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Acta chirurgica Hungarica最新文献

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Early oesophageal cancer. Does it exist? Why we cannot find it? 早期食道癌。它存在吗?为什么我们找不到它?
Acta chirurgica Hungarica Pub Date : 1999-01-01
J Błaszczuk, A Adamus
{"title":"Early oesophageal cancer. Does it exist? Why we cannot find it?","authors":"J Błaszczuk,&nbsp;A Adamus","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Results of surgery in oesophageal cancer are still disappointing. The only possible solution is to search actively for early cancer in nonsymptomatic person. The group of patients with Barrett's oesophagus or after lye ingestion was included in the endoscopical screening programme. In order to improve our results and increase sensitivity we have employed the Lugol solution for mucous membrane staining. During five years follow-up period four cases of early cancer were found. All cases were treated surgically showing cancer confined only to the mucous membrane in two patients. Endoscopic ultrasonography is currently the best technique for the staging of oesophageal cancer. Our preliminary data are encouraging shown that its possible to use population screening programme in some well-defined group of patients.</p>","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"38 1","pages":"13-4"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21304214","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
Video-assisted thoracoscopic pleurodesis for malignant pleural effusions. 电视胸腔镜胸膜切除术治疗恶性胸腔积液。
Acta chirurgica Hungarica Pub Date : 1999-01-01
A Füredi, L Kecskés, P Gehér, B Kiss
{"title":"Video-assisted thoracoscopic pleurodesis for malignant pleural effusions.","authors":"A Füredi,&nbsp;L Kecskés,&nbsp;P Gehér,&nbsp;B Kiss","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Aim: </strong>The objective was to analyse the efficiency, and safety of thoracoscopic pleurodesis (TP). A retrospective study was made of an initial series of 75 patients undergoing lifetime follow-up who received TP in our department for the treatment of malignant pleural effusions (MPE).</p><p><strong>Material and methods: </strong>From May 1994 to December 1998, 34 men and 41 women with a median age of 63.4 +/- 12.5 years were treated by TP. We performed 36 partial diathermic abrasions on pleura combined with talc insufflation, and in 39 cases only talc poudrage. The mean duration of insention of the chest tube was 4.1 (range 2 to 17) days, with 8.4 (range 5 to 20) days of postoperative hospitalization. There were no severe intraoperative or postoperative complications. The 30-day mortality rate was 1.3% (1 case). The period of follow-up ranged from 2.5 to 40 months (average 6.8). No case of late recurrence has been observed to date.</p><p><strong>Conclusion: </strong>Videothoracoscopic pleurodesis (talc poudrage) as a simple and efficient procedure seems to be the best alternative treatment regimen for the management of MPE in a group of selected patients.</p>","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"38 2","pages":"155-7"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21454477","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
Forgotten rubber drain in the abdomen (case report). 腹部遗忘橡胶引流管(病例报告)。
Acta chirurgica Hungarica Pub Date : 1999-01-01
A Gökalp, G Maralcan
{"title":"Forgotten rubber drain in the abdomen (case report).","authors":"A Gökalp,&nbsp;G Maralcan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Forgotten rubber drain in the abdomen is a rarely seen situation after the abdominal operations. In this article, a case of \"forgotten rubber drain in the abdomen after a liver hydatid cyst operation\" was presented. The clinical significance of the case was discussed by surveying all literature.</p>","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"38 3-4","pages":"343-7"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21774207","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
Surgically treated Hashimoto's thyroiditis. 手术治疗桥本甲状腺炎。
Acta chirurgica Hungarica Pub Date : 1999-01-01
F Györy, G Lukács, F Juhász, E Mezösi, S Szakáll, T Végh, J Máth, G Balázs
{"title":"Surgically treated Hashimoto's thyroiditis.","authors":"F Györy,&nbsp;G Lukács,&nbsp;F Juhász,&nbsp;E Mezösi,&nbsp;S Szakáll,&nbsp;T Végh,&nbsp;J Máth,&nbsp;G Balázs","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The primary way to treat Hashimoto's thyroiditis is conservative. However, it has a relatively high occurrence in operated patients, up to 13% in the literature. Indications for surgery are suspicion of malignancy, and/or trachea/esophagus compression. 2818 thyroid operations were performed at our department between 1986 and 1995. 279 patients suffered from thyroid cancer and 2539 had benign disease. Histology revealed Hashimoto's thyroiditis in 118 cases. Coexisting malignant thyroid tumor was found in 14 cases (11.8%): 9 papillary, 2 follicular, 1 anaplastic cancer, and 2 non-Hodgkin lymphoma. Postoperative recurrent laryngeal nerve paralysis occurred in 8 cases, of which 6 remained permanent. This relatively high incidence supports the importance to identify the laryngeal nerve during every operation for Hashimoto's thyroiditis. Four patients had temporary and one had permanent hypoparathyroidism. Coexistence of Hashimoto's thyroiditis and thyroid carcinoma, the increased risk for the development of non-Hodgkin's lymphoma in chronic lymphocytic thyroiditis and the need for thyroxin supplementation in many cases justify a careful, long-term follow-up of patients with Hashimoto's disease.</p>","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"38 3-4","pages":"243-7"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21774274","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
