Journal of the Royal College of Surgeons of Edinburgh最新文献_第8页

Thoracoscopy versus open lung biopsy in the diagnosis of interstitial lung disease: a randomised controlled trial. 胸腔镜与开放式肺活检诊断间质性肺病:一项随机对照试验

Journal of the Royal College of Surgeons of Edinburgh Pub Date : 2000-06-01

A K Ayed, R Raghunathan

{"title":"Thoracoscopy versus open lung biopsy in the diagnosis of interstitial lung disease: a randomised controlled trial.","authors":"A K Ayed, R Raghunathan","doi":"","DOIUrl":"","url":null,"abstract":"Background: Some patients with diffuse lung disease require a lung biopsy for diagnosis. This study is aimed to compare the clinical results and the efficacy of video-assisted thoracoscopic lung biopsy with the open lung biopsy method for the diagnosis of interstitial lung disease. From January 1996 to December 1998, 61 patients were referred for diagnostic lung biopsy. Thirty two patients were randomly allocated to have a thoracoscopic lung biopsy and twenty nine had an open lung biopsy. Subsequently, various factors were analyzed and compared in both groups.Results: There was no difference between the groups in age and pulmonary function test. Median operative time was 45 minutes for the thoracoscopic biopsies and 60 minutes for the open biopsies (P = 0.009). Median amount of analgesia (Demerol) in the first 24 hours postoperatively was 75 mg. for thoracoscopic biopsies and 150 mg. for open biopsies (P < 0.001). Median duration of insertion of a chest tube in days and 24 hours of pleural drainage was not statistically significant between the two groups. Duration of hospital stay was significantly less for the thoracoscopic biopsy (3 days) compared with an open biopsy (5 days) (P < 0.001). The diagnostic yield of each method was comparable (thoracoscopic biopsy 31/32; open biopsy 27/29) (P = 0.3). Complications occurred in 6/29 of patients undergoing open biopsies and 3/32 patients undergoing thoracoscopic lung biopsies (p = 0.28). There were 2 deaths among patients who had an open lung biopsy.Conclusion: Thoracoscopic lung biopsy has some clinical advantages over open biopsy. These findings suggest that thoracoscopic lung biopsy is an acceptable alternative to open lung biopsy for the diagnosis of diffuse interstitial lung diseases.","PeriodicalId":76058,"journal":{"name":"Journal of the Royal College of Surgeons of Edinburgh","volume":"45 3","pages":"159-63"},"PeriodicalIF":0.0,"publicationDate":"2000-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21724191","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

Glyceryl trinitrate treatment of chronic fissure in ano: one year's experience with 0.5% GTN paste. 三硝酸甘油治疗慢性骨裂:0.5% GTN膏一年的经验。

Journal of the Royal College of Surgeons of Edinburgh Pub Date : 2000-06-01

F F Palazzo, S Kapur, M Steward, P T Cullen

引用次数: 0

A case of multiple splenic abscesses managed non-operatively. 多发脾脓肿非手术治疗1例。

Journal of the Royal College of Surgeons of Edinburgh Pub Date : 2000-06-01

A W Murray, A B Macgregor

引用次数: 0

Revalidation: the catalyst for change in continuing professional development? 重新验证:持续专业发展变化的催化剂?

Journal of the Royal College of Surgeons of Edinburgh Pub Date : 2000-06-01

B Fearn

引用次数: 0

American Society of Anaesthesiologist Physical Status (ASA-PS): a predictor of treatment outcome of transurethral resection of the prostate (TURP) 美国麻醉医师协会身体状况(ASA-PS):经尿道前列腺切除术(TURP)治疗结果的预测因子

Journal of the Royal College of Surgeons of Edinburgh Pub Date : 2000-06-01

S Basu, S Shivde

引用次数: 0

Sepsis and the systemic inflammatory response syndrome. 脓毒症和全身炎症反应综合征。

Journal of the Royal College of Surgeons of Edinburgh Pub Date : 2000-06-01

R L Paterson, N R Webster

引用次数: 0

Mediastinal endodermal sinus tumour: surgical role in chemotherapy resistant cases. 纵隔内胚层窦肿瘤:化疗耐药病例的手术治疗作用。

Journal of the Royal College of Surgeons of Edinburgh Pub Date : 2000-06-01

A A Syed, V P Lynch

引用次数: 0

Hydatid liver disease as a cause of recurrent pancreatitis. 包虫病是胰腺炎复发的原因之一。

Journal of the Royal College of Surgeons of Edinburgh Pub Date : 2000-06-01

A I Yahya

引用次数: 0

A case of a Spigelian hernia at an unusually high anatomical location. 解剖位置异常高的斯皮格尔疝1例。

Journal of the Royal College of Surgeons of Edinburgh Pub Date : 2000-06-01

J M Rehman, C S Seow, P J O'Dwyer

引用次数: 0

The effects of splenic artery ligation in an experimental model of secondary hypersplenism. 脾动脉结扎对继发性脾功能亢进实验模型的影响。

Journal of the Royal College of Surgeons of Edinburgh Pub Date : 2000-06-01

M Sahin, S Tekin, F Aksoy, H Vatansev, M Seker, M C Avunduk, A Kartal

{"title":"The effects of splenic artery ligation in an experimental model of secondary hypersplenism.","authors":"M Sahin, S Tekin, F Aksoy, H Vatansev, M Seker, M C Avunduk, A Kartal","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To induce hypersplenism in rats by splenic vein ligation and to investigate the effects of splenic artery ligation in this model.Background: Selective arterial embolisation and splenic artery ligation (SAL) are used in the treatment of secondary hypersplenism in some medical centres but these methods are not common.Materials and methods: Thirty male Saprague-Dawley rats were allocated to three groups (n = 10). The first group underwent laparotomy, the second and third groups underwent laparotomy and splenic vein ligation. At the end of the third week, laparotomy was performed in the first and second groups and splenic artery ligation in the third group. Erythrocyte, leukocyte and platelet counts were performed weekly. At the end of the sixth week, the animals were sacrificed and the spleens were taken for histopathologic examination.Results: In the second and third groups, after splenic vein ligation, the erythrocyte and platelet counts were significantly reduced at the end of the second week (p < 0.01). In the second group, which underwent splenic vein ligation only, the levels remained low throughout the experiment. In the third group, after splenic artery ligation, there were rises in both erythrocyte and platelet counts; the levels were similar to the levels in the control group at three weeks after splenic artery ligation (p > 0.05). No significant changes were observed in the leukocyte counts throughout the experiment (p > 0.05).Conclusions: Splenic vein ligation successfully induces experimental secondary hypersplenism. This state can be ameliorated by splenic artery ligation.","PeriodicalId":76058,"journal":{"name":"Journal of the Royal College of Surgeons of Edinburgh","volume":"45 3","pages":"148-52"},"PeriodicalIF":0.0,"publicationDate":"2000-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21724348","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