解剖学和形态学
麻醉学
听力与言语-语言病理学
行为科学
心脏和心血管系统
细胞和组织工程学
临床神经病学
危重症监护医学
牙科,口腔外科和医学
皮肤病学
急诊医学
内分泌学和新陈代谢
肠胃学和肝脏学
老人病学和老年医学
卫生保健科学和服务
血液学
免疫学
传染病
综合和补充性医学
医学伦理学
医学信息学
医学实验室技术
医学,全科和内科
医学,法律
医学,研究和试验
神经系统科学
护理
营养学和饮食学
产科医学和妇科医学
肿瘤学
眼科学
整形外科学
耳鼻喉科学
病理学
儿科学
周围血管疾病
药理学和药剂学
生理学
基本医疗保健
精神病学
公共、环境和职业卫生
放射学,核医学和医学成像
康复学
生殖生物学
呼吸系统
风湿病学
运动科学
外科学
毒理学
热带医学
泌尿学和肾脏学
病毒学
老年医学
健康政策和服务
心理学,临床
abstract:BACKGROUND:Metastasis of malignant breast cells is in part mediated through degradation of the extra-cellular matrix by proteolysis, enabling malignant cells to migrate through the surrounding stroma. Heparanase-1 (HPR1) is an endoglycosidase that specifically degrades the heparan sulfate (HS) moiety of proteoglycans, ...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1067/msy.2002.125719
更新日期:2002-08-01 00:00:00
abstract:BACKGROUND:Isolated limb perfusion (ILP) with melphalan is an accepted treatment for intransit melanoma of the extremities. Using an ILP human melanoma xenograft model, we tested the hypothesis that acidosis augments the antitumor effect of melphalan and that nitric oxide (NO) induction mediates tumor regression. METH...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1067/msy.2002.125713
更新日期:2002-08-01 00:00:00
abstract:BACKGROUND:Plasma from laparotomized mice has been shown to stimulate in vitro tumor growth when compared to results with preoperative plasma. This study assessed the effect of plasma from patients who underwent major open (OS) or laparoscopic surgery (LS) on in vitro tumor cell growth. METHODS:Eighty-four patients un...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1067/msy.2002.125308
更新日期:2002-08-01 00:00:00
abstract:BACKGROUND:The purpose of this study was to clarify the still poorly understood dynamics of peritoneal inflammatory cells (PICs) in acute pancreatitis. METHODS:Acute pancreatitis of 3 different degrees of severity was induced in male Wistar rats. Peritoneal lavage was performed at 1, 6, 12, and 24 hours after the indu...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1067/msy.2002.125171
更新日期:2002-07-01 00:00:00
abstract:BACKGROUND:Major hepatic resection in patients with unrelieved obstructive jaundice carries an increased risk of postoperative liver failure. We hypothesized that cholestasis induces hepatocyte apoptosis and impairs hepatic regeneration by inhibiting up-regulation of the known immediate-early response genes, nuclear fa...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1067/msy.2002.122375
更新日期:2002-05-01 00:00:00
abstract:BACKGROUND:The diagnosis of acute abdominal conditions in the critically ill patient remains difficult. The goal of this study is to demonstrate the use of bedside minilaparoscopy as a diagnostic aid in the intensive care unit (ICU) in patients with possible intra-abdominal catastrophic condition. METHODS:Between Febr...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1067/msy.2002.122607
更新日期:2002-05-01 00:00:00
abstract:BACKGROUND:Classic surgical treatment of upper third gastric carcinoma is based on an extended total gastrectomy, including splenectomy. The purpose of this study was to perform a prospective randomized clinical trial comparing the early and late results of total gastrectomy (TG) versus total gastrectomy plus splenecto...
