Repeat hepatic resections for colorectal metastases.

Abstract:

:We identified 106 patients who had undergone complete resection of isolated colorectal hepatic metastases. Nine of these patients subsequently underwent repeat liver resections for isolated hepatic recurrences. The median follow-up for these patients was 21 months. One postoperative death was related to the second hepatectomy. At the time of last follow-up, five patients were alive and free of recurrent disease at 9, 19, 31, 50, and 67 months after their second hepatic resection. The remaining three patients were alive, but disease had recurred 11 months after resection in the first patient, 12 months after resection in the second, and 18 months after resection in the third. Among these three patients, two had solitary pulmonary nodules, which were resected, and one had unresectable liver disease. Our experience and a review of the literature suggest that repeat hepatic resection for isolated colorectal metastases can result in long-term survival in selected patients.

journal_name

Surgery

journal_title

Surgery

authors

Griffith KD,Sugarbaker PH,Chang AE

subject

Has Abstract

pub_date

1990-01-01 00:00:00

pages

101-4

issue

1

eissn

0039-6060

issn

1532-7361

journal_volume

107

pub_type

杂志文章

相关文献

SURGERY文献大全
  • Long-term survival of an extremity composite tissue allograft with FK506-mycophenolate mofetil therapy.

    abstract:BACKGROUND:High-dose tacrolimus (FK506) monotherapy has significantly prolonged rat hindlimb allograft survival. With an eye toward direct clinical application, we used a large-animal extremity composite tissue allograft model to assess the antirejection efficacy and systemic toxicity of combination FK506-mycophenolate...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Jones JW Jr,Ustüner ET,Zdichavsky M,Edelstein J,Ren X,Maldonado C,Ray M,Jevans AW,Breidenbach WC,Gruber SA,Barker JH

    更新日期:1999-08-01 00:00:00

  • Extensive short-bowel syndrome in neonates: outcome in the 1980s.

    abstract::Fourteen infants with extensive short-bowel syndrome (SBS) were treated from 1978 through 1987 at the Children's Hospital, Columbus, Ohio. Extensive SBS was defined as a residual jejunoileum that was 25% or less than the normal expected length for each infant's gestational age. The cause of the SBS included gastroschi...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Caniano DA,Starr J,Ginn-Pease ME

    更新日期:1989-02-01 00:00:00

  • Insulin-like growth factor 1 signaling in human gastrointestinal carcinoid tumor cells.

    abstract::Background Insulin-like growth factor 1 (IGF-1) is an autocrine regulator of carcinoid tumors. Blockade of IGF-1 signaling has been proposed as a therapeutic target in the treatment of patients with carcinoid syndrome. We hypothesized that the induction of parallel raf-1/MEK1 pathways will block IGF-1-mediated chromog...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2004.06.061

    authors: Van Gompel JJ,Chen H

    更新日期:2004-12-01 00:00:00

  • Peripheral embolism resulting from unsuspected atheromatous aortic plaques.

    abstract::Three cases of peripheral embolism resulting from atheromatous aortic plaques are reported. Although the majority of arterial thromboemboli are believed to have originated from mural thrombi within one of the cardiac chambers, there is reason to believe that embolism from atheromatous material within a major artery ma...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Kwaan JH,Molen RV,Stemmer EA,Connolly JE

    更新日期:1975-11-01 00:00:00

  • Stat1 acetylation inhibits inducible nitric oxide synthase expression in interferon-gamma-treated RAW264.7 murine macrophages.

    abstract:BACKGROUND:We hypothesized that acetylation of the Stat1 regulates interferon-gamma (IFN-gamma) mediated macrophage expression of inducible nitric oxide synthase (iNOS). METHODS:RAW 264.7 iNOS expression was induced with IFN-gamma. Deacetylase inhibitors trichostatin A (TSA) or valproic acid (VPA) were added. Stat1 an...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2007.02.016

    authors: Guo L,Guo H,Gao C,Mi Z,Russell WB,Kuo PC

    更新日期:2007-08-01 00:00:00

  • A human melanoma xenograft in a nude rat responds to isolated limb perfusion with TNF plus melphalan.

    abstract:BACKGROUND:Isolated limb perfusion (ILP) with tumor necrosis factor-alpha (TNF) and melphalan for advanced extremity malignancies achieves significant complete response rates. To study molecular mechanisms underlying this response, a nude rat ILP model with a human melanoma xenograft was developed. METHODS:NIH1286 hum...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1067/msy.2003.113

    authors: Bauer TW,Gutierrez M,Dudrick DJ,Li J,Blair IA,Menon C,Fraker DL

    更新日期:2003-04-01 00:00:00

  • Predictors of serious morbidity and mortality after endovascular repair of aortoiliac lesions.

