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Acta chirurgica Hungarica最新文献

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A case of a pulmonary arteriovenous malformation treated by lobectomy. 肺叶切除术治疗肺动静脉畸形1例。
Acta chirurgica Hungarica Pub Date : 1999-01-01
J Wechsler, V Jedlicka, J Kerwitzer, J Novotný, M Pavlík, A Pestál, I Capov
{"title":"A case of a pulmonary arteriovenous malformation treated by lobectomy.","authors":"J Wechsler,&nbsp;V Jedlicka,&nbsp;J Kerwitzer,&nbsp;J Novotný,&nbsp;M Pavlík,&nbsp;A Pestál,&nbsp;I Capov","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We present a case of pulmonary arteriovenous malformation (PAVM) in central localisation (type IIIa) of the upper lobe of the left lung. We discuss diagnostic (Doppler ultrasonography, CT, MRI, angiography) and therapeutic (embolization therapy) options and a current role of surgery in this uncommon clinical condition. Our patient underwent left upper lung lobectomy as an ultimate therapeutic method without subsequent morbidity. We conclude that surgery is a safe method of treatment of pulmonary arteriovenous malformations in selected cases i.e. when PAVM is solitary and of great diameter (more than two centimeters) and where the risks of embolotherapy are high.</p>","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"38 1","pages":"53-5"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21304116","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 pitfall with the use of 111In-pentetreotide scintigraphy in the resected bronchopulmonary carcinoids follow-up: a case report. 111in - pentreotide显影术在支气管肺类癌切除随访中的缺陷:1例报告。
Acta chirurgica Hungarica Pub Date : 1999-01-01
M Grazia, L Ansaloni, A Bini, G Grani, M Mastrorilli, D Pagani, F Sellitri, F Stella, R Bazzocchi
{"title":"A pitfall with the use of 111In-pentetreotide scintigraphy in the resected bronchopulmonary carcinoids follow-up: a case report.","authors":"M Grazia,&nbsp;L Ansaloni,&nbsp;A Bini,&nbsp;G Grani,&nbsp;M Mastrorilli,&nbsp;D Pagani,&nbsp;F Sellitri,&nbsp;F Stella,&nbsp;R Bazzocchi","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Aim: </strong>To re-evaluate the use of 111In-pentetreotide scintigraphy (Octreoscan) in the follow-up of patients operated for carcinoids, as second-step investigation, after chest X-ray, CT-scan and serological marker' levels.</p><p><strong>Methods and results: </strong>We describe the case of a female patient, 58-year-old, operated on for a non-secretory lung carcinoid. Five years after surgery, the CT-scan showed the enlargement of the bilateral hylo-mediastinal lymph nodes, suggestive for carcinoid recurrences. In order to confirm that, the patient was submitted to an Octreoscan that showed the presence of enlarged hylo-mediastinal adenopathies matching with the lesions observed at the CT-scan. Because the serological examination of NSE, chromogranin and serotonin, and the 5-HIIA were in the normal range, the patient was submitted to a lymph node biopsy through a mediastinoscopy. The histological examination of the specimens revealed a sarcoidosis and the patient was started on steroid therapy with good outcome.</p><p><strong>Conclusions: </strong>We conclude that: 1. the octreoscan scintigraphy in the follow-up of resected carcinoids can give false-positive results and 2. in consequence, the mediastinoscopy is a discriminating investigation in case of mediastinal lymph nodes disease.</p>","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"38 1","pages":"35-7"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21304220","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
Laparoscopic surgery of focal lesions of the liver. 肝局灶性病变的腹腔镜手术。
Acta chirurgica Hungarica Pub Date : 1999-01-01
L Kánya, A Botos, J Bezsilla, I Szederkényi, D Tóth
{"title":"Laparoscopic surgery of focal lesions of the liver.","authors":"L Kánya,&nbsp;A Botos,&nbsp;J Bezsilla,&nbsp;I Szederkényi,&nbsp;D Tóth","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In this work the laparoscopic surgical approach of two benignant hepatic lesions (focal nodular hyperplasia [1st case], and hepatic cyst with simultaneous cholecystolithiasis [2nd case]) will be discussed. The authors present the steps of the laparoscopic procedures: non-anatomical liver resection in the first, resection and cholecystectomy in the latter case. During the operations no surgical complications occurred, the postoperative course was also uneventful. The patients were discharged in the fifth day after the surgery, without any complains. During a short follow-up period, our patients were asymptomatic and free of recurrences. In our opinion, the laparoscopic hepatic surgery might be a feasible technique in the hands of surgeons with hepatic and laparoscopic experience, but careful selection criteria should be followed in the selection of such cases.</p>","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"38 2","pages":"187-9"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21453733","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
