abstract：:From August 1986 to February 2000, three patients were given a pericardial-peritoneal window using a subxiphoidal approach, for pericardial effusion associated with chronic exudative pericarditis. Complete drainage without recurrence was achieved in two patients with a large pericardial-peritoneal window (4 cm diamete...

journal_title：Surgery today

authors： Watarida S,Shiraishi S,Matsubayashi K,Imura M,Nishi T

更新日期：2002-01-01 00:00:00

abstract：:Subcapsular liver hematomas and ruptures are unusual fatal complications of HELLP (hemolysis, elevated liver enzymes, and low platelets) syndrome (HS). We present two cases of a spontaneous rupture of subcapsular liver hematoma occurring in HS and review the literature on this subjects. One case demonstrated a seconda...

journal_title：Surgery today

authors： Aldemir M,Baç B,Taçyildiz I,Yağmur Y,Keleş C

更新日期：2002-01-01 00:00:00

abstract：PURPOSE:Thromboangiitis obliterans (Buerger's disease) is a clinical syndrome characterized by segmental occlusions of the distal vessels. Although a cessation of using nicotine products usually helps, nevertheless a surgical revascularization may be needed in cases of stage III and IV limbs. Because of the distal and ...

journal_title：Surgery today

authors： Dilege S,Aksoy M,Kayabali M,Genc FA,Senturk M,Baktiroglu S

更新日期：2002-01-01 00:00:00

abstract：:Malignant fibrous histiocytoma occurs most commonly in the extremities and trunk, but rarely in the visceral organs. Malignant fibrous histiocytoma of the small intestine is an extremely rare condition. To our knowledge, only ten cases of primary tumors involving the small intestine have been described up to now. Amon...

journal_title：Surgery today

authors： Kotan C,Kosem M,Alici S,Ilhan M,Tuncer I,Harman M

更新日期：2002-01-01 00:00:00

abstract：PURPOSE:This study was performed to evaluate the operative conditions for an abdominal wall-lifting laparoscopic cholecystectomy (ALLC) using a new preoperative grading system. METHODS:One hundred forty-five patients who underwent a cholecystectomy for cholecystolithiasis from January 1997 to December 1999 were retros...

journal_title：Surgery today

authors： Takegami K,Sata N,Kawaguchi Y,Kubota Y

更新日期：2002-01-01 00:00:00

abstract：:Fibrolamellar hepatocellular carcinoma (FHCC), a rare variant of hepatocellular carcinoma, is becoming more prevalent; however, up until 1999, only 18 cases had been reported in Japan. We recently diagnosed a case of FHCC in a 46-year-old Japanese man who had visited four hospitals before being finally admitted to our...

journal_title：Surgery today

authors： Yoshimi F,Asato Y,Amemiya R,Itabashi M,Nakamura K

更新日期：2002-01-01 00:00:00

abstract：PURPOSE:There is increasing evidence that matrix metalloproteinases (MMPs) play important roles in tumor invasion and metastasis. Using a one-step sandwich enzyme immunoassay, we investigated whether serum pro-MMP2 levels could be predictors of the development and extension of thymoma. METHODS:The subjects of this stu...

journal_title：Surgery today

authors： Sasaki H,Yukiue H,Kobayashi Y,Kaji M,Kiriyama M,Fukai I,Yamakawa Y,Fujii Y

更新日期：2002-01-01 00:00:00

abstract：:Although primary gastric malignant lymphoma accounts for slightly more than 10% of all lymphomas at extranodular sites, it is relatively rare clinically, representing only 1% of all malignant diseases of the stomach. In addition, most such diseases tend to be B-cell lymphoma, while T-cell lymphoma is extremely rare. W...

journal_title：Surgery today

authors： Watanabe M,Moriyama Y

更新日期：2002-01-01 00:00:00

abstract：PURPOSE:Our previous studies showed that tumor necrosis factor (TNF)-alpha and interleukin (IL)-6 are induced after hemorrhagic shock and that their induction is attenuated by hyperbaric oxygen treatment. In this study, we tried to identify the cell types in the liver that are responsible for the increase in TNF-alpha ...

journal_title：Surgery today

authors： Yamashita M,Taniyama M,Tamai M

更新日期：2002-01-01 00:00:00

abstract：:Because of the low incidence rate of combined hepatocellular-cholangiocarcinoma (combined HCC-CC), the clinicopathological features of a recurrent tumor of this disease remain to be elucidated. We describe a 47-year-old Japanese woman with a 5-cm diameter mass lesion in the liver. A hepatectomy and dissection of the l...

