European Journal of Surgery最新文献

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A survey of surgical treatment of gallstone disease and the diffusion of laparoscopic surgery in Sweden 1992–93 1992 - 1993年瑞典胆结石手术治疗及腹腔镜手术普及情况的调查
European Journal of Surgery Pub Date : 2003-12-02 DOI: 10.1080/110241598750004526
Ulf Berggren, Dag Arvidsson, Ulf Haglund
{"title":"A survey of surgical treatment of gallstone disease and the diffusion of laparoscopic surgery in Sweden 1992–93","authors":"Ulf Berggren,&nbsp;Dag Arvidsson,&nbsp;Ulf Haglund","doi":"10.1080/110241598750004526","DOIUrl":"10.1080/110241598750004526","url":null,"abstract":"<div>\u0000 \u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective:</h3>\u0000 \u0000 <p>To study the diffusion of laparoscopic biliary surgery in Sweden, 1992–93.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design:</h3>\u0000 \u0000 <p>A prospective survey of all biliary surgery for gallstone disease recorded for 8 weeks in 1992 and the same period in 1993.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Setting:</h3>\u0000 \u0000 <p>All surgical departments in Sweden.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Subjects:</h3>\u0000 \u0000 <p>A consecutive series of 1938 patients in 1992 and 1748 patients in 1993.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Main outcome measures:</h3>\u0000 \u0000 <p>The changing indications, diffusion, morbidity, mortality, postoperative and hospital stay after laparoscopic cholecystectomy (LC) in Sweden in 1992 compared with 1993.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results:</h3>\u0000 \u0000 <p>Despite the spread of LC, the indications did not change between 1992 and 1993 (<i>p</i> = 0.31). The total number of cholecystectomies decreased from 1938 in 1992 to 1748 in 1993. The overall percentage of laparoscopic cholecystectomies (LCs) increased from 74.7% to 81.2% (<i>p</i> &lt; 0.001) between 1992 and 1993.</p>\u0000 \u0000 <p>Postoperative morbidity and mortality after LC did not differ between 1992 and 1993, but the total morbidity was 9.0% in 1992 and 7.0% in 1993 (<i>p</i> = 0.02). Mortality for all cholecystectomies did not change over the periods, being 0.6% in 1992 and 0.2% in 1993 (<i>p</i> = 0.07). The numbers of LCs done in any hospital were divided in two groups, 20 or fewer and 21–80. In the smaller group, the postoperative morbidity was 7.1% and in the larger group it was 7.0%, (<i>p</i> = 0.9). The postoperative mortality was 0.1% in both groups.</p>\u0000 \u0000 <p>The postoperative and total hospital stays of all cholecystectomies decreased from 3.4 days in 1992 to 2.9 days in 1993 (<i>p</i> = 0.001) and from 5.0 in 1992 to 4.4 days in 1993 (<i>p</i> &lt; 0.001), respectively. The postoperative and total hospital stays of LCs decreased from 2.0 in 1992 to 1.8 days in 1993 (<i>p</i> = 0.009) and from 3.3 in 1992 to 2.9 days in 1993 (<i>p</i> = 0.007), respectively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion:</h3>\u0000 \u0000 <p>Despite the introduction and diffusion of the new technology, LC, the indications for surgery did not change and the number of cholecystectomies did not increase from 1992 to 1993. The morbidity and mortality of LC and the mortality of all cholecystectomies were unchanged b","PeriodicalId":100508,"journal":{"name":"European Journal of Surgery","volume":"164 4","pages":"287-295"},"PeriodicalIF":0.0,"publicationDate":"2003-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/110241598750004526","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20559651","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: 1
An experimental study on effects of monopolar diathermy on the bile ducts 单极透热对胆管影响的实验研究
European Journal of Surgery Pub Date : 2003-12-02 DOI: 10.1080/110241598750004535
Erik Trondsen, Arne R. Rosseland, Arne Bakka, Tom Erik Ruud, Tormod Martinsen, Ole P. F. Clausen, Anstein Bergan, Ansgar O. Aasen
