Swiss surgery = Schweizer Chirurgie = Chirurgie suisse = Chirurgia svizzera最新文献_第10页

Feasibility and potential of MR-Colonography for evaluating colorectal cancer. 磁共振结肠镜评估结直肠癌的可行性和潜力。

Swiss surgery = Schweizer Chirurgie = Chirurgie suisse = Chirurgia svizzera Pub Date : 2002-01-01 DOI: 10.1024/1023-9332.8.1.21

C. Meier, S. Wildermuth

{"title":"Feasibility and potential of MR-Colonography for evaluating colorectal cancer.","authors":"C. Meier, S. Wildermuth","doi":"10.1024/1023-9332.8.1.21","DOIUrl":"https://doi.org/10.1024/1023-9332.8.1.21","url":null,"abstract":"BACKGROUND MR-Colonography (MRC) based on MR-imaging is a relatively new diagnostic modality for diagnosing colorectal polyps. The aim of this experimental study was to evaluate its performance in detecting and staging colorectal cancer. METHOD 23 patients with proven colorectal cancer underwent MR-Colonography one day prior to operation after standard bowel preparation. The colon was filled with a diluted gadolinium enema. Coronal sections were acquired in prone and supine. Virtual colonoscopy (VC) was processed from the acquired 3D data sets and MRC was interactively analysed together with VC. The findings were correlated with colonoscopic and pathology results. RESULTS A complete MRC was achieved in 21 patients (92%), two patients (8%) could not be conclusively evaluated due to insufficient bowel preparation or technical problems. No complications were observed. Compared to colonoscopy all 23 carcinomas were detected. No lesion > or = 8 mm was missed. In one patient a synchronous carcinoma was newly diagnosed. This lesion was missed by colonoscopy since the distal tumour was endoscopically unpassable. In total eight (33%) colonoscopies were incomplete. CONCLUSION MRC offers a new and promising diagnostic tool for colorectal cancer. It is particularly valuable when colonoscopy is incomplete. It improves preoperative planning and it holds the potential as an all-in-one investigation including local and liver staging in combination with conventional MRI.","PeriodicalId":79425,"journal":{"name":"Swiss surgery = Schweizer Chirurgie = Chirurgie suisse = Chirurgia svizzera","volume":"8 1 1","pages":"21-4"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87063042","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: 11

Intracranial subdural empyema and its management. A review of the literature with comment. 颅内硬膜下脓肿及其处理。带评论的文献综述。

Swiss surgery = Schweizer Chirurgie = Chirurgie suisse = Chirurgia svizzera Pub Date : 2002-01-01 DOI: 10.1024/1023-9332.8.4.159

S Stephanov, A H Sidani

引用次数: 7

[Experiences with endoscopic carpal tunnel release]. 内窥镜下腕管释放术的经验。

Swiss surgery = Schweizer Chirurgie = Chirurgie suisse = Chirurgia svizzera Pub Date : 2002-01-01 DOI: 10.1024/1023-9332.8.4.181

Ch Buchli, D Scharplatz

{"title":"[Experiences with endoscopic carpal tunnel release].","authors":"Ch Buchli, D Scharplatz","doi":"10.1024/1023-9332.8.4.181","DOIUrl":"https://doi.org/10.1024/1023-9332.8.4.181","url":null,"abstract":"Between 1994 and 2000 122 open and endoscopic carpal tunnel releases were performed. 82 of them were analysed retrospectively with major interest in security and results of the endoscopic technique. 39 patients were treated with an open, 41 patients with an endoscopic carpal tunnel release (26 using the two portal technique, 17 using the single portal technique). No major irreversible complications were reported, regarding the outcome their were no significant differences. From the 39 patients with open carpal tunnel release nine had persistent complaints and one of them was reoperated because of an injury of the motoric branch of the median nerve. Eight patients out of 26 treated with the two portal technique still had complaints and one needed to be reoperated because of excessive fibrosis around the median nerve. From the 17 patients operated with the single portal technique five had persistent complaints but no reoperation was necessary. Our study showed similar findings regarding security and results using the three different operation methods. But there were no advantages for the endoscopic carpal tunnel release because of the more atraumatic procedure.","PeriodicalId":79425,"journal":{"name":"Swiss surgery = Schweizer Chirurgie = Chirurgie suisse = Chirurgia svizzera","volume":"8 4","pages":"181-5"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21987086","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