Palliative treatment of malignant pleural effusions by video-assisted thoracoscopic surgery. 电视胸腔镜下恶性胸腔积液的姑息性治疗。
Acta chirurgica Hungarica Pub Date : 1999-01-01
I Benkó, T F Molnár, O P Horváth
{"title":"Palliative treatment of malignant pleural effusions by video-assisted thoracoscopic surgery.","authors":"I Benkó,&nbsp;T F Molnár,&nbsp;O P Horváth","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Malignant pleural effusion (MPE) are associated with significant morbidity. Prompt clinical evaluation followed by aggressive treatment often results in successful palliation. Video-assisted Thoracic Surgery (VATS) today can be employed in the diagnosis and treatment of idiopatic and known MPE. Between January 1994 and December 1998 233 MPE patients were treated with pleurodesis. 206 of them underwent tube thoracostomy and drainage alone followed by chemical pleurodesis. In 27 out of the 233 cases VATS management was applied. These patients had undiagnosed pleural effusions or recurrent MPE following failed previous drainage and pleurodesis. The cause of the effusion was breast cancer in 11 patients, lung cancer in 9, urogenital cancer in 3, mesothelioma in 2 and other in 2. VATS intervention was thoracoscopic exploration with biopsy and directed chemical sclerosis in undiagnosed MPE (19/27) and lysis of pleural adhesions with partial decortication and pleurodesis in recurrent effusions (8/27). VATS managements were successful 26/27 after mean follow up of 6 months. Had not mortality postoperatively and severe morbidity. Chest tubes were removed 1.5 +/- 0.5 days postoperatively and hospital stay were averaged 4 +/- 1 days. We concluded that VATS is a safety and effective way of managing selected patients with pleural effusions.</p>","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"38 2","pages":"131-3"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21455184","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
Ureter and bladder replacement following radical cystectomy. 根治性膀胱切除术后输尿管及膀胱置换术。
Acta chirurgica Hungarica Pub Date : 1998-01-01
S Csata, D Répássy
{"title":"Ureter and bladder replacement following radical cystectomy.","authors":"S Csata,&nbsp;D Répássy","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>During the course of Hautmann-type bladder replacement, left sided ureter damage necessitated ureter replacement as well, modifying the removal of the ileum-bladder. The proximal 20 cm length of the 70 cm long isolated ileum portion was not detubularized; instead it was slipped through the mesosigma and mesocolon to the left side of the colon and the left ureter stub was anastomized without tautness to the ileum according to Le Duc. The implantation of the right ureter was accomplished according to Hautmann. For similar cases authors recomment this procedure, since neither stricture, nor reflux could be detected at later examinations.</p>","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"37 1-2","pages":"107-10"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21067856","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
Kidney oncocytoma. 肾嗜酸性。
Acta chirurgica Hungarica Pub Date : 1998-01-01
S Csata, D Répássy, A Iványi, B Járay
{"title":"Kidney oncocytoma.","authors":"S Csata,&nbsp;D Répássy,&nbsp;A Iványi,&nbsp;B Járay","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Authors review the case history of three patients with kidney tumours which had been surgically removed. In two of the cases radical nephrectomy while in one, organ-preserving surgery was performed. In all the cases histology revealed benign kidney tumours--oncocytomas. In light of the available literature authors indicate that preoperative diagnosis is almost impossible. Furthermore, it is their opinion that this benign kidney tumour has a less frequent occurrence than earlier thought.</p>","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"37 1-2","pages":"125-32"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21067859","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
Pancreas, diabetes mellitus and pancreatic transplantation--a retrospective survey. 胰腺、糖尿病与胰腺移植的回顾性调查。
Acta chirurgica Hungarica Pub Date : 1998-01-01
E Adeghate, T Donáth
