ISSN:0007-1323    

DOI:10.1002/bjs.1800750702

出版商:John Wiley&Sons, Ltd.    

年代:1988

数据来源: WILEY

ISSN:0007-1323    

DOI:10.1002/bjs.1800750703

出版商:John Wiley&Sons, Ltd.    

年代:1988

数据来源: WILEY

摘要:

AbstractThe review examines the variations in surgical practice and assesses the value of surgical audit in quality control and allocation of surgical resources.

ISSN:0007-1323    

DOI:10.1002/bjs.1800750704

出版商:John Wiley&Sons, Ltd.    

年代:1988

数据来源: WILEY

摘要:

AbstractVena caval injury is rare in the UK, but changes in society suggest that it may become more frequent. The problem is always unexpected and presents a major surgical challenge. Modern techniques have led to a substantial improvement in survival so that most patients with an infrarenal injury should now survive but only with prompt, effective treatment. In this review the problems and techniques of surgical management are illustrated by three cases of traumatic injury and two of peroperative accidents.

ISSN:0007-1323    

DOI:10.1002/bjs.1800750705

出版商:John Wiley&Sons, Ltd.    

年代:1988

数据来源: WILEY

摘要:

AbstractMajor colonic haemorrhage remains a difficult diagnostic and therapeutic problem. We propose that those patients who continue to bleed after resuscitation are best served by immediate laparotomy. High flow antegrade irrigation and intra‐operative colonoscopy can then be used to localize the site of bleeding and allow appropriate excisional surgery rather than blind colonic resectio

ISSN:0007-1323    

DOI:10.1002/bjs.1800750706

出版商:John Wiley&Sons, Ltd.    

年代:1988

数据来源: WILEY

摘要:

AbstractThe rates of growth of 29 hepatic metastases from 15 patients with primary colorectal carcinoma were studied using serial computed tomography (CT). Eleven metastases were found by the surgeon at laparotomy (overt metastases); the remaining eighteen were not evident to the surgeon at laparotomy, but were detected by CT scan during the immediate postoperative period (occult metastases). An estimate of tumour volume doubling time was obtained from a semi‐logarithmic plot of tumour cell number against time. The mean doubling time for the overt metastases was 155 ± 34 days (± s.e.m.) compared with 86 y 12 days (P<0.05) for the occult metastases. The age of the metastases at the time of surgery was estimated by extrapolation of the observed growth curve assuming Gompertzian kinetics. The mean age of the overt metastases was 3.7 ± 0.9 years (±s.e.m.) The corresponding age of the occult metastases was 2.3 ± 0.4

ISSN:0007-1323    

DOI:10.1002/bjs.1800750707

出版商:John Wiley&Sons, Ltd.    

年代:1988

数据来源: WILEY

摘要:

AbstractDifferent authors use different definitions of operative mortality rate when reporting results of their operations. Four definitions used in current literature were applied to our own series of 578 patients with colorectal carcinoma. The operative mortality rate was found to vary from 7.3 per cent to 12.2 per cent, depending on the definition used. ‘Death within 30 days of the last operation’ was the definition which best reflected true operative deaths. We urge that this definition of operative mortality rate be adopted as a standard for all operati

ISSN:0007-1323    

DOI:10.1002/bjs.1800750708

出版商:John Wiley&Sons, Ltd.    

年代:1988

数据来源: WILEY

ISSN:0007-1323    

DOI:10.1002/bjs.1800750709

出版商:John Wiley&Sons, Ltd.    

年代:1988

数据来源: WILEY

摘要:

AbstractCompared with various common neoplasms, there is no national or international agreed clinicopathological staging system for colorectal cancer. Before such a system can be developed, however, there has to be agreement on the methods used for assessment. The Colorectal Subcommittee of the United Kingdom Co‐ordinating Committee on Cancer Research has, through its working party on staging, agreed various recommendations as to how the clinical and pathological assessment of patients with colorectal cancer can be standardized. By applying these standardized criteria, patients undergoing surgery can be divided into those having curative or non‐curative operations, or operations which are indeterminate for cure. These recommendations represent the first step in ensuring uniformity in the classification of patients with colorectal can

ISSN:0007-1323    

DOI:10.1002/bjs.1800750710

出版商:John Wiley&Sons, Ltd.    

年代:1988

数据来源: WILEY

摘要:

AbstractForty‐four patients seen between 1975 and 1985 with anorectal strictures complicating Crohn's disease have been reviewed to determine the natural history and outcome of surgical treatment. Proctitis was present in 98 per cent, and 93 per cent of patients had severe perianal disease. The site of strictures was rectal in 22, anal in 15 and anorectal in 11 (4 patients had a stricture at 2 sites). Initial treatment was by rectal excision alone in 6, dilatation in 33, and 5 needed no treatment at all. Single dilatation was effective in 15,8 required two dilatations and in 10 repeated dilatation was necessary. Proctocolectomy was eventually required in 19 patients, 2 have a loop ileostomy and I has an ileostomy with a rectal stump in situ. Only 21 remain asymptomatic while 3 continue to need dilatation. Perineal wound healing was delayed in 9 of 19 patients having a proctocolectomy and in 3 the perineal wound has never heale

ISSN:0007-1323    

DOI:10.1002/bjs.1800750711

出版商:John Wiley&Sons, Ltd.    

年代:1988

数据来源: WILEY