The Japanese journal of surgery最新文献_第8页

Generalized peritonitis in India--the tropical spectrum. 印度的广泛性腹膜炎——热带地区。

The Japanese journal of surgery Pub Date : 1991-05-01 DOI: 10.1007/BF02470946

L Sharma, S Gupta, A S Soin, S Sikora, V Kapoor

{"title":"Generalized peritonitis in India--the tropical spectrum.","authors":"L Sharma, S Gupta, A S Soin, S Sikora, V Kapoor","doi":"10.1007/BF02470946","DOIUrl":"https://doi.org/10.1007/BF02470946","url":null,"abstract":"Generalized peritonitis is a common surgical emergency in India, the 'Tropical Spectrum' of generalized peritonitis being different from the western spectrum. A total 155 cases of generalized peritonitis were surgically treated at the All India Institute of Medical Sciences between 1981 and 1987, all patients undergoing peritoneal toilet with drainage after the cause of their peritonitis had been treated. The most common cause of peritonitis was peptic ulcer perforation, with simple closure being associated with a 2 per cent mortality, while typhoid perforation was the second most common cause. The diagnosis was clinical, supported by the operative findings of a terminal ileal perforation while bacteriological, serological and histopathological confirmation was retrospective. Appendicular perforations were less common than in the west but the clinical picture was the same. Tubercular perforations were not uncommon with a previous history of subacute intestinal obstruction and evidence of tuberculosis on chest X-ray suggesting the diagnosis. Ruptured amebic liver abscess was the most common hepatobiliary cause of generalized peritonitis with drainage of the abscess producing good results. The average hospital stay was 15 days with an overall mortality of 8 per cent.","PeriodicalId":22610,"journal":{"name":"The Japanese journal of surgery","volume":"21 3","pages":"272-7"},"PeriodicalIF":0.0,"publicationDate":"1991-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02470946","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13017480","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: 96

Effects of the oral or intratumoral administration of OK432 on the immuno-reactivities of regional lymph nodes in gastric cancer patients. 口服或瘤内给药OK432对胃癌患者局部淋巴结免疫反应性的影响

The Japanese journal of surgery Pub Date : 1991-05-01 DOI: 10.1007/BF02470950

E Yanagawa, T Toge, Y Yamaguchi, H Kuninobu, K Kuroi, Y Kegoya, N Baba, T Takayama, Y Sato

{"title":"Effects of the oral or intratumoral administration of OK432 on the immuno-reactivities of regional lymph nodes in gastric cancer patients.","authors":"E Yanagawa, T Toge, Y Yamaguchi, H Kuninobu, K Kuroi, Y Kegoya, N Baba, T Takayama, Y Sato","doi":"10.1007/BF02470950","DOIUrl":"https://doi.org/10.1007/BF02470950","url":null,"abstract":"The effects of OK432, a streptococcal preparation, administered either orally (PO-OK432) or intratumorally (IT-OK432) on the immuno-reactivities of regional lymph nodes were investigated in gastric cancer patients. Although native lymph node lymphocytes (LNL) from untreated patients did not show any cytotoxicities against K562 and Raji cells, enhanced activities were found in LNL from patients administered OK432. Augmenting effects on the cytotoxicities of LNL by in vitro additional OK432, interleukin 2 or gamma-interferon were remarkable in the patients given IT-OK432. Moreover, the cytotoxicities of peripheral blood lymphocytes were augmented in vitro more strongly in patients given IT-OK432 than in those given PO-OK432. Flow cytometric analysis of LNL revealed a decrease in CD4+ cells by PO-OK432 and an increase in CD8+ cells by IT-OK432. An increase in CD4+2H4+ cells and a decrease in CD4+2H4- cells were observed in the patients given OK432, though CD8+CD11+ cells decreased by PO-OK432 while CD8+CD11+ cells increased by IT-OK432. Thus, it is suggested that LNL reactive to OK432 immunotherapy may differ between PO- and IT-OK432, and that the immunoreactivities of local lymph nodes and systemical immuno-reactivities may be highly potentiated by IT-OK432 rather than PO-OK432.","PeriodicalId":22610,"journal":{"name":"The Japanese journal of surgery","volume":"21 3","pages":"297-303"},"PeriodicalIF":0.0,"publicationDate":"1991-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02470950","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13017481","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

Lithium carbonate in the preoperative preparation of Graves' disease. 碳酸锂在Graves病术前准备中的应用。

The Japanese journal of surgery Pub Date : 1991-05-01 DOI: 10.1007/BF02470949

T Tsunoda, N Mochinaga, T Eto, M Yamaguchi, R Tsuchiya, M Izumi

引用次数: 6

The relationship between juxtapapillary duodenal diverticula and the presence of bacteria in the bile. 十二指肠乳头旁憩室与胆汁细菌存在的关系。

