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:PURPOSE:To determine if the preoperative administration of tegafur and uracil (UFT) to patients with lung adenocarcinoma could induce apoptosis. METHODS:We conducted a randomized prospective study on 30 patients with lung adenocarcinoma, divided into two groups of 15 patients each. One group received UFT 600 mg/day pr...
journal_title:Surgery today
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1007/s00595-004-2814-5
更新日期:2004-01-01 00:00:00
abstract::We report a case of AL amyloidosis in a patient diagnosed with early gastric cancer after presenting with massive gastrointestinal hemorrhage and pseudo-obstruction of the small intestine. Primary systemic amyloidosis accounts for 7% of nonhematological malignancies, but very few cases of gastric carcinoma in patients...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-004-2805-6
更新日期:2004-01-01 00:00:00
abstract::A 54-year-old woman, who was severely malnourished and awaiting lung transplantation for chronic respiratory failure, was given nutritional support by home parenteral nutrition (HPN). The patient's emaciated state was further compromised by the fact that she had undergone a distal gastrectomy 4 years earlier. We decid...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-004-2753-1
更新日期:2004-01-01 00:00:00
abstract::It is sometimes difficult or inappropriate to adopt the standard surgical steps of adult laparoscopic procedures in pediatric patients because of the inevitably smaller anatomical structures and confined intra-abdominal working space. During laparoscopic Nissen fundoplication difficulties are usually encountered, espe...
journal_title:Surgery today
pub_type: 临床试验,杂志文章
doi:10.1007/s00595-004-2760-2
更新日期:2004-01-01 00:00:00
abstract:PURPOSE:We previously reported a higher frequency of c-Met protein expression and high proliferative status in gastric cancers producing alpha-fetoprotein (AFP) than in those not producing AFP. METHODS:To investigate this further, we established an AFP-producing gastric cancer cell line, designated as AME-1, from the ...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-003-2668-2
更新日期:2004-01-01 00:00:00
abstract::A 70-year-old man with systemic lupus erythematosus (SLE) was brought to our Emergency Department after the sudden onset of acute and severe abdominal pain. Physical examination revealed a tender and distended abdomen with guarding and rebound tenderness in the periumbilical region and the left upper quadrant. A plain...
journal_title:Surgery today
pub_type: 杂志文章,评审
doi:10.1007/s00595-003-2653-9
更新日期:2004-01-01 00:00:00
abstract:PURPOSE:Tissue factor (TF), an initiator of the extrinsic coagulation cascade, is also expressed in a wide range of cancer cells and plays an important role in cancer progression and metastasis, as well as in processes independent of the blood coagulation pathway. For example, by acting as an adhesion molecule enabling...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-003-2643-y
更新日期:2004-01-01 00:00:00
abstract::A 67-year-old man was admitted to our hospital because of an abnormal chest echoic lesion detected incidentally by echocardiography. A chest roentgenogram showed the presence of a giant mass, and computed tomography of the chest confirmed the presence of a mass with a nonhomogeneous density in the left mediastinum, ju...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-003-2648-6
更新日期:2004-01-01 00:00:00
abstract::When a patient with Ehlers-Danlos syndrome (EDS) presents with a vascular emergency, performing life-saving surgery can be difficult because of the profound fragility of the arterial tissue. We report the case of a 27-year-old woman with EDS in whom a spontaneous arterial rupture was successfully treated with transcat...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-003-2634-z
更新日期:2004-01-01 00:00:00
abstract::Acinic cell carcinoma (ACC) is a very rare primary tracheal carcinoma. We report a case of primary ACC of the trachea, which represents, to the best of our knowledge, only the fifth such case ever documented. Pharyngolaryngoesophagectomy was necessary for complete resection because the tumor invaded the trachea widely...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-004-2797-2
更新日期:2004-01-01 00:00:00
abstract::We describe an unconventional method of localizing a colovesical fistula by using a guide-wire, successfully carried out in a 45-year-old man with recurrent dysuria, pneumaturia, and suprapubic tenderness. First, we performed a cystoscopy to establish the fistulous tract in the bladder and passed the guide-wire throug...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-004-2786-5
更新日期:2004-01-01 00:00:00
abstract:PURPOSE:Acute gastric mucosal lesions, which can develop within a few hours after polytrauma, shock, major operations, central nervous system lesions, or severe infection, cause about 33% of cases of gastrointestinal bleeding. We analyzed and compared the effectiveness of famotidine and omeprazole on acute gastric muco...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-004-2800-y
更新日期:2004-01-01 00:00:00
abstract:INTRODUCTION:Thymoma is a neoplasm of thymic epithelial cells which is characteristically associated with a large number of non-neoplastic T lymphocytes. These T cells are induced by epithelial cells and show a unique phenotype of CD4(+)8(+) double positive (DP), when studied by flow cytometry. This DP phenotype can be...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950300038
更新日期:2003-01-01 00:00:00
abstract::Primary hepatic neuroendocrine carcinoma is an extremely rare tumor of the liver. We herein describe a case of primary hepatic neuroendocrine carcinoma with lymph node metastases, coexisting with hepatocellular carcinoma, on a background of hepatitis C cirrrhosis, in a 72-year-old man. Abdominal ultrasonography and co...
