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Acta chirurgica Hungarica最新文献

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Surgery for oesophageal carcinoma in the elderly. 老年食管癌的手术治疗。
Acta chirurgica Hungarica Pub Date : 1999-01-01
M J Dalrymple-Hay, K E Evans, R E Lea
{"title":"Surgery for oesophageal carcinoma in the elderly.","authors":"M J Dalrymple-Hay,&nbsp;K E Evans,&nbsp;R E Lea","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>There has been a gradual increase in the number of elderly patients referred for oesophageal surgery. The aim of this study is to review our experience with oesophageal cancer surgery in the elderly.</p><p><strong>Methods: </strong>Between January 1974 and December 1996, 591 patients (408 males, 183 females; mean age 66 years) underwent an oesophageal resection for carcinoma. 221 were aged greater than 70 years of age (group A) and 370 less than 70 (group B).</p><p><strong>Results: </strong>Total in hospital mortality was 8.8% (52/591). This has decreased to less than 5% over the last decade. There was no significant difference in perioperative morbidity or mortality between the groups (P = 0.11). When deaths from unrelated medical conditions were excluded, there was no significant difference in survival between the different age groups (P = 0.96).</p><p><strong>Conclusion: </strong>Oesophageal surgery can be performed in a selected elderly population with a low operative morbidity and mortality. The survival benefit of resection is the same in the elderly as for younger patients.</p>","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"38 1","pages":"27-9"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21304218","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
Anterior transsternal approach to the upper thoracic spine. 前经胸骨入路通往胸椎上部。
Acta chirurgica Hungarica Pub Date : 1999-01-01
A Maciejczak, A Radek, J Kowalewski, A Palewicz
{"title":"Anterior transsternal approach to the upper thoracic spine.","authors":"A Maciejczak,&nbsp;A Radek,&nbsp;J Kowalewski,&nbsp;A Palewicz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Cervicothoracic junction and upper thoracic spine down to T4 can be reached through anterior approach via sternotomy. Transsternal approach is the best route to gain access to lesions localized within vertebral bodies of the upper thoracic spine allowing for their resection, interbody fusion and replacement with bone cement. Consecutive modifications of transsternal approach evolved towards less extensive osteotomy from full median sternotomy, through manubriotomy with clavicle resection to partial lateral manubriotomy. Less extensive modifications provide limited lateral exposure of the spine and are more demanding technically. We present two cases of the upper thoracic spine tumours operated on through full medial sternotomy. We believe that median sternotomy has several advantages over less extensive modifications: it is technically simple to perform approach for trained thoracic surgeon, safer as it provides better exposure of the mediastinum and thus sufficient control of great vessels including subclavian ones, gives better exposure of T3, T4 and even T5 vertebral bodies, allows perpendicular sight and attack to anterior surface of the upper thoracic spine and therefore good visualizing of the posterior longitudinal ligament and dura, do not destabilize shoulder girdle nor affect function of the upper limb. Additional caudal exposure of the thoracic spine as down as T5 can be obtained by dissecting a plane between the brachiocephalic vein, vena cava superior and ascending aorta.</p>","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"38 1","pages":"83-6"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21304723","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
Predictive value of MRI in lung cancer. MRI对肺癌的预测价值。
Acta chirurgica Hungarica Pub Date : 1999-01-01
T F Molnár, E Juhász, I Benkó, O P Horváth
{"title":"Predictive value of MRI in lung cancer.","authors":"T F Molnár,&nbsp;E Juhász,&nbsp;I Benkó,&nbsp;O P Horváth","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Pathologic results of 543 lymph nodes removed during 164 radical surgery for lung cancer is compared with the expected findings based on preoperative MRI imaging. Specificity of T2 weighted MRI images were 95.5% for individual lymph nodes and 88.1% for TNM staging, respectively. Sensitivity was found to be 89.4% for lymph nodes and 94.6% for TNM staging of the patient. The accuracy of the MRI imaging was 84.7%. Properly chose MRI imaging and interpretation sounds to be no inferior to more invasive methods as collar mediastinoscopy, Chamberlain procedure or VATS exploration.</p>","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"38 1","pages":"95-9"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21304726","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 improvement of arterial oxygenation during one-lung ventilation--effect of different CPAP levels. 单肺通气时动脉氧合的改善——不同CPAP水平的影响。
Acta chirurgica Hungarica Pub Date : 1999-01-01
M Pavlík, D Ctvrtecková, V Zvonícek, P Sevcík, I Capov, V Jedlicka
