Abstract：
:Intraoperative angioscopy provides direct, in vivo, three-dimensional visualization of the interior of the blood vessels and grafts. We have shown previously that with the application of the basic principles of irrigation and with a dedicated irrigation pump that routine intraoperative angioscopy can be performed with consistent high quality results during lower extremity revascularization. In our total experience with angioscopy as a monitoring procedure during infrainguinal bypass grafting, 259 intraoperative angioscopies, during 63 femoropopliteal and 196 distal bypass grafts, were performed from May 1, 1987, to October 31, 1989. Mean total irrigation fluid used in the study was 448 ml (range, 0 to 1400 ml) with good visual quality in more than 80% of the studies. The overall failure rate was 1.5%. No complications were directly attributable to the insertion of the angioscope or the use of the pump. Based on the angioscopic findings, 124 clinical or surgical decisions were made in 259 of the angioscopies. The incidence of graft failure in this study was 8.1% (less than 30 days) and 4.8% (greater than 30 days) with a mean follow-up of 272 days. Direct inspection of the interior of the graft and native vessels at the time of surgery has resulted in the recognition of previously unsuspected vein-graft pathology. Angioscopy as the sole monitoring procedure for infrainguinal bypass grafting is safe, effective, and reliable and may not only improve the durability of these grafts but may improve our understanding of the pathogenesis of graft failure and of the progression of the underlying atherosclerotic disease.
journal_name
Surgeryjournal_title
Surgeryauthors
Miller A,Stonebridge PA,Jepsen SJ,Tsoukas A,Gibbons GW,Pomposelli FB Jr,Freeman DV,Campbell DR,LoGerfo FWsubject
Has Abstractpub_date
1991-03-01 00:00:00pages
286-93issue
3 Pt 1eissn
0039-6060issn
1532-7361journal_volume
109pub_type
杂志文章相关文献
SURGERY文献大全abstract：BACKGROUND:The results of video-assisted thyroidectomy in a large series of patients with papillary thyroid carcinoma were evaluated, especially in terms of the completeness of the operative resection. METHODS:The medical records of all patients who underwent video-assisted total thyroid resection (single procedure to...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2007.09.022
更新日期：2007-12-01 00:00:00
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
更新日期：2014-08-01 00:00:00
abstract：OBJECTIVE:We attempted to assess liver ischemia/reperfusion injury under a mild decrease in core liver temperature of 10 degrees C by in situ hypothermic perfusion during ischemia. METHODS:Liver ischemia was induced in pigs by total hepatic vascular exclusion with concomitant in situ perfusion with hypothermic (4 degr...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/s0039-6060(03)00125-9
更新日期：2003-11-01 00:00:00
abstract：BACKGROUND:Sudden massive release of serotonin, histamine, kallikrein, and bradykinin is postulated to cause an intraoperative carcinoid crisis. The exact roles of each of these possible agents, however, remain unknown. Optimal treatment will require an improved understanding of the pathophysiology of the carcinoid cri...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2018.04.093
更新日期：2019-01-01 00:00:00
abstract：:Microporous vascular grafts that are compliant and biodegradable can function as scaffolds for the regeneration of the arterial wall in small-caliber arteries. The purpose of this study was to determine the specific influence of both compliance and biodegradation of microporous vascular grafts on this regeneration, es...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1986-01-01 00:00:00
abstract：:In 337 limbs (208 patients) with primary varicose veins, Doppler ultrasound was used to detect reverse flow in the saphenous veins caused by manual compression of the calf. According to the extent of reverse flow in the saphenous trunks, varicosities of the long saphenous vein were classified into five types and the s...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1988-06-01 00:00:00
abstract：BACKGROUND AND AIMS:Laparoscopic surgery for colorectal cancer is currently being evaluated in humans. The aim of this study was to examine the effect of laparoscopy on intraperitoneal tumor growth and distant metastases in an animal model. We also examined the effect of combining laparotomy with laparoscopy and on inf...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1067/msy.1999.99056
更新日期：1999-07-01 00:00:00
abstract：:Eleven patients wtih gallstone-related acute pancreatitis underwent urgent duodenoscopy and diathermy sphincterotomy; six had stones impacted at the papilla of Vater, and the remainder had stones in the bile duct. One patient had a gallstone in the pancreatic duct. Endoscopic removal of the duct stones resulted in a p...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1981-04-01 00:00:00
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
更新日期：2018-08-01 00:00:00
abstract：BACKGROUND:Longitudinal, risk-adjusted measurement of outcomes of carotid artery (CA) surgery is necessary for the evaluation of quality performance and for the assessment of strategies of quality improvement. METHODS:Patients from quality coding hospitals who underwent CA surgery and met procedural and diagnostic cod...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2015.06.005
更新日期：2015-10-01 00:00:00
abstract：BACKGROUND:In this study of laparoscopic splenectomy (LS), we evaluate prospectively gathered perioperative patient data and review lessons learned in the evolution of this procedure. METHODS:At 2 university medical centers between November 1993 and March 2000, there were 203 patients (122 female patients and 81 male ...
