ISRN surgery最新文献_第4页

Nephron-Sparing Surgery for Renal Masses Measuring Larger Than 7 cm on Preoperative Imaging: A Single Surgeon, Single Center Experience. 术前影像学检查大于7厘米的肾肿块的保留肾单位手术:单一外科医生，单一中心经验。

ISRN surgery Pub Date : 2013-04-04 Print Date: 2013-01-01 DOI: 10.1155/2013/691080

Tarık Esen, Omer Acar, Ahmet Musaoğlu, Metin Vural, Sergin Akpek

{"title":"Nephron-Sparing Surgery for Renal Masses Measuring Larger Than 7 cm on Preoperative Imaging: A Single Surgeon, Single Center Experience.","authors":"Tarık Esen, Omer Acar, Ahmet Musaoğlu, Metin Vural, Sergin Akpek","doi":"10.1155/2013/691080","DOIUrl":"https://doi.org/10.1155/2013/691080","url":null,"abstract":"Objectives. To document the feasibility of nephron-sparing surgery (NSS) for the surgical treatment of renal masses measuring larger than 7 cm (cT2) on preoperative imaging. Methods. A total of 139 patients have undergone NSS between 2001 and 2012 by a single surgeon in our clinic. Of these, we identified 17 patients whose tumors were measuring greater than 7 cm on preoperative imaging studies and were limited to the kidney. Their charts were retrospectively reviewed. Results. Mean age of the study population was 49.8 ± 11.3 years. Thirteen patients were managed by open NSS, while 4 patients have undergone robot-assisted NSS. Mean diameter and mean R.E.N.A.L. score of the tumors that were enucleoresected were 8.2 cm and 8.5, respectively. A total of 5 Clavien grade 2 and higher complications were recorded within 30 days of surgery. Histopathologic examination revealed benign histology in almost 1/4 of the cases. After a median followup of 33 months, all of our patients were alive. Only one patient (5.8%) experienced local recurrence. Conclusions. NSS is a feasible and safe option for large (>7 cm) renal masses. It may be considered not only for imperative conditions but also for highly selected cases with a normal contralateral kidney.","PeriodicalId":89400,"journal":{"name":"ISRN surgery","volume":"2013 ","pages":"691080"},"PeriodicalIF":0.0,"publicationDate":"2013-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/691080","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31444815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Gross hematuria in patients with prostate cancer: etiology and management. 前列腺癌患者肉眼血尿:病因和处理。

ISRN surgery Pub Date : 2013-03-24 Print Date: 2013-01-01 DOI: 10.1155/2013/685327

Ofer N Gofrit, Ran Katz, Amos Shapiro, Vladimir Yutkin, Galina Pizov, Kevin C Zorn, Mordechai Duvdevani, Ezekiel H Landau, Dov Pode

{"title":"Gross hematuria in patients with prostate cancer: etiology and management.","authors":"Ofer N Gofrit, Ran Katz, Amos Shapiro, Vladimir Yutkin, Galina Pizov, Kevin C Zorn, Mordechai Duvdevani, Ezekiel H Landau, Dov Pode","doi":"10.1155/2013/685327","DOIUrl":"https://doi.org/10.1155/2013/685327","url":null,"abstract":"The objective of the study is to assess the etiology and prognosis of gross hematuria (GH) in patients with carcinoma of the prostate (CAP). From 1991 to 2011, 81 men (mean age 74.3 years, SD 6.5) with CAP were hospitalized with GH. Primary treatment of CAP was radical surgery in 13 patients (group 1) and nonsurgical therapy in 68 (group 2), mostly radiotherapy (35 cases) and hormonal treatment (25 cases). The common etiologies of GH in group 1 were bladder cancer (38.5%) and urinary infection (23%). In contrast, CAP itself caused GH in 60% of the patients in group 2. Thirty-nine patients (48%) required transurethral surgery to manage GH which was effective in all cases; nevertheless, the prognosis of group 2 patients was dismal with median overall survival of 13 months after sustaining hematuria, compared to 50 months in group 1 (P = 0.0015). We conclude that the etiology of GH in patients with CAP varies according to primary treatment. After radical prostatectomy, it is habitually caused by bladder cancer or infection. When the primary treatment is not surgical, GH is most commonly due to CAP itself. Although surgical intervention is effective in alleviating hematuria of these patients, their prognosis is dismal.","PeriodicalId":89400,"journal":{"name":"ISRN surgery","volume":"2013 ","pages":"685327"},"PeriodicalIF":0.0,"publicationDate":"2013-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/685327","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31398642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 9

