Acta chirurgica Hungarica最新文献_第2页

Five-year study on the injury of the great thoracic vessels after penetrating chest injury. 穿透胸伤后胸大血管损伤的5年研究。

Acta chirurgica Hungarica Pub Date : 1999-01-01

S S Kiss, P Tóth, S Kollár, Z Nábrádi, J Bóni

{"title":"Five-year study on the injury of the great thoracic vessels after penetrating chest injury.","authors":"S S Kiss, P Tóth, S Kollár, Z Nábrádi, J Bóni","doi":"","DOIUrl":"","url":null,"abstract":"In the cases of penetrating injury of the heart and the great thoracic vessels, 80% of the patients die before reaching the hospital care, nevertheless patients with sufficient vital functions can be rescued. Between 01. 01. 1994 and 31. 12. 1998 four patients were operated for penetrating injuries of the great vessels in the 2nd Department of Surgery, University Medical School of Debrecen. The left subclavian vein, arcus aortae and the pulmonary artery (2 cases) were injured. In this study authors report a detailed case operated for gunshot injury of the pulmonary artery. On the base of the situation of the projectile on X-ray picture and on the base of the entrance wound of the projectile on the skin we supposed the injury of the great thoracic vessels and we performed an urgent operation. After thoracotomy we found haemopericardium, bleeding wounds on the anterior and posterior haemorrhagic wall of the left pulmonary artery. We found the projectile inside the wall of the bronchus impacted. The bleeding wounds were finger-tamponaded and sutured. On the tenth postoperative day the patient was discharged from our clinic without complaint. The surgical approach to specific thoracic great vessels is also described.","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"38 1","pages":"75-8"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21304121","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

How should we treat malignant pleural mesothelioma (MPM)? 如何治疗恶性胸膜间皮瘤(MPM)?

Acta chirurgica Hungarica Pub Date : 1999-01-01

L Lampl, R Jakob

引用次数: 0

The role of diagnostic laparoscopy in staging of pancreatic cancers. 腹腔镜诊断在胰腺癌分期中的作用。

Acta chirurgica Hungarica Pub Date : 1999-01-01

A Nagy, G Pardavi, A Oláh

引用次数: 0

Laparoscopic adrenalectomy. New experiences. 腹腔镜肾上腺切除术。新体验。

Acta chirurgica Hungarica Pub Date : 1999-01-01

R Szlávik, J Horányi, T Tihanyi, R Bukovácz, K Darvas

引用次数: 0

Video-assisted thoracic surgery (VATS) for the treatment of primary pneumothorax (PTX): early indications and "blind resection". 电视辅助胸外科(VATS)治疗原发性气胸(PTX):早期适应症和“盲切除”。

Acta chirurgica Hungarica Pub Date : 1999-01-01

J Furák, I Troján, T Szóke

{"title":"Video-assisted thoracic surgery (VATS) for the treatment of primary pneumothorax (PTX): early indications and \"blind resection\".","authors":"J Furák, I Troján, T Szóke","doi":"","DOIUrl":"","url":null,"abstract":"Aim: To report our VATS procedure and results in the treatment of PTX.Methods: Between 1992-1995, 156 patients with primary PTX were admitted and drained. On the basis of permanent air leak, lung reexpansion and type of PTX, 78 patients were operated on by VATS with early indications. In first episode PTX cases we performed \"emergency VATS\" in haemopneumothorax and \"early or late acute VATS\" between 8-48 hours after acute drainage in the others. In recurrent cases \"late acute VATS\" was done in 24 hours after acute drainage with permanent air leak. We performed \"under water-test\". In 57 Vanderschueren stage II-III-IV cases the lung disorders and the place of air leakage were resected. In 21 Vanderschueren stage I cases \"blind apical resection\" was performed. We carried out pleural abrasion, and two pleural drains were inserted.Results: In every \"blind resection\" case the pathology revealed lung disorders: cystic deformation, fibrosis or inflammation. We had no operative deaths. In 1 case because of intercostal artery bleeding, thoracotomy had to be performed. We had 1 recurrent PTX. There was no late complications.Conclusion: The early indications reduced the hospitalization. The \"blind apical resections\" remove abnormal lung tissue, diagnose the underlying lung disease and the metal staples can cause adhesion reaction in the apex region.","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"38 2","pages":"151-4"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21454476","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

Treating morbid obesity with laparoscopically placed, adjustable gastric band. 腹腔镜下放置可调节胃束治疗病态肥胖。

