abstract：:At the time of laparotomy, peritoneal washings were collected from 155 gastric cancer patients and the levels of carcinoembryonic antigen (CEA) determined. The CEA levels in peritoneal washings were statistically independent of those in sera and could more reliably predict the presence of peritoneal metastasis than a ...

journal_title：World journal of surgery

authors： Nishiyama M,Takashima I,Tanaka T,Yoshida K,Toge T,Nagata N,Iwamori S,Tamura Y

更新日期：1995-01-01 00:00:00

abstract：:Unquestionably, progress has been made in the early detection and early treatment of primary liver cancers (PLCs), although most remain unresectable, mainly because the cancer is advanced and coexists with liver cirrhosis, particularly in Oriental patients. Thanks to the progress of regional cancer therapy, a multidis...

journal_title：World journal of surgery

authors： Tang ZY,Yu YQ,Zhou XD,Ma ZC,Yang BH,Lin ZY,Lu JZ,Liu KD,Fan Z,Zeng ZC

更新日期：1995-01-01 00:00:00

abstract：:Transjugular intrahepatic portosystemic shunt (TIPS) is being increasingly utilized prior to liver transplantation for portal hypertensive bleeding refractory to sclerotherapy or as initial management of variceal bleeding. The impact of TIPS on subsequent orthotopic liver transplantation (OLT) is uncertain. The purpos...

journal_title：World journal of surgery

authors： Menegaux F,Baker E,Keeffe EB,Monge H,Egawa H,Esquivel CO

更新日期：1994-11-01 00:00:00

abstract：:Primary hyperparathyroidism was investigated using the presence of basic fibroblast growth factor (bFGF) from the immunohistochemical viewpoint with an anti-bFGF antibody in hyperplastic parathyroid glands of patients with multiple endocrine neoplasia type I (MEN-I) and of patients with non-MEN. The results correspond...

journal_title：World journal of surgery

authors： Komatsu M,Tsuchiya S,Matsuyama I,Kaneko S,Suzuki Y,Ito N,Hanamura N,Seki T,Kobayashi S,Kuroda T

更新日期：1994-11-01 00:00:00

abstract：:Over the past three decades Canada has developed an exemplary system of universal health care. However, current financial constraints threaten to undermine the very foundation of the system that represents Canada's respect for social justice. The first of these two articles (Part 1) discusses the unique characteristic...

journal_title：World journal of surgery

authors： Cohen AH,Cohen R,Taylor BR,Reznick RK

更新日期：1994-09-01 00:00:00

abstract：:Surgical education in the United Kingdom has evolved to meet the need of the National Health Service (NHS) for a relatively small body of consultants practicing autonomously and carrying ultimate clinical responsibility for their patients. This form of specialist practice is markedly different from that found in most ...

journal_title：World journal of surgery

authors： Brearley S

更新日期：1994-09-01 00:00:00

abstract：:To clarify the clinical significance of the status of surgical margins, especially the dissected margin in the transverse direction, a clinicopathologic study was performed on 60 patients with carcinoma of the bile duct who underwent radical resection. The patients in group A (n = 28) had no cancer invasion within 5 m...

journal_title：World journal of surgery

authors： Ogura Y,Takahashi K,Tabata M,Mizumoto R

更新日期：1994-09-01 00:00:00

abstract：:This study aims to examine the frequency of the pheochromocytoma (pheo), defined as a "benign, intra-adrenal, hypertensive, sporadic, unilateral tumor." Three large series amounting to 310 subphrenic chromaffin tumors operated over periods of 17, 23, and 41 years, respectively, have been reviewed. Among those combined...

journal_title：World journal of surgery

authors： Proye CA,Vix M,Jansson S,Tisell LE,Dralle H,Hiller W

更新日期：1994-07-01 00:00:00

abstract：:We have previously demonstrated that in 95.6% of malignant thyroid tumors the enzyme thyroid peroxidase (TPO) presents antigenic changes detectable by a monoclonal antibody termed MoAb47. The aim of this study was to investigate the interest of TPO immunodetection for the diagnosis of malignancy on fine-needle aspirat...

journal_title：World journal of surgery

authors： Henry JF,Denizot A,Porcelli A,Villafane M,Zoro P,Garcia S,De Micco C

更新日期：1994-07-01 00:00:00

abstract：:In a retrospective study the clinical course of 40 patients with symptomatic persistent or recurrent parathyroid cancer was analyzed in order to assess the value of aggressive surgical intervention. Recurrence was diagnosed after a median period of 33 months (1-228 months). Twenty-two patients had locoregional disease...

