ISSN:0012-3706    

出版商:OVID    

年代:1970

数据来源: OVID

摘要:

ConclusionsAdenocarcinoma may arise in adenomatous polyps of the colon and rectum. When it occurs, local excision is often adequate therapy. The decision regarding therapy depends on the extent of carcinoma and requires close cooperation between clinicians and pathologists so that risk to the patient is minimal.

ISSN:0012-3706    

出版商:OVID    

年代:1970

数据来源: OVID

摘要:

SummaryAdministration of 5‐FU and198Au directly to regional lymphatics was utilized as an adjuvant to surgical operation in patients with potentially curable carcinomas of the colon and rectum. The five‐year survival rates in 107 patients receiving 5‐FU and 58 patients receiving198Au were compared with that in 136 patients treated by surgical resection alone.In 5‐FU‐treated patients, either with or without cancer metastatic to the regional lymph nodes, there was no improvement in survival over that in the control group. Similarly,198Au had no effect on the survival rate of patients without tumor cells in the regional nodes. However, 53 per cent of198Au‐treated patients with metastases to lymph nodes were alive after five years, compared with 24.4 per cent of the comparable control group.These results suggest that regional intralymphatic administration of Radiotherapeutic agents as an adjuvant to surgery offers some promise in the treatment of colorectal carcinoma and that continued evaluation is justified.

ISSN:0012-3706    

出版商:OVID    

年代:1970

数据来源: OVID

摘要:

SummarySeventy‐six patients with obstructive carcinoma of the colon were treated with catheter cecostomy. Twenty‐three died while still in the hospital, five of complications directly related to cecostomy. There were eight nonfatal incision infections, seemingly associated with the closing of incisions around the cecostomy catheters. Fifty per cent of the cecostomies closed spontaneously after resection.Hospital mortality and long‐term results in our series after cecostomy are similar to others' findings after transversostomy.We conclude that cecostomy should not be neglected for primary relief of ileus. Rather, it should be preferred when there is diastatic rupture of the cecum, when the patient's condition is poor, and when the carcinoma lies in the transverse colon or in the vicinity of the splenic flexure.

ISSN:0012-3706    

出版商:OVID    

年代:1970

数据来源: OVID

摘要:

SummaryTwenty‐two cases of carcinoid of the large intestine are presented. The pathology, clinical presentation and long‐term results are reviewed. Eight of the 22 patients had evidence of nodal or distant spread and eight patients are known to have died of the disease, seven of the eight within five years of surgical operation. Criteria for malignancy are discussed and therapy based on these factors is considered. The most favorable results occurred in those who had wide excision of the tumor and node resection. There were no cases of carcinoid syndrome in the group.

ISSN:0012-3706    

出版商:OVID    

年代:1970

数据来源: OVID

摘要:

SummaryA new surgical technic for treatment of pilonidal sinuses is presented and results of its use in 110 patients are evaluated. This excisional technic with partial closure (midway between an open operation and a primary closure) compared favorably with the marsupialization operation in healing time, in lack of morbidity, and in low recurrence rate. The technical steps in the procedure are outlined. The operation is particularly indicated where the tracts are small, tortuous or ill‐defined.

ISSN:0012-3706    

出版商:OVID    

年代:1970

数据来源: OVID

摘要:

SummaryThe termination of the ileum at its junction with the large intestine looks like a papilla and, therefore, has been called the ileal papilla. The ileal papilla projects into the large intestine for a distance of 2 to 3 cm and can be misinterpreted as having a valvular configuration when it is distorted after death. An anatomic muscular mechanism, the ileal pylorus, can be demonstrated within the ileal papilla and terminal ileum. It consists of longitudinal and circular muscle fibers which open and close the starshaped ileal orifice, respectively. Although the clinical significance of the ileal pylorus remains to be fully elucidated, it appears advisable to preserve this muscular mechanism whenever possible.

ISSN:0012-3706    

出版商:OVID    

年代:1970

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1970

数据来源: OVID

摘要:

SummaryIn our experience we have found that the incidence of hemorrhage in patients with diverticular disease is greater than that usually reported by others. We believe this is because patients who have acute or emergency conditions are more likely to go to community hospitals than to medical centers.Of six patients who underwent surgical operations on account of hemorrhage, three had diverticulosis only and there was no evidence of inflammatory changes.One‐stage operations were performed in 20 of 44 recent patients. In 14, resections were performed in two or more stages (seven two‐stage operations, five three‐stage operations, and two Mikulicz resections). In ten cases the surgical procedures were limited to exploration or establishment of colostomies, or both.The incidence of complications was high. In five patients fecal fistulas developed after one‐stage resections. A patient who had wound dehiscence and another who had an obstruction of the small bowel survived after appropriate surgical treatment.Primary one‐stage operations were not performed in patients who had acute abcesses, massive pelvic inflammatory disease, peritonitis, or obstruction. Probably this accounts for the fact that only two patients (4.54 per cent) died.

ISSN:0012-3706    

出版商:OVID    

年代:1970

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1970

数据来源: OVID