{"title":"An experimental study on effects of monopolar diathermy on the bile ducts","authors":"Erik Trondsen,&nbsp;Arne R. Rosseland,&nbsp;Arne Bakka,&nbsp;Tom Erik Ruud,&nbsp;Tormod Martinsen,&nbsp;Ole P. F. Clausen,&nbsp;Anstein Bergan,&nbsp;Ansgar O. Aasen","doi":"10.1080/110241598750004535","DOIUrl":"10.1080/110241598750004535","url":null,"abstract":"<div>\u0000 \u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective:</h3>\u0000 \u0000 <p>To study the effects of monopolar diathermy on the bile ducts in pigs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design:</h3>\u0000 \u0000 <p>Experimental study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Setting:</h3>\u0000 \u0000 <p>University hospital, Norway.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Material:</h3>\u0000 \u0000 <p>18 pigs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Interventions:</h3>\u0000 \u0000 <p>Laparotomy, application of diathermy at standard sites along the cystic duct, the bile ducts, and a cystic duct containing a metal clip, 3 to 12 times of 5 seconds' duration at each site. Temperature was subsequently recorded at standard measurement points on the bile ducts. Twelve pigs were killed after three weeks for assessment of the bile ducts at necropsy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Main outcome measurements:</h3>\u0000 \u0000 <p>Increase in temperature in the bile duct walls and late changes in the bile ducts.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results:</h3>\u0000 \u0000 <p>Temperature increased by 4–6°C during 6 of 330 diathermy applications along the cystic duct, by 4–18°C in 8 of 126 applications along the common bile duct, and by 4–11°C at the clip in 9 of 54 applications. There were no macroscopic or microscopic changes in the bile ducts.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion:</h3>\u0000 \u0000 <p>Monopolar diathermy induced unexpected distant increases in the temperature of the bile duct walls and at a clip on the cystic duct probably because diathermy current energy was distributed along channels of high current conductivity. Copyright © 1998 Taylor and Francis Ltd.</p>\u0000 </section>\u0000 </div>","PeriodicalId":100508,"journal":{"name":"European Journal of Surgery","volume":"164 4","pages":"297-303"},"PeriodicalIF":0.0,"publicationDate":"2003-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/110241598750004535","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20559652","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
Screening of concentrations of C-reactive protein and various plasma protease inhibitors preoperatively for the prediction of postoperative complications 术前筛查c反应蛋白及各种血浆蛋白酶抑制剂浓度预测术后并发症
European Journal of Surgery Pub Date : 2003-12-02 DOI: 10.1080/110241598750004733
Joakim Göransson, Svante Jonsson, Åke Lasson
{"title":"Screening of concentrations of C-reactive protein and various plasma protease inhibitors preoperatively for the prediction of postoperative complications","authors":"Joakim Göransson,&nbsp;Svante Jonsson,&nbsp;Åke Lasson","doi":"10.1080/110241598750004733","DOIUrl":"10.1080/110241598750004733","url":null,"abstract":"<div>\u0000 \u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective:</h3>\u0000 \u0000 <p>To find out whether concentrations of albumin (reflecting nutritional state), C-reactive protein (reflecting an acute phase reaction) or plasma protease inhibitors (reflecting ongoing proteolysis) are good predictors of postoperative complications, and whether other biochemical tests may improve diagnostic accuracy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design:</h3>\u0000 \u0000 <p>Retrospective study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Setting:</h3>\u0000 \u0000 <p>University hospital, Sweden.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Subjects:</h3>\u0000 \u0000 <p>260 patients undergoing elective surgery for malignant (<i>n</i> = 149) or benign (<i>n</i> = 111) disease.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Main outcome measures:</h3>\u0000 \u0000 <p>Preoperative biochemical plasma measurements and postoperative complications.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results:</h3>\u0000 \u0000 <p>192 patients recovered uneventfully and 35 had minor and 33 major postoperative complications. An increased plasma C-reactive protein concentration preoperatively, as well as a reduced albumin concentration, predicted the risk of developing major postoperative complications. Measurement of plasma protease inhibitors (C1-esterase inhibitor, alpha-2-macroglobulin and antithrombin III), specific biochemical studies of microheterogeneity, or comparison of quantitative and functional concentrations of the inhibitors gave no additional information.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion:</h3>\u0000 \u0000 <p>One measurement of the C-reactive protein and albumin concentrations preoperatively will identify patients at risk of developing severe postoperative complications. Copyright © 1998 Taylor and Francis Ltd.</p>\u0000 </section>\u0000 </div>","PeriodicalId":100508,"journal":{"name":"European Journal of Surgery","volume":"164 2","pages":"89-101"},"PeriodicalIF":0.0,"publicationDate":"2003-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/110241598750004733","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20459730","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: 15
