abstract：:The proliferation of transplantation programs has not been paralleled by a similar increase in the availability of organ donors. Between 1984 and 1987, 104 orthotopic heart transplantations were performed at Loyola University Medical Center. During the same period, 25 patients died while awaiting a donor organ. To red...

journal_title：Surgery

authors： Pifarre R,Sullivan HJ,Montoya A,Bakhos M,Grieco J,Foy BK,Blakeman B,Costanzo-Nordin MR,Altergott R,Lonchyna V

更新日期：1990-10-01 00:00:00

abstract：:Complete axillary dissection was performed in 287 patients undergoing modified radical mastectomy between 1984 and 1987 to identify patterns of axillary node metastases, as well as discontinuous axillary node ("skip") metastases. Positive pathologic findings were compared with preoperative clinical examinations in 266...

journal_title：Surgery

authors： Chevinsky AH,Ferrara J,James AG,Minton JP,Young D,Farrar WB

更新日期：1990-10-01 00:00:00

abstract：:Axial computerized tomography is a useful tool in the evaluation of either primary or metastatic hepatic neoplasms. An adjunct to this technique is visceral arterial enhanced computerized tomography (AECT). To determine the effectiveness of this modality, bolus intravenous enhanced computerized tomography scans and AE...

journal_title：Surgery

authors： Goulet RJ Jr,Seekri I,Inman M,Kopecky KK,Madura JA,Grosfeld JL

更新日期：1990-10-01 00:00:00

abstract：:We found mentions of 581 resections of hilar bile duct cancer in the literature to January 1989. Resection in 499 patients, reported or updated since 1980, resulted in an operative mortality of 12% and a 5-year survival rate of 13%. Resections confined to the hepatic duct confluence or extended to the quadrate lobe le...

journal_title：Surgery

authors： Boerma EJ

更新日期：1990-09-01 00:00:00

abstract：:Clinical investigations in patients who have undergone transplantation and patients with cancer and infection suggest that blood transfusions have an immunosuppressive effect. To investigate the impact on responses to infection, an experimental transfusion model was developed in the rat with allogeneic or syngeneic tr...

journal_title：Surgery

authors： Galandiuk S,George CD,Pietsch JD,Byck DC,DeWeese RC,Polk HC Jr

更新日期：1990-09-01 00:00:00

abstract：:The efficacy of systemic interleukin-2 (IL-2) immunotherapy is dependent on a competent host immune response. This study demonstrated that protein-calorie malnutrition (PCM) inhibited the generation of an antitumor response to IL-2. A/J mice received an isocaloric diet of 2.5% or 24% casein 8 weeks before inoculation ...

journal_title：Surgery

authors： Lieberman MD,Reynolds J,Goldfine J,Shou J,Daly JM

更新日期：1990-08-01 00:00:00

abstract：:The purpose of this study was to determine whether adaptive cytoprotection of gastric mucosa could be demonstrated with concentrations of bile acid, which is normally found in the human stomach, and whether cyclooxygenase inhibition, in turn, could blunt the response. Surface epithelial cell exfoliation and ion fluxes...

journal_title：Surgery

authors： Dempsey DT,Mercer DW,Deb B,Sauter A,Ritchie WP Jr

更新日期：1990-08-01 00:00:00

abstract：:Current systemic immunosuppressive regimens are unable to prevent lung allograft rejection consistently and are associated with significant morbidity and death. Acute rejection has occurred in 40% and chronic rejection in 50% of our lung recipients. We hypothesized that regional immunotherapy with aerosolized cyclospo...

journal_title：Surgery

authors： Dowling RD,Zenati M,Burckart GJ,Yousem SA,Schaper M,Simmons RL,Hardesty RL,Griffith BP

更新日期：1990-08-01 00:00:00

abstract：:Adenocarcinomas of the colon arise from adenomatous polyps. We hypothesized that sucrase-isomaltase (SI), a glycoprotein hydrolase, found in normal small intestine, fetal colon, and colon carcinomas is a marker associated with progression of adenomatous polyps with dysplasia to adenocarcinomas. To examine this hypothe...

journal_title：Surgery

authors： Wiltz O,O'Hara CJ,Steele GD,Mercurio AM

更新日期：1990-08-01 00:00:00

abstract：:This study evaluated two changes in fluorometric assessment of fluorescein dye delivery: (1) monitoring the proportional, rather than the absolute, increase above the preinjection background reading at each site to obviate the effect of skin color and (2) employing gradual means of dye administration to facilitate mon...

