The European journal of surgery = Acta chirurgica最新文献_第4页

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

The European journal of surgery = Acta chirurgica Pub Date : 2002-01-01 DOI: 10.1080/11024150201680022

Irvin M Modlin, Mark Kidd, Kevin D Lye

引用次数: 30

Urological complications after simultaneous renal and pancreatic transplantation. 肾胰联合移植术后泌尿系统并发症。

The European journal of surgery = Acta chirurgica Pub Date : 2002-01-01 DOI: 10.1080/11024150201680006

Elena Orsenigo, Marco Cristallo, Carlo Socci, Renato Castoldi, Antonio Secchi, Renzo Colombo, Laura Invernizzi, Paolo Fiorina, Richard Naspro, Valerio Di Carlo

{"title":"Urological complications after simultaneous renal and pancreatic transplantation.","authors":"Elena Orsenigo, Marco Cristallo, Carlo Socci, Renato Castoldi, Antonio Secchi, Renzo Colombo, Laura Invernizzi, Paolo Fiorina, Richard Naspro, Valerio Di Carlo","doi":"10.1080/11024150201680006","DOIUrl":"https://doi.org/10.1080/11024150201680006","url":null,"abstract":"Objective: To report the urological complications after simultaneous renal and pancreatic transplantation.Design: Retrospective study.Setting: Teaching hospital, Italy.Subjects: 143 consecutive patients having simultaneous renal and pancreatic transplantation by one of three techniques. 33 segmental pancreas with duct occlusion, 77 whole pancreas with bladder diversion, and 33 enteric diversion with systemic (n = 26) or portal venous drainage (n = 7). Urological complications were related to the pancreatic transplant, to the renal transplant, or unrelated to the transplant.Main outcome measures: Morbidity.Results: After occlusion of the duct and enteric diversion, there were no urological complications related to the pancreatic transplant. On the other hand, among the 77 patients with pancreatic drainage into the bladder, urological complications were common (56/77; 73%). Complications related to the renal transplant were recorded in 6/33 (18%), 26/77 (34%) and 12/33 (36%), respectively. Complications unrelated to the transplant occurred in 6/77 patients (8%) in the bladder drainage group. Five patients after bladder drainage required cystoenteric conversion.Conclusions: Enteric diversion is a safe alternative to bladder diversion and results in significantly fewer urological complications.","PeriodicalId":22411,"journal":{"name":"The European journal of surgery = Acta chirurgica","volume":"168 11","pages":"609-13"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22343371","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: 9

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

The European journal of surgery = Acta chirurgica Pub Date : 2002-01-01 DOI: 10.1080/00000000000000008

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

{"title":"Closure of small bowel stomas on postoperative day 10.","authors":"Fabrice Menegaux, Pere Jordi-Galais, Nicolas Turrin, Jean-Paul Chigot","doi":"10.1080/00000000000000008","DOIUrl":"https://doi.org/10.1080/00000000000000008","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":22411,"journal":{"name":"The European journal of surgery = Acta chirurgica","volume":"168 12","pages":"713-5"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24677635","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: 58

Trauma management and education in europe: a survey of twelve geographically and socioeconomically diverse European countries. 欧洲的创伤管理和教育:对12个地理和社会经济不同的欧洲国家的调查。

The European journal of surgery = Acta chirurgica Pub Date : 2002-01-01 DOI: 10.1080/11024150201680032

Selman Uranüs, Sten Lennquist

{"title":"Trauma management and education in europe: a survey of twelve geographically and socioeconomically diverse European countries.","authors":"Selman Uranüs, Sten Lennquist","doi":"10.1080/11024150201680032","DOIUrl":"https://doi.org/10.1080/11024150201680032","url":null,"abstract":"Objective: To record the current standards of management and education in trauma surgery in 12 geographically and socioeconomically diverse countries in Europe.Design: Questionnaire study.Setting: Teaching hospital, Austria.Intervention: Questionnaire sent to experts on trauma in Austria, France, Germany, Italy, The Netherlands, Norway, Portugal, Romania, Spain, Sweden, Turkey, and the United Kingdom.Main outcome measure: Comparison of management of patients before, during, and after admission to hospital, and opportunities for initial and in-service training.Results: Management of patients and opportunities for training varied considerably from country to country, ranging from an organised trauma service throughout with specialised training to a haphazard and variable service that depended more on individual hospitals, doctors and patients.Conclusions: Standardisation of management and training would be desirable, and should be possible at least in countries that are members of the European Union.","PeriodicalId":22411,"journal":{"name":"The European journal of surgery = Acta chirurgica","volume":"168 12","pages":"730-5"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24677028","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: 25