{"title":"The improvement of arterial oxygenation during one-lung ventilation--effect of different CPAP levels.","authors":"M Pavlík,&nbsp;D Ctvrtecková,&nbsp;V Zvonícek,&nbsp;P Sevcík,&nbsp;I Capov,&nbsp;V Jedlicka","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Authors studied different continuous positive airway pressure (CPAP) levels and their effect on arterial oxygenation during thoracic surgery. Surgical interference of CPAP was studied as well. No significant difference has been found at 4 cm, 7 cm and 10 cm H2O in the improvement of oxygen content during one-lung ventilation. In contract to the lowest CPAP level, 7 cm and 10 cm H2O made the surgical conditions significantly worse.</p>","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"38 1","pages":"103-5"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21304728","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
Nonepithelial neoplasmas of the esophagus. 食管非上皮性肿瘤。
Acta chirurgica Hungarica Pub Date : 1999-01-01
T Przystasz, A Chmieliński
{"title":"Nonepithelial neoplasmas of the esophagus.","authors":"T Przystasz,&nbsp;A Chmieliński","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Nonepithelial neoplasms of the esophagus are rare and represent only 1-3% of the treated tumor of the esophagus. Aim of this report is to present our experiences with treatment patients suffering from that kind of neoplasm. During the last 12 years we treated 12 patients: 6 males and 6 females in the age of 23-65 years (average 41 years). The basic symptom was long-duration dysphagia. Esophagoscopia, radiopaque contrast, CT examinations in the all of our patients were done. Correct recognition before operation (only 1 patient--leiomyoma) was done. The tumors were removed in 6 patients by right-side thoracotomy, in 5 patients by left-side thoracotomy and 1 has had right-side thoracoscopy. The lumen of the esophagus was opened in 3 patients. Definitive recognition was as follow: 6--leiomyoma, 3--fibroma, 1--fibroleiomyoma, 1--lipoma, 1--cystis lymphomatosa. Operative treatment was done by enucleation of the tumor and in the postoperative period we did not observe complications. Early and late results were very good as well.</p>","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"38 1","pages":"111-3"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21304730","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
Jejunal feeding in necrotising acute pancreatitis--a retrospective study. 坏死性急性胰腺炎空肠喂养的回顾性研究。
Acta chirurgica Hungarica Pub Date : 1999-01-01
J Hamvas, R Schwab, A Pap
{"title":"Jejunal feeding in necrotising acute pancreatitis--a retrospective study.","authors":"J Hamvas,&nbsp;R Schwab,&nbsp;A Pap","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The acute necrotising pancreatitis is the most serious form of pancreatic inflammatory disease leading to multiorgan failure and high (15-20%) mortality. The poor nutritional and metabolic condition and secondary bacterial translocation rise the mortality further on. A newly introduced clinical method of continuous nasojejunal feeding-based on experimental works--resulted in lower mortality rate (less than 4%) by perfusing adequate nutrients into the second loop of jejunum via a feeding tube. The better nutritional and immunological status of the patients, with restored absorption and intestinal motility promoted recovery, and prevented the septic complications. Although in some cases with serious progression operation became necessary; the timing of surgery was easier because of the less fragile state of the patient. The continuous nasojejunal feeding is a promising new method among the therapeutic modalities of the acute pancreatitis.</p>","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"38 2","pages":"177-85"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21453732","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
Effect of laparoscopic antireflux operation on esophageal manometry, 24 hours pH-metry and quality of life in gastroesophageal reflux disease. 腹腔镜抗反流手术对胃食管反流病患者食管压力、24小时ph及生活质量的影响。
Acta chirurgica Hungarica Pub Date : 1999-01-01
G Varga, A Király, M Moizs, O P Horváth
{"title":"Effect of laparoscopic antireflux operation on esophageal manometry, 24 hours pH-metry and quality of life in gastroesophageal reflux disease.","authors":"G Varga,&nbsp;A Király,&nbsp;M Moizs,&nbsp;O P Horváth","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>It has been suggested that laparoscopic Nissen fundoplication is an effective procedure for the treatment of gastroesophageal reflux disease (GERD). Twenty-six patients with chronic gastroesophageal reflux disease underwent laparoscopic floppy Nissen fundoplication. 24 hours pH-metry, manometry and Gastrointestinal Quality of Life Index (GIQLI) questionnaire were done preoperatively, six-month and one year after the operation. The six weeks control investigation was limited to 24 pH-metry and GIQLI interview. Adequate reflux control was obtained in all patients, with reduction in acid reflux variables at six weeks, six months as well as at one year after the operation. Preoperative reflux index and DeMeester score was significantly higher than those we found postoperatively at both time period. Preoperative lower esophageal sphincter tone and length was abnormal on average. Both parameters increased significantly at six-month and one year after the operation. GIQLI also showed characteristic changes. Compared to preoperative values we found significantly higher GIQLI at both six-month and one year following surgery. Laparoscopic Nissen fundoplication provides an excellent symptomatic and physiologic outcome in patients with esophageal reflux disease.</p>","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"38 2","pages":"213-8"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21453740","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