journal_title：World journal of surgery

authors： Sandelin K,Tullgren O,Farnebo LO

更新日期：1994-07-01 00:00:00

abstract：:Endoscopic ultrasonography (EUS) and computed tomography (CT) should be used as complementary methods for TNM staging of esophageal cancer. EUS is the most accurate modality for staging primary tumor and mediastinal lymph node metastases. CT should be used to detect infiltration of other mediastinal organs and distant...

journal_title：World journal of surgery

authors： Hölscher AH,Dittler HJ,Siewert JR

更新日期：1994-05-01 00:00:00

abstract：:During the past four decades, especially in recent years, various active adjuvant therapies combined with surgery have improved the outcome in cases of cancer of the esophagus. However, no optimum adjuvant therapy has been determined. From 1981 to 1992, 341 patients with regional and distant node metastasis who underw...

journal_title：World journal of surgery

authors： Nishihira T,Nakano T,Mori S

更新日期：1994-05-01 00:00:00

abstract：:The most common causes of variceal bleeding are cirrhosis, schistosomiasis, and extrahepatic portal venous obstruction. The prognosis for an individual patient depends on the severity of the bleeding episode and the underlying liver function. Liver function is determined to a large extent by the underlying liver patho...

journal_title：World journal of surgery

authors： McCormick PA,Burroughs AK

更新日期：1994-03-01 00:00:00

abstract：:Variceal bleeding remains an important complication in extrahepatic portal vein thrombosis (EPVT). As for portal hypertension due to other etiologies, an elective treatment to decrease the risk of subsequent rebleeding is warranted. The results of the Sugiura-Futagawa procedure (SP) in 38 patients with variceal bleedi...

journal_title：World journal of surgery

authors： Orozco H,Takahashi T,Mercado MA,Prado E,Chan C

更新日期：1994-03-01 00:00:00

abstract：:Familial Mediterranean fever (FMF) also known as hereditary polyserositis, is an inherited disorder commonly found in Armenians, Turks, Arabs, Balkans, and Jews originating from North African countries. The diagnosis of FMF is based on clinical findings and family history, as no specific diagnostic test is yet availab...

journal_title：World journal of surgery

authors： Reissman P,Durst AL,Rivkind A,Szold A,Ben-Chetrit E

更新日期：1994-01-01 00:00:00

abstract：:Although a number of histologic and treatment factors that individually and in combination predict for an increased risk of local recurrence after breast conserving surgery can be identified, none so obviously compromises survival that breast conservation is contraindicated because that risk factor is present. In-brea...

journal_title：World journal of surgery

authors： Osteen RT

更新日期：1994-01-01 00:00:00

abstract：:Surgical resection is the treatment of choice for patients with stage I and stage II non-small-cell lung cancer (NSCLC--squamous cell, adenocarcinoma, and large-cell carcinoma). Distant recurrence is an important cause of death after complete surgical resection, occurring in 30-60% of patients. Postoperative adjuvant ...

journal_title：World journal of surgery

authors： Crump M

更新日期：1993-11-01 00:00:00

abstract：:From 1978 to 1989, 164 patients underwent hepatic resection for hepatocellular carcinoma at our institution. The carcinoma was resected completely in 149 patients. Sixteen patients were excluded from this study because it was not known whether they were recurrent or disease free, or because death occurred as a result ...

journal_title：World journal of surgery

authors： Nakajima Y,Ohmura T,Kimura J,Shimamura T,Misawa K,Matsushita M,Sato N,Une Y,Uchino J

更新日期：1993-11-01 00:00:00

abstract：:Gastric emptying times and symptoms were recorded in 18 patients after total gastrectomy and either a 15-cm J-pouch (n = 10) or a standard esophagojejunal anastomosis (n = 8). A solid test meal labeled with 99mTc was used to compare the emptying times. The postoperative symptoms and nutritional status were also assess...

journal_title：World journal of surgery

authors： McAleese P,Calvert H,Ferguson WR,Laird J

更新日期：1993-09-01 00:00:00

abstract：:A total of 143 patients who underwent hepatic resection for hepatocellular carcinoma in our department were reviewed. The review was conducted for two periods: 1970-1982 (early period) and 1983-1990 (late period), that is, the periods before and after introduction of the hepatic surgical technique involving the use of...