journal_title:Surgery
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1067/msy.2002.121891
更新日期:2002-04-01 00:00:00
abstract:BACKGROUND:From a post hoc analysis a hypothesis was generated that women deposit more collagen in a surrogate test wound than men. The purpose of this study has been to verify this hypothesis prospectively in a controlled study. METHODS:Post hoc analyses were done on 37 volunteers (study A). The prospective trial inc...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1067/msy.2002.119986
更新日期:2002-03-01 00:00:00
abstract:BACKGROUND:Misdiagnosed primary hyperparathyroidism (PHPT) during thyroid surgery may lead to a difficult reoperation. Because PHPT is often asymptomatic, calcium measurements have been recommended before thyroid surgery, but no study has focused on the results of a prospective PHPT screening. METHODS:The prospective ...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1067/msy.2002.121379
更新日期:2002-03-01 00:00:00
abstract:BACKGROUND:The number of dendritic cells (DC) in the local tumor environment correlates with patient survival in numerous tumors. The relationship of DC infiltration in the tumor microenvironment and prognosis was examined in patients with pancreatic adenocarcinoma. METHODS:Forty-seven pancreatectomy specimens with a ...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1067/msy.2002.119937
更新日期:2002-02-01 00:00:00
abstract:BACKGROUND:Clinical parameters influencing the effect of preoperative portal vein embolization (PVE) in hypertrophying the nonembolized lobe of patients with either normal or abnormal liver parenchyma and its effect upon portal pressure were examined to identify the patient population for whom this approach is most sui...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1067/msy.2002.118259
更新日期:2002-01-01 00:00:00
abstract:BACKGROUND:A new concept of surgical stress has been proposed that consists of both aggressiveness of operation and systemic reactions to an operation. METHODS AND RESULTS:We have investigated a possible modulation of such systemic reactions to operation and have demonstrated the following 3 points: (1) coagulation an...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1067/msy.2002.120116
更新日期:2002-01-01 00:00:00
abstract:BACKGROUND:Late graft failure is still a problem for vascular surgeons. A previous study showed superior patency of arterial grafts compared with venous grafts. In this review we discuss the differences in functional and morphologic modulation of experimental autogenous venous and arterial grafts. RESULTS:In canine ve...
journal_title:Surgery
pub_type: 杂志文章,评审
doi:10.1067/msy.2002.119797
更新日期:2002-01-01 00:00:00
abstract:BACKGROUND:Living-donor liver transplantation has become a legitimate alternative to cadaveric liver transplantation. However, information on the perioperative management of donors is still scarce. METHODS:Between October 1996 and May 2001, 52 consecutive living-donor liver transplantations have been performed at the ...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1067/msy.2002.119576
更新日期:2002-01-01 00:00:00
abstract::Solid tumors constantly require a vascular supply for their progression and metastasis. Hepatocellular carcinoma (HCC) is known to gain its hypervascularity during the process of dedifferentiation and progression. Various angiogenic growth factors and inhibitors regulate this angiogenic switch of HCC. The known endoth...
journal_title:Surgery
pub_type: 杂志文章,评审
doi:10.1067/msy.2002.119365
更新日期:2002-01-01 00:00:00
abstract::This review concentrates on the clinicopathologic studies and molecular biologic studies of intramucosal gastric carcinomas (IMGCs) with lymph node metastasis that have been published to date. There have been several reports in which IMGCs with lymph node metastasis were compared with IMGCs without lymph node metastas...
journal_title:Surgery
pub_type: 杂志文章,评审
doi:10.1067/msy.2002.119307
更新日期:2002-01-01 00:00:00
abstract::The multiple occurrence of squamous cell carcinoma is frequent in the upper aerodigestive tract (UADT). Risk factors not only for esophageal cancer, but also for multiple cancer in the UADT, were reviewed. Both cigarettes smoking and alcohol drinking are will known risk factors for esophageal cancer. The joint effect ...