journal_title：Surgery
pub_type： 临床试验,杂志文章,多中心研究
doi：10.1067/msy.2000.109065
更新日期：2000-10-01 00:00:00
abstract：:Large thyroid carcinomas extending into the anterior mediastinum were removed from six patients by a transsternal surgical approach (partial median sternotomy). Transcervical mediastinal dissection offers obscure exposure and therefore entails the risk of the operation not being radical. The transsternal procedure was...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1985-12-01 00:00:00
abstract：BACKGROUND:We previously demonstrated that therapy with a new endothelin A receptor antagonist (ET-RA) significantly reduced mortality rates in severe acute pancreatitis (AP) in the rat without attenuating local signs of disease severity (intrapancreatic protease activation, acinar cell necrosis). This raised the quest...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1067/msy.2000.107104
更新日期：2000-09-01 00:00:00
abstract：BACKGROUND:Prophylactic central neck dissection (PCND) for papillary thyroid carcinoma (PTC) is controversial. We compared 3 different approaches to the management of central compartment nodes in patients with clinically unifocal and N0 PTC. METHODS:A total of 186 patients were prospectively assigned to one of the fol...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2012.08.053
更新日期：2012-12-01 00:00:00
abstract：:A clinical observation that patients with aortoiliac occlusive disease have a high aortic bifurcation serves as the stimulus for this study. A review of 100 consecutive abdominal aortograms revealed that patients with occlusive disease had an average bifurcation angle of 38 degrees and those with normal studies or ane...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1982-06-01 00:00:00
abstract：BACKGROUND:There has been increasing uptake of minimally invasive pancreatoduodenectomy during the past decade, but it remains a highly specialized procedure as benefits over open pancreatoduodenectomy remain contentious. This study aimed to evaluate current evidence on minimally invasive pancreatoduodenectomy versus o...