journal_title：Surgery

authors： Silverman DG,Groskopf RW,Ostrander LE,Lee BY,O'Connor TZ,Brousseau DA

更新日期：1990-07-01 00:00:00

abstract：:Gallstone ileus in association with Crohn's disease of the terminal ileum is a surprisingly uncommon occurrence. The diseased ileal segment may be responsible for gallstone lithogenesis as well as for luminal stenosis that prevents gallstone passage. We report only the third case of gallstone ileus in Crohn's disease ...

journal_title：Surgery

authors： Senofsky GM,Stabile BE

更新日期：1990-07-01 00:00:00

abstract：:Diffuse compensatory extramedullary hematopoiesis is well known to involve the spleen and liver in certain hematologic disorders. Hematopoietic tumor masses occasionally form and usually occur paraspinally in the posterior mediastinum. A 31-year-old patient with thalassemia is described with a massive, solitary, intra...

journal_title：Surgery

authors： Dewar G,Leung NW,Ng HK,Bradley M,Li AK

更新日期：1990-06-01 00:00:00

abstract：:We report a patient with malignant melanoma metastatic to the supraampullar portion of the common bile duct. The unique aspects of this case include its clinical presentation masquerading as obstructive jaundice caused by a bile duct tumor and the finding of an isolated solitary recurrence metastatic to the bile duct....

journal_title：Surgery

authors： England MD,Sarr MG

更新日期：1990-05-01 00:00:00

abstract：:Between July 1973 and September 1988, 119 patients with hepatocellular carcinoma underwent hepatic resection at Keio University Hospital, Tokyo. Hepatic resection was performed not only for patients with liver cirrhosis and obstructive jaundice but also for patients with advanced disease. Eighty (67.2%) of the 119 pat...

journal_title：Surgery

authors： Tsuzuki T,Sugioka A,Ueda M,Iida S,Kanai T,Yoshii H,Nakayasu K

更新日期：1990-05-01 00:00:00

abstract：:Gastric artery aneurysms are rare, and the majority occur as life-threatening hemorrhage with few premonitory signs or symptoms. We report an unusual hemorrhagic manifestation of a ruptured gastric artery aneurysm, occurring as a pleural effusion and an apparent paraesophageal mass. Acute intraperitoneal and mediastin...

journal_title：Surgery

authors： Witte JT,Hasson JE,Harms BA,Corrigan TE,Love RB

更新日期：1990-05-01 00:00:00

abstract：:Ischemia and reperfusion lead to eicosanoid- and neutrophil (PMN)-dependent injury. This study tests the role of ischemia-induced lipoxygenase activity in mediating PMN activation and diapedesis. Anesthetized rabbits (n = 8) underwent 3 hours of bilateral hindlimb ischemia. At 10 minutes of reperfusion, leukotriene B4...

journal_title：Surgery

authors： Goldman G,Welbourn R,Paterson IS,Klausner JM,Kobzik L,Valeri CR,Shepro D,Hechtman HB

更新日期：1990-04-01 00:00:00

abstract：:A case of a nonanastomotic, atheromatous aneurysm in a femoropopliteal saphenous vein graft is presented. This disease is unusual, especially in nonsmokers with normal lipid levels, and, in this case, may be related to mechanical graft failure 22 years after implantation. The aneurysm was excised and the arterial cont...

journal_title：Surgery

authors： Kelly PH,Julsrud JM,Dyrud PE,Blake DP

更新日期：1990-04-01 00:00:00

abstract：:The outcome of 29 patients who underwent lung resection for treatment of metastatic malignant melanoma from January 1976 to November 1988 was studied. Twenty-two patients underwent total resection for cure of all apparent metastatic disease, whereas seven patients did not undergo total resection. Of the 22 patients wh...

journal_title：Surgery

authors： Karp NS,Boyd A,DePan HJ,Harris MN,Roses DF

更新日期：1990-03-01 00:00:00

abstract：:The intestinal epithelium normally provides a barrier function that prevents absorption of potentially harmful materials from the intestinal lumen. It has been postulated but never demonstrated that a cutaneous thermal injury will result in increased small-intestinal permeability. In a standardized 20% body surface ar...