A practical update of surgical management of merkel cell carcinoma of the skin. 皮肤默克尔细胞癌外科治疗的实用更新。

ISRN surgery Pub Date : 2013-01-01 Epub Date: 2013-01-30 DOI: 10.1155/2013/850797

Patricia Tai

{"title":"A practical update of surgical management of merkel cell carcinoma of the skin.","authors":"Patricia Tai","doi":"10.1155/2013/850797","DOIUrl":"https://doi.org/10.1155/2013/850797","url":null,"abstract":"The role of surgeons in the treatment of Merkel cell carcinoma (MCC) of the skin is reviewed, with respect to diagnosis and treatment. Most of the data in the literature are case reports. Surgery is the mainstay of treatment. A wide local excision, with sentinel node (SLN) biopsy, is the recommended treatment of choice. If SLN is involved, nodal dissection should be performed; unless patient is unfit, then regional radiotherapy can be given. Surgeons should always refer patients for assessment of the need for adjuvant treatments. Adjuvant radiotherapy is well tolerated and effective to minimize recurrence. Adjuvant chemotherapy may be considered for selected node-positive patients, as per National Comprehensive Cancer Network guideline. Data are insufficient to assess whether adjuvant chemotherapy improves survival. Recurrent disease should be treated by complete surgical resection if possible, followed by radiotherapy and possibly chemotherapy. Generally results of multimodality treatment for recurrent disease are better than lesser treatments. Future research should focus on newer chemotherapy and molecular targeted agents in the adjuvant setting and for gross disease.","PeriodicalId":89400,"journal":{"name":"ISRN surgery","volume":"2013 ","pages":"850797"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/850797","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31257598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 72

The effect of fibrin glue on the intensity of colonic anastomosis in the presence and absence of peritonitis: an experimental randomized controlled trial on rats. 纤维蛋白胶对存在和不存在腹膜炎的大鼠结肠吻合强度的影响:一项实验性随机对照试验。

ISRN surgery Pub Date : 2013-01-01 Epub Date: 2013-01-21 DOI: 10.1155/2013/521413

Metin Senol, Mehmet M Altintas, Ayhan Cevık, Yunus E Altuntas, Nagehan O Barisik, Nejdet Bildik, Mustafa Oncel

{"title":"The effect of fibrin glue on the intensity of colonic anastomosis in the presence and absence of peritonitis: an experimental randomized controlled trial on rats.","authors":"Metin Senol, Mehmet M Altintas, Ayhan Cevık, Yunus E Altuntas, Nagehan O Barisik, Nejdet Bildik, Mustafa Oncel","doi":"10.1155/2013/521413","DOIUrl":"https://doi.org/10.1155/2013/521413","url":null,"abstract":"Aim. Anastomotic leakage after colon anastomosis is the most frequent and most feared complication with its highest mortality rate. In this study, we aimed to expose the impact of performing fibrin glue on sutured colocolic anastomosis, in the presence of experimental peritonitis, on anastomosis safety. Method. In this experimental study, the rats were divided into two groups as control group (Groups 1 and 3) and experimental group (Groups 2 and 4). They were also divided as clean abdomen (Groups 1 and 2) and infected abdomen (3 and 4) groups. Full-thickness incisions were made on the proximal colon of both groups of rats. The control group's anastomoses were conducted only with sutures, whereas in experimental group, fibrin glue was applied over the sutures. The samples were taken on the 10th day. Results. Highest values for average levels of hydroxyproline in the tissues and anastomotic bursting pressures were detected when fibrin glue was applied on sutured anastomosis in clean abdomen. In the histopathological staging performed in line with Ehrlich-Hunt model, lowest values were detected during the presence of peritonitis. Conclusion. As a result, it has been established that the use of fibrin glue over sutured colocolic anastomosis, both in clean abdomen and in the presence of peritonitis, had increased anastomosis safety.","PeriodicalId":89400,"journal":{"name":"ISRN surgery","volume":"2013 ","pages":"521413"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/521413","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31231650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 18