A case of a calcified renal cyst. 肾囊肿钙化1例。
Acta chirurgica Hungarica Pub Date : 1999-01-01
D L Répássy, S Csata, G Tamás
{"title":"A case of a calcified renal cyst.","authors":"D L Répássy,&nbsp;S Csata,&nbsp;G Tamás","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Authors review a case of a calcified renal cyst. The literary data at hand give evidence that the spreading processes in the kidney can be benign or malignant according to their form of calcification and their localisation. Despite the modern diagnostic techniques, it is not easy to set up the diagnosis or to avoid the need for surgery, as was the case in the present report.</p>","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"38 3-4","pages":"289-95"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21774280","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
Comparison of morbidity of lumbar flank approach and transperitoneal approach for radical nephrectomy. 腰椎侧腹入路与经腹膜入路在根治性肾切除术中的发病率比较。
Acta chirurgica Hungarica Pub Date : 1999-01-01
D L Répássy, A Bécsi, G Tamás, T Weninger
{"title":"Comparison of morbidity of lumbar flank approach and transperitoneal approach for radical nephrectomy.","authors":"D L Répássy,&nbsp;A Bécsi,&nbsp;G Tamás,&nbsp;T Weninger","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>This is a retrospective study comparing the clinical data and morbidity of transperitoneal radical nephrectomy (TRN) and simple nephrectomy.</p><p><strong>Material and methods: </strong>From 1st January, 1989 to 1st January, 1996 a total of 90 simple nephrectomies and from 1st January, 1996 to 1st August, 1999 a number of 85 TRN were performed at the Department of Urology of the Saint Stephen Hospital. The analysis of clinical data included operative time, length of analgesics, postoperative hospital stay and blood loss, as well as morbidity.</p><p><strong>Results: </strong>The mean operative time for TRN was 170 min., being 95 min. for simple nephrectomy. The mean blood loss for TRN was 250 ml, and 400 ml for simple nephrectomy. There were different types of morbidity for TRN and simple nephrectomy. The complications of TRN mean minimal risk and easy correctibility.</p><p><strong>Conclusion: </strong>Our results demonstrate an overall clear advantage of TRN when compared to simple nephrectomy.</p>","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"38 3-4","pages":"311-20"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21774283","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
War injuries to the chest. 胸部战伤。
Acta chirurgica Hungarica Pub Date : 1999-01-01
N Ilić, A Petricević, S Tanfara, Z Mimica, V Radonić, A Tripković, N Frleta Ilić
{"title":"War injuries to the chest.","authors":"N Ilić,&nbsp;A Petricević,&nbsp;S Tanfara,&nbsp;Z Mimica,&nbsp;V Radonić,&nbsp;A Tripković,&nbsp;N Frleta Ilić","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Aim: </strong>Presentation of our experiences in the treatment of war injuries to the chest at the Split University Hospital, Croatia, during the 1991-1995 war in Croatia and Bosnia-Hercegovina.</p><p><strong>Methods: </strong>Retrospective analysis of clinical and surgical data on 439 (16.3%) patients with war injuries to the chest among 2693 treated battle casualties in general. The medical data from evacuation unit, transportation, emergency department and follow-up were observed and processed by basic statistical analysis.</p><p><strong>Results: </strong>There were more explosive wounds than gunshot and puncture wounds (ratio 251/158/30). Penetrating injuries were found in 348 (79%) patients and nonpenetrating in 91 (21%) patients. There were 401 (91%) men and 38 (9%) women. Thoracotomy was performed in 98 (22.3%) patients, whereas conservative surgical methods (wound treatment, chest-tube drainage, appropriate fluid therapy, antimicrobial and atelectasis prophylaxis) were used in 341 (77.7%) patients. Mean time elapsed between injury and definitive surgical repair was seven hours (range, 1 to 48 hours). Recovery on discharge was recorded in 411 (93.6%) patients, 19 (4.3%) patients were referred to other institution for further treatment, and 9 (2%) severely wounded persons died.</p><p><strong>Conclusions: </strong>The treatment of respiratory insufficiency and haemorrhage shock, and prevention of infection are the basis of management of these injuries. Prompt transportation, appropriate diagnostic methods and an adequate surgical treatment can markedly reduce mortality and complications rate in war injuries to the chest. Most war wound of the lung can be successfully managed by \"conservative\" surgical treatment. The recovery of lung function was similar in conservatively and operatively treated patients.</p>","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"38 1","pages":"43-7"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21304114","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
