Swiss surgery = Schweizer Chirurgie = Chirurgie suisse = Chirurgia svizzera最新文献_第6页

Peritoneal mesothelioma after environmental asbestos exposure. 环境石棉暴露后腹膜间皮瘤。

Swiss surgery = Schweizer Chirurgie = Chirurgie suisse = Chirurgia svizzera Pub Date : 2003-01-01 DOI: 10.1024/1023-9332.9.6.311

R Rosenthal, I Langer, P Dalquen, W R Marti, D Oertli

引用次数: 2

[Agenesis of the gallbladder]. [胆囊发育不全]。

Swiss surgery = Schweizer Chirurgie = Chirurgie suisse = Chirurgia svizzera Pub Date : 2003-01-01 DOI: 10.1024/1023-9332.9.6.315

N Peloponissios, M Gillet, N Halkic

引用次数: 4

Minimally invasive repair of pectus excavatum (MIRPE)--the Basel experience. 微创修复漏斗胸(MIRPE)-巴塞尔经验。

Swiss surgery = Schweizer Chirurgie = Chirurgie suisse = Chirurgia svizzera Pub Date : 2003-01-01 DOI: 10.1024/1023-9332.9.6.289

F M Haecker, J Bielek, D von Schweinitz

{"title":"Minimally invasive repair of pectus excavatum (MIRPE)--the Basel experience.","authors":"F M Haecker, J Bielek, D von Schweinitz","doi":"10.1024/1023-9332.9.6.289","DOIUrl":"https://doi.org/10.1024/1023-9332.9.6.289","url":null,"abstract":"Purpose: Minimally invasive repair of pectus excavatum (MIRPE) was first reported in 1998 by D. Nuss. This technique has gained wide acceptance during the last 4-5 years. In the meantime, some modifications of the technique have been introduced by different authors. Our retrospective study reports our own experience over the last 36 months and modifications introduced due to a number of complications.Methods: From 3/2000 to 3/2003, 22 patients underwent MIRPE. Patients median age was 15.5 years (10.7 to 20.3 years). Standardised preoperative evaluation included 3D computerised tomography (CT) scan, pulmonary function tests, cardiac evaluation with electrocardiogram and echocardiography, and photo documentation. Indications for operation included at least two of the following: Haller CT index > 3.2, restrictive lung disease, cardiac compression, progression of the deformity and severe psychological alterations.Results: In 22 patients (2 girls, 20 boys) undergoing MIRPE procedure, a single bar was used in 21 patients and two bars in one boy. Lateral stabilisers were fixed with non resorbable sutures on both sides. Overall, postoperative complications occurred in six patients (27.3%). In two patients (9.1%) a redo-procedure was necessary due to bar displacement. An additional median skin incision was performed in two patients to elevate the sternum. Pneumothorax or hematothorax in two patients resulted in routine use of a chest tube on both sides. Long-term favourable results were noted in all patients.Conclusions: The MIRPE procedure is an effective method with elegant cosmetic results. Modifications of the original method help to decrease the complication rate and to accelerate acquirement of expertise.","PeriodicalId":79425,"journal":{"name":"Swiss surgery = Schweizer Chirurgie = Chirurgie suisse = Chirurgia svizzera","volume":"9 6","pages":"289-95"},"PeriodicalIF":0.0,"publicationDate":"2003-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24165424","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: 27

[Early results of esophageal surgery in carcinoma]. 食管癌手术的早期结果。

Swiss surgery = Schweizer Chirurgie = Chirurgie suisse = Chirurgia svizzera Pub Date : 2003-01-01 DOI: 10.1024/1023-9332.9.4.173