journal_title：World journal of surgery

authors： Segawa T,Tsuchiya R,Furui J,Izawa K,Tsunoda T,Kanematsu T

更新日期：1993-09-01 00:00:00

abstract：:The surgical management of pancreatic islet cell carcinomas poses a complicated set of questions resulting from their rare occurrence and the difficulty in establishing a diagnosis in early cases or, conversely, the problems inherent in dealing with metastatic disease. However, because their biologic behavior is rathe...

journal_title：World journal of surgery

authors： Grant CS

更新日期：1993-07-01 00:00:00

abstract：:In an attempt to prevent the sequelae of conventional gastrectomy, such as rapid gastric emptying, dumping syndrome, intestinal content reflux, indigestion, and poor absorption, we have devised the pylorus and pyloric vagus preserving gastrectomy (PPVPG). Experimenting on 48 dogs, we found theoretic grounds for using ...

journal_title：World journal of surgery

authors： Lu Y,Hoa Y,Jia S,Gao C

更新日期：1993-07-01 00:00:00

abstract：:During the three decades since the recognition of the Zollinger-Ellison syndrome (ZES), major progress has been made in the diagnosis and treatment of this disease. However, the many failed operations in patients with ZES, the existence of primary lymph node gastrinomas, and the surgical approach of patients with ZES ...

journal_title：World journal of surgery

authors： Pipeleers-Marichal M,Donow C,Heitz PU,Klöppel G

更新日期：1993-07-01 00:00:00

abstract：:It has been widely acknowledged that exomphalos and gastroschisis are two different clinical entities. Their etiology and pathogenesis, however, remain controversial. Several techniques are available for making a prenatal diagnosis of these as well as many other malformations. Some prenatal treatment is possible, but ...

journal_title：World journal of surgery

authors： Molenaar JC,Tibboel D

更新日期：1993-05-01 00:00:00

abstract：:The past decade has seen a maturation of the art and science of perioperative nutritional support. We now have sufficient data to make informed and reasonable judgments regarding when we should and should not provide perioperative TPN. These judgments can be considered medically sound and fiscally responsible. The fol...

journal_title：World journal of surgery

authors： Buzby GP

更新日期：1993-03-01 00:00:00

abstract：:Neoadjuvant therapy for locally advanced breast cancer improves disease control, but the complications of treatment are not well established. The aim of this study was to assess the operative morbidity in 20 consecutive patients with locally advanced, noninflammatory breast cancer treated with preoperative chemotherap...

journal_title：World journal of surgery

authors： Sauter ER,Eisenberg BL,Hoffman JP,Ottery FD,Boraas MC,Goldstein LJ,Solin LJ

更新日期：1993-03-01 00:00:00

abstract：:The acid-base balance from the postoperative day (POD) 1 to POD 3 after cirrhotic liver resection was investigated in relation to operative outcome by conducting a retrospective study on the changes in arterial ketone body ratio (AKBR), which reflects the hepatic mitochondrial redox state, and arterial blood gas analy...

journal_title：World journal of surgery

authors： Wada Y,Mori K,Sugano M,Fujii T,Shimahara Y,Yamaoka Y,Ozawa K

更新日期：1993-01-01 00:00:00

abstract：:Eighty patients undergoing cholecystectomy were either assigned deliberately (n = 30) or randomized (n = 50) to drainage (n = 38) or nondrainage (n = 42). Subhepatic collections were seen on ultrasonography (US) after 48 to 72 hours in 12 of 35 patients with drainage and 24 of 42 patients without drainage (p < 0.05). ...

journal_title：World journal of surgery

authors： Kapoor VK,Ibrarullah M,Baijal SS,Kulshreshtha A,Mittal BR,Saxena R,Das BK,Kaushik SP

更新日期：1993-01-01 00:00:00

abstract：:The surgical treatment of groin hernias continues to undergo technical modifications. The introduction of minimally invasive surgery had added a possible new dimension, replacing an inguinal approach by laparoscopy. Conceived some 15 years ago, the thesis was subjected to a clinical trial where coincidental abdominal ...

journal_title：World journal of surgery

authors： Ger R,Mishrick A,Hurwitz J,Romero C,Oddsen R

更新日期：1993-01-01 00:00:00

abstract：:Endoscopic management of upper gastrointestinal bleeding has been expanded from a purely diagnostic role to a therapeutic role in many patients. In addition to controlling active bleeding, it is an option in a patient who is clinically at a high risk of rebleeding, or in patients who have peptic ulcers with visible ve...