journal_title：Surgery today

authors： Eguchi H,Nagano H,Sakon M,Miyamoto A,Kondo M,Arai I,Morimoto O,Dono K,Umeshita K,Nakamori S,Wakasa K,Monden M

更新日期：2002-01-01 00:00:00

abstract：PURPOSE:There is evidence that blood transfusion is associated with an increased rate of tumor recurrence. This study was conducted to assess the survival advantage of giving autologous blood instead of allogeneic blood during surgery for esophageal cancer. METHODS:We retrospectively analyzed 62 patients who underwent...

journal_title：Surgery today

authors： Motoyama S,Saito R,Kamata S,Kitamura M,Okuyama M,Imano H,Nakamura M,Suzuki H,Omokawa S,Motohashi Y,Ogawa J

更新日期：2002-01-01 00:00:00

abstract：:We report a rare case of four separate gastric ruptures resulting from blunt abdominal trauma that were successfully repaired by primary closure. A 22-year-old man injured in a motorcycle accident was admitted to our hospital where physical and radiological examinations confirmed the need for abdominal exploration. La...

journal_title：Surgery today

authors： Ishikawa K,Ueda Y,Sonoda K,Yamamoto A,Hisadome T

更新日期：2002-01-01 00:00:00

abstract：:Acute mediastinal hemorrhage is rarely caused by a rupture of mediastinal neoplasms. We herein report a 70-year-old man who presented with mediastinal parathyroid adenoma manifested by the sudden onset of mediastinal bleeding. Preoperatively, he showed no symptoms or complications associated with hypercalcemia. No par...

journal_title：Surgery today

authors： Nakajima J,Takamoto S,Tanaka M,Takeuchi E,Murakawa T,Kitagawa H,Fukayama M

更新日期：2002-01-01 00:00:00

abstract：:A 60-year-old man, who suffered from advanced rectal cancer accompanied with liver metastasis, underwent an abdominoperineal resection and a partial hepatectomy. He remained well until 4 months after surgery when he developed a biopsy-proven recurrent intrapelvic mass and multiple liver tumors. At 6 months after surge...

journal_title：Surgery today

authors： Ikuta S,Miki C,Ookura E,Tonouchi H,Kusunoki M

更新日期：2002-01-01 00:00:00

abstract：:Ischemia-reperfusion (I/R) injury is a complex process involving numerous intracellular signaling pathways, mediators, cells, and pathophysiological disturbances; its prevention during liver surgery is of utmost importance. In this review, we divide hepatic I/R injury into two phases, intracellular and extracellular, ...

journal_title：Surgery today

authors： Sakon M,Ariyoshi H,Umeshita K,Monden M

更新日期：2002-01-01 00:00:00

abstract：:We describe a 25-year-old woman who had a successful pregnancy after the repair of a double outlet right ventricle using the Fontan procedure. Although the number of reported patients is small, women who have good hemodynamic results after the operation can apparently tolerate both pregnancy and delivery. ...

journal_title：Surgery today

authors： Ito M,Takagi N,Sugimoto S,Oosawa H,Abe T

更新日期：2002-01-01 00:00:00

abstract：:We report the case of a simultaneous occurrence of papillary intrafollicular and microcarcinomas with bilateral medullary microcarcinoma of the thyroid in a patient with multiple endocrine neoplasia type 2A. The concurrent presence of two thyroid carcinomas is rare. The simultaneous occurrence of two different tumors ...

journal_title：Surgery today

authors： Kösem M,Kotan C,Algün E,Topal C

更新日期：2002-01-01 00:00:00

abstract：:We analyzed the safety and feasibility of a hand-assisted laparoscopic distal pancreatectomy (HALDP) in pigs. We performed HALDP in five cases using our original hand device (Lap Disc). The procedures in all cases were successfully performed. The Lap Disc was very useful for performing HALDP because of its compact des...

journal_title：Surgery today

authors： Fujino Y,Shimomura K,Hashimoto D,Idezuki Y

更新日期：2002-01-01 00:00:00

abstract：:We experienced a very rare case of male intracystic breast carcinoma. A 66-year-old man presented at our hospital because of a palpable mass in his right breast. The imaging diagnosis was an intracystic carcinoma with hemorrhagic fluid and two mural nodules. Modified radical mastectomy was performed under general anes...