Use of desmopressin to prevent bleeding in surgery 去氨加压素在手术中预防出血的应用
European Journal of Surgery Pub Date : 2003-12-02 DOI: 10.1080/110241598750004887
Per Anders Flordal
{"title":"Use of desmopressin to prevent bleeding in surgery","authors":"Per Anders Flordal","doi":"10.1080/110241598750004887","DOIUrl":"10.1080/110241598750004887","url":null,"abstract":"","PeriodicalId":100508,"journal":{"name":"European Journal of Surgery","volume":"164 1","pages":"5-11"},"PeriodicalIF":0.0,"publicationDate":"2003-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/110241598750004887","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20462402","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: 22
Surgical treatment of chronic critical leg ischaemia 慢性重症下肢缺血的外科治疗
European Journal of Surgery Pub Date : 2003-12-02 DOI: 10.1080/110241598750004931
M. Luther
{"title":"Surgical treatment of chronic critical leg ischaemia","authors":"M. Luther","doi":"10.1080/110241598750004931","DOIUrl":"10.1080/110241598750004931","url":null,"abstract":"<div>\u0000 \u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective:</h3>\u0000 \u0000 <p>To evaluate mobility and care level required after amputation and arterial reconstruction for chronic critical leg ischaemia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design:</h3>\u0000 \u0000 <p>A 5 year follow up study in three hospitals serving a defined population.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Setting:</h3>\u0000 \u0000 <p>One regional and two district hospitals, Finland.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Patients:</h3>\u0000 \u0000 <p>117 Consecutive patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcome measures:</h3>\u0000 \u0000 <p>Survival, amputations, mobility, and care level required.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Main results:</h3>\u0000 \u0000 <p>66 Primary reconstructions, 51 primary and 35 later major amputations were done. Preoperatively 27 (53%) of the patients who underwent a primary amputation were in permanent institutional care. Of 86 patients who were living outside an institution, 62 (72%) had a reconstruction. One and five year mortality were 43% and 84% after amputation, and 20% and 57% after reconstruction, respectively. Of the patients who had had an amputation 10% were able to walk and 25% could manage to live outside an institution. Mobility and treatment level after primary and secondary amputations were similar. Forty seven (71%) of the patients who had had a reconstruction did not have an amputation. All patients whose reconstructions were successful preserved their walking ability and independent living.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion:</h3>\u0000 \u0000 <p>To maintain mobility and an independent living in patients with chronic critical leg ischaemia it is necessary to do a reconstruction that can salvage the leg. In old, institutionalised patients chronic critical leg ischaemia is often the harbinger of approaching death and then amputation is the only possible solution. Copyright © 1998 Taylor and Francis Ltd.</p>\u0000 </section>\u0000 </div>","PeriodicalId":100508,"journal":{"name":"European Journal of Surgery","volume":"164 1","pages":"35-43"},"PeriodicalIF":0.0,"publicationDate":"2003-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/110241598750004931","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20462407","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: 23
Rectal prolapse and rectal invagination 直肠脱垂和直肠内陷
European Journal of Surgery Pub Date : 2003-12-02 DOI: 10.1080/110241598750004346
Ridzuan Farouk, Graeme S. Duthie
