Annales chirurgiae et gynaecologiae最新文献_第10页

Prostate cancer--the snowball is rolling. 前列腺癌，雪球在滚。

Annales chirurgiae et gynaecologiae Pub Date : 1999-01-01

M Ruutu, J Salo, S Nordling, S Rannikko

引用次数: 0

Sugiura procedure in the treatment of bleeding esophageal varices. 食管癌手术治疗出血性食管静脉曲张。

Annales chirurgiae et gynaecologiae Pub Date : 1999-01-01

U Lepner, T Vaasna, E Rebane, V Tamm

{"title":"Sugiura procedure in the treatment of bleeding esophageal varices.","authors":"U Lepner, T Vaasna, E Rebane, V Tamm","doi":"","DOIUrl":"","url":null,"abstract":"Aim of the study: The aim of this study was to report our results and to make an attempt to define the possible role of Sugiura procedure in the treatment of variceal bleeding.Material and methods: From January 1979 to December 1997, 39 patients with portal hypertension and acute variceal bleeding (17 patients) or previous variceal bleeding (22 patients) underwent Sugiura procedure. Operations were performed in two stages. When performed in an emergency situation (17 patients) thoracic operation was performed first. In elective cases abdominal operation was usually preferred. Complete two-stage operation was performed in 16 patients. Twenty-three patients did not undergo the second stage because of early postoperative death, deterioration of condition or refusal. There were 17 men and 22 women, aged 41.7 +/- 18.3 years (range 8-71 years). According to the Child--Turcotte classification of hepatic function there were 23 Child class A, 13 Child class B and 3 Child class C patients.Summary of results: Overall operative mortality was 10.3% (4 deaths per 39 patients with 54 operations), mortality in an emergency situation was 17.6% (3 deaths per 17 patients) and in elective cases 4.3% (1 death per 22 patients with 37 operations). Variceal rebleeding occurred in 4 survivors (11.4%) at an average follow-up of 6.1 +/- 4.3 years. Survival rate was 84.6% at 1 year, 71.8% at 5 years and 64.1% at 10 years.Conclusions: Sugiura operation carries low operative risk in an elective situation and results in an effective prevention of recurrent variceal bleeding.","PeriodicalId":75495,"journal":{"name":"Annales chirurgiae et gynaecologiae","volume":"88 2","pages":"122-6"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21259317","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

Surgical Treatment of Acute Pancreatitis 急性胰腺炎的外科治疗

Annales chirurgiae et gynaecologiae Pub Date : 1999-01-01 DOI: 10.1007/978-3-642-60068-5_8

H. G. Beger, B. Rau, J. Mayer, R. Isenmann

引用次数: 9

Risk factors for ascending aortic atheromatosis--a retrospective analysis of 2,263 patients undergoing coronary artery bypass surgery. 升主动脉粥样硬化的危险因素——对2263例接受冠状动脉搭桥手术患者的回顾性分析

Annales chirurgiae et gynaecologiae Pub Date : 1999-01-01

E Saimanen

{"title":"Risk factors for ascending aortic atheromatosis--a retrospective analysis of 2,263 patients undergoing coronary artery bypass surgery.","authors":"E Saimanen","doi":"","DOIUrl":"","url":null,"abstract":"Background and aims: Ascending aortic atherosclerosis has been recognised as a potential source of atheroembolization during coronary artery bypass operation. A set of possible predictive preoperative factors for ascending aortic atheromatosis was studied to find the patients at greatest risk for aortic atheromatosis.Material and methods: The records of 2,263 patients undergoing first-time coronary bypass operation from January 1993 to December 1995 were reviewed. Ascending aortic atheromatosis was considered to be present if the operating surgeon detected atheromatosis in ascending aorta by palpation or by sight while making aortotomies.Results: Ascending aortic atheromatosis was found in 9.1% of the patients. Significant predictors in the multivariate model were age, tobacco use, diabetes, peripheral vascular disease, renal failure, chronic obstructive pulmonary disease, x-ray calcifications of the thoracic aorta and subclavian artery stenosis at minimum 50 %. The loose variety of atheromatosis was detected by sight while making aortotomies in 1.1% of patients. Significant predictors in the multivariate model for this loose variety were age, hyperlipidemia and renal failure. Patients with ascending aortic atheromas suffered significantly more perioperative myocardial infarcts and central neurological defects as well as succumbed more often.Conclusion: This study defines some groups of coronary bypass patients that have increased risk for ascending aortic atheromatosis. Special attention should be paid to them during coronary bypass operation in order to minimise the otherwise increased risk for adverse neurological and cardial outcome.","PeriodicalId":75495,"journal":{"name":"Annales chirurgiae et gynaecologiae","volume":"88 4","pages":"280-4"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21516784","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

Radiology of GIST. Gastrointestinal stromal tumours. GIST的放射学。胃肠道间质瘤。

Annales chirurgiae et gynaecologiae Pub Date : 1998-01-01

P Tervahartiala, J Halavaara

引用次数: 0

Surgical treatment of acute pancreatitis. 急性胰腺炎的外科治疗。

Annales chirurgiae et gynaecologiae Pub Date : 1998-01-01

H G Beger, B Rau, R Isenmann, J Mayer

引用次数: 0

Prognostic factors in breast cancer--with special reference to Ki-67 immunohistochemistry. 乳腺癌的预后因素——特别参考Ki-67免疫组织化学。

Annales chirurgiae et gynaecologiae Pub Date : 1998-01-01

M Railo