Abstract:
:The purpose of this study was to explore the relationship between the preoperative plasma D-dimer (DD) levels and the tumor pathology of colorectal cancer. The plasma DD levels were measured preoperatively in 108 patients with colorectal cancer, and then were correlated with the tumor pathology and stage. The diagnostic value of the DD levels for the tumor stage was then compared with that of the preoperative carcinoembryonic antigen (CEA) levels. The preoperative DD levels were higher in patients with either a large-sized tumor or a tumor showing deep wall penetration. Lymph-node metastasis, lymphatic invasion, hepatic metastasis, and peritoneal dissemination were all associated with higher DD levels. A stepwise increase in the median DD level was found with the tumor stage. The preoperative DD levels also significantly correlated with CEA levels. When a cutoff value of 0.6 microg/ml was used in the DD assay, the sensitivity and specificity for Dukes C or D cancer were 67.2% and 64.0%, and those for Dukes D cancer were 91.3% and 57.6%, respectively. Although the DD assay was less specific, its diagnostic value in the preoperative staging of colorectal cancer was comparable to that of the CEA assay. The measurement of the preoperative DD level is thus considered to be useful for the preoperative staging of colorectal cancer.
journal_name
Surg Todayjournal_title
Surgery todayauthors
Oya M,Akiyama Y,Yanagida T,Akao S,Ishikawa Hdoi
10.1007/s005950050144subject
Has Abstractpub_date
1998-01-01 00:00:00pages
373-8issue
4eissn
0941-1291issn
1436-2813pii
10.1007/s005950050144journal_volume
28pub_type
杂志文章相关文献
SURGERY TODAY文献大全abstract::Due to recent advances in endoscopic surgical techniques, it has now become possible to perform endoscopic resection of most early invasive carcinomas of the colon and rectum (EIC) even if the lesions have invaded the submucosa. In the present study, we investigated the microscopic characteristics of superficial EIC c...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF02484613
更新日期:1998-01-01 00:00:00
abstract::We report herein the case of a 77-year-old woman found to have mixed medullary-papillary carcinoma in the right thyroid with lymph node metastases 30 years after a left thyroidectomy. The preoperative values of serum calcitonin and carcinoembryonic antigen (CEA) were high, and fine-needle aspiration biopsy revealed cl...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950170151
更新日期:2001-01-01 00:00:00
abstract::Microwave coagulation therapy (MCT) has been widely used, both percutaneously and directly, as effective minimal invasive therapy for liver tumors. To facilitate the use of MCT, we describe the complications we have encountered, and their possible management and prophylaxis. MCT was performed for 42 patients with hepa...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950050300
更新日期:1998-01-01 00:00:00
abstract::Pulmonary hamartoma is the most common benign neoplasm of the lung, but the cystic form is very rare. This report presents the case of a 31-year-old woman with two cystic pulmonary lesions. She was radiologically and clinically diagnosed to have multiple ruptured hydatid cysts, and underwent a thoracotomy. The patholo...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-009-4293-1
更新日期:2011-04-01 00:00:00
abstract:PURPOSE:A new method for ensuring hemostasis during thyroid surgery has recently been introduced. This technique, electrothermal (LigaSure) and ultrasound blood vessel sealing, is still experimental. The aim of the present study was to evaluate the applications and efficacy of LigaSure by analyzing the duration of the ...
