Journal of the Royal College of Surgeons of Edinburgh最新文献_第3页

Focused rigidity casting: a prospective randomised study. 聚焦刚性铸造:一项前瞻性随机研究。

Journal of the Royal College of Surgeons of Edinburgh Pub Date : 2002-10-01

W N Martin, H Sandhu

引用次数: 0

Surgical treatment for pulmonary hydatidosis (a review of 422 cases). 肺包虫病的外科治疗(附422例报告)。

Journal of the Royal College of Surgeons of Edinburgh Pub Date : 2002-10-01

M Dakak, O Genç, S Gürkök, A Gözübüyük, K Balkanli

{"title":"Surgical treatment for pulmonary hydatidosis (a review of 422 cases).","authors":"M Dakak, O Genç, S Gürkök, A Gözübüyük, K Balkanli","doi":"","DOIUrl":"","url":null,"abstract":"Objective: Hydatidosis in man is frequently encountered in sheep and cattle raising regions of the world. We reviewed 422 patients, treated surgically for pulmonary hydatid disease in our clinic between January 1980 and January 1998, assessing the clinical features and results of results of operative treatment management in our centre.Patients and methods: 52 of the patients were female and 370 were male. The median age of the patients was 33 years (range, 11 to 66 years). The cysts were located in the right lung in 214 (50.7%) patients, the left lung in 156 (37%) and bilaterally in 17 (4%) cases. We found an intrathoracic extrapulmonary cyst in 35 (8.3%) patients. We performed enucleation and capitonnage in 202 cases, wedge resection in 40, cystotomy and capitonnage in 171, and lobectomy in 9 patients. The high-risk patients were treated with Albendazol (10 mg/kg/day), for a period of 3 months postoperatively.Results: Preoperative diagnosis was based primarily on chest roentgenograms and led to correct diagnosis in 347 cases (82.2%). An additional computerised tomography (CT) scan in 56 cases and magnetic resonavive imaging (MRI) were required in 15 cases. The diagnosis is established intraoperatively in 4 cases. Most (296) patients presented with a solitary lung cyst. The rest were found to have multiple cysts in one or more lobes. 87 of 422 also had cysts in the liver, 19 in the spleen, and 1 in the pancreas. The follow-up data was completed in 392 of 422 (92.8%) patients. The mean follow-up period was 4.3 years (2 to 19 years). We detected recurrence in 3 patients (0.71%).Conclusion: The effective treatment of hydatid cyst(s) in the lung is complete excision of the cyst(s) with maximum preservation of the lung parenchyma. Additional medical treatment with Albendazole should be carried out for high-risk group patients.","PeriodicalId":76058,"journal":{"name":"Journal of the Royal College of Surgeons of Edinburgh","volume":"47 5","pages":"689-92"},"PeriodicalIF":0.0,"publicationDate":"2002-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22139752","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

Breast cancer in women aged 35 and under: prognosis and survival. 35岁及以下女性的乳腺癌:预后和生存。

Journal of the Royal College of Surgeons of Edinburgh Pub Date : 2002-10-01

S Jmor, H Al-Sayer, S D Heys, S Payne, I Miller, A Ah-See, A Hutcheon, O Eremin, S Jimor

{"title":"Breast cancer in women aged 35 and under: prognosis and survival.","authors":"S Jmor, H Al-Sayer, S D Heys, S Payne, I Miller, A Ah-See, A Hutcheon, O Eremin, S Jimor","doi":"","DOIUrl":"","url":null,"abstract":"Background: Breast cancer comprises 22% of all cancers occurring in females but only 2% of cases occur in women aged 35 years and less. The presentation, behaviour and prognosis of breast cancer in such women, when compared with older women, are unclear and conflicting results have been reported. This study has audited clinical and pathological features in patients aged 35 years and under with breast cancer.Methods: One hundred and thirteen patients were identified. The details of clinical staging, local and distant disease recurrence and overall survival were obtained for all patients. Histological sections of tumours were examined for type, grade, size, presence of surrounding intraductal carcinoma, presence of vascular space invasion, lymph node involvement and oestrogen receptor (ER) status.Results: Histological examination of the tumours revealed that 94% were invasive ductal carcinoma. In 73% of the cases the tumours were grade 3, 49% of patients who underwent axillary surgery had lymph node involvement and 20% of tumours expressed ERs. The overall 5-year survival was 64%. Predictors of a poorer survival (univariate analysis) were: increasing tumour size, absence of ERs, presence of lymphovascular space invasion, axillary lymph node involvement and detectable metastases at the initial presentation. Multivariate analysis revealed that only lymphovascular space invasion was an independent predictor of a poor survival.Conclusion: Breast cancer in young (< or = 35 years) women is biologically aggressive, compared with older women. Factors predicting survival and overall survival rates, however, were comparable with those previously reported for older women with breast cancer.","PeriodicalId":76058,"journal":{"name":"Journal of the Royal College of Surgeons of Edinburgh","volume":"47 5","pages":"693-9"},"PeriodicalIF":0.0,"publicationDate":"2002-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22139753","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

Infective lumbar discitis following laparascopic sacrocolpopexy. 腹腔镜骶髋固定术后感染性腰椎间盘炎。

Journal of the Royal College of Surgeons of Edinburgh Pub Date : 2002-10-01

Birender Kapoor, Andy Toms, Paul Hooper, A M Fraser, C W F M Cox

引用次数: 0

Minimal access mitral valve replacement. 微创二尖瓣置换术。

Journal of the Royal College of Surgeons of Edinburgh Pub Date : 2002-10-01

D Richens, R S Jutley, M Baker, M Shajar

引用次数: 0

Laparoscopic inguinal hernia repair: a NICE operation. 腹腔镜腹股沟疝修补术:NICE手术。