Phyllodes tumor of breast: a review article. 乳腺叶状瘤：综述文章。

ISRN surgery Pub Date : 2013-01-01 Epub Date: 2013-03-20 DOI: 10.1155/2013/361469

Shashi Prakash Mishra, Satyendra Kumar Tiwary, Manjaree Mishra, Ajay Kumar Khanna

{"title":"Phyllodes tumor of breast: a review article.","authors":"Shashi Prakash Mishra, Satyendra Kumar Tiwary, Manjaree Mishra, Ajay Kumar Khanna","doi":"10.1155/2013/361469","DOIUrl":"10.1155/2013/361469","url":null,"abstract":"Introduction. Phyllodes tumours are rare fibroepithelial lesions. Accurate preoperative pathological diagnosis allows correct surgical planning and avoidance of reoperation. Treatment can be either wide local excision or mastectomy to achieve histologically clear margins. Discussion. The exact aetiology of phyllodes tumour and its relationship with fibroadenoma are unclear. Women aged between 35 and 55 years are commonly involved. The median tumour size is 4 cm but can grow even larger having dilated veins and a blue discoloration over skin. Palpable axillary lymphadenopathy can be identified in up to 10-15% of patients but <1% had pathological positive nodes. Mammography and ultrasonography are main imaging modalities. Cytologically the presence of both epithelial and stromal elements supports the diagnosis. The value of FNAC in diagnosis of phyllodes tumour remains controversial, but core needle biopsy has high sensitivity and negative predictive value. Surgical management is the mainstay and local recurrence in phyllodes tumours has been associated with inadequate local excision. The role of adjuvant radiotherapy and chemotherapy remains uncertain and use of hormonal therapy has not been fully investigated. Conclusion. The preoperative diagnosis and proper management are crucial in phyllodes tumours because of their tendency to recur and malignant potential in some of these tumours.","PeriodicalId":89400,"journal":{"name":"ISRN surgery","volume":"2013 ","pages":"361469"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3615633/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31351286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Postoperative Complications following Nodal Dissection and Their Association with Melanoma Recurrence. 淋巴结清扫术后并发症及其与黑色素瘤复发的关系。

ISRN surgery Pub Date : 2013-01-01 Epub Date: 2013-02-26 DOI: 10.1155/2013/382138

Abubakr Ahmed, Gaitri Sadadcharam, Felicity Huisma, Katrina Fogarty, Muhammad Mushtaque, Azher Shafiq, Paul Redmond

{"title":"Postoperative Complications following Nodal Dissection and Their Association with Melanoma Recurrence.","authors":"Abubakr Ahmed, Gaitri Sadadcharam, Felicity Huisma, Katrina Fogarty, Muhammad Mushtaque, Azher Shafiq, Paul Redmond","doi":"10.1155/2013/382138","DOIUrl":"https://doi.org/10.1155/2013/382138","url":null,"abstract":"Background. Although postoperative complications are common after lymph node dissection, its association with disease recurrence has not yet been fully investigated. Methods. A retrospective review of a prospectively maintained database was conducted, looking at all malignant melanoma patients with sentinel nodes positive disease requiring axillary or inguinal dissection between 2002 and 2011. Results. A total of 124 patients required nodal clearance from 317 patients with stage I/II malignant melanoma who had undergone sentinel lymph node biopsy. Of these, 104 patients met the inclusion criteria and were divided into inguinal lymph node dissections (ILND; n = 63) or axillary lymph node dissections (ALND; n = 41). Immunohistochemical deposits had higher detection rate in ALND (P = 0.01). The ILND patients had a higher recurrence rate (84.1% versus 63.4%; P = 0.02) and mortality (68.3% versus 48.8%; P = 0.05) without a significant difference in complications. In patients whom complications developed, 75% of the ILND group and 71.4% of the ALND group had disease recurrence, but without reaching a statistical value as an independent predictor of melanoma recurrence. Conclusion. Complications are common following ILND and ALND; however there is no significant difference in complications rates between the groups with some associations with recurrence without reaching a significant difference.","PeriodicalId":89400,"journal":{"name":"ISRN surgery","volume":" ","pages":"382138"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/382138","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40230013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 13

The exploratory burr hole: indication and results at one departmental hospital of benin. 探查性毛刺孔：贝宁一家部门医院的适应症和结果。

ISRN surgery Pub Date : 2013-01-01 Epub Date: 2013-03-21 DOI: 10.1155/2013/453907

