The Japanese journal of surgery最新文献_第3页

A case of empyema developing thirteen years after a pneumonectomy treated using pedicled omentum which was followed by intestinal obstruction. 一例肺气肿发生后十三年的肺切除术治疗带蒂网膜，随后肠梗阻。

The Japanese journal of surgery Pub Date : 1991-11-01 DOI: 10.1007/BF02471060

N Tsubota, T Hatta, M Yoshimura, M Yanagawa

引用次数: 3

Surgical treatment of abdominal aortic aneurysm in the high-risk patient. 高危患者腹主动脉瘤的外科治疗。

The Japanese journal of surgery Pub Date : 1991-11-01 DOI: 10.1007/BF02471042

Y Morishita, H Toyohira, T Yuda, M Yamashita, S Shimokawa, H Saigenji, M Hashiguchi, S Kawashima, Y Moriyama, A Taira

{"title":"Surgical treatment of abdominal aortic aneurysm in the high-risk patient.","authors":"Y Morishita, H Toyohira, T Yuda, M Yamashita, S Shimokawa, H Saigenji, M Hashiguchi, S Kawashima, Y Moriyama, A Taira","doi":"10.1007/BF02471042","DOIUrl":"https://doi.org/10.1007/BF02471042","url":null,"abstract":"In an attempt to define the preoperative risk factors that predictably influence mortality after aneurysmectomy, this study reviews the surgical management of abdominal aortic aneurysms in a series of 110 consecutive patients who underwent elective resection. The preoperative risks to be added to the present study included pulmonary insufficiency, renal dysfunction, advanced age of over 80 years, ischemic heart disease, and associated other diseases such as thoracic aneurysms, atherosclerosis of the limbs and malignant tumors. Forty-six patients had one of these risk factors (one-risk group), 17 had two (two-risk group), and 9 had three (three-risk group). The operative mortality rates were 4.2 per cent for the high-risk patients and 0 per cent for the patients at no risk. As the number of risk factors increased, aneurysm repair was associated with an increased operative mortality; being 2.2 per cent in the one-risk group, 5.9 per cent in the two-risk group and 11.1 per cent in the three-risk group. The common risk factor in patients who died after aneurysmectomy was pulmonary insufficiency which induced prolonged periods of assisted ventilation. Thus, the optimal management of high-risk patients, particularly those with pulmonary insufficiency, may reduce the mortality after aneurysmectomy.","PeriodicalId":22610,"journal":{"name":"The Japanese journal of surgery","volume":"21 6","pages":"595-9"},"PeriodicalIF":0.0,"publicationDate":"1991-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02471042","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12949994","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

Acute phase proteins and infectious complications after surgery for esophageal cancer. 食管癌术后急性期蛋白与感染并发症

The Japanese journal of surgery Pub Date : 1991-11-01 DOI: 10.1007/BF02471047

T Saito, A Kuwahara, K Shimoda, T Kinoshita, K Sato, M Miyahara, M Kobayashi

{"title":"Acute phase proteins and infectious complications after surgery for esophageal cancer.","authors":"T Saito, A Kuwahara, K Shimoda, T Kinoshita, K Sato, M Miyahara, M Kobayashi","doi":"10.1007/BF02471047","DOIUrl":"https://doi.org/10.1007/BF02471047","url":null,"abstract":"Severe septic complications are the major cause of operative mortality in patients with esophageal cancer. We examined the levels of acute phase proteins together with infection-related complications after surgery in a large number of patients with esophageal cancer and compared them with a group of patients with gastric cancer and healthy controls. Elevations in alpha 1-antitrypsin, alpha 1-acidglycoprotein, haptoglobin and ceruloplasmin were evident in patients with esophageal cancer, being more predominant when compared to the findings in patients with gastric cancer. Although the mean levels of alpha 2-macroglobulin were not significantly elevated in either patients with esophageal cancer or those with gastric cancer, the average level immediately prior to surgery was higher in esophageal cancer patients with postoperative septic complications than in those without any such problems. Preoperative radiation therapy and total parenteral nutrition did not significantly alter the levels of acute phase proteins. It would thus appear that the elevation in alpha 2-macroglobulin is associated with the occurrence of infectious complications following surgery in patients with esophageal cancer.","PeriodicalId":22610,"journal":{"name":"The Japanese journal of surgery","volume":"21 6","pages":"627-36"},"PeriodicalIF":0.0,"publicationDate":"1991-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02471047","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12887232","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: 2

