The European journal of surgery = Acta chirurgica最新文献_第3页

Mucosa-associated lymphoid tissue thyroid lymphoma: a rare and not aggressive tumour. 粘膜相关淋巴组织甲状腺淋巴瘤:一种罕见的非侵袭性肿瘤。

The European journal of surgery = Acta chirurgica Pub Date : 2002-01-01

John Gogas, Efstratios Kouskos, Christos Markopoulos, Athina Androulakis, Dimitrios Mantas, Helen Gogas, Alkiviadis Kostakis

引用次数: 0

Mesh repair of incisional hernia: comparison of laparoscopic and open repair. 切口疝腹腔镜修补术与开放式修补术的比较。

The European journal of surgery = Acta chirurgica Pub Date : 2002-01-01 DOI: 10.1080/000000000000003

Riet M van't, W W Vrijland, J F Lange, W C J Hop, J Jeekel, H J Bonjer

{"title":"Mesh repair of incisional hernia: comparison of laparoscopic and open repair.","authors":"Riet M van't, W W Vrijland, J F Lange, W C J Hop, J Jeekel, H J Bonjer","doi":"10.1080/000000000000003","DOIUrl":"https://doi.org/10.1080/000000000000003","url":null,"abstract":"Objective: To compare our results of open and laparoscopic mesh repair of incisional hernias.Design: Retrospective cohort study.Setting: Teaching hospitals, The Netherlands.Subjects: All patients who had had a laparoscopic (n = 25) or an open (n = 76) mesh repair of incisional hernia between January 1996 and January 2000.Interventions: Physical examination at the time of the study.Main outcome measures: Morbidity and recurrence.Results: The groups were comparable. 11 patients (14%) developed postoperative infections after open repair and 1 (4%) after laparoscopic repair (p = 0.29). Median hospital stay was 5 days (range 1-19) in the open group and 4 (range 1-11) in the laparoscopic group (p = 0.28). The 2-year cumulative incidence of recurrence was 18% after open repair (median follow-up of 17 months (range 1-46) and 15% after laparoscopic repair (median follow-up of 15 months, range 1-44). Recurrences in the laparoscopic group were all among the first 7 cases in which the mesh was fixed with staples alone.Conclusion: There were fewer infections and hospital stay was shorter in the laparoscopic group, but not significantly so. Recurrence rates were comparable.","PeriodicalId":22411,"journal":{"name":"The European journal of surgery = Acta chirurgica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24678881","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: 38

Pathological scarring: strategic interventions. 病理性瘢痕:策略性干预。

The European journal of surgery = Acta chirurgica Pub Date : 2002-01-01

R O'Leary, E J Wood, P J Guillou

引用次数: 0

Small bowel obstruction caused by intestinal metastases from undiagnosed breast cancer: report of two cases. 未确诊乳腺癌转移性小肠梗阻2例报告。

The European journal of surgery = Acta chirurgica Pub Date : 2002-01-01 DOI: 10.1080/11024150201680015

Lisa Rydén, Gunilla Chebil, Per-Ebbe Jönsson

引用次数: 6

Importance of the early increase in intestinal permeability in critically ill patients. 危重患者早期肠通透性增高的重要性。

The European journal of surgery = Acta chirurgica Pub Date : 2002-01-01 DOI: 10.1080/11024150201680019

B J Ammori

引用次数: 12

Pedunculated lipoma of the oesophagus in a patient with achalasia. 贲门失弛缓症患者的食管带蒂脂肪瘤。

The European journal of surgery = Acta chirurgica Pub Date : 2002-01-01 DOI: 10.1080/11024150201680034

Kristoffer Lassen, Arthur Revhaug, Tore Gauperaa, Mike Kearney

引用次数: 3

Giant mediastinal parathyroid adenoma presenting with a hyperparathyroid crisis and leading to postoperative hungry bone syndrome. 巨大纵隔甲状旁腺腺瘤表现为甲状旁腺功能亢进危象并导致术后饥饿骨综合征。

The European journal of surgery = Acta chirurgica Pub Date : 2002-01-01 DOI: 10.1080/11024150201680036

Akin Kuzucu, Omer Soysal, Haluk Savli

引用次数: 15

Reintervention after laparoscopic and open cholecystectomy in Sweden 1987-1995: analysis of data from a hospital discharge register. 1987-1995年瑞典腹腔镜和开腹胆囊切除术后的再干预:来自医院出院记录的数据分析

The European journal of surgery = Acta chirurgica Pub Date : 2002-01-01 DOI: 10.1080/00000000000000006

Axel Ros, Bengt Haglund, Erik Nilsson

{"title":"Reintervention after laparoscopic and open cholecystectomy in Sweden 1987-1995: analysis of data from a hospital discharge register.","authors":"Axel Ros, Bengt Haglund, Erik Nilsson","doi":"10.1080/00000000000000006","DOIUrl":"https://doi.org/10.1080/00000000000000006","url":null,"abstract":"Objective: To find out the incidence of cholecystectomy and of reintervention after cholecystectomy in Sweden 1987 to 1995, and to compare mortality and reintervention after simple laparoscopic and conventional open cholecystectomy (without exploration of the common bile duct or simultaneous operation).Design: Analysis of data from Swedish national registers.Setting: Two hospitals and government department, Sweden.Main outcome measures: Mortality and reintervention during readmission within one year after cholecystectomy classified as: reoperation on bile duct, endoscopic or percutaneous reintervention, or reoperation for wound complication, bleeding, or unspecified cause.Results: Incidence of cholecystectomy rose between 1987-89 and 1993-95 from 0.97 to 1.04 for men and from 1.70 to 2.05 operations/1000 inhabitants for women. Reoperation on the bile ducts declined from 1987 to 1991 but returned to previous levels thereafter. Endoscopic reinterventions increased tenfold from 1987 to 1995, whereas those for general complications and mortality did not change significantly. Among simple cholecystectomies laparoscopic surgery was associated with an increased risk of endoscopic reintervention, odds ratio 1.8 (95% CI 1.2 to 2.6), and with a lower risk for postoperative mortality, odds ratio 0.5 (95% CI 0.3 to 0.8).Conclusions: Incidence, mortality, and readmission with reintervention are important endpoints in gallbladder surgery. Significant changes in these variables were identified after the introduction of laparoscopic cholecystectomy.","PeriodicalId":22411,"journal":{"name":"The European journal of surgery = Acta chirurgica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24677632","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

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。

The European journal of surgery = Acta chirurgica Pub Date : 2002-01-01

Thomas Franzén, Karl-Erik Johansson

{"title":"Symptoms and reflux competence in relation to anatomical findings at reoperation after laparoscopic total fundoplication.","authors":"Thomas Franzén, Karl-Erik Johansson","doi":"","DOIUrl":"","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":22411,"journal":{"name":"The European journal of surgery = Acta chirurgica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24677633","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

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。

The European journal of surgery = Acta chirurgica Pub Date : 2002-01-01

Maarit A Heikkinen, 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, Juha P Salenius, Jukka P Saarinen, Jari Laurikka, Riina Metsänoja, Rainer Zeitlin, Velipekka Suominen, Ossi Auvinen","doi":"","DOIUrl":"","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 104.7/10(5) and the incidence of amputation from 10.2 to 24.8/10(5). 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":22411,"journal":{"name":"The European journal of surgery = Acta chirurgica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24677638","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