ISSN:0007-1323    

DOI:10.1002/bjs.1800670302

出版商:John Wiley&Sons, Ltd.    

年代:1980

数据来源: WILEY

ISSN:0007-1323    

DOI:10.1002/bjs.1800670303

出版商:John Wiley&Sons, Ltd.    

年代:1980

数据来源: WILEY

摘要:

AbstractThe results of a randomized controlled clinical trial in the management of operable breast cancer are given. Between 1964 and 1971 498 women, aged 35–69 years, were treated within the trial protocol. Those under 60 years of age on entry underwent ovarian ablation, usually by surgery, and were allocated randomly to treatment by either radical mastectomy (RM) or simple mastectomy and postoperative radiotherapy (SM). Follow‐up data for the first 12 years are presented and show that survival in the radical mastectomy group is significantly better (P<0·05), particularly in clinical stage 1 disease.The pattern of survival once recurrence was detected also showed interesting differences between the two treatment groups. Overall there was a significantly prolonged survival after detection of recurrence in the RM group (P<0·05) which was most marked when local recurrence and distant metastases coincided (P<0·01). The duration of survival once recurrence had taken place was independent of tumour size, clinical stage of the disease or menstrual status at the time of presentation, but was directly proportional to the duration of the disease‐free interval

ISSN:0007-1323    

DOI:10.1002/bjs.1800670304

出版商:John Wiley&Sons, Ltd.    

年代:1980

数据来源: WILEY

摘要:

AbstractFocal nodular hyperplasia of the liver (FNH) in a fit young Iranian girl of 19 months presented with asymptomatic hepatomegaly. Liver scan and ultrasound examinations demonstrated a space‐occupying lesion involving both hepatic lobes. Arteriography revealed a vascular pattern suggestive of liver cell carcinoma with dilated arterial branches and tumour blush on the capillary phase. At laparotomy the large mass involved both right and left hepatic lobes and was not resected. Tissue diagnosis was established by surgical wedge biopsy.FNH should be considered in the differential diagnosis of an hepatic mass in a clinically well child, particularly female, in which the liver biopsy suggests cirrhosis but arteriography favours liver cell carcinoma. If FNH is diagnosed and the lesion is not resected it is recommended that patients be advised against sex hormone therapy as there may be an increased risk of rupture with intraperitoneal haemorrhag

ISSN:0007-1323    

DOI:10.1002/bjs.1800670305

出版商:John Wiley&Sons, Ltd.    

年代:1980

数据来源: WILEY

摘要:

AbstractThe washout from the liver of xenon‐133 injected into the thoracic aorta of human subjects undergoing cardiac investigation was monitored externally with a sodium iodide scintillation detector. The washout curve displayed an initial peak of activity, followed by a brief decline, and then a second, slower rise. The initial peak was thought to be due to isotope arriving in the liver via the hepatic artery, and the second rise due to isotope arriving via the portal vein. A method of analysis is presented which uses the height of this arterial peak to calculate arterial perfusion of the live

ISSN:0007-1323    

DOI:10.1002/bjs.1800670306

出版商:John Wiley&Sons, Ltd.    

年代:1980

数据来源: WILEY

摘要:

AbstractThe angiographic anatomy of the coronary arteries is described and illustrated by three corrosion casts of normal human hearts, photographed in projections comparable to those used in coronary arteriograms. They are accompanied by matched normal coronary arteriograms. The study of casts of the heart and of the coronary arteries in particular facilitates understanding of the radiographic projections commonly employed in coronary arteriography.

ISSN:0007-1323    

DOI:10.1002/bjs.1800670307

出版商:John Wiley&Sons, Ltd.    

年代:1980

数据来源: WILEY

摘要:

AbstractFive hundred and seventy‐nine patients undergoing major laparotomy were randomly allocated to have midline or transverse incisions. Transverse incisions took longer to make and caused more bleeding but (in the absence of wound sepsis) no transverse wound burst and there were only 2 incisional hernias. In the midline group, without wound sepsis, there were 2 burst abdomens and 9 incisional hernias.When, however, those patients who suffered wound sepsis were also considered, there were no significant differences between the two group

ISSN:0007-1323    

DOI:10.1002/bjs.1800670308

出版商:John Wiley&Sons, Ltd.    

年代:1980

数据来源: WILEY

摘要:

AbstractIn a series of 579 patients undergoing major laparotomy, the direction of incision (midline or transverse/oblique muscle‐cutting) was decided randomly. The severity of postoperative pulmonary complications was expressed by a scoring system which allowed categorization into mild (score 0–3), moderate (score 4–6) and serious (score 7 or more) complications.The important determinants of high scores were found to be male sex, preoperative pulmonary dysfunction, postoperative ventilatory depression, hypovolaemic and septic shock, inhalation of gastric contents and embolism. In no stratum did the direction of incision have any significant e

ISSN:0007-1323    

DOI:10.1002/bjs.1800670309

出版商:John Wiley&Sons, Ltd.    

年代:1980

数据来源: WILEY

摘要:

AbstractDuring the 1967–9 phase of the Nigerian Civil War, 38 primary sutures of battle‐injured colons were carried out, with 3 deaths, all in patients with severe concomitant injuries to the liver, diaphragm and right iliac crest. In carefully selected cases—one‐third of the total—primary suture was a safe and reliable technique for dealing with battle‐lacerated colons. Although there was a substantial morbidity (71 per cent) from wound sepsis, there was also a considerable reduction in the period spent

ISSN:0007-1323    

DOI:10.1002/bjs.1800670310

出版商:John Wiley&Sons, Ltd.    

年代:1980

数据来源: WILEY

摘要:

AbstractCircular stapling devices can be used to extend the range of anterior resection of the rectum to encompass most rectal carcinomas. In one district general hospital the number of abdominoperineal resections performed in a 12‐month period has been reduced from 27 to 4. A personal series is presented of 40 patients in whom the new technique allowed restorative resection to replace permanent colostomy. Special care is essential in the preparation of the colon for the low anastomosi

ISSN:0007-1323    

DOI:10.1002/bjs.1800670311

出版商:John Wiley&Sons, Ltd.    

年代:1980

数据来源: WILEY