[What is the value of neoadjuvant therapy in bronchial carcinoma?].

Abstract:

:Neoadjuvant chemotherapy is obligatory for small-cell lung cancer. When combined with radio-therapy, it reduces the incidence of recurrence and increases the survival rate to a level similar to that seen in non-small-cell lung cancer. Preliminary results suggest that complete remissions (3-year-survival rate 56%) can be achieved through the use of chemotherapy, possibly including high-dose chemotherapy for advanced stage III A cancer. The use of pre-operative chemotherapy in advanced stage III non-small-cell lung cancer is firmly established. In one study the 3-year-survival rate reached 25% in the chemotherapy group as compared to 15% in the group treated by surgery only. Early results of pre-operative chemo- and radiotherapy for stages III A and III B are encouraging. In studies comparing neoadjuvant chemotherapy alone to a combination of neoadjuvant chemo-radiotherapy a higher resection rate (32 to 76%) as well as a longer disease-free survival time could be shown for the combination therapy. To date, a number of innovative neoadjuvant chemoradiotherapy protocols using new substances as well as various modifications of radiotherapy are being studied. It is to be expected that new standard therapies for non-small-cell lung cancer will develop from these studies.

journal_name

Zentralbl Chir

authors

Digel W,Brethner L,Hasse J

subject

Has Abstract

pub_date

2000-01-01 00:00:00

pages

315-8

issue

4

eissn

0044-409X

issn

1438-9592

journal_volume

125

pub_type

杂志文章,评审
  • [Use of highly evacuated Redon drainage following gynecologic operations].

    abstract::A highly evacuated wound drainage system according to Redon (980 mbar) was applied to 100 women who had undergone laparotomy. No change of bottles was necessary up to removal of the system in 96 cases. Bacteriological tests were applied to various points of the Redon system and revealed only minimum colonisation with ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Grillo M,Riedel HH,Höller C

    更新日期:1987-01-01 00:00:00

  • [Pattern of prehension in patients with high cervical injuries (author's transl)].

    abstract::After explaining the tertiary patterns of prehension the possibilities of restoring prehensile function in patients after high cervical spinal injury (C4-C6) by means of orthotics or operation are discussed. Absolute indication for the application of electrical orthotics in patients with complete spinal cord injuries ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Terbizan A

    更新日期:1976-01-01 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

  • [Breast carcinoma in pregnancy. Clinical, histological and immunohistochemical findings].

    abstract::The hormonally induced changes in the breast during pregnancy make the diagnosis of breast cancer difficult. Furthermore, examinations during pregnancy tend to concentrate only on the pregnancy itself. In this report the clinical, pathological and immunohistochemical results from 7 patients with breast cancer during p...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Meden H,Marx D,Rath W,Tsikuras P,Kuhn W,Schauer A

    更新日期:1992-01-01 00:00:00

  • [Prophylactic Appendectomy: Yes or No?]

    abstract::Background At more than 50%, appendicitis is the leading cause of acute intra-abdominal disease requiring surgery. In the course of various other operations, prophylactic appendectomy (PA) is frequently performed. Objectives This study examines to what extent PA is justified. Patients and Methods A prospective study w...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-0043-118126

    authors: Kersting S,Dimasis P,Wiesmann S,Mittelkötter U

    更新日期:2017-12-01 00:00:00

  • [Post-traumatic hemobilia].

    abstract::Diagnosing posttraumatic haemobilia is difficult since the symptoms are neither specific nor early or easy to detect. At present the mortality rate comes up to 20%. Clinical signs and diagnostic procedures are described in detail. Selective ligation of the liver arteries or partial resection of the involved lobes of t...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Fleischer GM,Reppin G,Freitag J

    更新日期:1983-01-01 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

  • [Polyposis coli et recti familiaris (author's transl)].

    abstract::From 1970 to 1977 we observed 35 patients with polypi of the colon and rectum, in 18 cases on the basis of heredity. We recommend total proctocolectomy and ileostomy making use of the reservoir technique after Kock. The operation should be performed not until the beginning of the third decade of life. ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Heinrich P,Neumann A

    更新日期:1978-01-01 00:00:00

  • [Hierarchy in surgery. An antiquated system?].

    abstract::Medical responsibility and hospital management, competency for resident's training and decision making in therapy are better performed in a system of hierarchy than other kinds of organisation of a surgical department. If all the duties and responsibilities are concentrated to a head of the department, it is also nece...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Muhr G

    更新日期:1999-01-01 00:00:00

  • [Breast reconstruction: autologous tissue versus implant].

    abstract:UNLABELLED:Modified radical mastectomy remains the standard for treatment of breast cancer. Women faced with the diagnosis of breast cancer often find it difficult to cope with the arousing emotions. Fear of death or cancer recurrence and a perceived loss of femininity often coexists with the desire for a return to nor...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Plogmeier K,Handstein S,Schneider W