journal_title:Surgery
pub_type: 杂志文章,评审
doi:10.1067/msy.2002.119287
更新日期:2002-01-01 00:00:00
abstract:BACKGROUND:Recent studies suggest that low computed tomography (CT) attenuation values can be used to differentiate benign adrenal adenomas from non-adenomas. We examined the utility of non-enhanced CT attenuation values of journal_title:Surgery pub_type: 杂志文章 doi:10.1067/msy.2001.119189 更新日期:2001-12-01 00:00:00
abstract:BACKGROUND:We hypothesized that intraoperative parathyroid hormone monitoring (IOPTH) reliably would detect double parathyroid adenomas. METHODS:This was a retrospective study of 20 patients undergoing conventional parathyroidectomy with resection of exactly 2 abnormal glands. Full exploration was performed regardless...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1067/msy.2001.118385
更新日期:2001-12-01 00:00:00
abstract:BACKGROUND:Recent studies suggest that mitogen-activated protein (MAP) kinase contributes to the growth and tumorigenesis of human epithelial cancers. Furthermore, blockade of this pathway may inhibit the growth of epithelial cancers. To determine whether MAP kinase is activated in human papillary thyroid carcinomas (P...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1067/msy.2001.118381a
更新日期:2001-12-01 00:00:00
abstract:BACKGROUND:Activated factor X (FXa) is involved in hemostasis, thrombogenesis, inflammation, and cellular immune response. Tissue factor (TF) is an initiator of blood coagulation. We investigated whether FXa induces TF expression in human peripheral monocytes and whether treatment with FXa inhibitor reduces TF expressi...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1067/msy.2001.116452
更新日期:2001-11-01 00:00:00
abstract:BACKGROUND:The purpose of this study is to detail the use of advanced tissue transfer techniques to achieve primary closure of the perineal wound after proctectomy for Crohn's disease. METHODS:Between October 1984 and March 2000, we performed proctectomy with permanent intestinal stoma in 97 patients with Crohn's dise...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1067/msy.2001.117100
更新日期:2001-10-01 00:00:00
abstract:BACKGROUND:Surgical success has traditionally been judged from the surgeon's perspective. A more complete evaluation of outcome incorporates the patient's, surgeon's, and payor's perspectives. Because gastroesophageal reflux disease (GERD) is primarily a quality-of-life (QOL) problem, the evaluation of laparoscopic fun...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1067/msy.2001.118092
更新日期:2001-10-01 00:00:00
abstract:BACKGROUND:Nosocomial pneumonia (NP) in injured patients is a significant clinical problem. We hypothesize that the pathogenesis of NP in injured patients involves an imbalanced cytokine response within the alveolar airspace that may inhibit effector cell function. METHODS:Proinflammatory (IL-8) and anti-inflammatory ...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1067/msy.2001.117105
更新日期:2001-10-01 00:00:00
abstract:BACKGROUND:Long-term follow-up of heart, liver, and lung transplantation has led to an increased recognition of secondary end-stage renal failure (ESRF) in transplant recipients. This study examines our center's experience with renal transplantation following previous solid organ transplantation. METHODS:From January ...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1067/msy.2001.115834
更新日期:2001-09-01 00:00:00
abstract:BACKGROUND:The "July phenomenon," a common belief in medical academia, refers to purported errors, inefficiency, and negative outcomes during the summertime transition of the house staff. We hypothesized that care in a trauma service is consistent throughout the year and that the July phenomenon therefore is a myth. M...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1067/msy.2001.116670
更新日期:2001-08-01 00:00:00
abstract:BACKGROUND:Statewide trauma systems are implemented by health care policy makers whose intent is to improve the process of care delivered to seriously injured patients. In Oregon, Advanced Trauma Life Support (ATLS) training was mandated for all physicians employed in the emergency department of trauma centers. The pur...
journal_title:Surgery
pub_type: 杂志文章,多中心研究
doi:10.1067/msy.2001.115898
更新日期:2001-08-01 00:00:00
abstract:BACKGROUND:Apolipoprotein J (ApoJ) is expressed after vascular injury and remodeling and may inhibit endothelial cell activation in the vascular wall. Recently, ApoJ was identified as upregulated in hyperplastic lesions after prosthetic arterial grafting. This study analyzed the effect of ApoJ on human umbilical vein e...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1067/msy.2001.115823
更新日期:2001-08-01 00:00:00
abstract:BACKGROUND:Case-control studies have reported an inverse relationship between appendectomy and the risk of ulcerative colitis, but the association has not been confirmed in prospective studies. METHODS:Using national hospital discharge registry data in Denmark, the authors followed up 154,434 patients who underwent ap...
