Chirurgie最新文献_第10页

La rédaction médicale 医学写作

IF 0.9 4区医学

Chirurgie Pub Date : 1999-04-01 DOI: 10.1016/S0001-4001(99)80115-9

P. Boutelier

引用次数: 5

Actes de l'Académie nationale de chirurgie 美国国家外科学院院刊

IF 0.9 4区医学

Chirurgie Pub Date : 1999-04-01 DOI: 10.1016/S0001-4001(99)80067-1

引用次数: 0

La cryothérapie dans le traitement des tumeurs hépatiques 冷冻疗法在肝肿瘤治疗中的应用

IF 0.9 4区医学

Chirurgie Pub Date : 1999-04-01 DOI: 10.1016/S0001-4001(99)80113-5

D. Jaeck

引用次数: 0

Thérapie génique dans les cancers du pancréas avec métastases par tranfert rétroviral du gène p53 sauvage 通过逆转录病毒转移野生p53基因治疗胰腺癌转移的基因治疗

IF 0.9 4区医学

Chirurgie Pub Date : 1999-04-01 DOI: 10.1016/S0001-4001(99)80112-3

Y. Panis

引用次数: 0

Laparoscopie à visée diagnostique dans les urgences abdominales 腹部急诊的诊断腹腔镜检查

IF 0.9 4区医学

Chirurgie Pub Date : 1999-04-01 DOI: 10.1016/S0001-4001(99)80063-4

C. Vons

{"title":"Laparoscopie à visée diagnostique dans les urgences abdominales","authors":"C. Vons","doi":"10.1016/S0001-4001(99)80063-4","DOIUrl":"https://doi.org/10.1016/S0001-4001(99)80063-4","url":null,"abstract":"<div><p>In acute abdominal syndromes when a surgical exploration is required by the presence of peritoneal symptoms, laparoscopy allows to recognize the lesions and to perform simultaneously the appropriate treatment in most cases. When the surgical indication is doubtful, mainly in case of acute appendicitis, sonography or scanography may confirm the diagnosis. In case of persisting doubt, diagnostic laparoscopy is justified and laparoscopic appendicectomy seems to be the best method when another pathology is not detected by laparoscopy. In abdominal wounds, laparoscopy is useful to confirm their intraperitoneal penetration, mainly in gunshot wounds, and to recognize a diaphragmatic wound which is often isolated and unknown. Laparoscopy often fails to detect all abdominal injuries. In blunt abdominal traumas, laparoscopy is not recommended at the first step. In conclusion, laparoscopy with diagnostic intent only is rarely indicated in abdominal emergencies and its use is not worth being extended. Diagnostic value of laparoscopy is closely linked to its therapeutic interest. Laparoscopy with both diagnostic and therapeutic intent has to be developed in most abdominal emergencies.</p></div>","PeriodicalId":29786,"journal":{"name":"Chirurgie","volume":"124 2","pages":"Pages 182-186"},"PeriodicalIF":0.9,"publicationDate":"1999-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0001-4001(99)80063-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91667080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 12