journal_title：Surgery
pub_type： 杂志文章,评审
doi：10.1016/j.surg.2020.09.019
更新日期：2020-11-09 00:00:00
abstract：BACKGROUND:Recurrent acute pancreatitis often leads to chronic obstructive ductal disease requiring operative decompression. METHODS:From 1983 through 1998, 124 patients with ductal obstruction underwent lateral pancreaticojejunostomy (78 patients), distal pancreatectomy with end-to-side pancreaticojejunostomy (27 pat...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1999-10-01 00:00:00
abstract：BACKGROUND:The purpose of this study was to determine whether nitric oxide regulates insulin secretion in the isolated perfused human pancreas. METHODS:Single-pass perfusion was performed in four pancreata with a modified Krebs medium. Sequential 10-minute infusions (separated by 10-minute basal periods) of (1) 25 nmo...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/s0039-6060(96)80305-9
更新日期：1996-08-01 00:00:00
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
更新日期：2007-08-01 00:00:00
abstract：BACKGROUND:The proportion of positive among examined lymph nodes (lymph node ratio [LNR]) has been recently proposed as an useful and easy-to-calculate prognostic factor for patients with cutaneous melanoma. However, its independence from the standard prognostic system TNM has not been formally proven in a large series...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2011.02.021
更新日期：2011-07-01 00:00:00
abstract：BACKGROUND:The development of effective gene transfer in utero will provide alternative approaches to the treatment of genetic disorders. For many disorders, the fetal liver and peritoneum are important target tissues. Our goals were to compare the tissue sites and duration of transferred gene expression after intraper...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1999-08-01 00:00:00
abstract：INTRODUCTION:A diverting stoma is often performed at the time of low anterior resection (LAR) for rectal cancer after neoadjuvant chemoradiation (nCRT) to protect the anastomosis. The aim of this study was to compare surgical outcomes in large cohorts of mid-high rectal cancer patients undergoing LAR after nCRT with an...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2015.02.026
更新日期：2015-09-01 00:00:00
abstract：BACKGROUND:The traditional tools to assess surgical capacity in low-income countries require significant amounts of time and resources, and have thus not been utilized systematically in this context. Proxy indicators have been suggested as a simpler tool to estimate surgical volume. The aim of this study was to assess ...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2014.12.014
更新日期：2015-05-01 00:00:00
abstract：:The results of a 5-year experience with use of intraoperative radiation therapy (IORT) in the management of locally advanced bile duct carcinoma are presented. Fifteen patients received IORT doses between 5 and 20 Gy for localized disease, which was either primary and resected with microscopic residual (2 patients), p...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1989-06-01 00:00:00
abstract：BACKGROUND:The Lombardy region suffered severely during the acute phase of the coronavirus disease 2019 outbreak in Italy (Mar-Apr 2020) with 16,000 diagnosed coronavirus disease 2019-related deaths (49% of the total coronavirus disease 2019-related deaths in Italy). In the area surrounding Pavia during the critical st...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2020.09.009
更新日期：2020-12-01 00:00:00
abstract：BACKGROUND:Common anastomotic complications after pancreatoduodenectomy (PD) are leakage from the pancreaticojejunostomy or hepaticojejunostomy. Leakage from the gastroenteric anastomosis has rarely been described. We evaluated the incidence of gastroenteric leakage after PD and described its presentation, treatment, a...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2014.03.044
更新日期：2014-07-01 00:00:00
abstract：OBJECTIVES:Outpatient thyroid surgery is becoming increasingly common. The aim of this study was to clarify the principles for safe outpatient thyroid surgery and review our outcomes with the use of a protocol for outpatient thyroidectomy in a large patient cohort. STUDY DESIGN:A systematic analysis of a prospectively...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2015.08.007
更新日期：2016-02-01 00:00:00
abstract：BACKGROUND:This study was performed to assess the relationship between Hashimoto's thyroiditis and the development, presentation, management, and outcome of papillary thyroid carcinoma. METHODS:Two complementary analytic methods were used. The clinical study was a retrospective case-control study, including patients s...
journal_title：Surgery
pub_type： 杂志文章,meta分析
doi：10.1067/msy.2099.101431
更新日期：1999-12-01 00:00:00
abstract：:We have treated 13 patients with limb-threatening ischemia caused by acute arterial thrombosis with selective arterial infusion of streptokinase. The indications for thrombolytic therapy included medical contraindication to surgery, surgically inaccessible thrombi, arterial thrombosis following percutaneous translumin...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1983-06-01 00:00:00
abstract：:Cholecystectomy will not always relieve the abdominal symptoms of the patient with gallstones. The functional effects of gallbladder removal in a patient with a patent cystic duct are not known in detail. Studies of the function of the gallbladder and pancreas have suggested feedback mechanisms for the release of chol...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1987-02-01 00:00:00