journal_title：Surgery today

authors： Tochika N,Takano A,Yoshimoto T,Tanaka J,Sugimoto T,Kobayashi M,Matsuura K,Araki K,Ogawa Y,Moriki T

更新日期：2001-01-01 00:00:00

abstract：:Two cases of a concealed aortocaval fistula (ACF) associated with an abdominal aortic aneurysm (AAA) are presented herein. ACF is a rare complication of AAA and only a few cases have so far shown the triad of symptoms, including congestive heart failure, a continuous abdominal bruit, and a pulsating abdominal mass. So...

journal_title：Surgery today

authors： Takazawa A,Sakahashi H,Toyama A

更新日期：2001-01-01 00:00:00

abstract：:Despite recent advances in thoracic surgery, the management of esophageal perforation remains problematical and controversial. Thirty-one patients were treated for an esophageal perforation between 1986 and 1998. The esophageal perforation was iatrogenic in 25 cases, spontaneous in 2, traumatic in 2, and caused by a t...

journal_title：Surgery today

authors： Okten I,Cangir AK,Ozdemir N,Kavukçu S,Akay H,Yavuzer S

更新日期：2001-01-01 00:00:00

abstract：:Adrenomedullin (AM), a novel vasodilatory peptide, appears to participate in the regulation of circulation. Recent studies have reported a relationship between AM and cytokine. The present study was performed to determine whether major surgery, which is accompanied by an altered cytokine production, affects the concen...

journal_title：Surgery today

authors： Fujioka S

更新日期：2001-01-01 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

authors： Ukikusa M,Inomoto T,Kitai T,Ino K,Higashiyama H,Arimoto A,Nakajima Y,Hanafusa T,Awane H

更新日期：2001-01-01 00:00:00

abstract：:A reoperation to upsize the conduit placed at infancy for the repair of an anomalous origin of the right pulmonary artery (AORPA) was successfully performed in an 8-year-old girl because of an elevated right ventricular pressure and a reduced right pulmonary blood flow. Although primary direct anastomosis is essential...

journal_title：Surgery today

authors： Sugimoto S,Kikuchi S,Oosawa H,Hachiro Y,Takagi N,Abe T

更新日期：2001-01-01 00:00:00

abstract：:This study was conducted to examine the effects of peptidoleukotrienes on the ileal contractility disturbances induced by Serratia marcescens endotoxin in rats. Thirty-two male Wistar rats were divided into four groups (n = 8 each). The first group was given only an anesthetic agent (control group); the second group w...

journal_title：Surgery today

authors： Ezberci F,Tekin E,Onuk E

更新日期：2001-01-01 00:00:00

abstract：:We report herein the case of a 76-year-old man for whom an invasive mucin-producing tumor of the pancreas (MPTP) was successfully treated by surgery. A cystic lesion of the pancreas had been found by computed tomography (CT) 9 years earlier, 2 years following which suction drainage for left pyothorax had been carried ...

journal_title：Surgery today

authors： Inoue M,Ikeda Y,Kikui M,Ogawa T,Yasumitsu T

更新日期：2001-01-01 00:00:00

abstract：:We recently reported the balance of T helper type 1 (Th1) cells and type 2 (Th2) cells in patients with lung carcinomas. This study was conducted to investigate their activity and role in tumors, which remain unclear. We determined the population of lymphocytes with intracellular interferon (IFN)-gamma or interleukin ...

journal_title：Surgery today

authors： Ito N,Nakamura H,Metsugi H,Ohgi S

更新日期：2001-01-01 00:00:00

abstract：:We report herein a rare case of primary lung cancer that occurred concomitantly with the calcified ova of a parasite. A 58-year-old man was referred to our department after a pulmonary abnormal shadow had been seen on a chest X-ray done at mass screening. A transbronchial lung biopsy (TBLB) revealed the calcified ova ...

journal_title：Surgery today

authors： Hanagiri T,Tsuda I,Tsukamoto T,Nagasako T,Kobayashi H,Hattori M,Kawamura K,Ogasawara K,Manabe K,Uchino J

更新日期：2001-01-01 00:00:00

abstract：:A 47-year-old man with primary amyloidosis confined to the small intestine is reported. Thickening of the folds and multiple polypoid protrusions were found in the duodenum by upper gastrointestinal endoscopy. Because the patient presented with a persistent intestinal pseudo-obstruction, partial jejunectomy was perfor...