Histoire de l'Académie nationale de chirurgie 国家外科学会的历史

IF 0.9 4区医学

Chirurgie Pub Date : 1999-04-01 DOI: 10.1016/S0001-4001(99)80065-8

D. Pellerin

引用次数: 0

Résultats du traitement cœlioscopique des ulcères perforés 腹腔镜治疗穿孔溃疡的结果

IF 0.9 4区医学

Chirurgie Pub Date : 1999-04-01 DOI: 10.1016/S0001-4001(99)80057-9

I. Lorand, N. Molinier, J.R. Sales, F. Douchez, F. Gayral

{"title":"Résultats du traitement cœlioscopique des ulcères perforés","authors":"I. Lorand, N. Molinier, J.R. Sales, F. Douchez, F. Gayral","doi":"10.1016/S0001-4001(99)80057-9","DOIUrl":"10.1016/S0001-4001(99)80057-9","url":null,"abstract":"<div><h3>Study aim</h3><p>The aim of this retrospective survey was to evaluate the results of laparoscopic treatment in perforated peptic ulcer.</p></div><div><h3>Patients and methods</h3><p>From 1989 to 1998, 84 patients were operated on for perforated ulcer. Sixty nine patients, operated on with videolaparoscopy, were included in this study: 53 men and 12 women with a mean age of 45 ± 16 years (19–85). Nine had a history of peptic ulcer disease and 12 received anti-inflammatory drugs. Perforation occurred in the duodenum (60 patients) and in the stomach (five patients). Laparoscopic treatment included peritoneal lavage and either a simple duodenal closure (51 patients), a closure with a highly selective vagotomy (one patient), an epiplooplasty (eight patients), or an excision-closure for the gastric ulcers (five patients). Drainage was associated in 38 patients (58%).</p></div><div><h3>Results</h3><p>A conversion into laparotomy was necessary in six patients. Among the 59 patients treated with laparoscopy, 56 were only managed laparoscopically, three had exploration and peritoneal lavage through laparoscopy, and underwent suture of the perforation through minilaparotomy. Mean operative time was 105 ± 40 minutes (30–240). Mean postoperative hospital stay was 8.2 ± 4 days. Reoperation was performed in three patients for leakage (<em>n</em> = 2) and gall bladder perforation (<em>n</em> = 1). Complications were medically treated in three patients. There was no in-hospital mortality.</p></div><div><h3>Conclusion</h3><p>Laparoscopic management in perforated peptic ulcer is successful in 90% of the patients. Results are good. There was no postoperative death in this series.</p></div>","PeriodicalId":29786,"journal":{"name":"Chirurgie","volume":"124 2","pages":"Pages 149-153"},"PeriodicalIF":0.9,"publicationDate":"1999-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0001-4001(99)80057-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21218100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 10

L'anesthésie en France en 1996. Résultats d'une enquête de la Société française d'anesthésie et de réanimation (Sfar) 1996年在法国麻醉。法国麻醉和复苏学会(Sfar)的调查结果

IF 0.9 4区医学

Chirurgie Pub Date : 1999-04-01 DOI: 10.1016/S0001-4001(99)80053-1

F. Clergue , Y. Auroy , F. Péquignot , E. Jougla , A. Lienhart , M.C. Laxenaire

引用次数: 8

Adénocarcinome sur endobrachyœsophage. Étude de 28 cas réséqués 短食道内腺癌。对28例复发病例的研究

