ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1974.tb03896.x

出版商:Blackwell Publishing Ltd    

年代:1974

数据来源: WILEY

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1974.tb03897.x

出版商:Blackwell Publishing Ltd    

年代:1974

数据来源: WILEY

摘要:

The major perioperative complication in cases of liver injury is hœmorrhage. This is usually a technical problem, but it may be seriously aggravated by secondary coagulation defects. As a result, renal shut‐down is an ever‐present possibility. Most of the later complications derive from infection, liver necrosis and respiratory causes. A patient with liver injury who required 100 pints of blood or its components is reported in order to illustrate these difficul

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1974.tb03898.x

出版商:Blackwell Publishing Ltd    

年代:1974

数据来源: WILEY

摘要:

Sixteen patients with stones in the biliary tree were treated by infusion of bile‐salt solutions into the T‐tube. In 13 of these patients the stones were removed by this procedure. This method provides a safe, effective and non‐invasive technique for the removal of such s

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1974.tb03899.x

出版商:Blackwell Publishing Ltd    

年代:1974

数据来源: WILEY

摘要:

Endoscopy of the biliary tract has now reached the stage where it is rapid and easy and can be very helpful in duct exploration, mainly in avoiding the problem of leaving residual stones. It is recommended for routine use.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1974.tb03900.x

出版商:Blackwell Publishing Ltd    

年代:1974

数据来源: WILEY

摘要:

The most effective use of chemotherapeutic agents is in a planned combined approach in the treatment of lesions in patients who would not be expected to have a good prognosis with standard therapy. For advanced squamous carcinomata, the combination of bleomycin and Methotrexate has been effective in reducing the size and extent of the tumours in this series. Chemotherapy alone does not “cure” cancers, but follow‐up radiotherapy or surgery should be used to achieve the best long‐term results. The use of chemotherapeutic agents for the treatment of carcinomata which are recurrent after previous radiotherapy or surgery is much less likely to be effective. Newer chemotherapeutic approaches are required to attempt to improve the outlook of patients with lesions which cannot be directly infused intraartcrially, for patients with massive lymph node involvement, and especially for patients who have recurrent lesions after previous irradiation or surgery. The combination of bleomycin and Methotrexate with vincristine was highly effective in some patients, but in two of eight patients given this combination by intravenous administration there was a fatal pancytopenia, and this combination is therefore not recommended. From our small experience of a good result in three patients treated with the combination or bleomycin, Methotrexate and hydroxyurea, two of whom had massive metastatic involvement of lymph nodes which responded to chemotherapy, while the other had a fungating carcinoma of lip recurrent after previous irradiation and surgery, it would seem that further use of this combination should be evaluated.Finally, it is imperative that all patients with advanced lesions or lesions which are not readily eradicated by standard means are better seen in a properly constituted consultative clinic for patients with malignant disease before therapy is commenced. No one clinician alone, be he physician, surgeon, or radiotherapist, can have all the appropriate expertise required for coping with patients with these most formidable problems. The opinions of others must be sought and obtained in order to be certain that each patient is given the most appropriate treatment in a well‐planned regimen. It is no longer appropriate for any one clinician to treat his patients with the expertise which he has available to himself and refer his failures for some other form of treatment which at that stage may well be in

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1974.tb03901.x

出版商:Blackwell Publishing Ltd    

年代:1974

数据来源: WILEY

摘要:

The results in patients with middle‐third rectal cancers treated by restorative resection have been predicted by careful examination of 546 abdominoperineal excision specimens, for tumour that might have been left behind if the more limited resection had been performed. It was found that in the patient who had such tumours the survival rate was very poor. It is, therefore, concluded that restorative resection for middle‐third rectal cancers, when technically possible, is justified on pathological grou

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1974.tb03902.x

出版商:Blackwell Publishing Ltd    

年代:1974

数据来源: WILEY

摘要:

A case of squamous carcinoma of the skin is presented which emphasizes the difficulties of distinguishing this condition from keratoacanthoma. Certain other unusual features of this tumour are mentioned, particularly its apparent stimulation by a single incident of injury.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1974.tb03903.x

出版商:Blackwell Publishing Ltd    

年代:1974

数据来源: WILEY

摘要:

Aortic size has been studied in 21 patients, not only by the conventional techniques of clinical assessment, plain radiology and aortography, but also by the use of reflected ultrasound or echography. Echography has provided the correct diagnosis in 16 of our last 18 patients and is a helpful investigation in the diagnosis of abdominal aortic aneurysms.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1974.tb03904.x

出版商:Blackwell Publishing Ltd    

年代:1974

数据来源: WILEY

摘要:

The characteristics of common vascular grafts are described, including the histological appearances of mature grafts. Dacron is the most successful plastic used because of its superior mechanical and bonding properties. Complications are infrequent, but are always serious and often life threatening. Grafts to veins and small vessels are generally unsuccessful. Newer materials requiring longer evaluation include collagenized and velour plastic grafts.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1974.tb03905.x

出版商:Blackwell Publishing Ltd    

年代:1974

数据来源: WILEY