journal_title:Surgery today
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1007/s00595-010-4364-3
更新日期:2011-06-01 00:00:00
abstract:PURPOSE:Postoperative spinal cord injury is a devastating complication after aortic arch replacement. The purpose of this study was to determine the predictors of this complication. METHODS:A group of 254 consecutive patients undergoing aortic arch replacement via median sternotomy, with (n = 78) or without (n = 176) ...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-019-01853-2
更新日期:2020-02-01 00:00:00
abstract:PURPOSE:A thick pancreas has proven to be a conspicuous predictor of pancreatic fistula (PF) following distal pancreatectomy (DP) using staples. Other predictors for this serious surgical complication currently remain obscure. This study sought to identify novel predictors of PF following DP. METHODS:One hundred and t...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-017-1495-9
更新日期:2017-10-01 00:00:00
abstract::We describe herein the unusual case of a 76-year-old woman who was diagnosed as having sigmoid colon cancer after presenting with complete rectal prolapse. The rectal prolapse was considered to have been caused by constipation accelerated by the colon cancer. The relationship between colorectal cancer and rectal prola...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF02483019
更新日期:1999-01-01 00:00:00
abstract:PURPOSE:There is still much controversy regarding the optimal treatment for pulmonary contusion. Therefore, we examined the variables affecting patient outcomes over a 10-year period. METHODS:We retrospectively reviewed 107 consecutive patients with a mean age of 28 years, who were treated for pulmonary contusion duri...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-004-2925-z
更新日期:2005-01-01 00:00:00
abstract::We developed a new technique for partial resection of the head of the pancreas with an end-to-side pancreaticoduodenostomy, while preserving the duodenum, the common bile duct, and the upper part of the head of the pancreas around the duct of Santorini. A resection of the inferior head of the pancreas was performed in...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF00311672
更新日期:1996-01-01 00:00:00
abstract::Between December 1989 and May 1998, we performed a modified method of in situ reconstruction on three of seven patients with graftenteric fistulas (GEFs) at the Kurume University Hospital. The modification involved performing an anastomosis of the infrarenal abdominal aorta and running a new prosthesis through the lef...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950170188
更新日期:2001-01-01 00:00:00
abstract::We report herein the case of a 27-year-old man with Crohn's disease of the esophagus. The patient presented with large ulcers in the esophagus for which treatment based on a diagnosis of reflux esophagitis was commenced. Although his symptoms were initially resolved, the ulcers did not improve and he was readmitted to...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950050056
更新日期:2000-01-01 00:00:00
abstract::The effects of endoscopic Nd:YAG laser surgery were studied in 36 patients with unresectable advanced primary and metastatic malignancies in the trachea with special reference to the factors influencing long-term survival. Overall effectiveness of YAG laser treatment was demonstrated in 34 of the 36 patients (94 per c...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF00326121
更新日期:1992-01-01 00:00:00
abstract::We herein present the case of a 66-year-old man with both gastric cancer and an infrarenal abdominal aneurysm. The patient's medical history included bladder cancer, chronic renal failure, and ischemic heart disease. We performed a simultaneous endovascular aneurysm repair (EVAR) and total gastrectomy. Following the p...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-010-4322-0
更新日期:2011-05-01 00:00:00
abstract::Thromboangiitis obliterans (TAO), also known as Buerger's disease, is an important cause in India of chronic arterial occlusion of the limbs. The current modalities of therapy do not provide adequate relief to a large number of these patients. An omentum autotransplantation to the lower limbs was performed in three pa...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF02482978
更新日期:1999-01-01 00:00:00
abstract::The article Recent progress in multidisciplinary treatment for patients with esophageal cancer, written by Masayuki Watanabe, Reiko Otake, Ryotaro Kozuki, Tasuku Toihata, Keita Takahashi, Akihiko Okamura, Yu Imamura, was originally published Online First without Open Access. ...
journal_title:Surgery today
pub_type: 已发布勘误
doi:10.1007/s00595-019-01952-0
更新日期:2020-04-01 00:00:00
abstract::We present the case of a 70-year-old man found to have pneumatosis of the small intestine. An abdominal computed tomography (CT) scan detected massive intramural air in the entire circumference of the small intestine without any venous gas. During emergency surgery, 80 cm of the small bowel was removed. The pathologic...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950170178
更新日期:2001-01-01 00:00:00
abstract::A comparison was made of the histological findings for myocardial tissue of heterotopic transplanted rat hearts administered with FK506. ACI rats were used as donors and Lewis rats as recipients. FK506 was used for 6 days except for group I (control group). Group II received 0.32 mg/kg/day of FK506 from the day of ope...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF02032897
更新日期:1994-01-01 00:00:00
abstract::Gastrointestinal stromal tumors (GISTs) rarely arise in the esophagus, where carcinoma is the most common malignant neoplasm and leiomyoma is the most common benign tumor. Because of their rarity, the clinical course and treatment of esophageal GISTs are poorly understood. These lesions are generally thought to carry ...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-014-0929-x
更新日期:2015-02-01 00:00:00
abstract:PURPOSE:The original double-stapling technique (DST) using a standard linear stapler horizontally can be difficult in patients with a narrow pelvis or an ultralow anastomosis. We review our experience of performing a modified DST (IO-DST) with vertical division of the rectum achieved using an endostapler. METHODS:We r...