    更新日期:1998-01-01 00:00:00

  • [Minimal invasive cannulated screw osteosynthesis of Bennett's fractures].

    abstract:PURPOSE OF THE STUDY:The current study presents a new technique and results of minimal invasive screw osteosynthesis in the treatment of Bennett's fractures and discusses its advantages and disadvantages. OPERATIVE TECHNIQUE:The Bennett's fragment has to be of sufficient size (at least one quarter of the articular sur...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2003-40628

    authors: Meyer C,Hartmann B,Böhringer G,Horas U,Schnettler R

    更新日期:2003-06-01 00:00:00

  • [Implementation of Robot-Assisted Surgery].

    abstract::The implementation of robot-assisted surgery requires a multi disciplinary approach with appropriate training and cooperation of surgical, anesthetic and technical staff. Besides acquiring the technical skills and getting used to complex technique, patient selection and an appropriate frequency of procedures are requi...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-0042-104068

    authors: Egberts JH,Beham A,Ghadimi M

    更新日期:2016-04-01 00:00:00

  • [Surgical treatment of the Bland-White-Garland syndrome. Report of a successful treated case of adult type (author's transl)].

    abstract::Report of a successful treated case of Bland-White-Garland syndrome of adult type in a 13 year old girl. A vena saphena bypass was implanted between the aorta and the ramus descendens anterior of the left coronary artery. The main stem of the left coronary artery was ligated near its origin from the pulmonary artery. ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Ursinus W

    更新日期:1976-01-01 00:00:00

  • [Psychological aspects of bariatric surgery].

    abstract::Experience with gastro-restrictive obesity showed the necessity of detailed research in three main tasks: 1. characteristics of morbidly obese people 2. psychological effects of surgery 3. interaction of these characteristics and effects of surgery. We carried out 7 studies with a total of 650 participants. Clinical i...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2002-36465

    authors: Ardelt-Gattinger E,Lechner H

    更新日期:2002-12-01 00:00:00

  • [Primary- and revision-reconstruction of the anterior cruciate ligament with allografts: a retrospective study including 325 patients].

    abstract:UNLABELLED:At our institution we have used fresh-frozen allografts for the reconstruction of the anterior and posterior cruciate ligament since 1993. METHOD:In this retrospective study we evaluated the clinical outcome of 325 fresh-frozen allografts (bone-patellar-tendon-bone allografts and Achilles-bone-tendon allogr...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2002-35129

    authors: Siebold R,Buelow JU,Boes L,Ellermann A

    更新日期:2002-10-01 00:00:00

  • [Foot salvage in diabetic gangrene].

    abstract:UNLABELLED:In 35 patients with diabetic gangrene, amputation above the ankle (n = 18) or below the ankle (n = 17) was planned by nonspecialised general surgical departments or practicing surgeons. Prior to the operation, these patients presented to a specialised diabetic foot clinic; their clinical courses were analyse...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Jung V

    更新日期:1996-01-01 00:00:00

  • [Change in the treatment method of infected pseudarthrosis with bone loss of the tibia].

    abstract:AIM OF INVESTIGATION:The treatment of nonunions complicated by infection and bone loss is divided into two stages. Having calmed down the infection by stabilizing, removal of infected and necrotic tissue and local antibacterial measures, the bone loss has to be filled up. Bridging the gap by means of autogenous cancell...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Schultz JH,Schmidt HG,Jürgens C,Kortmann HR

    更新日期:1994-01-01 00:00:00

  • [The ileo-anal pouch procedure: Complications, quality of life, and long-term results].

    abstract::The ileo-anal pouch procedure: Complications, quality of life, and long-term results. Restorative proctocolectomy with construction of an ileal pouch-anal anastomosis (IPAA) has evolved as the surgical therapy of choice for patients with ulcerative colitis (UC) and patients with familial adenomatous polyposis (FAP). 6...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2001-19197

    authors: Heuschen U,Schmidt J,Allemeyer E,Stern J,Heuschen G

    更新日期:2001-01-01 00:00:00

  • [Aspects of vascular physiology in clinical and vascular surgical practice: basic principles of vascular mechanics].

    abstract:BACKGROUND:To be able to evaluate properly a vascular problem, basic concepts of vascular physiology need to be considered, as they have been taught in physiology for a long time. This article deals with selected definitions and laws of passive vascular mechanics, subdivided into parameters of vascular filling and para...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0032-1327967

    authors: Nocke H,Meyer F,Lessmann V

    更新日期:2014-10-01 00:00:00

  • [Laparoscopic total gastrectomy with extended lymphadenectomy and intracorporal circular stapled esophagojejunostomy].