{"title":"Rectal prolapse and rectal invagination","authors":"Ridzuan Farouk,&nbsp;Graeme S. Duthie","doi":"10.1080/110241598750004346","DOIUrl":"10.1080/110241598750004346","url":null,"abstract":"<p>Solitary rectal ulcer, internal rectal intussusception, and complete rectal prolapse are a range of defaecatory disorders that may have a common aetiology, namely chronic straining. If the pelvic floor is weak, external prolapse is often complicated by faecal incontinence. Few patients, a lack of randomised trials, and difficulties in the interpretation of studies of anorectal physiology (the results of which often seem conflicting) have made the understanding of these disorders difficult. The basis for treatment is clear, however—patients who have symptomatic defaecatory disorders associated with an internal intussusception, or solitary rectal ulcer, or both should have a course of training of pelvic floor muscles, dietary advice, and should use fibre supplements as primary treatment. Operation should be reserved for those patients in whom medical treatment has failed, and it may be expected to relieve symptoms in above two thirds of patients. Defaecating proctography may be useful in assessing which patients may not benefit from operation. Operation is the primary treatment for external prolapse. The choice of surgical approach should be tailored according to the expertise available, the medical condition of the patient, and the presence or absence of pre-existing constipation or incontinence. Copyright © 1998 Taylor and Francis Ltd.</p>","PeriodicalId":100508,"journal":{"name":"European Journal of Surgery","volume":"164 5","pages":"323-332"},"PeriodicalIF":0.0,"publicationDate":"2003-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/110241598750004346","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20584529","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: 18
Symptom criteria do not distinguish between functional and organic dyspepsia 症状标准不能区分功能性消化不良和器质性消化不良
European Journal of Surgery Pub Date : 2003-12-02 DOI: 10.1080/110241598750004373
Per Lundquist, Rein Seensalu, Bengt Lindén, Lars H. Nilsson, Greger Lindberg
{"title":"Symptom criteria do not distinguish between functional and organic dyspepsia","authors":"Per Lundquist,&nbsp;Rein Seensalu,&nbsp;Bengt Lindén,&nbsp;Lars H. Nilsson,&nbsp;Greger Lindberg","doi":"10.1080/110241598750004373","DOIUrl":"10.1080/110241598750004373","url":null,"abstract":"<div>\u0000 \u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Design:</h3>\u0000 \u0000 <p>Retrospective study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Setting:</h3>\u0000 \u0000 <p>Teaching hospital, Sweden.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective:</h3>\u0000 \u0000 <p>To find out if various diagnostic criteria could distinguish organic from non-organic causes of dyspepsia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Subjects:</h3>\u0000 \u0000 <p>635 patients previously interviewed by computer questionnaire.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Interventions:</h3>\u0000 \u0000 <p>Upper gastrointestinal endoscopy, laboratory tests, clinical examination.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Main outcome measure:</h3>\u0000 \u0000 <p>Differentiation between organic and functional dyspepsia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results:</h3>\u0000 \u0000 <p>106 patients had functional dyspepsia. Of these 83 had ulcer-like dyspepsia, 76 motility-like dyspepsia, and 50 reflux-like dyspepsia. Eight patients had unspecified dyspepsia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions:</h3>\u0000 \u0000 <p>There was a considerable overlap between different subgroups, and the criteria did not differentiate between organic and non-organic causes of dyspepsia though the symptom criteria in most cases showed an independent value in discriminating between different subgroups. The clinical usefulness of the criteria remains to be shown. Copyright © 1998 Taylor and Francis Ltd.</p>\u0000 </section>\u0000 </div>","PeriodicalId":100508,"journal":{"name":"European Journal of Surgery","volume":"164 5","pages":"345-352"},"PeriodicalIF":0.0,"publicationDate":"2003-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/110241598750004373","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20585060","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: 12
Prognostic factors in primary gastrointestinal non-Hodgkin's lymphoma: a multivariate analysis of 76 cases 76例原发性胃肠道非霍奇金淋巴瘤预后因素分析
European Journal of Surgery Pub Date : 2003-12-02 DOI: 10.1080/110241598750004427
F. Sanchez-Bueno, J. A. Garcia-Marcilla, J. D. Alonso, J. Acosta, L. Carrasco, A. Piñero, P. Parrilla