    abstract:BACKGROUND:Endovascular approaches to aortoiliac disease are becoming increasingly frequent due to decreases in recovery time, bleeding, and discomfort. Despite this trend, little is known about the predictors of complications. This study was designed to identify risk factors for major 30-day morbidity and mortality af...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2018.04.028

    authors: Thomas AT,Leitman IM

    更新日期:2018-08-01 00:00:00

  • Role of thermal injury-induced hypoproteinemia on fluid flux and protein permeability in burned and nonburned tissue.

    abstract::We studied the role of hypoproteinemia, induced by a major burn injury, on the edema process in burned and nonburned tissues including the lung in the adult sheep. We used lymph flow (QL) and the lymph-plasma (L/P) protein ratio as indicators of the rate of fluid and protein flux across the microcirculation and into t...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Demling RH,Kramer G,Harms B

    更新日期:1984-02-01 00:00:00

  • Parathyroidectomy is underused in patients with tertiary hyperparathyroidism after renal transplantation.

    abstract:BACKGROUND:Parathyroidectomy (PTX) is the only curative treatment for tertiary hyperparathyroidism (3HPT). With the introduction of calcimimetics (cinacalcet), PTX can sometimes be delayed or avoided. The purpose of this study was to determine the current incidence of utilization of PTX in patients with posttransplant ...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2015.08.039

    authors: Lou I,Schneider DF,Leverson G,Foley D,Sippel R,Chen H

    更新日期:2016-01-01 00:00:00

  • The role of operative intervention in management of congenital extrahepatic portosystemic shunt.

    abstract:BACKGROUND AND AIMS:Congenital extrahepatic portosystemic shunt (CEPS) is a rare venous malformation in which mesenteric venous blood drains directly into the systemic circulation. It is still a matter of debate whether conservative or operative strategies should be used to treat symptomatic CEPS. The aim of this study...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2011.07.035

    authors: Sanada Y,Urahashi T,Ihara Y,Wakiya T,Okada N,Yamada N,Egami S,Hishikawa S,Kawano Y,Ushijima K,Otomo S,Sakamoto K,Nakata M,Yasuda Y,Mizuta K

    更新日期:2012-03-01 00:00:00

  • Portoatrial shunt in Budd-Chiari syndrome.

    abstract::It is now well accepted that mesoatrial bypass is an efficient treatment of Budd-Chiari syndrome and that it is indicated when the inferior vena cava is obstructed. This report presents a patient in whom the superior mesenteric vein was thrombosed after a previous mesocaval shunt. A bypass was constructed between the ...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Franco D,Vons C,Lecompte Y,Nuzzo G,Smadja C

    更新日期:1986-03-01 00:00:00

  • The quality of surgical clerkships.

    abstract::Many of the contours of a surgical clerkship can be designed, implemented, and evaluated with varying degrees of objectivity. The recently established Association for Surgical Education and its expanding membership have performed in an excellent fashion in addressing the objectives, content, process, and evaluation of...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Holden WD

    更新日期:1985-06-01 00:00:00

  • The efficacy of simultaneous fine-needle aspiration and large-needle biopsy of the thyroid gland.

    abstract::Fine-needle aspirations and cutting needle biopsies were performed on 415 patients with solitary thyroid nodules. All nodules were considered hypofunctioning by scintiscans. Specimens were adequate in 399 patients. Ten percent of these patients had thyroid cancers documented by thyroidectomies. Results from either or ...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Nishiyama RH,Bigos ST,Goldfarb WB,Flynn SD,Taxiarchis LN

    更新日期:1986-12-01 00:00:00

  • Prognostic value of poorly differentiated clusters in the primary tumor in patients undergoing hepatectomy for colorectal liver metastasis.

    abstract:BACKGROUND:This study aimed to determine the prognostic value of a novel grading system based on the histologic assessment of poorly differentiated clusters (PDCs) in the primary lesions in patients with hepatectomy for colorectal liver metastasis (CRLM). Preoperative survival predictors for CRLM are required to determ...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2014.12.025

    authors: Ueno H,Konishi T,Ishikawa Y,Shimazaki H,Ueno M,Aosasa S,Saiura A,Hase K,Yamamoto J

    更新日期:2015-05-01 00:00:00

  • The protective role of MnTBAP in oxidant-mediated injury and inflammation in a rat model of lung contusion.