journal_title:Surgery
pub_type: 杂志文章,meta分析
doi:10.1067/msy.2001.115362
更新日期:2001-07-01 00:00:00
abstract:BACKGROUND AND AIMS:The optimal protocol of the treatment for early gastric cancer has not been fully established. The current study was designed to elucidate the relationship between the depth of tumors with or without an ulcer and the presence of lymph node metastasis and to establish the optimal and practical therap...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1067/msy.2001.114217
更新日期:2001-06-01 00:00:00
abstract:BACKGROUND:A redundant publication is one which duplicates previous, simultaneous, or future publications by the same author or group or, alternatively, could have been combined with the latter into one paper. As there is no information about the extent of this problem in the surgical literature, we set out to assess t...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1067/msy.2001.114549
更新日期:2001-06-01 00:00:00
abstract:BACKGROUND:Muscle protein catabolism, reflected by a decrease in glutamine (GLN), a decrease in muscle protein synthesis, and a negative nitrogen balance can be reduced by either administration of GLN or growth hormone (GH). In this study, the effects of a combination of GH and GLH were studied. METHODS:Patients (n = ...
journal_title:Surgery
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1067/msy.2001.112593
更新日期:2001-05-01 00:00:00
abstract:BACKGROUND:Extrinsic denervation of the transplanted small bowel could play a substantial role in motor dysfunction of the transplanted gut. We attempted to determine the effect of chronic extrinsic denervation on intestinal contractility. METHODS:Jejunal longitudinal muscle strips were obtained from rats 1 week and 8...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1067/msy.2001.112070
更新日期:2001-04-01 00:00:00
abstract:BACKGROUND:The effect of the time interval between colorectal and liver resection for metastatic lesions on the patient's survival remains controversial. Pretreatment classification for predicting the prognosis of this disease has not yet been reported. METHODS:Nine clinical factors revealed by preoperative examinatio...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1067/msy.2001.112001
更新日期:2001-04-01 00:00:00
abstract:BACKGROUND:Parathyroid autotransplantation (PTHAT) during thyroidectomy has been shown to reduce the incidence of permanent hypoparathyroidism. Although selective PTHAT is most commonly adopted, the value of routine PTHAT has not been well documented. METHODS:From January, 1998 to March, 1999, an operative strategy in...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1067/msy.2001.111125
更新日期:2001-03-01 00:00:00
abstract:BACKGROUND:The heterogeneous nature of carcinoid tumors makes it difficult to develop a standardized treatment strategy for the primary tumor itself and for probable liver metastases. However, prolongation of the 5-year survival rate (5-ysr) and amelioration of the incapacitating symptoms after resection of the primary...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1067/msy.2001.110426
更新日期:2001-02-01 00:00:00
abstract:BACKGROUND:The incidence of adenocarcinoma of the esophagogastric junction is rapidly increasing, and the extent of lymphadenectomy for such tumors remains controversial. The aim of this study was to identify the pattern of dissemination by examination of all lymph nodes retrieved from resected tumors of the esophagoga...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1067/msy.2001.110024
更新日期:2001-01-01 00:00:00
abstract:BACKGROUND:Controversy exists about the routes of invasion (extrathyroidal versus lymphogenic extension) when differentiated carcinoma (DTC) and medullary thyroid carcinoma (MTC) invade the cervicovisceral axis (ie, larynx, trachea, esophagus). METHODS:We carried out an institutional analysis, from November 1994 to Oc...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1067/msy.2001.108699
更新日期:2001-01-01 00:00:00
abstract:BACKGROUND:Endoscopic endocrine neck surgery requires insufflation with carbon dioxide (CO(2)) at 10 to 15 mm Hg, which may decrease the cerebral venous return and increase intracranial pressure. This study evaluated the effect of CO(2) neck insufflation on intracranial pressure (ICP) and hemodynamic parameters. METHO...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1067/msy.2000.110238
更新日期:2000-12-01 00:00:00
abstract:BACKGROUND:The management of pancreaticoduodenal endocrine tumors (PETs) remains controversial in multiple endocrine neoplasia type 1 (MEN 1). METHODS:Twenty-one patients with MEN 1 and PETs were analyzed for outcome of surgery and surveillance with special regard to the genotype based on MEN1 gene mutation analysis. ...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1067/msy.2000.109727
更新日期:2000-12-01 00:00:00