European Journal of Surgery最新文献

Many thanks from the European journal of surgery 来自《欧洲外科杂志》的感谢

European Journal of Surgery Pub Date : 2014-02-03 DOI: 10.1002/ejs.6161681202

Joar Svanvik

引用次数: 0

Symptoms and reflux competence in relation to anatomical findings at reoperation after laparoscopic total fundoplication 腹腔镜下全底折叠术后再手术的症状和反流能力与解剖学表现的关系

European Journal of Surgery Pub Date : 2014-02-03 DOI: 10.1002/ejs.6161681207

Dr Thomas Franzén M.D., Karl-Erik Johansson

{"title":"Symptoms and reflux competence in relation to anatomical findings at reoperation after laparoscopic total fundoplication","authors":"Dr Thomas Franzén M.D., Karl-Erik Johansson","doi":"10.1002/ejs.6161681207","DOIUrl":"10.1002/ejs.6161681207","url":null,"abstract":"Objective: To investigate the mechanisms and anatomical failures after total laparoscopic fundoplication using the symptoms and findings at reoperation.Design: Prospective open study.Setting: University hospital, Sweden.Patients: Twenty-one patients who were reoperated on a median of 33 (0.5–102) months after laparoscopic fundoplication.Interventions: The patients were divided into three groups according to the mode of presentation. The first group presented with dysphagia and no gastro-oesophageal reflux (GOR) (n = 6). The second group (n = 11) had recurrent GOR and the third group (n = 4) complained of a sense of excessive fullness.Results: In the dysphagia group the reason for it in 4 patients was severe fibrosis in the hiatal region including the right part of the fundoplication. One patient had correctly located fundoplication but it was too tight. In the last patient the part of the stomach used was too low down. All patients in the GOR group had a slippage and rupture of the fundoplication. Ten patients also had a recurrent hernia. In 6/11 patients the fundal mobilisation was incomplete. In the last group (excessive fullness) one patient had a postoperative leak from the fundal part, one patient a para-oesophageal hernia, and one patient an intact but herniated repair. One further patient had an intact abdominal oesophagus and crural repair, but a large portion of the stomach had herniated through the left part of the fundoplication and acted as a volvulus.Conclusions: Dysphagia was caused by hiatal fibrosis or other technical failures rather than a normal tight fundoplication. Using the wrong part of the stomach causes recurrent heartburn. The laparoscopic suturing technique must be improved.","PeriodicalId":100508,"journal":{"name":"European Journal of Surgery","volume":"168 12","pages":"701-706"},"PeriodicalIF":0.0,"publicationDate":"2014-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/ejs.6161681207","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81070764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7

Benefit of venous resection for ductal adenocarcinoma of the pancreatic head 胰头导管腺癌静脉切除术的疗效分析

European Journal of Surgery Pub Date : 2014-02-03 DOI: 10.1002/ejs.6161681208

Mark Hartel, Marco Niedergethmann, Michael Farag-Soliman, Jörg W. Sturm, Axel Richter, Michael Trede, Stefan Post M.D.

{"title":"Benefit of venous resection for ductal adenocarcinoma of the pancreatic head","authors":"Mark Hartel, Marco Niedergethmann, Michael Farag-Soliman, Jörg W. Sturm, Axel Richter, Michael Trede, Stefan Post M.D.","doi":"10.1002/ejs.6161681208","DOIUrl":"https://doi.org/10.1002/ejs.6161681208","url":null,"abstract":"Objective: To find out whether there is any benefit from venous resection during pancreaticoduodenectomy for ductal pancreatic adenocarcinoma.Design: Retrospective study.Setting: University Hospital Mannheim/Heidelberg, Germany.Interventions: 271 patients had resections for ductal adenocarcinoma of the pancreatic head between 1980 and 2001. The outcome of patients who did (n = 68) and who did not (n = 203) have simultaneous resection of major veins (portal vein and/or superior mesenteric vein) were compared.Main outcome measurement: 5 year survival.Results: The groups differed significantly regarding stage, perineural infiltration, lymphangiosis carcinomatosa, operating time, blood loss, and blood transfusion. However, there was no difference in perioperative morbidity (27% and 22%), mortality (4% and 3%), and long-term survival (at 5 years 23% and 24%). Subgroup analysis of patients with margins free of tumour (R0 resections) showed that those patients who had venous resections in whom histological examination did not show infiltration of tumour had the most favourable outcome.Conclusion: There is no reason to exclude patients with suspected venous infiltration from radical pancreaticoduodenectomy including venous resection.","PeriodicalId":100508,"journal":{"name":"European Journal of Surgery","volume":"168 12","pages":"707-712"},"PeriodicalIF":0.0,"publicationDate":"2014-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/ejs.6161681208","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"109161986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Injections of botulinum a toxin for the treatment of anal fissures 注射肉毒杆菌一种治疗肛裂的毒素