journal_title：Surgery

authors： Carter EA,Tompkins RG,Schiffrin E,Burke JF

更新日期：1990-03-01 00:00:00

abstract：:The effect of a new extracorporeal system combining direct hemoperfusion (DHP) with venovenous bypass was evaluated in the elimination of anticancer drugs in hepatic artery infusion. Adriamycin (3 mg/kg) and mitomycin C (1 mg/kg) were given to mongrel dogs through the hepatic artery with three different durations of 1...

journal_title：Surgery

authors： Ku Y,Saitoh M,Nishiyama H,Fujiwara S,Iwasaki T,Tominaga M,Maekawa Y,Ohyanagi H,Saitoh Y

更新日期：1990-03-01 00:00:00

abstract：:In an effort to identify factors in primary tumors that would predict liver metastases, we retrospectively reviewed 102 patients with gastric cancer, and their tissue blocks were restained. New staining methods for elastin and endothelium were used to identify intratumoral vessels. Blood vessel invasion, thus detected...

journal_title：Surgery

authors： Noguchi Y

更新日期：1990-02-01 00:00:00

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 hep...

journal_title：Surgery

authors： Griffith KD,Sugarbaker PH,Chang AE

更新日期：1990-01-01 00:00:00

abstract：:Epidermal growth factor (EGF) is a potent 53-amino-acid residue polypeptide that has been implicated in normal wound healing. Although past studies have shown that locally applied EGF accelerates wound healing, these studies have not examined intracellular events related to the processing of the growth factor. The obj...

journal_title：Surgery

authors： Seyfer AE,Nassaux P,Emory R,Wray HL,Schaudies RP

更新日期：1990-01-01 00:00:00

abstract：:We measured lipid peroxidation of plasma, lung, and liver in anaesthetized sheep after third-degree burns involving 30% of total body surface. Animals were resuscitated to baseline filling pressures with lactated Ringer's solution and killed 10 hours after burn. Six sheep were pretreated with ibuprofen (12.5 mg/kg) an...

journal_title：Surgery

authors： Demling RH,LaLonde C

更新日期：1990-01-01 00:00:00

abstract：:The left renal vein (LRV) has numerous tributaries including, but not limited to, the inferior phrenic, suprarenal, and gonadal veins. The resultant potential for collateral LRV outflow through these tributaries in instances of LRV division is obvious. One of us has previously reported 10 such cases of LRV division (c...

journal_title：Surgery

authors： Dearing PD,James EC,Siegel MB,Swenson WM,Slotnick HB,Schmidt MJ

更新日期：1990-01-01 00:00:00

abstract：:The question still remains: What is best for the patient? It appears that whole organ or segmental pancreas transplantation can be carried out, giving anywhere from a 46% to an 84% 1-year pancreas survival rate. At the moment there is no clear-cut evidence that patient survival--at least in the short term--is any bett...

journal_title：Surgery

authors： Brooks JR

更新日期：1989-12-01 00:00:00

abstract：:Radiation for benign problems of the head and neck area has been uniformly recognized as unacceptable practice. This includes epilation for facial hirsutism. Twelve such patients, recently encountered, have characteristic radiodermatitis facies and have demonstrated multisite neoplastic involvement--including skin, th...

journal_title：Surgery

authors： Rosen IB,Walfish PG

更新日期：1989-12-01 00:00:00

abstract：:The pseudogout syndrome has been suggested to be a diagnostic clue of hyperparathyroidism or a complication after parathyroidectomy that abruptly relieves hypercalcemia. In this report of 20 patients who had pseudogout, eight had intermittent attacks of arthritis associated with chondrocalcinosis that led through the ...

journal_title：Surgery

authors： Geelhoed GW,Kelly TR

更新日期：1989-12-01 00:00:00

abstract：:The aims of this study were to determine whether ectopic pacemakers are present after meals in the Roux limbs of dogs after vagotomy and Roux gastrectomy, whether these pacemakers slow gastric emptying of liquids or solids, and whether abolishing the pacemakers with electric pacing might speed any slow emptying that o...

journal_title：Surgery

authors： Karlstrom L,Kelly KA

更新日期：1989-11-01 00:00:00

abstract：:To further define the clinicopathologic features and determinants of survival, we reviewed the cases of 110 patients with primary hepatic malignancy managed surgically between 1975 and 1986. Presenting signs of symptoms were pain (57%), fatigue (48%), abdominal mass (40%), and weight loss (33%). Twenty-six percent of ...