R Konopke, S Kersting, D Ockert, J Gastmeier, H D Saeger

{"title":"[Early results of esophageal surgery in carcinoma].","authors":"R Konopke, S Kersting, D Ockert, J Gastmeier, H D Saeger","doi":"10.1024/1023-9332.9.4.173","DOIUrl":"https://doi.org/10.1024/1023-9332.9.4.173","url":null,"abstract":"Aims: The aim of this study was the evaluation of early results of esophageal resection for cancer including the assessment of pre-operative risk factors and post-operative mortality (risk score developed by Barthels et al. 1998).Methods: One hundred and eighty one patients with esophageal cancer were operated with curative intention between October 1993 and December 2002. In a prospective analysis were reviewed: patient characteristics, characteristics of the esophageal cancer, part and type of esophageal resection, radicality, complications and mortality.Conclusion: In total, a resection of the tumor could be achieved in 143 cases (79.0%). The overall complication rate was 52.5%, mainly cardio-pulmonary complications (25.9%) were seen. The surgical complications were determined by anastomotic leak (12.6%) and recurrent nerve injury (9.1%). Both types of complications were observed significantly more often after esophageal resection with a cervical anastomosis (p = 0.03 and p < 0.01). The hospital mortality was 8.4%. The 30 days mortality was 4.9%. Using a preoperative risk score retro- and prospectively, our data showed a lower mortality in patients with a low risk profile (2.4% and 2.3%) compared to those with a medium risk profile (7.4% and 6.4%). The only patient with a high risk profile died after resection.Discussion and summary: The results of this analysis show that resection of esophageal cancer can be accomplished with acceptable morbidity and mortality. However, it has to be taken into account that the increase of pre-operative factors leads to an increase in post-operative mortality.","PeriodicalId":79425,"journal":{"name":"Swiss surgery = Schweizer Chirurgie = Chirurgie suisse = Chirurgia svizzera","volume":"9 4","pages":"173-80"},"PeriodicalIF":0.0,"publicationDate":"2003-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22576635","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: 3

[Surgical therapy of acute diverticulitis]. 急性憩室炎的外科治疗。

Swiss surgery = Schweizer Chirurgie = Chirurgie suisse = Chirurgia svizzera Pub Date : 2003-01-01 DOI: 10.1024/1023-9332.9.3.145

C A Maurer

引用次数: 2

[Stomata--surgical standards]. (气孔——手术标准)。

Swiss surgery = Schweizer Chirurgie = Chirurgie suisse = Chirurgia svizzera Pub Date : 2003-01-01 DOI: 10.1024/1023-9332.9.3.151

M Wagner, V Malayeri, C A Seiler, D Candinas

{"title":"[Stomata--surgical standards].","authors":"M Wagner, V Malayeri, C A Seiler, D Candinas","doi":"10.1024/1023-9332.9.3.151","DOIUrl":"https://doi.org/10.1024/1023-9332.9.3.151","url":null,"abstract":"The placement of an intestinal stoma is still a common procedure despite the recent advantages in intestinal surgery. It is mandatory to apply meticulously sound surgical principles in order to achieve good results. Nevertheless, intestinal stomas are envisioned with a high perioperative morbidity which is mostly caused by surgical inadequacy. This can lead to considerable problems in management of the stoma in the long term and ultimately will affect quality of life of the patient. The cumulative morbidity can be given by 50% with prolaps, hernia, stenosis and necrosis as well as stoma retraction being the most relevant. In contrast, an adequate intestinal stoma will positively affect the quality of life of the patient. The availability of devices developed by the industry and the inauguration of a professional service in certain hospitals simplified the management of patients with a stoma. This significantly improved the standards of care especially regarding preoperative preparation and postoperative management. Thus, most patients are able to maintain an active and socially integrated life with minimal physical and psychical limitations.","PeriodicalId":79425,"journal":{"name":"Swiss surgery = Schweizer Chirurgie = Chirurgie suisse = Chirurgia svizzera","volume":"9 3","pages":"151-6"},"PeriodicalIF":0.0,"publicationDate":"2003-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22445309","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

[Intramedullary Kirschner wire osteosynthesis in treatment of distal metacarpal fractures]. [髓内克氏针内固定治疗掌骨远端骨折]。

Swiss surgery = Schweizer Chirurgie = Chirurgie suisse = Chirurgia svizzera Pub Date : 2003-01-01 DOI: 10.1024/1023-9332.9.2.69