journal_title：World journal of surgery

authors： Steffes CP,Sugawa C

更新日期：1992-11-01 00:00:00

abstract：:In a prospective multicenter study, 186 patients with squamous cell esophageal carcinoma, who after evaluation were considered suitable for surgery, were randomized to 4 treatment groups: Group 1, surgery alone; Group 2, pre-operative chemotherapy (cisplatin and bleomycin) and surgery; Group 3, pre-operative irradiati...

journal_title：World journal of surgery

authors： Nygaard K,Hagen S,Hansen HS,Hatlevoll R,Hultborn R,Jakobsen A,Mäntyla M,Modig H,Munck-Wikland E,Rosengren B

更新日期：1992-11-01 00:00:00

abstract：:Acute acalculous cholecystitis (AAC) is a well known complication in severely traumatized patients. Existing data of AAC originate from retrospective analyses and episodic case reports. In a prospective study 45 polytraumatized patients admitted to our intensive care unit from January 1989 to June 1990 were clinically...

journal_title：World journal of surgery

authors： Imhof M,Raunest J,Ohmann C,Röher HD

更新日期：1992-11-01 00:00:00

abstract：:Surgical resection remains the therapy of choice for the treatment of potentially curable gastrointestinal tract (GI) malignancies. Many of these tumors are incurable at the time of diagnosis and therapy should be directed towards palliation with the intent of minimizing pain, bleeding, obstruction, and potential morb...

journal_title：World journal of surgery

authors： Eckhauser ML

更新日期：1992-11-01 00:00:00

abstract：:Chondrosarcomas of the head and neck are uncommon. Over a 35-year period (1950-1985) at our institution, 557 patients had an established diagnosis of chondrosarcoma. In 28 (5%) of these patients, the tumor was located in the head and neck region. A retrospective analysis was performed in an attempt to accurately defin...

journal_title：World journal of surgery

authors： Ruark DS,Schlehaider UK,Shah JP

更新日期：1992-09-01 00:00:00

abstract：:The appropriate role for additional radiotherapy in patients with resectable rectal cancer is not yet settled. Irradiation has been considered by surgeons and radiotherapists as superfluous since no effect on survival has been shown. However, numerous trials have demonstrated that peri-operative radiotherapy decreases...

journal_title：World journal of surgery

authors： Påhlman L,Glimelius B

更新日期：1992-09-01 00:00:00

abstract：:The combination of conventional traumatic injuries and radiation exposure has synergistic consequences, the full extent of which may take days to weeks to become apparent. Our understanding of such is derived from a variety of laboratory and clinical scenarios involving both therapeutic and accidental exposures. When ...

journal_title：World journal of surgery

authors： Hirsch EF,Bowers GJ

更新日期：1992-09-01 00:00:00

abstract：:Subfascial elimination of incompetent perforating veins is the most effective therapeutic principle in the treatment of trophic skin disorders associated with varicosis. A recently developed endoscopic technique allows accurate sectioning of perforating veins with direct observation of the veins and minor trauma. From...

journal_title：World journal of surgery

authors： Jugenheimer M,Junginger T

更新日期：1992-09-01 00:00:00

abstract：:In 1989-90, all 37 lung cancer patients scheduled for surgery underwent transesophageal endoscopic ultrasonography (EUS) for pre-operative detection of hilar and mediastinal lymph node metastases. An electronic ultrasonic fiberscope with a linear array (EPB-503-FS, Machida-Toshiba) was used. Of 380 nodes surgically re...

journal_title：World journal of surgery

authors： Lee N,Inoue K,Yamamoto R,Kinoshita H

更新日期：1992-09-01 00:00:00

abstract：:In spite of recent therapeutic advances, severe overt secondary hyperparathyroidism due to chronic renal failure necessitates parathyroidectomy and recurrent hyperparathyroidism is one of the most significant problems in this patient population. In the present study, the incidence of recurrent hyperparathyroidism was ...

journal_title：World journal of surgery

authors： Tominaga Y,Tanaka Y,Sato K,Numano M,Uchida K,Falkmer U,Grimelius L,Johansson H,Takagi H

更新日期：1992-07-01 00:00:00

abstract：:The purpose of this study was to evaluate the surgical outcome of completion thyroidectomy in patients with presumed unilateral well-differentiated thyroid cancer (WDTC). The medical records of all patients having had unilateral thyroid lobectomy for WDTC, who subsequently underwent completion thyroidectomy, were revi...

journal_title：World journal of surgery

authors： Pasieka JL,Thompson NW,McLeod MK,Burney RE,Macha M

更新日期：1992-07-01 00:00:00