    abstract:BACKGROUND:Lung contusion (LC) is a unique direct and focal insult that is considered a major risk factor for the initiation of acute lung injury and acute respiratory distress syndrome. We have shown recently that consumption of nitric oxide (due to excess superoxide) resulting in peroxynitrite formation leads to decr...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2013.05.023

    authors: Suresh MV,Yu B,Lakshminrusimha S,Machado-Aranda D,Talarico N,Zeng L,Davidson BA,Pennathur S,Raghavendran K

    更新日期:2013-11-01 00:00:00

  • Parathyroidectomy in primary hyperparathyroidism: preoperative localization and routine biopsy of unaltered glands are not necessary.

    abstract:BACKGROUND:An assessment was made of operative risk and outcome after parathyroidectomy for primary hyperparathyroidism. METHODS:A retrospective study was conducted in a single center university hospital in Switzerland. The 173 patients (130 women and 43 men) ranged from 17 to 89 years of age (mean, 62.0 years). No ro...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/s0039-6060(05)80058-3

    authors: Oertli D,Richter M,Kraenzlin M,Staub JJ,Oberholzer M,Haas HG,Harder F

    更新日期:1995-04-01 00:00:00

  • Reoperative parathyroid surgery for persistent hyperparathyroidism.

    abstract::In a 2-year period 30 patients with persistent hyperparathyroidism following 59 prior unsuccessful procedures underwent reoperation. Preoperative arteriography was useful in planning the surgical approach in 56%, and retrospectively was correct in 63%. Selective venous catheterization gave localizing information in 83...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Brennan MF,Doppman JL,Marx SJ,Spiegel AM,Brown EM,Aurbach GD

    更新日期:1978-06-01 00:00:00

  • Central neck lymph node dissection for papillary thyroid cancer: the reliability of surgeon judgment in predicting which patients will benefit.

    abstract:BACKGROUND:The role of routine prophylactic central-neck lymph node dissection (CLND) for papillary thyroid cancer (PTC) remains controversial. We perform CLND for PTC only in patients with enlarged nodes as determined by preoperative ultrasound and intraoperative inspection and palpation. METHODS:We identified all pa...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2010.03.021

    authors: Shen WT,Ogawa L,Ruan D,Suh I,Duh QY,Clark OH

    更新日期:2010-08-01 00:00:00

  • Decreased blood oxygen diffusion in hypercholesterolemia.

    abstract:BACKGROUND:Improvement of angina pectoris symptoms after cholesterol lowering has raised questions as to the underlying mechanisms. METHODS:Rabbit experiment: We compared arterial blood samples from New Zealand White cholesterol-supplemented rabbits (n = 6) with nonsupplemented rabbit samples (n = 4) in a closed-loop ...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1067/msy.1998.90944

    authors: Menchaca HJ,Michalek VN,Rohde TD,O'Dea TJ,Buchwald H

    更新日期:1998-10-01 00:00:00

  • Surgery for diverticulitis is associated with high risk of in-hospital mortality and morbidity in older patients with end-stage renal disease.

    abstract:INTRODUCTION:End-stage renal disease (ESRD) is associated with poor medical outcomes. This study aimed to compare early outcomes of elective and emergency operation for diverticulitis among older adults with and without a diagnosis of ESRD. METHODS:Patients 65 years of age and older with a primary diagnosis of diverti...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2014.03.034

    authors: Moran-Atkin E,Stem M,Lidor AO

    更新日期:2014-08-01 00:00:00

  • Calorie-nitrogen interactions in the parenterally fed primate.

    abstract::To test the hypothesis that nonprotein calorie intake and nitrogen intake are equally important in establishing positive nitrogen balance, weight gain, and serum protein response in the depleted primate treated with total parenteral nutrition (TPN), 10 adult male chair-adapted primates (Macaque fascicularis) were stud...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Dempsey DT,Mullen JL,Crosby LO,Hurwitz S

    更新日期:1988-01-01 00:00:00

  • Reduction of polymorphonuclear leukocyte accumulations by inhibition of cyclooxygenase and thromboxane syntase in the rabbit.

    abstract::Thromboxane (Tx) inhibition prevents pulmonary leukostasis after acid aspiration. This observation prompted study of polymorphonuclear leukocyte (PMN) accumulations and products of cyclooxygenase. Experiments were conducted with a skin abrasion preparation. Five groups of six rabbits were pretreated intravenously with...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Palder SB,Huval W,Lelcuk S,Alexander F,Shepro D,Mannick JA,Hechtman HB