Limited resection of lung cancer. 有限切除肺癌。
Acta chirurgica Hungarica Pub Date : 1999-01-01
A Jackevicius, S Cicenas, P Naujokaitis
{"title":"Limited resection of lung cancer.","authors":"A Jackevicius,&nbsp;S Cicenas,&nbsp;P Naujokaitis","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Aim: </strong>Follow-up results after a limited resection (segmentectomy, wedge resection of lung) are represented in this paper according to the TNM classification and histological type of tumour.</p><p><strong>Methods: </strong>Since 1980 until 1997, 1173 patients (pts) with lung cancer were treated surgically. 42 (36 males and 6 females) of them underwent a limited resection of lung. Distribution of pts according to the TNM classification was: T1N0 was found in 12 pts and T2N0 in 11 pts, T2N0 in 11pts, T2N1 in 7 pts, other 12 pts had N2. Sqamous cell carcinoma was in 19 pts, Adenocarcinoma in 13 pts, Small cell carcinoma in 9 pts, one pt--Carcinosarcoma. After the operation 9 pts received radiation therapy, 9 pts--chemotherapy.</p><p><strong>Results: </strong>The best follow-up results were in pts with T1-2N0 who received adjuvant therapy: median survival was 45.7 months. The pts, treated only surgically, lived 36.7 months. The pts with N2 lived only 9 months.</p><p><strong>Conclusion: </strong>1. A limited resection of lung with lymph nodes dissection can be performed only in cases T1-2N0. 2. In cases with N0 of undifferentiated carcinoma (anaplastic, small cell) adjuvant therapy ought to be given after operation. 3. In cases of N1, N2 we recommend adjuvant therapy regardless of histological type of tumour.</p>","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"38 1","pages":"49-51"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21304115","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
The value of Asamura-Naruke type main bronchus stump closure and pleuro-pericardial flap covering by own method to avoid broncho-pleural fistula (BPF). Asamura-Naruke型主支气管残端闭合及胸膜-心包皮瓣自体覆盖对避免支气管-胸膜瘘的价值。
Acta chirurgica Hungarica Pub Date : 1999-01-01
L Kecskés, G Bátori, P Gehér, B Kiss
{"title":"The value of Asamura-Naruke type main bronchus stump closure and pleuro-pericardial flap covering by own method to avoid broncho-pleural fistula (BPF).","authors":"L Kecskés,&nbsp;G Bátori,&nbsp;P Gehér,&nbsp;B Kiss","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>1. Authors present an \"old-new\" main bronchus closure procedure, which combines the Sweet's and Overholt's methods, recommended by Asamura-Naruke. 2. The A-N procedure decreased the prevalence of BPF from 2.8% to 0.09% in case of thoracotomy and from 9.5% to 2.4% in case of pneumonectomy compared 2 different stump-closing types. 3. There was not BPF in the \"covered subgroup\" (0%/92 PN) recommended by us, independent of the closing types. 4. All bronchial stumps closed like A-N and covered by our method (0% BPF/62 PN) healed.</p>","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"38 1","pages":"71-3"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21304120","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
Lung resection for the treatment of severe localised bronchiectasis in cystic fibrosis patients. 肺切除术治疗囊性纤维化患者严重局限性支气管扩张。
Acta chirurgica Hungarica Pub Date : 1999-01-01
M J Dalrymple-Hay, J Lucas, G Connett, R E Lea
{"title":"Lung resection for the treatment of severe localised bronchiectasis in cystic fibrosis patients.","authors":"M J Dalrymple-Hay,&nbsp;J Lucas,&nbsp;G Connett,&nbsp;R E Lea","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>A small proportion of cystic fibrosis patients develop severe localised bronchiectasis. When this persists despite maximal medical therapy it presents a difficult management problem. Lung transplantation cannot be justified. We report encouraging results in six patients with severe localised bronchiectasis and cystic fibrosis who underwent pulmonary resection.</p><p><strong>Methods: </strong>Each child had severe localised bronchiectasis despite maximal medical therapy. Intensive preoperative toilet was instituted and pulmonary resection undertaken when lung function was optimal.</p><p><strong>Results: </strong>There was a marked improvement in symptoms in every case. No significant long-standing morbidity was associated with the resection. There was no significant decrease in pulmonary function following resection.</p><p><strong>Conclusion: </strong>Pulmonary resection should be considered in the management of severe localised bronchiectasis unresponsive to maximal medical therapy in cystic fibrosis patients.</p>","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"38 1","pages":"23-5"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21304217","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
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