The Japanese journal of surgery Pub Date : 1991-05-01 DOI: 10.1007/BF02470948

N Shinagawa, T Fukui, K Mashita, Y Kitano, J Yura

{"title":"The relationship between juxtapapillary duodenal diverticula and the presence of bacteria in the bile.","authors":"N Shinagawa, T Fukui, K Mashita, Y Kitano, J Yura","doi":"10.1007/BF02470948","DOIUrl":"https://doi.org/10.1007/BF02470948","url":null,"abstract":"A total of 432 patients with gallstone disease were studied with respect to the existence of juxtapapillary duodenal diverticula and their relationship to the presence of bacteria in the bile. A total of 63 patients were found to have diverticula with an incidence of 14.6 per cent, being significantly higher in the elderly group aged 60 years or older (p less than 0.01), and no sex difference was noted. Among the patients with diverticula, positive bacterial cultures of bile were recognized at a significantly higher frequency, being found in 49 of the 63 patients (77.8 per cent; p less than 0.01), and the probability of bilirubinate stones was also higher, being found in 35 of 37 patients (94.6 per cent; p less than 0.01). The presence of a diverticulum bore significant relation to a higher positive bile bacterial culture (p less than 0.05), dilation of the common bile duct (p less than 0.05), and elevation of the bile duct pressure (p less than 0.05), even when the conditions were divided into cholecystolithiasis or choledocholithiasis. It was suggested that the presence of a diverticulum affected the flow in the bile duct by narrowing it from the outside and chronically stimulating the papilla, inducing biliary tract infection and/or the formation of gallstones. As the surgical procedures for juxtapapillary duodenal diverticula, including its indications, have not been established, long term follow up investigations seem necessary.","PeriodicalId":22610,"journal":{"name":"The Japanese journal of surgery","volume":"21 3","pages":"284-91"},"PeriodicalIF":0.0,"publicationDate":"1991-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02470948","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13065913","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: 6

The results and problems of extensive radical surgery for carcinoma of the head of the pancreas. 胰头癌广泛根治性手术的结果与问题。

The Japanese journal of surgery Pub Date : 1991-05-01 DOI: 10.1007/BF02470944

T Nagakawa, I Konishi, K Ueno, T Ohta, T Akiyama, M Kanno, M Kayahara, I Miyazaki

{"title":"The results and problems of extensive radical surgery for carcinoma of the head of the pancreas.","authors":"T Nagakawa, I Konishi, K Ueno, T Ohta, T Akiyama, M Kanno, M Kayahara, I Miyazaki","doi":"10.1007/BF02470944","DOIUrl":"https://doi.org/10.1007/BF02470944","url":null,"abstract":"Since 1973, 152 patients with pancreatic carcinoma have undergone surgery in our clinic, including 110 with carcinoma of the head of the pancreas. Of these 110 patients, resections were performed on 43 (39.1 per cent), 33 (30 per cent) of whom underwent a curative resection based on macroscopic evidence. Six of the patients who underwent macroscopic curative resection survived for five years, giving a five-year survival rate of 36.5 per cent by the Kaplan-Meier method after excepting 6 operative deaths. We compared the extent of pancreatic cancer by constructing survival curves according to the General Rules published by the Japan Pancreas Society. There was no statistical difference in survival based on tumor size or stage, however, there was a significant difference in the survival curves of so and se, being the absence or presence of the anterior capsule of the pancreas, rpo and rpe, being the absence or presence of invasion of the retroperitoneal tissue; ew(-) and ew(+) being the absence or presence of invasion at the surgical margin of resection, or n0 and n1 being the extent of lymph node metastasis. The results of this comparison suggest that extended radical pancreatectomy may be indicated for the treatment of pancreatic cancer as the standard radical operation for pancreatic cancer may miss tumors which have spread to the retroperitoneum and extrapancreatic nerve plexus.","PeriodicalId":22610,"journal":{"name":"The Japanese journal of surgery","volume":"21 3","pages":"262-7"},"PeriodicalIF":0.0,"publicationDate":"1991-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02470944","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13017478","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

Frank melena in a patient with fallopian tube pregnancy. 弗兰克·梅兰娜，输卵管妊娠患者。

The Japanese journal of surgery Pub Date : 1991-05-01 DOI: 10.1007/BF02470961

H Iwagaki, M Kitamura, S Fuchimoto, K Hamaya, K Kataoka, K Orita

引用次数: 0

The influence of stromal cells on the MTT assay (I)--In vitro chemosensitivity of the tumor and stromal cells to mitomycin C. 基质细胞对MTT测定的影响(I)——肿瘤和基质细胞对丝裂霉素C的体外化学敏感性

The Japanese journal of surgery Pub Date : 1991-05-01 DOI: 10.1007/BF02470951

A Suto

引用次数: 0

The clinical value of tissue carcinoembryonic antigen in breast cancer. 组织癌胚抗原在乳腺癌中的临床价值。

The Japanese journal of surgery Pub Date : 1991-05-01 DOI: 10.1007/BF02470947

S Haga, O Watanabe, T Shimizu, H Imamura, T Iida, M Makita, T Kajiwara