Acta chirurgica Hungarica Pub Date : 1999-01-01

J Bende, M Ursu, M Csiszár, L Ungar

引用次数: 0

Video-choledochoscopy in bile duct surgery. 胆管手术中的视频胆道镜检查。

Acta chirurgica Hungarica Pub Date : 1999-01-01

G Csáky, J Bezsilla, D Tóth

{"title":"Video-choledochoscopy in bile duct surgery.","authors":"G Csáky, J Bezsilla, D Tóth","doi":"","DOIUrl":"","url":null,"abstract":"The authors report on common bile duct explorations performed in 92 patients and in one patient laparoscopically. In their practice usually ERCP and EST were attempted first when bile duct stones were suspected. Open choledochotomy was performed when the endoscopic approach was unsuccessful, or a stone was detected during selective intraoperative cholangiography. In 16 cases intraoperative video-choledochoscopy was performed. The thing that increased the average operating time by 47 minutes. In 4 patients in this group residual stones were detected postoperatively, presumably because of the inexperience of the surgeons with the use of the choledochoscope. Postoperative cholangiography raised the suspicion of a residual stone altogether in 8 cases. Postoperative ERCP was negative in 2 instances, EST and stone extraction were successful in 3 patients, but unsuccessful in 3 patients. In these last cases a successful reoperation was made in one, ESWL and dissolution therapy were performed in two patients. The authors advise to learn the technique of laparoscopic removal of the bile duct stones and the application of guide-wire, Dormia basket, Fogarty balloon catheter, and balloon dilatator. According to the data of the literature, the one stage laparoscopic procedure is successful in most of the patients, more comfortable, and cost saving.","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"38 2","pages":"139-42"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21455187","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

Clinical nutrition in liver and pancreatic diseases. 肝胰疾病的临床营养学。

Acta chirurgica Hungarica Pub Date : 1999-01-01

L Harsányi

引用次数: 0

Bronchopleural fistula after pneumonectomy: a major challenge. 肺切除术后支气管胸膜瘘:一个主要的挑战。

Acta chirurgica Hungarica Pub Date : 1999-01-01

K Athanassiadi, G Kalavrouziotis, I Bellenis

{"title":"Bronchopleural fistula after pneumonectomy: a major challenge.","authors":"K Athanassiadi, G Kalavrouziotis, I Bellenis","doi":"","DOIUrl":"","url":null,"abstract":"Objective: Bronchopleural fistula (BPF) is a life-threatening complication of pneumonectomy. Its treatment still challenges the thoracic surgeon. We present our 10-year experience in the management of this entity.Material: From 1986 to 1997, 8 patients with BPF, representing 2.5% of the 315 pneumonectomies performed in the same period, were treated in our Department. All were male, aged 52-74 (mean: 62.5) years. Pneumonectomy (right: 5, left: 3) was undertaken due to lung cancer. BPF occurred within one month postoperatively.Results: No difference in BPF incidence was observed comparing hand suturing and stapling of the bronchial stump. BPF was associated with empyema thoracis (ET) in 5 patients. Methods of management included prolonged chest tube drainage (n = 5), open thoracostomy (n = 3), bronchoscopical injection of fibrin sealant (n = 2), BPF closure through the previous thoracotomy with autologous tissue buttress (n = 2), transternal transpericardial closure of the BPF (n = 1). Two patients died (mortality 25%): one patient treated with chest tube drainage due to myocardial infarction, and the other undergone transternal BPF closure due to sepsis. In the rest 6 patients closure of the BPF was achieved.Conclusion: BPF after pneumonectomy continues to be a problem without definite solution at present. Prevention has not been achieved with the use of staples for bronchial stump closure. Small leaks may be scaled endoscopically with fibrin glue. Otherwise, early surgical closure is mandatory, especially when empyema thoracis coexists.","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"38 1","pages":"5-7"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21303599","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

Pulmonary leiomyomatosis in women after hysterectomy for uterine myoma. Benign metastasizing leiomyoma? 子宫肌瘤切除术后妇女肺平滑肌瘤病。良性转移性平滑肌瘤?

Acta chirurgica Hungarica Pub Date : 1999-01-01

M Kadry, C Sievers, C Engelmann

{"title":"Pulmonary leiomyomatosis in women after hysterectomy for uterine myoma. Benign metastasizing leiomyoma?","authors":"M Kadry, C Sievers, C Engelmann","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Leiomyomas, which usually occur multilocular in uterus, can develop even if rarely in other organs with smooth muscle cells. The tumour is considered benign; 2 case reports supports the hypothesis that uterus myoma could metastasize, and in the metastasis sites grow invasively.Methods: 2 female patients 44 y. and 29 y. old were admitted to our clinic for MPL. Due to increasing tumor size respectively dypnea, they were operated on. Multiple nodules of the left lung in one case, and a mediastinal tumour in the other were resected; resected tumour was histologically examined.Results: In both cases it was a matter of well-differentiated leiomyosarcoma. The mediastinal tumour has already invade the N. phrenicus. Postoperatively there were no complications. Patients discharged in well-doing state, medical control one year later revealed no new growth.Conclusion: Multiple pulmonary leiomyomas are rare, they occur in sexually mature women in coincidence with uterus myoma. Even though many authors assume that MPL is a lung metastasis of benign tumours, the pathogenesis is still hypothetical. Supporting this thesis is the hormone dependence of both the uterine and the pulmonary tumours; against it, is that extrapulmonary locations are too rarely observed. The still open pathogenetical question has no therapeutical consequence. Whenever technically possible, a radical, parenchyma-saving surgical therapy should be the first choice. Otherwise hormon-ablation is a good alternative.","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"38 1","pages":"57-61"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21304119","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