{"title":"Pancreas, diabetes mellitus and pancreatic transplantation--a retrospective survey.","authors":"E Adeghate,&nbsp;T Donáth","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The administration of exogenous insulin ameliorated the symptoms and increased the life expectancy of insulin dependent diabetic patients, but could not cure or prevent the devastating complications including retinopathy, nephropathy and angiopathy. It was recognised that despite insulin therapy, the severity and frequency of the degenerative late complications are still high in patients suffering from diabetes mellitus. The recognition of the increased frequency of and complications accompanying the disease has intensified efforts by scientists to find the form of pancreatic tissue to be transplanted and the suitable site in a bid to secure an insulin producing graft. This review presents an update in pancreatic organ and fragment transplantation. The history of the pancreas is also brought into limelight to show the long, hard and exciting path pancreas and diabetes mellitus have both gone through. An account is also given of experimental and clinical pancreatic whole organ/fragment transplantation including transplantation sites, the evaluation of the viability of pancreatic grafts and the complications of transplantation. Pancreatic islet transplantation is not discussed.</p>","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"37 1-2","pages":"133-51"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21067861","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
Overview of our 13-year-long experience with cochlear implants. 回顾我们13年的人工耳蜗植入经验。
Acta chirurgica Hungarica Pub Date : 1998-01-01
O Ribári, M Küstel
{"title":"Overview of our 13-year-long experience with cochlear implants.","authors":"O Ribári,&nbsp;M Küstel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Authors give account of their 13-year-old experience of cochlear implantation. Their results with different devices as well as some observations regarding fitting and rehabilitation are also discussed.</p>","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"37 1-2","pages":"33-7"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21067915","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
Eight-year experience in treatment of hemorrhoidal disease. 八年痔疮治疗经验。
Acta chirurgica Hungarica Pub Date : 1998-01-01
A Nagy, P Willner, M Jankovich, P Törös
{"title":"Eight-year experience in treatment of hemorrhoidal disease.","authors":"A Nagy,&nbsp;P Willner,&nbsp;M Jankovich,&nbsp;P Törös","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>During an eight-year period 887 patients with symptoms of hemorrhoids were treated at the Department of Surgery and Outpatient Care of the Vaszary Kolos County Hospital, Esztergom. 178 patients with first degree hemorrhoids received only conservative treatment. Rubber band ligation (RBL) which can be performed on outpatients was applied in 324 patients with first, second and third degree hemorrhoids. Thrombosed external hemorrhoids were treated by excision in 215 patients. Hemorrhoidectomy (H) was mainly carried out in 91 cases for treatment of circular 3rd and 4th degree nodules involving complications. More than 80 per cent of the patients receiving rubber band ligation and hemorrhoidectomy were followed up. 65% of the RBL group and 85% of the H group were symptom free, while 76% of the RBL group and 91% of the H group showed great improvement after the treatment. Personal results, complications, and review of the literature are discussed in detail.</p>","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"37 1-2","pages":"71-6"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21067921","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
Schistosomiasis of the urinary bladder. 膀胱的血吸虫病
Acta chirurgica Hungarica Pub Date : 1998-01-01
D L Répássy, S Csata, G Sterlik, A Iványi
{"title":"Schistosomiasis of the urinary bladder.","authors":"D L Répássy,&nbsp;S Csata,&nbsp;G Sterlik,&nbsp;A Iványi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Authors review a case of urinary schistosomiasis, where the process caused left-sided urinary obstruction. Because of the suspicion of a tumor transurethral resection was performed, whereafter the ureter passage became unhindered. Diagnosis became clear upon the histological examination of the resected tissue. Based on the cited literature, reference is made to the mortality rate of the disease in the expanded endemic areas, as well as to the high number of patients at risk. A brief summary is given of the pathology, symptoms, diagnostics of the disease, with mention of differentiation and therapeutic possibilities as well. With regard to importation of the disease, attention is called to the importance of careful anamnesis.</p>","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"37 3-4","pages":"263-70"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21247310","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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