[September 11 from the viewpoint of a Swiss trauma fellow in New York]. [从一个在纽约的瑞士创伤研究人员的观点来看9月11日]。

Swiss surgery = Schweizer Chirurgie = Chirurgie suisse = Chirurgia svizzera Pub Date : 2002-01-01 DOI: 10.1024/1023-9332.8.4.141

O Borens

引用次数: 0

Stromal tumor in a perforated Meckel's diverticulum: a case report. 穿孔梅克尔憩室间质瘤1例。

Swiss surgery = Schweizer Chirurgie = Chirurgie suisse = Chirurgia svizzera Pub Date : 2002-01-01 DOI: 10.1024/1023-9332.8.6.273

Ch Frühauf, A Garcia, R Rosso

引用次数: 6

[Laparoscopic surgery of colorectal cancer. Apropos of 103 interventions]. 结直肠癌腹腔镜手术。103项干预措施]。

Swiss surgery = Schweizer Chirurgie = Chirurgie suisse = Chirurgia svizzera Pub Date : 2002-01-01 DOI: 10.1024/1023-9332.8.5.203

D Hahnloser, Ch Chanson, K Nassiopoulos, P Wahl, P Petropoulos

{"title":"[Laparoscopic surgery of colorectal cancer. Apropos of 103 interventions].","authors":"D Hahnloser, Ch Chanson, K Nassiopoulos, P Wahl, P Petropoulos","doi":"10.1024/1023-9332.8.5.203","DOIUrl":"https://doi.org/10.1024/1023-9332.8.5.203","url":null,"abstract":"Purpose: The aim of this study was to assess the feasibility and safety of laparoscopic surgery for the cure of colorectal cancer and to evaluate the oncologic follow-up.Methods: Between March 1993 and December 2000 103 patients with colorectal cancer were treated by laparoscopy. Surgical, pathologic and follow-up data were recorded in a prospective registry database and analyzed by type of resection.Results: A total of 42 women and 61 men with a mean age of 66.7 years underwent 9 right hemicolectomies, 6 left hemicolectomies, 35 sigmoidectomies, 41 low anterior resections and 12 abdominoperineal resections. Conversion was necessary in 14.5%. Postoperative complications occurred in 21 patients (20.3%) and decreased with experience. Hospital mortality was 0.9%. All cancers (31% stage UICCI, 28% stage II, 37% stage III et 3% stage IV) were resected with tumor-free margins and the mean number of lymph nodes was 19.6. Patients resumed solid diet on the second postoperative day and mean hospitalization was 12.6 days. Three port site recurrences, 4 local recurrences and 10 distant metastases occurred after a mean follow-up of 34.5 months (8-92).Conclusion: Laparoscopic colorectal cancer surgery is technically feasible with acceptable morbidity and low mortality. An oncologic adequate resection can be performed. To determine whether the recurrence rates and the survival data are equivalent to open surgery, prospective randomized trials are necessary.","PeriodicalId":79425,"journal":{"name":"Swiss surgery = Schweizer Chirurgie = Chirurgie suisse = Chirurgia svizzera","volume":"8 5","pages":"203-8"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22103497","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: 1

Castleman's disease masquerading as sigmoid colon tumor and Hodgkin lymphoma. Castleman病伪装成乙状结肠肿瘤和霍奇金淋巴瘤。

Swiss surgery = Schweizer Chirurgie = Chirurgie suisse = Chirurgia svizzera Pub Date : 2002-01-01 DOI: 10.1024/1023-9332.8.1.7

E. Altınlı, S. Pekmezci, Tolga Balkan, A. Somay, M. A. Buyukbese, H. Taşçi, T. Akçal

引用次数: 10

Adjuvant therapy in operable pancreatic cancer. 可手术胰腺癌的辅助治疗。

Swiss surgery = Schweizer Chirurgie = Chirurgie suisse = Chirurgia svizzera Pub Date : 2002-01-01 DOI: 10.1024/1023-9332.8.2.74

M. Wente, P. Büchler, H. Friess, M. Büchler

引用次数: 2

Present status of infrainguinal arterial bypass procedures following an all autogenous policy--long-term results of a single center. 腹股沟下动脉旁路手术的现状:全自体策略-单一中心的长期结果。

Swiss surgery = Schweizer Chirurgie = Chirurgie suisse = Chirurgia svizzera Pub Date : 2002-01-01 DOI: 10.1024/1023-9332.8.4.171