An unusual pulmonary perforation case after chest tube placement. 置胸管后肺穿孔1例。
Acta chirurgica Hungarica Pub Date : 1999-01-01
G Yuncu, D Aykanli, S Yaldiz, M Ulgan, H Alper
{"title":"An unusual pulmonary perforation case after chest tube placement.","authors":"G Yuncu,&nbsp;D Aykanli,&nbsp;S Yaldiz,&nbsp;M Ulgan,&nbsp;H Alper","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Pulmonary laceration is an uncommon complication of tube thoracostomy technique that is expected vigorous clinically and may be fatal. In this study, we report a case of pulmonary laceration owing to a tube thoracostomy, with no clinical signs, and detected incidentally on thorax computed tomography.</p>","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"38 3-4","pages":"231-3"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21773076","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
Relationship between the survival and the clinicopathological parameters of the patients with tumors in the pancreatic head region. 胰头区肿瘤患者的生存与临床病理参数的关系。
Acta chirurgica Hungarica Pub Date : 1999-01-01
C Berczi, J Bocsi, K Lapis, G Balázs
{"title":"Relationship between the survival and the clinicopathological parameters of the patients with tumors in the pancreatic head region.","authors":"C Berczi,&nbsp;J Bocsi,&nbsp;K Lapis,&nbsp;G Balázs","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Retrospective study was performed to assess the possible prognostic factors for survival in patients after radical surgery with carcinoma of the pancreatic head region. Twenty-nine patients underwent pancreaticoduodenectomy for cancers of the pancreatic head (n = 22) and the papilla of Vater (n = 7). Using flow cytometry, authors measured the nuclear DNA content of tumor cells. DNA ploidy status was evaluated from paraffin-embedded tumor tissues. Fourteen DNA diploid and eight DNA-aneuploid pancreatic carcinomas occurred. Six DNA diploid and one DNA-aneuploid tumors were diagnosed in the group of papilla of Vater. Mean survival of patients with the carcinoma of pancreatic head was 9.3 months. Survival of the patients with the cancer of papilla of Vater was 20.5 months. The mean survival was 10 months in case of DNA-diploid pancreatic carcinoma, and it was 8 months in case of DNA-aneuploid cancer. The survival of the patients with DNA* diploid Vater papilla tumor was 17 months, and it was 40 months with the DNA-aneuploid cancer. The mean proliferative index (PI) of DNA-diploid pancreatic cancers was 9.7%, whereas that of the DNA-aneuploid cases was 13.3%. The mean PI of DNA-diploid tumors of papilla of Vater was 7.5% and that of the DNA aneuploid cases was 28%. There was no significant correlation between the PI and the survival. DNA-ploidy status and PI had no significant effect on the survival in patients with carcinoma of the pancreatic head region.</p>","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"38 3-4","pages":"235-41"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21773077","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
Heteromorphic grade of renal cell cancer. 肾细胞癌的异型分级。
Acta chirurgica Hungarica Pub Date : 1999-01-01
D L Répássy, R Gaál, J Sebök
{"title":"Heteromorphic grade of renal cell cancer.","authors":"D L Répássy,&nbsp;R Gaál,&nbsp;J Sebök","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The present study demonstrates by means of histopathologic analysis that most of the renal adenocarcinomas are microscopically heterogeneous--named by authors as heteromorphic. This heteromorphism means the mixture of different cell types, histological patterns and fields of tumor with different nuclear atypia. 300 surgical specimens of renal cell cancer (RCC) were reclassified retrospectively. The histologic classification was as follows: 1. Nuclear atypia (nuclear grading according to Skinner); 2. Histological structure (compact, tubular, papillary, cystic); 3. Tumor cell types (clear, chromophobe, chromophilic basophilic, chromophilic eosinophilic). Homogeneous tumors consist of the three categories of this basic classifications. Heteromorphic tumors have combinations the three categories: different cell types (clear and granular) and/or histological elements (tubulo-papillary) and/or nuclear structure. Heteromorphism of RCC can be graded as: G-I: homogeneous structure (three patterns, one-one pattern of the three categories; G-II: 3 + 1 patterns.... G-III: 3 + 2 patterns.... G-IV: 3 + 3 or more patterns of the classification given above. This grading system is recommended for the heteromorphism of renal adenocarcinomas.</p>","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"38 3-4","pages":"335-41"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21774206","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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