Factors that affect the variability in heart rate during endoscopic retrograde cholangiopancreatography. 内窥镜逆行胆管造影术中影响心率变异性的因素。

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

Merete Christensen, Rebekka Reinert, Verner Rasmussen, Svend Schulze, Jacob Rosenberg

{"title":"Factors that affect the variability in heart rate during endoscopic retrograde cholangiopancreatography.","authors":"Merete Christensen, Rebekka Reinert, Verner Rasmussen, Svend Schulze, Jacob Rosenberg","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To find out if drugs, position, and endoscopic manipulation during endoscopic retrograde cholangiopancreatography (ERCP) influence the changes in the variability of heart rate.Design: Single-blind randomised trial.Subjects: 10 volunteers given butyscopolamine, glucagon, or saline intravenously on three different study days, and 10 patients who had ERCP without butylscopolamine or glucagon.Main outcome measures: Holter tape analysis for ischaemia and changes in the variability of heart rate.Results: 5 volunteers developed tachycardia after butylscopolamine, while 2 developed tachycardia after glucagon. During ERCP 9 patients developed tachycardia, and 2 developed myocardial ischaemia. Vagal tone decreased in the volunteers after butylscopolamine, but no changes were seen after glucagon or placebo, or in patients during ERCP.Conclusions: Butylscopolamine reduced vagal tone in volunteers. Patients who were having ERCP without butylscopolamine had a stable vagal tone. The previously observed reduced vagal tone during ERCP may therefore be primarily the result of giving butylscopolamine.","PeriodicalId":22411,"journal":{"name":"The European journal of surgery = Acta chirurgica","volume":"168 10","pages":"546-51"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22314980","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

Post-traumatic herniation of the liver, gallbladder, right colon, ileum, and right ovary through a Bochdalek hernia. 创伤后肝、胆囊、右结肠、回肠和右卵巢疝。

The European journal of surgery = Acta chirurgica Pub Date : 2002-01-01 DOI: 10.1080/11024150201680014

Jussi Rimpiläinen, Juho Kariniemi, Heikki Wiik, Fausto Biancari, Tatu Juvonen

引用次数: 6

Changing the path of inguinal hernia surgery decreased the recurrence rate ten-fold. Report from a county hospital. 改变腹股沟疝手术路径可使复发率降低10倍。县医院的报告

The European journal of surgery = Acta chirurgica Pub Date : 2002-01-01 DOI: 10.1080/11024150201680004

F Bemdsen, D Sevonius

{"title":"Changing the path of inguinal hernia surgery decreased the recurrence rate ten-fold. Report from a county hospital.","authors":"F Bemdsen, D Sevonius","doi":"10.1080/11024150201680004","DOIUrl":"https://doi.org/10.1080/11024150201680004","url":null,"abstract":"Objective: To audit the effect of changes in treatment of inguinal hernias on recurrence rate.Design: Retrospective analysis of consecutive patients operated on in 1990 and prospective analysis of consecutive patients operated on in 1996. Follow up with questionnaire followed by selective clinical examination.Setting: County hospital, Sweden.Subjects: 144 patients with 147 inguinal hernias operated on in 1990 and 154 patients with 165 inguinal hernias operated 1996. on inInterventions: In 1993, we changed many aspects of the treatment of inguinal hernia. We introduced new techniques such as Shouldice, Lichtenstein, and laparoscopic hernia repair. Non-absorbable polypropylene sutures replaced the braided absorbable sutures previously used. Inguinal herniorrhaphy went from a \"low status\" operation to a high status operation and became a primary teaching operation for surgical residents.Main outcome measures: Recurrence rate at 5 year follow up.Results: The 5 year recurrence rate decreased from 28% in 1990 to 3% in 1996 (p < 0.001). The m edian operating time increased from 35 minutes in 1990 to 78 minutes in 1996 (p < 0.001).Conclusion: Changing the strategy of inguinal hernia surgery by introducing uniform operating techniques and new materials dramatically improved the results and allowed us to achieve recurrence rates comparable to those seen in specialised hernia centres.","PeriodicalId":22411,"journal":{"name":"The European journal of surgery = Acta chirurgica","volume":"168 11","pages":"592-6"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22344647","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