journal_title:Surgery today
pub_type: 杂志文章,评审
doi:10.1007/s005950300048
更新日期:2003-01-01 00:00:00
abstract:PURPOSE:To assess a newly devised procedure for cardiac volume reduction without resecting any cardiac muscle and evaluate its effectiveness in an experimental settings. METHODS:Ten beagle dogs underwent a rapid pacing leading to heart failure for 3 weeks and then underwent left ventricular reduction by a procedure ca...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950300059
更新日期:2003-01-01 00:00:00
abstract::An 80-year-old woman presented to our outpatient center with abdominal pain and blood-stained stools. She underwent a colonoscopy, which showed a 4-cm type II tumor in the rectum. About 2 h after the colonoscopy, mild facial edema and subcutaneous emphysema developed around her neck. A chest X-ray showed pneumopericar...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950300069
更新日期:2003-01-01 00:00:00
abstract:PURPOSE:Ca(2+) channel blockers inhibit collagenase production and have a vasodilatatory effect. They also restrict the formation of ischemia-reperfusion induced free oxygen radicals. The aim of this study was to assess the effect of nifedipine on the healing of colonic anastomoses in a rat model. METHODS:Sixty Wistar...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-003-2633-0
更新日期:2003-01-01 00:00:00
abstract::We report a case of acute small bowel obstruction occurring secondary to endometriosis of the terminal ileum. Ileal endometriosis is a rare condition that can cause acute small bowel obstruction. As this case and others in the literature highlight, establishing a preoperative diagnosis is very difficult due to the vag...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-003-2613-4
更新日期:2003-01-01 00:00:00
abstract:PURPOSE:Quickly differentiating patients who need emergency salvage operation for caustic ingestion injury from those who do not remains difficult. We thus conducted a retrospective study to assess whether arterial blood gas (ABG) analysis is helpful for deciding on the best management plan. METHODS:We divided 129 pat...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s10595-002-2523-y
更新日期:2003-01-01 00:00:00
abstract::We performed successful simultaneous operations for an abdominal aortic aneurysm (AAA) and liver cancer in a patient complicated by severe ischemic heart disease. A 59-year-old man with a history of liver dysfunction presented with acute epigastric pain. Abdominal computed tomography findings of ascites and a liver tu...
journal_title:Surgery today
pub_type: 杂志文章,评审
doi:10.1007/s00595-003-2543-1
更新日期:2003-01-01 00:00:00
abstract::Situs inversus totalis is a rare congenital anomaly that often occurs concomitantly with other disorders. We report a case of situs inversus totalis with malignant lymphoma of the stomach, which was successfully treated by surgery followed by chemotherapy and irradiation. The patient was a 51-year-old woman who presen...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s10595-002-2530-z
更新日期:2003-01-01 00:00:00
abstract:PURPOSE:We investigated the expression of cyclooxygenase (Cox-1 and Cox-2) in mammary tissues from patients with breast cancer. METHODS:We used reverse transcriptase-polymerase chain reaction (RT-PCR) and immunohistochemistry. RESULTS:The cancer cells showed very weak expression of Cox-1, but strong expression of imm...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-003-2606-3
更新日期:2003-01-01 00:00:00
abstract::A case of distant metastasis to mesh-plug prosthesis in gastrointestinal cancer is presented herein. An 88-year-old man had received mesh-plug repair with high ligation for a recurrence of a right inguinal hernia. Six months later, advanced gastric cancer and advanced transverse colon cancer were detected, and therefo...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-003-2597-0
更新日期:2003-01-01 00:00:00
abstract::A 41-year-old woman presented with severe and sudden anterior neck swelling, pain, and dysphagia. Computed tomography (CT) scan and ultrasound of the neck showed a giant mass in the retropharyngeal space, displacing the trachea and esophagus anteriorly. Aspiration cytology was done, following which extensive cervical ...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950300080
更新日期:2003-01-01 00:00:00
abstract::The pancreas is an uncommon site for metastasis from renal cell carcinoma. We report the case of a 70-year-old man in whom a solitary pancreatic metastasis from renal cell carcinoma, found 17 years after nephrectomy, was successfully resected, combined with gastrectomy for early gastric cancer. We also discuss the rel...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950300090
更新日期:2003-01-01 00:00:00
abstract::Aortoenteric fistula is a rare complication in abdominal aortic aneurysms (AAA), and an aortovesical fistula is even more rare. This is a report of a case of aortocolic and aortovesical fistulae in a 64-year-old man with AAA who was treated with an aortobiiliac bypass, a primary repair of the fistulated bladder, and a...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s10595-002-2510-3
更新日期:2003-01-01 00:00:00
abstract:PURPOSE:Postoperative vital capacity (VC) and the 6-min walking (6MW) test were used to compare the differences in impairment of the pulmonary function and walking capacity in patients undergoing a lobectomy by video-assisted thoracoscopic surgery (VATS), an anterior limited thoracotomy (ALT), an anteroaxillary thoraco...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950300001
更新日期:2003-01-01 00:00:00
abstract::We report the cases of three patients with chronic intestinal pseudo-obstruction (CIP) whose quality of life (QOL) was improved by palliative surgery in combination with home parenteral nutrition (HPN). Loop enterostomy and shortening of the gastrointestinal tract was performed with good results in all three patients ...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950300011
更新日期:2003-01-01 00:00:00
abstract:PURPOSE:Sacrococcygeal pilonidal sinus disease (SPSD) is a disease affecting young patients, which results in a long-term loss of productive power, and also tends to have high rates of morbidity since it has no ideal treatment. The main purpose of this study was to investigate the effectiveness of topical collagenase i...
