摘要:

AbstractA consecutive series of 226 cases of carcinoma of the stomach has been studied. The policy of treatment has been consistent throughout and laparotomy was performed in 96.5 per cent of cases. The follow‐up has been studied with regard to duration of symptoms, location and degree of spread of the tumour and different forms of operative treatment. Although Billroth I gastrectomy gave a 32 per cent 5‐year survival rate for the less advanced tumours the overall survival remains, as in other series, depressingly low (8.5 per cent). Education of the public to present early would not appear to help the situation as survival was directly proportional to the duration of sympt

ISSN:0007-1323    

DOI:10.1002/bjs.1800640112

出版商:John Wiley&Sons, Ltd.    

年代:1977

数据来源: WILEY

摘要:

AbstractTwenty‐five patients with malignant pleural effusion were treated with a single intrapleural dose of Quinacrine. Eighteen patients (72 per cent) had a significant response, with no reaccumulation of fluid for at least 2 months following treatment up to a maximum of 18 months in 2 patients. Seven patients (28 per cent) survived for longer than 1 year without evidence of recurrent effusio

ISSN:0007-1323    

DOI:10.1002/bjs.1800640113

出版商:John Wiley&Sons, Ltd.    

年代:1977

数据来源: WILEY

摘要:

AbstractA retrospective study of 103 patients with histogically proved cutaneous malignant melanoma was made in order to assess the validity of a simple prognostic index, based upon a multivariate analysis of weighted pathological and clinical factors, in predicting the expected outcome in a given case. The results of the study were almost identical to those observed by Cochran (1968); 16 per cent of the patients with a low prognostic index (less than 20) died or developed recurrence of melanoma during the period of follow‐up, in contrast to those with a high prognostic index (greater than 25) of whom 64 per cent were similarly affected. It is concluded that the predicted outcome based upon such an index is valid for the 5 postoperative years in some 90 per cent of patients with cutaneous malignant melanoma. It is suggested that the use of such an index may be of great value in selecting patients in whom the expected outcome to surgical therapy is poor and in whom adjuvant therapy may be of valu

ISSN:0007-1323    

DOI:10.1002/bjs.1800640114

出版商:John Wiley&Sons, Ltd.    

年代:1977

数据来源: WILEY

摘要:

AbstractRefractory renal haemorrhage following low velocity penetrating trauma has conventionally been treated by nephrectomy or partial nephrectomy. Anatomical studies have demonstrated that the renal artery branches are end‐arteries, each branch supplying a renal segment, with no collateral artery supply between segments. Lifethreatening haemorrhage is arterial, and usually issues from a single segmental artery easily demonstrable by renal angiography.Fourteen patients had various segmental arteries ligated to control haemorrhage. Associated visceral injuries were present in 4 patients. Preoperative selective renal arteriography was possible in 13 patients and demonstrated the bleeding site in all cases. Segmental dearterialization produced haemostasis in 12 of the 14 patients. One patient required nephrectomy and one patient ligation of a second segmental artery to control bleeding. All the patients survived the operative procedure. Supine renin levels were normal on the fourteenth postoperative day and no patient developed hypertension during the follow‐up period of 9–24 months.Segmental renal dearterialization by open operation is a simple and effective technique of controlling refractory renal haemorrhage with maximum preservation of renal paren

ISSN:0007-1323    

DOI:10.1002/bjs.1800640115

出版商:John Wiley&Sons, Ltd.    

年代:1977

数据来源: WILEY

摘要:

AbstractThe effect of prolonged normothermic ischaemia before partial hepatectomy was assessed in 10 dogs. During the period of ischaemia, portal decompression was maintained.The survival rate for animals undergoing 75 minutes of total liver ischaemia was 60 per cent, and 2 of the dogs died as a result of hypoglycaemia. High levels of alkaline phosphatase and transaminases in the survivors indicated a severe degree of hepatocyte damage. However, complete restoration of liver mass was noted 6 weeks after partial hepatectomy and was not impaired by the prolonged ischaemia.This study confirms the resistance of the dog liver to ischaemia before partial hepatectomy. The critical period beyond which ischaemia is followed by an increasing number of deaths and severe metabolic upset is in the region of 1 hour.

ISSN:0007-1323    

DOI:10.1002/bjs.1800640116

出版商:John Wiley&Sons, Ltd.    

年代:1977

数据来源: WILEY

摘要:

AbstractA case of a rare, non‐familial, generalized, congenital, osseous dysplasia is described with features which have previously been described under the name ‘acroosteolysis’. Basilar invagination followed defective bone formation in the skull and this produced occipital headache and progressive neurological deterioration with involvement of the lower cranial nerves and cerebellar function. Hydrocephalus and valvular impaction of the cerebellum in the foramen magnum were demonstrated. Partial relief was obtained by foramen magnum decompression; death supervened from infection and respiratory inadequacy at the age

ISSN:0007-1323    

DOI:10.1002/bjs.1800640117

出版商:John Wiley&Sons, Ltd.    

年代:1977

数据来源: WILEY

ISSN:0007-1323    

DOI:10.1002/bjs.1800640120

出版商:John Wiley&Sons, Ltd.    

年代:1977

数据来源: WILEY

ISSN:0007-1323    

DOI:10.1002/bjs.1800640123

出版商:John Wiley&Sons, Ltd.    

年代:1977

数据来源: WILEY

ISSN:0007-1323    

DOI:10.1002/bjs.1800640127

出版商:John Wiley&Sons, Ltd.    

年代:1977

数据来源: WILEY

ISSN:0007-1323    

DOI:10.1002/bjs.1800640101

出版商:John Wiley&Sons, Ltd.    

年代:1977

数据来源: WILEY