journal_title：Surgery

authors： Nagorney DM,van Heerden JA,Ilstrup DM,Adson MA

更新日期：1989-10-01 00:00:00

abstract：:Nonbiliary, nonalcoholic pancreatic inflammatory disease was investigated by biochemical investigation, ultrasonography, endoscopic retrograde cholangiopancreatography, and secretin tests. Twenty-five consecutive cases were followed up for 12 months to 10 years after treatment of disease associated with pancreas divis...

journal_title：Surgery

authors： Keith RG,Shapero TF,Saibil FG,Moore TL

更新日期：1989-10-01 00:00:00

abstract：:Anomalies of the appendix are extremely rare. The case presented here has not been previously described and is that of a "horseshoe" appendix in a 33-year-old man with sigmoid diverticulitis. This appendiceal variant cannot be classified into any of the existing categories of appendiceal anomalies. ...

journal_title：Surgery

authors： Mesko TW,Lugo R,Breitholtz T

更新日期：1989-09-01 00:00:00

abstract：:A case of abdominal aortic aneurysm associated with renovascular hypertension in a 3-year-old boy is reported. The child was treated by resection of the aneurysm and replacement with a 12 mm polyester (Dacron) bifurcated graft. The cause of the aneurysm was not revealed by clinical and pathologic examination. In addit...

journal_title：Surgery

authors： Odagiri S,Yoshida Y,Kawahara H,Ishikura Y,Yoshimatsu H,Nomura K,Nakamura T

更新日期：1989-09-01 00:00:00

abstract：:The risks of transfusion-associated infectious disease have made increased efforts to avoid homologous transfusion imperative. Little attention has been focused on efforts to accelerate erythropoiesis as a method of reducing homologous blood use. Recombinant human erythropoietin (rHuEPO) has been shown to enhance eryt...

journal_title：Surgery

authors： Levine EA,Gould SA,Rosen AL,Sehgal LR,Egrie JC,Sehgal HL,Levine HD,Moss GS

更新日期：1989-08-01 00:00:00

abstract：:Previously, we documented that nonlethal doses of endotoxin cause the translocation (escape) of bacteria from the gut to systemic organs. The purpose of this study was to determine which portion(s) of the endotoxin molecule induces bacterial translocation and to examine the role of xanthine oxidase activity in the pat...

journal_title：Surgery

authors： Deitch EA,Ma WJ,Ma L,Berg R,Specian RD

更新日期：1989-08-01 00:00:00

abstract：:The extrahepatic diversion of essential splanchnic hepatotrophic factors may cause the liver atrophy and insufficiency that follows portacaval shunting. To investigate this, control dogs with end-to-side portacaval shunts (control-PCS, n = 6) were compared with dogs shunted 1 month after intraportal pancreatic islet a...

journal_title：Surgery

authors： Callery MP,Ricordi C,Scharp DW,Kamei T,Swanson CJ,Lacy PE,Flye MW

更新日期：1989-08-01 00:00:00

abstract：:Abdominal aortic reconstruction was successfully performed in three kidney transplant patients without the use of any specific measures to protect the kidney transplant during aortic cross-clamping. The cases are discussed in relation to previously published case reports describing various surgical techniques to prote...

journal_title：Surgery

authors： Jivegård L,Blohmé I,Holm J,Karlberg I

更新日期：1989-07-01 00:00:00

abstract：:Because high calcium concentration in vitro stimulates muscle proteolysis, calcium has been implicated in the pathogenesis of increased muscle breakdown in different catabolic conditions. Protein breakdown in skeletal muscle is increased during sepsis, but the effect of sepsis on muscle calcium uptake and content is n...

journal_title：Surgery

authors： Benson DW,Hasselgren PO,Hiyama DT,James JH,Li S,Rigel DF,Fischer JE

更新日期：1989-07-01 00:00:00

abstract：:Much can be learned about the history of vascular surgery by tracing the treatment of aneurysms. Rudolph Matas played a major role in the development of the current therapy for these lesions. In the centennial of the signal case that set him on the road to surgical immortality, the details and setting of this operatio...

journal_title：Surgery

authors： Friedman SG,Friedman MS

更新日期：1989-06-01 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

authors： Busse PM,Stone MD,Sheldon TA,Chaffey JT,Cady B,McDermott WV,Bothe A Jr,Jenkins R,Steele G Jr

更新日期：1989-06-01 00:00:00