T Eugster, P Stierli, L Guerke, T Obeid, P Hess

{"title":"Present status of infrainguinal arterial bypass procedures following an all autogenous policy--long-term results of a single center.","authors":"T Eugster, P Stierli, L Guerke, T Obeid, P Hess","doi":"10.1024/1023-9332.8.4.171","DOIUrl":"https://doi.org/10.1024/1023-9332.8.4.171","url":null,"abstract":"Objectives: The direction of vein grafts for infrainguinal arterial reconstruction is controversial. Long-term results of a single center following an all autogenous tissue policy in infrainguinal arterial reconstruction are reported with special attention to possible advantages for the in situ and non-reversed bypass using angioscopy.Methods: From 10/88 until 12/00 540 bypasses with autogenous veins were performed on 497 patients. Veins were used in a non-reversed or in-situ direction, valve disruption was performed under angioscopic control. All grafts were prospectively included in our data base and follow-up was scheduled in our vascular lab before discharge and after 3, 6, 9, 12, 24 etc. months.Results: Primary patency of all bypasses after 108 months was 55.2%, primary assisted 76.9% (SE +/- 9.87), survival 58.4% (SE +/- 8.88) and limb salvage 81.3% (SE +/- 9.75). Perioperative mortality was 0.9% (5 pat). Patency rates (primary assisted patency) after 72 months were 81.7% (98.2%) for supragenicular, 61.5% (79.4%) for infragenicular and 56.6% (78.1%) for tibial anastomoses and for pedal reconstructions after 48 months 49.3% (68.6%).Conclusion: Reviewing the literature neither the in situ and non-reversed nor the reversed grafts yielded better long-term results. Absence of size mismatch may be an advantage in smaller veins. Angioscopy may detect unsuspected vein disease.","PeriodicalId":79425,"journal":{"name":"Swiss surgery = Schweizer Chirurgie = Chirurgie suisse = Chirurgia svizzera","volume":"8 4","pages":"171-5"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21987084","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: 8

[Effect of extracorporeal shockwave therapy on vascular regulation. Infrared thermography in epicondylitis humeri radialis]. 体外冲击波治疗对血管调节的影响。肱骨桡侧上髁炎的红外热成像研究。

Swiss surgery = Schweizer Chirurgie = Chirurgie suisse = Chirurgia svizzera Pub Date : 2002-01-01 DOI: 10.1024/1023-9332.8.4.176

M Haake, T Willenberg, F Sauer, P Griss

{"title":"[Effect of extracorporeal shockwave therapy on vascular regulation. Infrared thermography in epicondylitis humeri radialis].","authors":"M Haake, T Willenberg, F Sauer, P Griss","doi":"10.1024/1023-9332.8.4.176","DOIUrl":"https://doi.org/10.1024/1023-9332.8.4.176","url":null,"abstract":"Background: Extracorporeal shockwave therapy (ESWT) is recommended as an alternative treatment for lateral epicondylitis (LE). An influence on the blood perfusion is considered to be one possible effect. Infrared thermography is used in this trial to measure effects of ESWT on the thermal regulation in the target area.Methods: 33 patients with chronic LE were examined in a prospective, placebo-controlled single blind study with an independent observer. 3 x 2000 impulses of an energy flux density ED+ 0.22 mJ/mm2 were applied under local anaesthesia as verum-ESWT. Placebo-ESWT was performed under the same conditions. One elbow was treated, the other served as control. Before and after each shockwave application and after 12 weeks skin temperature was measured on both elbows at three predefined points by infrared thermography.Results: While a significant decrease in the skin temperature was found on the treated and sham-treated sides opposed to the contralateral side, there was no difference between the real shockwave treatment and placebo therapy. Responder and Non-responder to the treatment could not be distinguished during the therapy.Discussion: Infrared thermography was proved to be a valuable additional technical instrument for diagnosis of LE, but is not an appropriate instrument to predict the clinical outcome in patients treated with ESWT. A noted reduction of skin temperature on the treated side is not due to specific effects of the shockwaves. It is unlikely that ESWT as applied has an influence on thermal regulation in the target area. These findings are supported by negative results of experimental and clinical trials.","PeriodicalId":79425,"journal":{"name":"Swiss surgery = Schweizer Chirurgie = Chirurgie suisse = Chirurgia svizzera","volume":"8 4","pages":"176-80"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21987085","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: 7