcinoma of the liver, gallbladder, extrahepatic bile duct and pancreas. METHOD:For the literature review, the MEDLINE database (PubMed) was searched under the key words "liver cancer", "gallblad...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0034-1368231

    authors: Grundmann RT,Meyer F

    更新日期:2014-04-01 00:00:00

  • [Basedow disease hyperthyroidism--is there a therapeutic standard? Conservative therapy].

    abstract::In patients with the first manifestation of hyperthyroidism of Graves' disease, antithyroid drug treatment is the therapy of first choice. Treatment has to be carried out depending on iodine supply of the individual patient with the lowest possible drug dose. Controls of treatment have to be done in short intervals (e...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:

    authors: Schumm-Draeger PM

    更新日期:1997-01-01 00:00:00

  • [Hierarchy and authority].

    abstract::Although the term hierarchy isn't in keeping with the times for secular spheres, the identical term ranking omnipresent and indispensable in a political way. Without ranking there ist no final but only a general responsibility. Ranking is based on authority--to be distinguished between professional competence an offic...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Horntrich J

    更新日期:1999-01-01 00:00:00

  • [Clinical results and color-coded duplex ultrasound findings 4 years after conditioned TRAM flap-plasty].

    abstract::Presented is a new technique in preoperative conditioning of the pedicled TRAM-flap employing an interventional-radiologic procedure, selective embolization of the deep inferior epigastric artery (DIEA). During a four year period in 40 patients with a mean age of 48.4 (31-66) years breast reconstruction was performed ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Scheufler O,Andresen R,Kirsch A,Banzer D,Vaubel E

    更新日期:2000-01-01 00:00:00

  • [Laparoscopy-assisted harvesting of free small intestine transplants for reconstruction of voice and deglutition after total laryngopharyngectomy--an animal experiment study].

    abstract::Based on animal trials the presented study results describe a laparoscopic assisted removal of an extra-long free jejunal graft to reconstruct voice and swallowing after a total laryngo-pharyngectomy in cases with advanced malignancies of the larynx including invasion in the upper oesophagus. With a microvascular anas...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Marusch F,Koch A,Kluge J,Stöbe R,Immer P,Gastinger I

    更新日期:1998-01-01 00:00:00

  • [Quality and quality assurance of teaching in surgery - recommendations from a workshop of the surgical cooperative for quality assurance].

    abstract::The shortage of surgeons in the operative disciplines field has in recent years further increased. The training of a surgeon and the required lifestyle combined with the work-life balance of the surgeons are perceived as being less attractive, so that young doctors after finishing medical school rarely decide for surg...

    journal_title:Zentralblatt fur Chirurgie

    pub_type:

    doi:10.1055/s-0029-1224764

    authors: Brauer RB,Harnoss JC,Lang J,Harnoss J,Raschke R,Flemming S,Obertacke U,Heidecke CD,Busemann A

    更新日期:2010-02-01 00:00:00

  • [Spontaneous and secondary bacterial peritonitis in cirrhotic patients with ascites].

    abstract::Peritonitis is one of the most frequent infectious complications in patients with liver cirrhosis and ascites. In more than 95 % it occurs as spontaneous bacterial peritonitis (SBP) as a result of bacterial translocation from intestinal bacteria and bacterial products into mesenteric lymph nodes and subsequent systemi...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0031-1283815

    authors: Bruns T,Stallmach A

    更新日期:2014-04-01 00:00:00

  • [Ileus in the aged].

    abstract::From 1973 to June 1982, 218 patients older than 70 years (148 women, 70 men) suffering from acute bowel obstruction were seen at our Dept. The mortality rate came up to 33%. Main causes of the ileus were incarcerated hernias and colonic obstruction (25% each). In case of an incarcerated hernia the authors emphasize ea...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Düben W,Mlasowsky B,Hahn M,Heymann H

    更新日期:1984-01-01 00:00:00

  • [Truth and truthfulness in philosophy].

    abstract::Truth and truthfulness are traditional subjects of philosophy. The paper discusses different concepts of truth (epistemological, ontological, normative) and different theories about the acquisition of truth (truth as correspondence, coherence or consensus, pragmatic theories of truth, and truth as immediate subjective...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2000-10062

    authors: Siep L

    更新日期:2000-01-01 00:00:00

  • [Fiction and facts about multi-modal therapy in rectal cancer].

    abstract::The prognosis of patients with rectal cancer has been improved significantly after introduction of the total mesorectal excision (TME). Just by performing TME, the local recurrence rates could be decreased to less than 10 %, independent of multi-modal therapeutic concepts. In contrast, the local recurrence rate reache...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:10.1055/s-2006-921552

    authors: Ulrich A,Weitz J,Friess H,Büchler M

    更新日期:2006-04-01 00:00:00

  • [Data on surgical indications in necrotizing pancreatitis--results of a validation study].

    abstract::134 patients with necrotizing pancreatitis were operated. Preoperative organ insufficiency (pulmonary or renal), the presence of shock or sepsis and the intraoperative morbidity factors: parenchymal necroses greater than 30%, extrapancreatic necroses, ascites and in particular bacterial contamination were directly cor...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Roscher R,Büchler M,Bittner R,Beger HG

    更新日期:1989-01-01 00:00:00

  • [Influence of jejunoileostomy on the lipid fractions in morbidly obese patients (author's transl)].

    abstract::In 35 morbidly obese patients, operated by Payne-De Wind's jejunoileostomy, the serum concentration of the lipid fractions was examined before and after operation. Before the operation an increase of total cholesterol and beta-lipoproteins was noted in 1/3 of the patients. Six months after the jejunoileostomy a consid...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Tuszewski M,Smolińska K

    更新日期:1977-01-01 00:00:00

  • [Effect of blood viscosity on the function of isolated perfused porcine kidney after cold preservation].

    abstract::With the new method of gas exchange and dialysis carried out simultaneously with a standard dialysis module, for the first time normothermic ex-vivo whole blood perfusion of pig kidneys becomes practicable under nearly physiological conditions. To show the possibility of animal experiment replacements we use slaughter...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Dittrich S,Schuth A,von Baeyer H,Grosse-Siestrup C,Lange PE,Kaczmarczyk G

    更新日期:1998-01-01 00:00:00

  • [Combination of mammography with automated ultrasound (Sono-X) in routine diagnosis?].

    abstract::A new technique for breast imaging is presented. This technique combines radiographic mammography directly with automated ultrasound. The combined examination, which is performed without decompression of the breast, yields the conventional mammography films as well as a complete set of B-mode scans and ultrasound proj...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Richter K,Winzer KJ,Frohberg HD,Guski H,Prihoda H,Schmitt HJ,Hamm B

    更新日期:1998-01-01 00:00:00

  • [Significance of duodenogastric reflux in the pathogenesis of primary stomach cancer].

    abstract::Duodenogastric reflux has often been discussed as a causative factor in the pathogenesis of gastric carcinoma. The author's clinical examinations of 135 patients with primary cancer of the stomach revealed slight increase in duodenogastric reflux. Yet, apart from these findings, no correlations were found to exist bet...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Buchmann F,Bäumer F,Eilles C

    更新日期:1988-01-01 00:00:00

  • [Complications of 279 elective radical colonic operations and results of their management (author's transl)].

    abstract::Out of 279 cases of elective radical colonic surgery 109 complicated cases are dealt with. Most of them (66%) were caused by infection. The postoperative mortality came up to 10%. Three quarters of the postoperative deaths were caused by septicaemia and gastrointestinal bleeding. Some of the complications can be effec...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Nagy A,Baradnay G,Zöllei I

    更新日期:1981-01-01 00:00:00