L Labler, M Bonaccio, K Oehy

{"title":"[Intramedullary Kirschner wire osteosynthesis in treatment of distal metacarpal fractures].","authors":"L Labler, M Bonaccio, K Oehy","doi":"10.1024/1023-9332.9.2.69","DOIUrl":"https://doi.org/10.1024/1023-9332.9.2.69","url":null,"abstract":"The intramedullary Kirschner wire fixation of distal metacarpal fractures reported by Foucher et al. combines the known advantages of intramedullary implants with a reduction of iatrogenic soft tissue trauma. We applied this minimal invasive internal fixation technique in 38 patients with fractures dislocated by more than 20 degrees and/or with rotatory deformity. After opening the intramedullary cavity from the base of the respective metacarpal bone and after fracture reduction, two pre-bent Kirschner wires were intramedullary inserted in an orthograde fashion. The pre-bent distal end of the wire in the form of a hockey club allows an additional closed reduction of the displaced distal fracture fragment. Intraoperative complications did not occur. A fixation in a plaster splint followed for one week only. The elastic fixation of the wires working as springs is stable enough to allow physiotherapeutic exercises. After the third postoperative week, the intensity of physical exercise was increased. 36 of the 38 patients were followed. With one exception, all fractures were healed in a proper position. The wires were removed under local anaesthesia on an outpatient basis after six to eight weeks and full mobility of the fingers was achieved in 34 patients at that time. Complications included one redislocation and one distal wire perforation.","PeriodicalId":79425,"journal":{"name":"Swiss surgery = Schweizer Chirurgie = Chirurgie suisse = Chirurgia svizzera","volume":"9 2","pages":"69-75"},"PeriodicalIF":0.0,"publicationDate":"2003-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22365122","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: 3

[Gastrointestinal extramucous running suture anastomosis]. 胃肠道粘膜外行缝合吻合术。

Swiss surgery = Schweizer Chirurgie = Chirurgie suisse = Chirurgia svizzera Pub Date : 2003-01-01 DOI: 10.1024/1023-9332.9.3.114

W Steinke, T Leippold, W Schweizer

引用次数: 2

[Does conservative therapy of chronic inflammatory bowel diseases still play a role?]. 慢性炎症性肠病的保守治疗是否仍在发挥作用?

Swiss surgery = Schweizer Chirurgie = Chirurgie suisse = Chirurgia svizzera Pub Date : 2003-01-01 DOI: 10.1024/1023-9332.9.3.127

F Seibold

引用次数: 4

A tale of two colons and two cancers. Distinct carcinogenesis and clinical outcome according to location proximal or distal to the splenic flexure. 一个关于两个结肠癌和两个癌症的故事。根据脾屈曲的近端或远端位置不同，有不同的癌变和临床结果。

Swiss surgery = Schweizer Chirurgie = Chirurgie suisse = Chirurgia svizzera Pub Date : 2003-01-01 DOI: 10.1024/1023-9332.9.1.3

P Gervaz, L Bühler, A Scheiwiller, P Morel

{"title":"A tale of two colons and two cancers. Distinct carcinogenesis and clinical outcome according to location proximal or distal to the splenic flexure.","authors":"P Gervaz, L Bühler, A Scheiwiller, P Morel","doi":"10.1024/1023-9332.9.1.3","DOIUrl":"https://doi.org/10.1024/1023-9332.9.1.3","url":null,"abstract":"The central hypothesis explored in this paper is that colorectal cancer (CRC) is a heterogeneous disease. The initial clue to this heterogeneity was provided by genetic findings; however, embryological and physiological data had previously been gathered, showing that proximal (in relation to the splenic flexure) and distal parts of the colon represent distinct entities. Molecular biologists have identified two distinct pathways, microsatellite instability (MSI) and chromosomal instability (CIN), which are involved in CRC progression. In summary, there may be not one, but two colons and two types of colorectal carcinogenesis, with distinct clinical outcome. The implications for the clinicians are two-folds; 1) tumors originating from the proximal colon have a better prognosis due to a high percentage of MSI-positive lesions; and 2) location of the neoplasm in reference to the splenic flexure should be documented before group stratification in future trials of adjuvant chemotherapy in patients with stage II and III colon cancer.","PeriodicalId":79425,"journal":{"name":"Swiss surgery = Schweizer Chirurgie = Chirurgie suisse = Chirurgia svizzera","volume":"9 1","pages":"3-7"},"PeriodicalIF":0.0,"publicationDate":"2003-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22311642","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: 9