{"title":"Prognostic factors in primary gastrointestinal non-Hodgkin's lymphoma: a multivariate analysis of 76 cases","authors":"F. Sanchez-Bueno,&nbsp;J. A. Garcia-Marcilla,&nbsp;J. D. Alonso,&nbsp;J. Acosta,&nbsp;L. Carrasco,&nbsp;A. Piñero,&nbsp;P. Parrilla","doi":"10.1080/110241598750004427","DOIUrl":"10.1080/110241598750004427","url":null,"abstract":"<div>\u0000 \u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective:</h3>\u0000 \u0000 <p>To present our experience with the treatment of primary gastrointestinal (GI) non-Hodgkin's lymphoma, evaluate prognostic factors, and give our recommendations for treatment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design:</h3>\u0000 \u0000 <p>Retrospective study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Setting:</h3>\u0000 \u0000 <p>Teaching hospital, Spain.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Subjects:</h3>\u0000 \u0000 <p>76 patients (47 men and 29 women, mean age 51 years) treated over the 15 years 1980–1994.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Interventions:</h3>\u0000 \u0000 <p>52 patients had radical resections, 19 palliative resections, and 5 biopsy alone. 42 (55%) also had adjuvant chemotherapy and 20 (26%) radiotherapy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results:</h3>\u0000 \u0000 <p>Patients with primary intestinal lymphoma were slightly but not significantly younger than those with gastric lymphoma (43 compared with 56 years). 43 Patients (57%) had tumours in the stomach, 26 (34%) in the small bowel, and 7 (9%) in the colon. At presentation 34 had stage I disease, 25 stage IIE1 disease, and the remaining 17 stage IIE2; 14 were classified as low grade, 41 as intermediate, and 21 as high grade. 60 (79%) had a B-cell phenotype. Overall 5-year survival was 53%. Of the 11 variables tested by univariate analysis for their prognostic effect only abdominal mass (<i>p</i> &lt; 0.001), clinical stage (<i>p</i> &lt; 0.001), type of operation (<i>p</i> &lt; 0.001), tumour size (<i>p</i> &lt; 0.05), and histological grade (<i>p</i> &lt; 0.05) achieved significance, but when Cox's multivariate analysis was applied only clinical stage was significant (<i>p</i> &lt; 0.01).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion:</h3>\u0000 \u0000 <p>Operation is the treatment of choice, but chemotherapy and radiotherapy may have a role though as yet there are no standard guidelines for their use. Copyright © 1998 Taylor and Francis Ltd.</p>\u0000 </section>\u0000 </div>","PeriodicalId":100508,"journal":{"name":"European Journal of Surgery","volume":"164 5","pages":"385-392"},"PeriodicalIF":0.0,"publicationDate":"2003-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/110241598750004427","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20585065","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: 28
Invited commentary 请评论
European Journal of Surgery Pub Date : 2003-12-02 DOI: 10.1080/110241598750005921
Lars Påhlman
{"title":"Invited commentary","authors":"Lars Påhlman","doi":"10.1080/110241598750005921","DOIUrl":"https://doi.org/10.1080/110241598750005921","url":null,"abstract":"","PeriodicalId":100508,"journal":{"name":"European Journal of Surgery","volume":"164 7","pages":"541-542"},"PeriodicalIF":0.0,"publicationDate":"2003-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/110241598750005921","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"109160981","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
Anton N. Sidawy, Bauer E. Sumpio, Ralph G. DePalma (Eds): The basic science of vascular disease. Futura Publishing Company Inc; Armonk, New York. 1997. (900 pages). ISBN 0-87993-627-4 Anton N. Sidawy, Bauer E. Sumpio, Ralph G. DePalma(主编):血管疾病的基础科学。Futura出版公司;阿蒙克,纽约,1997。(900页)。ISBN 0-87993-627-4
European Journal of Surgery Pub Date : 2003-12-02 DOI: 10.1080/110241598750004571
Anders G. Olsson
{"title":"Anton N. Sidawy, Bauer E. Sumpio, Ralph G. DePalma (Eds): The basic science of vascular disease. Futura Publishing Company Inc; Armonk, New York. 1997. (900 pages). ISBN 0-87993-627-4","authors":"Anders G. Olsson","doi":"10.1080/110241598750004571","DOIUrl":"10.1080/110241598750004571","url":null,"abstract":"","PeriodicalId":100508,"journal":{"name":"European Journal of Surgery","volume":"164 4","pages":"317"},"PeriodicalIF":0.0,"publicationDate":"2003-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/110241598750004571","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81511364","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
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