European Journal of Surgery Pub Date : 2014-02-03 DOI: 10.1002/ejs.6161681211

Radzistew Trzcinski, Prof. Adam Dziki, Marcin Tchórzewski

引用次数: 0

Prospective evaluation of laparoscopic and open 360° fundoplication in mild and severe gastro-oesophageal reflux disease 腹腔镜和开放式360°底翻术治疗轻、重度胃食管反流病的前瞻性评价

European Journal of Surgery Pub Date : 2014-02-03 DOI: 10.1002/ejs.6161681004

Thomas Franzén, Bo Anderberg, Lita Tibbling Grahn, K.-E. Johansson

{"title":"Prospective evaluation of laparoscopic and open 360° fundoplication in mild and severe gastro-oesophageal reflux disease","authors":"Thomas Franzén, Bo Anderberg, Lita Tibbling Grahn, K.-E. Johansson","doi":"10.1002/ejs.6161681004","DOIUrl":"10.1002/ejs.6161681004","url":null,"abstract":"Objective: To investigate the relationship between five-year control of reflux and early postoperative oesophageal function after total fundoplication done either laparoscopically or through a laparotomy in severe and mild reflux disease.Design: Prospective open study.Setting: University hospital, Sweden.Patients: In the group with severe disease 9 patients had a laparotomy and 7 laparoscopy. The corresponding figures for the group with mild disease were 21 and 34 respectively.Results: The increase in lower oesophageal sphincter pressure 6 months after operation in patients with recurrent disease was significantly less than that for patients with good reflux control (p < 0.01). In patients who had laparotomy, including 30% (9/30) with severe reflux disease, good long-term reflux control was found in 93% (27/29). In patients operated on laparoscopically including 17% (7/41) with severe reflux disease good long-term reflux control was found in 90% (35/39).Conclusion: The mechanism of recurrence differed between patients with severe disease who had a laparotomy and patients with mild disease operated on laparoscopically. Early postoperative manometry was prognostic for recurrence. Long-term reflux control seems to be similar after laparotomy and laparoscopy. Further randomised studies are needed.","PeriodicalId":100508,"journal":{"name":"European Journal of Surgery","volume":"168 10","pages":"539-545"},"PeriodicalIF":0.0,"publicationDate":"2014-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/ejs.6161681004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73209917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Regional differences in the use of a vascular surgical service and incidence of amputations in a well-defined geographical area 在一个明确的地理区域内，血管外科服务的使用和截肢发生率的区域差异

European Journal of Surgery Pub Date : 2014-02-03 DOI: 10.1002/ejs.6161681212

Maarit A. Heikkinen M.D., Juha P. Salenius, Jukka P. Saarinen, Jari Laurikka, Riina Metsänoja, Rainer Zeitlin, Velipekka Suominen, Ossi Auvinen