journal_title:Surgery today
pub_type: 临床试验,杂志文章
doi:10.1007/s00595-005-3088-2
更新日期:2006-01-01 00:00:00
abstract::A retrospective study was conducted to establish the criteria for performing a pylorus-preserving gastrectomy. This study was performed on 491 patients who had cancer of the middle-third stomach and had been curatively treated with a distal gastrectomy. The incidence of node metastasis for each lymph node station (the...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950170168
更新日期:2001-01-01 00:00:00
abstract:PURPOSE:Conventional mitral valve replacement is associated with the loss of natural continuity of the mitral valve complex. This study evaluated the morphologic/histological characteristics and function of a decellularized mitral valve used as a transplantable graft. METHODS:Hearts excised from pigs were decellulariz...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-019-01869-8
更新日期:2020-03-01 00:00:00
abstract:PURPOSE:To evaluate the risk factors for peritoneal recurrence (PR) of pancreatic adenocarcinoma and to discuss the appropriate management strategies. METHODS:We reviewed the medical records of 236 patients who underwent pancreatectomy for pancreatic adenocarcinoma. We then compared the clinicopathological characteris...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-017-1531-9
更新日期:2017-12-01 00:00:00
abstract::The majority of leiomyosarcomas occur in the muscular layers of the gastrointestinal tract and uterus. Primary leiomyosarcomas rarely arise in the veins of the lower extremities. Primary leiomyosarcoma of the superficial femoral vein is extremely uncommon. We herein present a case of a 69-year-old man with a primary l...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-010-4507-6
更新日期:2011-12-01 00:00:00
abstract::We report herein the case of a ruptured liver abscess that resulted in pneumoperitoneum. A patient with diabetes mellitus presented with symptoms of acute abdomen. The plain abdominal radiograph and computed tomography findings revealed abdominal free air and a gas-containing liver abscess, whereby a diagnosis of a ru...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950170226
更新日期:2001-01-01 00:00:00
abstract::The prognosis for advanced gastrointestinal stromal tumor (GIST) is poor. However, recent reports from Europe have described the effects of imatinib against metastatic GIST. We herein report the case of a Japanese patient treated with imatinib for advanced GIST. Imatinib at 400 mg daily was given to an adult with mult...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-004-2890-6
更新日期:2005-01-01 00:00:00
abstract::A postoperative pseudoaneurysm is a rare complication that is difficult to diagnose. Computed tomography (CT) revealed a pseudoaneurysm in the ascending aorta of a 68-year-old female 8 days after mitral valve replacement and tricuspid annuloplasty. The defect was simply repaired during emergency surgery without cardio...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-012-0194-9
更新日期:2013-05-01 00:00:00
abstract::Of 372 patients who underwent liver transplants between January 1985 and March 1995, 7 required variations in vascular anastomoses due to discrepancies in the size-match of the donor and recipient vessels, the presence of a thrombosed hepatic artery or portal vein, or complete absence of the portal vein. The technique...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF02482806
更新日期:1998-01-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Thromboprophylaxis is recommended for preventing postoperative venous thromboembolism (VTE) after abdominal surgery; however, its use after major hepatobiliary-pancreatic surgery is typically avoided as it increases the risk of bleeding. We conducted this study to evaluate the safety of thrombopr...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-014-0890-8
更新日期:2014-09-01 00:00:00
abstract:PURPOSE:This study was designed to clarify whether laparoscopic antireflux surgery (LARS) improves the esophageal body motility (EBM) in patients with reflux esophagitis. METHODS:Thirty-five patients with gastroesophageal reflux disease (GERD) scheduled to undergo LARS were divided into a mild esophagitis group (ME; n...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-013-0704-4
更新日期:2014-04-01 00:00:00