    更新日期:1986-01-01 00:00:00

  • Hemodynamics within a canine femoral arteriovenous fistula.

    abstract::Blood flow and pressures around a canine femoral arteriovenous fistula, constructed from an autogenous carotid artery, were measured to determine the pressure-flow relationships within the fistula, as well as to determine the presence or absence of retrograde flow in the distal artery and vein. The findings indicate ...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Lavigne JE,Brown CS,Fewel J,Swan KG

    更新日期:1975-03-01 00:00:00

  • Delivery room repair of gastroschisis.

    abstract:BACKGROUND:Outcome for most abdominal wall defects is related to the presence or absence of additional anomalies or prematurity. In gastroschisis, outcome is almost as closely related to the severity of the inflammatory "peel" on bowel that is thought to result from direct contact with amniotic fluid. Improving eviscer...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Coughlin JP,Drucker DE,Jewell MR,Evans MJ,Klein MD

    更新日期:1993-10-01 00:00:00

  • Intercellular adhesion molecule-1 promotes neutrophil-mediated cytotoxicity.

    abstract:BACKGROUND:Interaction of the CD11/CD18 complex on polymorphonuclear neutrophils (PMNs) and intercellular adhesion molecule (ICAM)-1 on endothelium is a critical event in PMN-mediated tissue injury. In addition, increased expression of ICAM-1 on type I pneumocytes has been identified in a variety of pulmonary disorders...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/s0039-6060(05)80320-4

    authors: Barnett CC,Moore EE,Moore FA,Biffl WL,Smith MF Jr,Carl VS

    更新日期:1995-08-01 00:00:00

  • Gastroduodenal arterial aneurysms: report of a case and review of the literature.

    abstract::Aneurysms of the gastroduodenal artery are rare. Only nine cases have been reported previously. These aneurysms are extremely difficult to diagnose preoperatively. A case of ruptured gastroduodenal artery aneurysm, which was diagnosed by aortography prior to operation, is reported, and the literature is reviewed. ...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Sethi GK,Nelson RM

    更新日期:1976-02-01 00:00:00

  • Safety and feasibility of using low-dose perioperative intravenous steroids in inflammatory bowel disease patients undergoing major colorectal surgery: A pilot study.

    abstract:BACKGROUND:High-dose perioperative corticosteroids are the standard of care for steroid-treated patients undergoing surgery. There is little evidence, however, to support this practice. We investigated the safety of perioperative low-dose steroids in patients with inflammatory bowel disease (IBD) undergoing major color...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2012.02.019

    authors: Zaghiyan K,Melmed G,Murrell Z,Fleshner P

    更新日期:2012-08-01 00:00:00

  • Parathyroid cysts: a report of eleven cases including two associated with hyperparathyroid crisis.

    abstract::Eleven parathyroid cysts were found in 325 patients who underwent parathyroid operations. Ten cysts were located in the neck and one was located in the mediastinum. The cysts ranged in size from 1.6 to 10 cm with a mean of 3.9 cm. The patients who had cysts included six women and five men, and their ages ranged from 2...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Calandra DB,Shah KH,Prinz RA,Sullivan H,Hofmann C,Oslapas R,Ernst K,Lawrence AM,Paloyan E

    更新日期:1983-12-01 00:00:00

  • Clonidine reduces norepinephrine and improves bone marrow function in a rodent model of lung contusion, hemorrhagic shock, and chronic stress.

    abstract:BACKGROUND:Propranolol has been shown previously to restore bone marrow function and improve anemia after lung contusion/hemorrhagic shock. We hypothesized that daily clonidine administration would inhibit central sympathetic outflow and restore bone marrow function in our rodent model of lung contusion/hemorrhagic sho...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2016.08.043

    authors: Alamo IG,Kannan KB,Ramos H,Loftus TJ,Efron PA,Mohr AM

    更新日期:2017-03-01 00:00:00

  • Liver transplantation for alcoholic liver disease.

    abstract:BACKGROUND:Alcoholism is the leading cause of end-stage liver failure in the United States, but the application of liver transplantation to the treatment of alcoholic liver disease remains controversial because of medical and ethical concerns. Information about the outcome of patients who undergo transplantation for al...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Knechtle SJ,Fleming MF,Barry KL,Steen D,Pirsch JD,Hafez GR,D'Alessandro AM,Reed A,Sollinger HW,Kalayoglu M

    更新日期:1992-10-01 00:00:00