IF 0.9 4区医学

Chirurgie Pub Date : 1999-04-01 DOI: 10.1016/S0001-4001(99)80056-7

D. Benchimol, A. Myx, J. Mouroux, P. Baqué, J.L. Bernard, A. Bourgeon, H. Richelme

{"title":"Adénocarcinome sur endobrachyœsophage. Étude de 28 cas réséqués","authors":"D. Benchimol, A. Myx, J. Mouroux, P. Baqué, J.L. Bernard, A. Bourgeon, H. Richelme","doi":"10.1016/S0001-4001(99)80056-7","DOIUrl":"https://doi.org/10.1016/S0001-4001(99)80056-7","url":null,"abstract":"<div><h3>Study aim</h3><p>The aim of this retrospective study was to report a series of 28 patients with adenocarcinoma (ADK) arising in Barret's esophagus (BE), treated by esophagectomy.</p></div><div><h3>Patients and methods</h3><p>From 1992 to 1998, 28 patients were operated on for ADK in BE. There were 27 men and one woman (mean age: 65 years) classified as ASA I (<em>n</em> = 2), ASA II (<em>n</em> = 15) and ASA III (<em>n</em> = 11). Eighteen patients had a long story of gastro-esophageal reflux disease which required surgical repair in five of them. Dysphagia was the main symptom (<em>n</em> = 19). Surgical procedures included 15 Ivor Lewis operations, nine esophagectomies without thoracotomy and four esophagogastrectomles by the left thoracic approach.</p></div><div><h3>Results</h3><p>Pathological examination of the specimens showed an EBO with adenocarcinoma (<em>n</em> = 27) and a high grade dysplasia (<em>n</em> = 1). Among five patients with a previously known BE, three under endoscopic surveillance had high grade dysplasia (<em>n</em> = 1) and limited T1 tumor (<em>n</em> = 2), while the other two patients without surveillance developed an invasive tumor (T3N1). There were three postoperative deaths (mortality rate: 10%), all arising from pulmonary failure. Median survival was 16.6 months. All patients resumed a normal diet. The actuarial survival rates were 63%, 42% and 15.2% respectively at 1, 2 and 4 years. A multivariate analysis could identify 3 prognostic factors: ASA score previously known BE under surveillance, lenght of BE.</p></div><div><h3>Conclusion</h3><p>Adenocarcinoma arising in BE is very often diagnosed too late. Patients with high risk BE require an endoscopic survey. High grade dysplasia detected in two successive examinations by two different pathologists may require prophylactic esophagectomy, but local endoscopic management presently under evaluation could be efficient in the future.</p></div>","PeriodicalId":29786,"journal":{"name":"Chirurgie","volume":"124 2","pages":"Pages 141-148"},"PeriodicalIF":0.9,"publicationDate":"1999-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0001-4001(99)80056-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91667040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Drainage percutané des nécroses pancréatiques infectées : alternative à la chirurgie 经皮引流感染胰腺坏死:手术的另一种选择

IF 0.9 4区医学

Chirurgie Pub Date : 1999-02-01 DOI: 10.1016/S0001-4001(99)80039-7

J.L. Gouzi, E. Bloom, C. Julio, F. Labbé, N. Sans, Z. El Rassi, N. Carrère, B. Pradère

{"title":"Drainage percutané des nécroses pancréatiques infectées : alternative à la chirurgie","authors":"J.L. Gouzi, E. Bloom, C. Julio, F. Labbé, N. Sans, Z. El Rassi, N. Carrère, B. Pradère","doi":"10.1016/S0001-4001(99)80039-7","DOIUrl":"10.1016/S0001-4001(99)80039-7","url":null,"abstract":"<div><h3>Aim of the study</h3><p>To describe a technique of percutaneous CT guided catheter drainage of infected pancreatic necrosis and to report the results of this technique compared with those of the conventional surgical treatment and of other percutaneous drainage series.</p></div><div><h3>Patients and methods</h3><p>Between 1992 and 1997, the series included 32 patients who had a severe acute necrotizing pancreatitis with a mean Ranson score of 4.6, scored into grade D (n = 10), and grade E (n = 22), according to the Balthazar radiological staging. Modified Van Sonnenberg 24 F double lumen catheters were used for continuous irrigation and aspiration.</p></div><div><h3>Results</h3><p>Forty-nine drains were inserted for 41 infected necroses and eight abscesses. Among the 32 patients, the proof of infected necrosis was obtained in 26 patients by fine needle aspiration and culture (enteroccus, staphy-lococcus, pseudomonas). The average delay of catheter insertion was 23 days after onset of pancreatitis; the mean duration of drainage was 43 days, and an average of three catheters per patient was required. Five patients (15%) died, and among the survivors, 16 (59%) presented 21 complications including 14 enterocutaneous or pancreatic fistulas. A subsequent surgical 11procedure including two necrosectomies was necessary in six patients.</p></div><div><h3>Conclusion</h3><p>This study demonstrates that percutaneous drainage of infected pancreatic necrosis with a 15% mortality and 70% success rate, represents an interesting alternative to conventional surgery.</p></div>","PeriodicalId":29786,"journal":{"name":"Chirurgie","volume":"124 1","pages":"Pages 31-37"},"PeriodicalIF":0.9,"publicationDate":"1999-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0001-4001(99)80039-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21064639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 44