journal_title:Surgery today
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1007/s005950300022
更新日期:2003-01-01 00:00:00
abstract::A 36-year-old woman without any relevant medical history was admitted to our hospital with an abdominal tumor that had caused recurrent right hypochondral and back pain for 3 months. Retroperitoneal cystic lymphangioma was diagnosed by abdominal ultrasonography and computed tomography. We suc-cessfully excised the tum...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950300032
更新日期:2003-01-01 00:00:00
abstract:PURPOSE:Recently, the high activity of arginase enzyme has been observed in the sera of malignant neoplasms. In this pathogenic condition, it is said that arginase strongly inhibits lymphocyte proliferation and plays a role in providing ornithine as a substrate for biosynthesis of polyamines, which have been found in v...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-002-2563-2
更新日期:2003-01-01 00:00:00
abstract::Situs inversus totalis refers to an inverted position of part or all of the viscera, which represents a mirror-image of the normal location, and it is a relatively rare condition that occurs in one in 4,000-8,000 people in Japan. We herein report a patient demonstrating a combination of situs inversus totalis, colon c...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-002-2567-y
更新日期:2003-01-01 00:00:00
abstract:PURPOSE:A laparoscopic cholecystectomy (LC) has become a common treatment modality. The incidence of occult gallbladder carcinoma (GC) diagnosed by LC has increased; however, the effects of a radical second operation after LC have not yet been demonstrated. In this study we examine the outcome of such further surgical ...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-003-2596-1
更新日期:2003-01-01 00:00:00
abstract::Based on the findings of a patient with recurrent obstructive jaundice due to papillomatosis of the distal bile duct, we herein describe the diagnostic difficulties and therapeutic options in this very rare disease. Endoscopic retrograde cholangiopancreatography and, in particular, cholangioscopy are the imaging proce...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-003-2595-2
更新日期:2003-01-01 00:00:00
abstract:PURPOSE:We evaluated the role of intraoperative frozen section (FS) in the surgical management of solitary thyroid nodules, as its true value is a subject of some controversy. METHODS:We reviewed the records of 206 consecutive patients operated on for solitary thyroid nodules. All patients had undergone both preoperat...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950200167
更新日期:2002-01-01 00:00:00
abstract::Morgagni-Larrey hernia is a rare type of diaphragmatic hernia, the diagnosis of which is made incidentally by routine chest X-ray film. We describe a technique for the laparoscopic repair of Morgagni-Larrey hernia which was successfully performed in three adult patients; two women and one man. Two of the patients were...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950200177
更新日期:2002-01-01 00:00:00
abstract::It is generally accepted that clinical symptoms give the only clue to the presence of atheroemboli in patients with blue toe syndrome (BTS). We report a case of atheroemboli originating from the abdominal aortic aneurysm in which Doppler ultrasound successfully detected atheroembolic signals, which vanished immediatel...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950200187
更新日期:2002-01-01 00:00:00
abstract:PURPOSE:Postoperative bowel infarction is a major contributing factor to the high mortality rate associated with acute thromboembolism of the superior mesenteric artery (SMA). This study was conducted to evaluate the prophylactic role of thrombectomy to prevent postoperative mesenteric infarction. METHODS:An autologou...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950200028
更新日期:2002-01-01 00:00:00
abstract::There have been no reported cases of xanthogranulomatous cholecystitis with a liver abscess and metastatic endophthalmitis in the literature. There has been only one other case of xanthogranulomatous cholecystitis associated with a liver abscess in Japan prior to the present report. A 53-year-old man was admitted to a...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950200038
更新日期:2002-01-01 00:00:00
abstract:PURPOSE:In the present study, we investigated the effect of troglitazone, a selective ligand and agonist of PPAR-gamma, on the metastatic potential of human colon cancer cells. METHODS:High- and low-PPAR-gamma expression clones of the colon cancer cell line, HT29, namely clones 21 and 3 respectively, were used. We inv...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950200049
更新日期:2002-01-01 00:00:00