Risk factors for severe postoperative hypocalcaemia after operations for primary hyperparathyroidism. 原发性甲状旁腺功能亢进术后严重低钙血症的危险因素。

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

Bengt Ahringberg Kald, Charlotte L Mollerup

{"title":"Risk factors for severe postoperative hypocalcaemia after operations for primary hyperparathyroidism.","authors":"Bengt Ahringberg Kald, Charlotte L Mollerup","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To identify risk factors for severe hypocalcaemia after surgery for primary hyperparathyroidism.Design: Retrospective study followed by a prospective study.Setting: University hospital, Denmark.Patients: 340 consecutive patients, operated on from 1991 to 1999, and 85 consecutive patients operated on in 2000.Main outcome measures: Predictive value of identified risk factors.Results: Incisional biopsy or excision of more than 2 parathyroid glands, thyroid operation together with parathyroidectomy, preoperative serum concentration of parathyroid hormone of more than 25 pmol/L, or a history of previous operations on the neck, were identified retrospectively as risk factors for severe postoperative hypocalcaemia. In the prospective study these factors showed a sensitivity of 100% (9/9), and a specificity of 25% (9/36). We found no risk of severe hypocalcaemia after parathyroidectomy in patients without these risk factors. The risk increased to 37% (7/19) if serum concentration of parathyroid hormone was more than 25 pmol/L, or if thyroidectomy was done together with parathyroidectomy.Conclusions: Patients with no risk factors for severe hypocalcaemia can be discharged early from hospital. Special attention should be given to patients with one or more risk factors for severe hypocalcaemia.","PeriodicalId":22411,"journal":{"name":"The European journal of surgery = Acta chirurgica","volume":"168 10","pages":"552-6"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22314981","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

Effects of the tyrosine kinase inhibitor tyrphostin AG 556 on acute necrotising pancreatitis in rats. 酪氨酸激酶抑制剂tyrphostin AG 556对大鼠急性坏死性胰腺炎的影响。

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

Etem Alhan, Ramazan Cicek, Cengiz Erçin, Asim Orem, Birgül Vanizor, Akif Cinel

{"title":"Effects of the tyrosine kinase inhibitor tyrphostin AG 556 on acute necrotising pancreatitis in rats.","authors":"Etem Alhan, Ramazan Cicek, Cengiz Erçin, Asim Orem, Birgül Vanizor, Akif Cinel","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To investigate the effects of the tyrosine kinase inhibitor tyrphostin AG 556 on the course of acute necrotising pancreatitis in rats.Design: Laboratory study.Setting: Medical school, Turkey.Animals: 72 Sprague Dawley rats, 12 in the sham operated (control) group and 20 in each of the three others.Main outcome measures: Cardiorespiratory measurements, mortality, effect on the activities of various enzymes in serum and tissue of pancreas and lung, and the histological picture.Results: The four study groups were sham + Ringer's lactate, acute necrotising pancreatitis with Ringer's lactate, tryphostin AG 556, and dimethylsulfoxide (DMSO). There were 12 animals in the first group and 20 in each of the other groups. The induction of pancreatitis increased mortality from 0/12 in the control to 6/20 (30%), 7/20 (35%), 8/20 (40%) in the three experimental groups, respectively. Heart rate, packed cell volume (PCV), serum activities of amylase and alanine aspartate transferase, tissue activity of myeloperoxidase (MPO) and malondialdehyde (MDA) in the pancreas and lung, serum concentrations of urea and calcium, volume of ascites, degree of pancreatic damage, blood pressure, and urine production did no differ between the pancreatitis groups.Conclusions: Treatment with the tyrphostin kinase inhibitor did not improve the course of acute pancreatitis or reduce the extent of acinar cell injury and is therefore unlikely to be of benefit in patients with pancreatitis.","PeriodicalId":22411,"journal":{"name":"The European journal of surgery = Acta chirurgica","volume":"168 10","pages":"557-62"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22314982","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

Recording of postoperative complications: quantity and quality. 术后并发症的记录:数量和质量。

The European journal of surgery = Acta chirurgica Pub Date : 2002-01-01 DOI: 10.1080/00000000000000013

Pierre Maina, Mads Carstensen, Hanne Tønnesen

引用次数: 6