{"title":"Regional differences in the use of a vascular surgical service and incidence of amputations in a well-defined geographical area","authors":"Maarit A. Heikkinen M.D., Juha P. Salenius, Jukka P. Saarinen, Jari Laurikka, Riina Metsänoja, Rainer Zeitlin, Velipekka Suominen, Ossi Auvinen","doi":"10.1002/ejs.6161681212","DOIUrl":"10.1002/ejs.6161681212","url":null,"abstract":"Objective: To evaluate regional differences in the use of a vascular surgical service in the treatment of critical lower limb ischaemia and incidence of amputation in the 1990s in a well-defined geographical area.Design: Retrospective study.Setting: One university and five county hospitals, Finland.Subjects: All referrals to the university hospital vascular surgical unit for chronic critical lower limb ischaemia and the number of major amputations in the region.Main outcome measures: Numbers of new vascular surgical consultations and amputations in 11 municipalities. Correlation between numbers of consultations and amputations.Results: Between the subregions the age-standardised incidence of new vascular surgical consultations in the 15–85 year old population varied from 52.4 to 104.7/105 and the incidence of amputation from 10.2 to 24.8/105. There was an inverse correlation between the numbers of consultations and amputations. The most significant inverse correlation was between consultations and below knee amputations in diabetic patients (r = −0.70). For above knee amputations there was no correlation (r = −0.21).Conclusion: An active referral policy leads to reduced amputation rates.","PeriodicalId":100508,"journal":{"name":"European Journal of Surgery","volume":"168 12","pages":"724-729"},"PeriodicalIF":0.0,"publicationDate":"2014-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/ejs.6161681212","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74231546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Perianal abscess: An unusual presentation of non-Hodgkin's lymphoma 肛周脓肿:非霍奇金淋巴瘤的一种不寻常的表现

European Journal of Surgery Pub Date : 2014-02-03 DOI: 10.1002/ejs.6161681119

A. Ganeshan M.D., Z. F. Soonawalla, J. N. Baxter

引用次数: 5

Closure of small bowel stomas on postoperative day 10 术后第10天小肠造口闭合

European Journal of Surgery Pub Date : 2014-02-03 DOI: 10.1002/ejs.6161681209

Fabrice Menegaux M.D., Pere Jordi-Galais, Nicolas Turrin, Jean-Paul Chigot

{"title":"Closure of small bowel stomas on postoperative day 10","authors":"Fabrice Menegaux M.D., Pere Jordi-Galais, Nicolas Turrin, Jean-Paul Chigot","doi":"10.1002/ejs.6161681209","DOIUrl":"https://doi.org/10.1002/ejs.6161681209","url":null,"abstract":"Objective: To find out if early closure of a defunctioning small bowel stoma (day 10) was feasible and safe.Design: Prospective non-randomised study.Setting: University hospital, France.Interventions: During a 42-month period (January 1998-June 2001), all patients with a temporary small bowel stoma were elected for early closure on postoperative day 10 in a non-randomised prospective study. The procedure was considered only if the patient was not taking steroids, was in good condition, and had not developed wound or general sepsis after the initial operation. Other patients' stomas were closed after the usually recommended delay (>8 weeks).Main outcome measures: Postoperative complications, delay to recover bowel activity, and to resume oral feeding, and duration of hospital stay.Results: Thirty-six patients were included in the study: 14 patients in the early group and 22 in the delayed group. There were no postoperative deaths. Three patients developed wound abscesses, two in the early group and one in the delayed group. The median (range) duration of hospital stay was longer in the delayed group: 36 (14–84) days, than in the early group: 22 (18–29) days (p < 0.01).Conclusions: Small bowel stomas can be closed in selected healthy patients on postoperative day 10 without major complications.","PeriodicalId":100508,"journal":{"name":"European Journal of Surgery","volume":"168 12","pages":"713-715"},"PeriodicalIF":0.0,"publicationDate":"2014-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/ejs.6161681209","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"109161987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Biology and management of gastric carcinoid tumours: A review 类胃癌的生物学和治疗:综述

European Journal of Surgery Pub Date : 2014-02-03 DOI: 10.1002/ejs.6161681203

Irvin M. Modlin M.D., Ph.D., F.A.C.S., Mark Kidd, Kevin D. Lye

引用次数: 0

Caval stenting and side-to-side portacaval shunt in the treatment of Budd-Chiari syndrome 下腔支架术和门静脉侧侧分流术治疗Budd-Chiari综合征

European Journal of Surgery Pub Date : 2014-02-03 DOI: 10.1002/ejs.6161681117

Genoveffa Balducci, Giorgio Lucandri, Paolo Mercantini, Giovanni Di Giacomo, Pietro Maria Amodio, Gennaro D'Amico, Filippo M. Salvatori, Vincenzo Ziparo M.D.

引用次数: 0