Holden O Fatigba, Alexandre S Allodé, Kofi-M Savi de Tové, Emile D Mensah, Adrien M Hodonou, Jijoho Padonou

{"title":"The exploratory burr hole: indication and results at one departmental hospital of benin.","authors":"Holden O Fatigba, Alexandre S Allodé, Kofi-M Savi de Tové, Emile D Mensah, Adrien M Hodonou, Jijoho Padonou","doi":"10.1155/2013/453907","DOIUrl":"10.1155/2013/453907","url":null,"abstract":"Objective. The aim of this study was to describe the indications and results of exploratory burr hole performed at the Departmental Teaching Hospital of Borgou (Benin). Methods. It was a retrospective study performed from January 2008 to February 2011. It concerned patients with a closed traumatic brain injury (TBI) in which an exploratory burr hole was performed. The selection criteria were unilateral mydriasis associated with neurological deficits on the opposite side or the occurrence of a decreased consciousness associated with the appearance of a motor deficit after a lucid interval. Results. Amongst the 74 patients operated, 23 (31%) underwent an exploratory burr hole for which the average age was 24.8 ± 17.3 years. Sex ratio male/female was 3.6. TBI was due to road traffic accident (56.5%), a fall (26.1%), and an assault (17.4%). It was severe (47.8%), moderate (39.1%), and mild (13.1%). Mydriasis was observed in 69.6% of cases as well as neurological deficit in all patients. A lesion was observed in 15 (65.2%) cases. Conclusion. The exploratory burr hole seemed as an old practice, still no longer performed in full practice in Benin, and is a diagnosis and therapeutic approach. Better technical conditions would allow more relevant therapeutic options.","PeriodicalId":89400,"journal":{"name":"ISRN surgery","volume":"2013 ","pages":"453907"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3618947/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31351287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The role of open necrosectomy in the current management of acute necrotizing pancreatitis: a review article. 开放性坏死切除术在当前急性坏死性胰腺炎治疗中的作用:综述文章。

ISRN surgery Pub Date : 2013-01-01 Epub Date: 2013-01-28 DOI: 10.1155/2013/579435

K Vasiliadis, C Papavasiliou, A Al Nimer, N Lamprou, C Makridis

{"title":"The role of open necrosectomy in the current management of acute necrotizing pancreatitis: a review article.","authors":"K Vasiliadis, C Papavasiliou, A Al Nimer, N Lamprou, C Makridis","doi":"10.1155/2013/579435","DOIUrl":"https://doi.org/10.1155/2013/579435","url":null,"abstract":"The optimal management of necrotizing pancreatitis continues to evolve. Currently, conservative intensive care treatment represents the primary therapy of acute severe necrotizing pancreatitis, aiming at prevention of organ failure. Following this mode of treatment most patients with sterile necroses can be managed successfully. Surgery might be considered as an option in the late phase of the disease for patients with proven infected pancreatic necroses and organ failure. For these patients surgical debridement is still considered the treatment of choice. However, even for this subgroup of patients, the concept of operative strategy has been recently challenged. Nowadays, it is generally accepted that necrotizing pancreatitis with proven infected necroses as well as septic complications directly caused by pancreatic infection are strong indications for surgical management. However, the question of the most appropriate surgical technique for the treatment of pancreatic necroses remains unsettled. At the same time, recent advances in radiological imaging, new developments in interventional radiology, and other minimal access interventions have revolutionised the management of necrotizing pancreatitis. In light of these controversies, the present paper will focus on the current role of surgery in terms of open necrosectomy in the management of severe acute necrotizing pancreatitis.","PeriodicalId":89400,"journal":{"name":"ISRN surgery","volume":"2013 ","pages":"579435"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/579435","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31257596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 13

A new surgical technique for ingrown toenail. 一种治疗趾甲内生的外科新技术。

ISRN surgery Pub Date : 2012-01-01 Epub Date: 2012-05-13 DOI: 10.5402/2012/438915

Seyed Reza Mousavi, Jaledin Khoshnevice

引用次数: 13

Head and neck melanoma. 头颈部黑色素瘤。

ISRN surgery Pub Date : 2012-01-01 Epub Date: 2012-03-26 DOI: 10.5402/2012/948302

R Shashanka, B R Smitha

引用次数: 84