Immunohistochemical studies on enterokinase producing cells in the biliary tract. 胆道肠激酶产生细胞的免疫组化研究。

The Japanese journal of surgery Pub Date : 1991-11-01 DOI: 10.1007/BF02471043

S Yamasaki, Y Miyoshi, N Komi

{"title":"Immunohistochemical studies on enterokinase producing cells in the biliary tract.","authors":"S Yamasaki, Y Miyoshi, N Komi","doi":"10.1007/BF02471043","DOIUrl":"https://doi.org/10.1007/BF02471043","url":null,"abstract":"The activation mechanism of pancreatic enzymes refluxing into the biliary tract in the anomalous arrangement of pancreaticobiliary ducts (APBD) remains unclear. In order to elucidate this activation mechanism, an immunohistochemical examination of both bile ducts and gallbladders was carried out on 20 patients with APBD to determine whether or not enterokinase (EK) producing cells exist in the biliary tract, by employing an avidin-biotin-peroxidase complex (ABC) method using a monoclonal antibody, hek-1. Immunoreactive EK was found in the metaplastic epithelium of the bile duct in 2 patients and the gallbladder in one, suggesting that EK production at the metaplastic epithelium is involved in an activation mechanism of pancreatic enzymes refluxing into the biliary tract. The same study was performed on the gallbladders of 62 patients without APBD, which revealed immunoreactive EK in some parts of the metaplastic epithelium of the gallbladder in 2 patients. Thus, in cases of pancreatic juice refluxing into the biliary tract regardless of the presence of APBD, we can not refute the possibility that refluxed pancreatic enzymes may be at least partly activated by EK produced at the metaplastic epithelium.","PeriodicalId":22610,"journal":{"name":"The Japanese journal of surgery","volume":"21 6","pages":"600-5"},"PeriodicalIF":0.0,"publicationDate":"1991-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02471043","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12949995","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

A multivariate study of the relationship between regional lymph node metastases and prognosis in patients with operable breast cancer. 可手术乳腺癌患者区域淋巴结转移与预后关系的多因素研究。

The Japanese journal of surgery Pub Date : 1991-11-01 DOI: 10.1007/BF02471045

M Noguchi, T Taniya, N Koyasaki, N Ohta, I Miyazaki

{"title":"A multivariate study of the relationship between regional lymph node metastases and prognosis in patients with operable breast cancer.","authors":"M Noguchi, T Taniya, N Koyasaki, N Ohta, I Miyazaki","doi":"10.1007/BF02471045","DOIUrl":"https://doi.org/10.1007/BF02471045","url":null,"abstract":"In order to evaluate the prognostic importance of clinical and histological node information, we made univariate and multivariate analyses of regional lymph node metastases in 223 patients with operable breast cancer who were surgically treated from 1973 to 1985. Clinical axillary node status, histological involvement of the axillary lymph nodes, their anatomical levels and numbers, and histological involvement of the internal mammary lymph nodes were selected as evaluating prognostic factors. The histological presence or absence of axillary node involvement, especially at the distal level, proved to be the most important prognostic factor. However, neither the anatomical level nor the number of histologically involved axillary lymph nodes appeared to be an important prognostic factor. On the other hand, histological involvement of the internal mammary nodes appeared to be an important and independent prognostic factor. Therefore, we concluded that axillary lymph node dissection with a biopsy of the internal mammary nodes would provide more accurate information about the prognosis of patients with operable breast cancer.","PeriodicalId":22610,"journal":{"name":"The Japanese journal of surgery","volume":"21 6","pages":"613-20"},"PeriodicalIF":0.0,"publicationDate":"1991-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02471045","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12830601","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: 2

Upper esophagectomy with pharyngolaryngectomy for esophageal carcinoma at the cervicothoracic junction. 颈胸交界处食管癌行上段食管切除术联合咽喉癌切除术。

The Japanese journal of surgery Pub Date : 1991-11-01 DOI: 10.1007/BF02471050

H Fujita, T Kakegawa, Y Inoue, H Yamana, G Shirouzu, T Minami, Y Tai

引用次数: 1

The enhancement of tumor growth after partial hepatectomy and the effect of sera obtained from hepatectomized rats on tumor cell growth. 肝部分切除对肿瘤生长的促进作用及肝切除大鼠血清对肿瘤细胞生长的影响。