journal_title：Surgery today

authors： Deguchi M,Shiraki K,Okano H,Yamanaka T,Ito N,Takase K,Nakano T

更新日期：2001-01-01 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

authors： Kodera Y,Yamamura Y,Kanemitsu Y,Shimizu Y,Hirai T,Yasui K,Morimoto T,Kato T

更新日期：2001-01-01 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

authors： Shimanuki K,Nomura T,Hiramoto Y,Takashima Y,Higuchi K,Sugiyama Y

更新日期：2001-01-01 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

authors： Akashi H,Tayama K,Tanaka A,Onitsuka S,Sakashita H,Aoyagi S

更新日期：2001-01-01 00:00:00

abstract：:We report herein the cases of two patients who underwent complete resection of a superior sulcus tumor (SST) plus adjuvant brachytherapy, with the area to be irradiated determined by a computer program system designed to minimize unnecessary irradiation to the normal components and to optimize the effect on the target...

journal_title：Surgery today

authors： Ohta Y,Yashiki Y,Go T,Watanabe SI,Oda M,Takanaka T,Nishijima H,Watanabe Y

更新日期：2001-01-01 00:00:00

abstract：:We designed a stabilizer to assist us in performing coronary artery bypass grafting on the beating heart. The stabilizer consists of a U-shaped holed platform, an articulating arm, and a clamp for attachment to an ordinary sternal retractor. The target coronary artery is dissected, then two elastic sutures, 15-20mm ap...

journal_title：Surgery today

authors： Morishita K,Komatsu K,Kuwaki K,Koshino T,Abe T

更新日期：2001-01-01 00:00:00

abstract：:This study was conducted to examine the characteristics of esophageal cancers with primary synchronous or metachronous cancer in another organ. We retrospectively evaluated 744 patients who underwent esophagectomy for esophageal cancers between 1985 and 1998. The patients were divided into two groups according to whet...

journal_title：Surgery today

authors： Kumagai Y,Kawano T,Nakajima Y,Nagai K,Inoue H,Nara S,Iwai T

更新日期：2001-01-01 00:00:00

abstract：:Alpha-fetoprotein (AFP)-producing esophageal tumors are extremely rare. We report herein the case of a 51-year-old man found to have an AFP-producing adenocarcinoma arising from esophageal proper mucosa. The patient presented for investigation of dysphagia, and esophagogram and endoscopy revealed a lesion about 2 cm i...

journal_title：Surgery today

authors： Kobayashi N,Ohbu M,Kuroyama S,Kikuchi S,Shimao H,Mitomi H,Kakita A

更新日期：2001-01-01 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

authors： Shiroko T,Yokoo N,Okamoto K,Kitakado Y,Azuma H,Fukui T,Tanaka C

更新日期：2001-01-01 00:00:00

abstract：:Small bowel perforation is rarely caused by metastasis from an extra-abdominal malignancy. This report describes three cases of small bowel perforation that occurred secondary to a metastatic tumor. The first case involved a 72-year-old man with malignant lymphoma of the larynx that had been treated with chemo- and ra...

journal_title：Surgery today

authors： Ise N,Kotanagi H,Morii M,Yasui O,Ito M,Koyama K,Sageshima M

更新日期：2001-01-01 00:00:00

abstract：:The effect of gastrectomy on the subsequent development of esophageal cancer was investigated, focusing on its multicentric occurrence. We retrospectively evaluated 28 patients who underwent subtotal esophagectomy for intrathoracic esophageal cancer between 1985 and 1999. They were divided into two groups according to...

journal_title：Surgery today

authors： Kitabayashi K,Nakano Y,Saito H,Ueno KI,Kita I,Takashima S,Kurose N,Nojima T

更新日期：2001-01-01 00:00:00

abstract：:We describe herein an extremely unusual case of a gastrointestinal stromal tumor (GIST) of the lesser omentum. A 45-year-old man was admitted to our hospital with an intra-abdominal mass that was subsequently misdiagnosed as a submucosal tumor of the stomach. The tumor arose from the lesser omentum and was removed wit...

journal_title：Surgery today

authors： Fukuda H,Suwa T,Kimura F,Sugiura T,Shinoda T,Kaneko K

更新日期：2001-01-01 00:00:00