    abstract::Laparoscopic total gastrectomy for early and advanced gastric cancer is an exacting procedure which is increasingly performed in specialised institutions. Not only gastric resection and extended lymphadenectomy but especially the reconstruction by oesophagojejunostomy is a technically demanding and vulnerable operativ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-0033-1360122

    authors: Hoeppner J,Kulemann B,Hopt UT,Marjanovic G

    更新日期:2014-02-01 00:00:00

  • [The influence of taurolidine on physiological and pathological blood coagulation and implications for its use].

    abstract::Taurolidine is an anti-infective agent with an unusually broad spectrum of effectivity against gram-positive and gram-negative bacteria, anaerobic organisms, and fungi. The effective principle is explained by the decomposition of the substance and the transfer of methylol groups to specific molecular structures of the...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Reinmüller J

    更新日期:1999-01-01 00:00:00

  • [Decubital ulcer--causes, surgical therapy and prognosis].

    abstract::7.6 % (n = 134/1 769) of all inpatients in Leuven, but 30.1 % of risk patients suffer of pressure sores (Norton Scale 10.4 points). Predisposed are geriatric patients or those of intensive care units. While fasciocutaneous flap likewise the superior gluteal artery perforator flap are more resistant to mechanical force...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2002-32619

    authors: Brenner P,Krause-Bergmann A

    更新日期:2002-06-01 00:00:00

  • [Dorsal retroperitoneoscopic adrenalectomy--a new surgical technique].

    abstract::For the first time the surgical technique of right and left adrenalectomy by a posterior percutaneous retroperitoneoscopic access is described. The adrenal gland is mobilized after creation of a pneumoretroperitoneum and insertion of 3-4 trocars beneath the 12th rip. Indications for this new method are small, benign a...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Walz MK,Peitgen K,Krause U,Eigler FW

    更新日期:1995-01-01 00:00:00

  • [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 eff...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Elfeldt R,Schröder D,Beske C

    更新日期:1989-01-01 00:00:00

  • [Monteggia injuries. Therapy and late results in 204 cases].

    abstract::A follow-up check of 204 Monteggia fracture-dislocation in two clinics showed that in 84% of the cases an operative treatment led to good functional late results. In 65% of the patients treated conservatively, the mobility of the elbow was evidently limited. Plate fixation has been proved to stabilize ulna fractures, ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Hennig FF,von Kroge H

    更新日期:1991-01-01 00:00:00

  • [Selection of the treatment method in rectal cancer].

    abstract::From 1956 to 1982, 4126 patients suffering from rectal cancer underwent surgery, 3229 of them had radical operations. The total postoperative mortality rate came up to 7.1% (n = 295) in the radical operated group it was 6.6% (n = 214). Between 1956 to 1982 continence preserving surgical procedures were constantly on t...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Fedorov VD

    更新日期:1985-01-01 00:00:00

  • [Plastic reconstruction of postoncologic defects in the pelvic area].

    abstract::The surgical management of defects in the pelvic region is a great surgical challenge. Primary tumor recurrences have to be addressed and local infections require appropriate therapy such as rigorous debridement and antibiotic therapy. Plastic surgery provides tissue reconstruction by well perfused flaps and also rees...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2006-955456

    authors: Vogt PM,Jokuszies A,Kall S,Steiert A,Busch K

    更新日期:2006-12-01 00:00:00

  • [Implantation of bipolar prosthesis for treatment of medial femoral neck fractures in the elderly--clinical and radiographic outcome].

    abstract::In our study, we retrospectively evaluated 203 patients with medial or lateral femoral neck fractures who received 210 bipolar prosthesis (7 bilateral implantations) at our institution. 204 patients underwent cemented bipolar hemiarthroplasty. These included 149 females and 54 males with a median age of 82 (46-97) yea...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-0028-1098711

    authors: Müller CA,Bayer J,Szarzynski E,Südkamp NP

    更新日期:2008-12-01 00:00:00

  • [Maggot therapy for treatment of severe infections in trauma surgery: "back to the future!"].

    abstract::The ancient method of larval therapy for treatment of acute and chronic infections has become a revival and a new dimension with introduction of the Biobag (Vitapad). With use of this therapy trauma patients suffering infectious complications can be treated very effective, which can reduce the overall time needed for ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2006-921510

    authors: Jukema GN,Steenvoorde P,Wong CY,Bernards AT,van Dissel JT

    更新日期:2006-04-01 00:00:00

  • [Alcohol intoxication and its differential diagnosis (author's transl)].

    abstract::Acute alcohol intoxication causes a lot of diagnostic problems. Every doctor should be well informed about its differential diagnostic aspects. Carelessness concerning diagnosis can be detrimental to the patient and the physician as well. ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Kürzinger R

    更新日期:1979-01-01 00:00:00