The Japanese journal of surgery Pub Date : 1991-11-01 DOI: 10.1007/BF02471053

T Asaga, K Suzuki, M Umeda, Y Sugimasa, S Takemiya, T Okamoto

{"title":"The enhancement of tumor growth after partial hepatectomy and the effect of sera obtained from hepatectomized rats on tumor cell growth.","authors":"T Asaga, K Suzuki, M Umeda, Y Sugimasa, S Takemiya, T Okamoto","doi":"10.1007/BF02471053","DOIUrl":"https://doi.org/10.1007/BF02471053","url":null,"abstract":"In the process of liver regeneration, the participation of various types of growth stimulators and changes in immune responses have been reported. Here, we examined the growth of subcutaneously transplanted AH130 cells and Walker 256 cells after partial hepatectomy. In the case of tumor cells being transplanted on the same day as partial hepatectomy, the increase in tumor size in hepatectomized rats was significantly greater compared with that in non-treated rats or in those having undergone a simple laparotomy. When the transplantation of tumor cells was done on the 7th day after partial hepatectomy, however, the increase was less marked. We also examined the effect of serum obtained from rats after partial hepatectomy on the in vitro growth of these tumor cells. Growth enhancement was observed with medium containing serum drawn from rats 1 to 4 days after partial hepatectomy. These results suggest that the growth of tumor cells was stimulated during liver regeneration and that some humoral factors participated in the process. Furthermore, as the conditions of the in vitro method appear to mimic those of the in vivo method, the in vitro approach should be very useful for analysis of the factors responsible.","PeriodicalId":22610,"journal":{"name":"The Japanese journal of surgery","volume":"21 6","pages":"669-75"},"PeriodicalIF":0.0,"publicationDate":"1991-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02471053","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12949935","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

Surgical treatment for aspiration following esophageal reconstruction--a report of two cases and the techniques involved. 食管重建术后误吸的手术治疗——附两例报告及相关技术。

The Japanese journal of surgery Pub Date : 1991-11-01 DOI: 10.1007/BF02471056

H Fujita, M Hirano, T Kakegawa, H Yamana, S Tanaka

{"title":"Surgical treatment for aspiration following esophageal reconstruction--a report of two cases and the techniques involved.","authors":"H Fujita, M Hirano, T Kakegawa, H Yamana, S Tanaka","doi":"10.1007/BF02471056","DOIUrl":"https://doi.org/10.1007/BF02471056","url":null,"abstract":"Severe aspiration following esophageal reconstruction is often very difficult to treat while preserving the larynx. However, we have successfully adopted a modified surgical procedure previously employed for aspiration caused by neurological diseases or head and neck cancer surgery. We report herein the use of this modified procedure against aspiration in 2 cases following esophagectomy. In the first case, a combination of cricopharyngeal myotomy, infrahyoid myotomy and laryngeal pull-up, with approximation of the thyroid cartilage against the hyoid bone and that of the hyoid bone against the mandible, were performed simultaneously with the primary esophagectomy. In the second case, cricopharyngeal myotomy, infrahyoid myotomy, laryngeal pull-up and infrafold silicone injection were performed three months after the primary operation. Good results were achieved in both cases. Thus, for any case at risk of aspiration after esophagectomy or for any case with severe aspiration following esophagectomy that does not respond to swallow therapy, these operative rehabilitation procedures should be performed before laryngectomy is considered.","PeriodicalId":22610,"journal":{"name":"The Japanese journal of surgery","volume":"21 6","pages":"687-92"},"PeriodicalIF":0.0,"publicationDate":"1991-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02471056","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12949938","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

Bilateral angiosarcoma of the breast--a case report. 双侧乳腺血管肉瘤1例报告。

The Japanese journal of surgery Pub Date : 1991-11-01 DOI: 10.1007/BF02471057

M Khoshim, S Sadiq, D Ajarim, Z A Jamjoom

引用次数: 1

A case of superior lumbar hernia. 腰上疝1例。

The Japanese journal of surgery Pub Date : 1991-11-01 DOI: 10.1007/BF02471058

S Shiki, Y Kuwata, E Kashihara, U Ueda, S Fuchimoto, K Orita

引用次数: 11