ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1987.tb01324.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1987.tb01325.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

An unselected prospective consecutive series of 575 patients with a single adenocarcinoma of the colon and of 331 patients with a single adenocarcinoma of the rectum registered between 1971 and 1984 at the princess alexandra hospital is reported. The tumours were staged according to the australian clinicopathological staging (acps) system. Approximately one‐quarter of the patients were incurable when they presented. For curative operations for carcinoma of the colon, the operative mortality was 3%. For curative operations for carcinoma of the rectum, the operative mortality was 1% for abdominoperineal resection and 4.5% for anterior resection. The relative 5 year survival for all patients was 54.5%. The findings are compared with other large australian series as well as with series from the united kingdom and the united state

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1987.tb01326.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

A retrospective analysis of 141 neck dissections performed at the royal melbourne hospital from 1975 to 1981 has been carried out with a view to identifying the prognostic factors. When a neck dissection is performed, the site of the primary disease did not affect the 5 year survival rate. A conservation neck dissection, especially when performed electively, had the best prognosis. Radiotherapy did not affect the overall survival rate in patients having a neck dissection, while chemotherapy appeared to exert a beneficial effect on patients with advanced disease. While clinical nodal staging was an important prognostic indicator, the number of nodes pathologically involved was not. Histologic differentiation of the tumour was not prognostically significant, whereas extracapsular nodal disease was. Most (70%) treatment failures occurred in the neck, while systemic metastases occurred in 12% of patients.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1987.tb01327.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

A personal series of 141 surgically treated parotid tumours is reviewed. Of 112 parotid tumours in which a diagnosis of ‘benign’ pleomorphic adenoma or other benign tumour was made, 8% proved to be malignant on histologieal examination. Three patients were thought to demonstrate malignant change in long standing ‘benign’ parotid tumours. It is concluded that in otherwise healthy patients, discrete, mobile parotid tumours should be removed without undue delay because of the risk of misdiagnosis and the chance of late development of malignancy in pleomorphic adenomata. Malignant tumours simulate benign tumours often enough to warrant treating all as potentially ma

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1987.tb01328.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

Nineteen patients with recurrent pleomorphic adenoma of the parotid are reported. The aetiology of recurrence is discussed and capsule rupture is emphasized as a major cause, especially of multinodular recurrence. Further surgical attempts to remove recurrences are justified by the possibility of misdiagnosis of the original tumour and the late development of malignancy in recurrent nodules. Tumour clearance was achieved in all but two of 19 patients with recurrence or incomplete primary excision in those in whom it was attempted. Radiotherapy does not seem to be an appropriate alternative to repeated surgical excision.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1987.tb01329.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

A study of the results of surgery for hydatid disease was undertaken at royal north shore hospital for the period 1966–83. There were 51 patients who underwent surgery for this disease and follow‐up was obtained in all but eight cases. Comparison of cumulative survivals for this group with that of a matched australian population showed that patients undergoing surgical treatment of their hydatid can anticipate a normal life expectancy. There was no evidence that patients with extrahepatic disease fared any worse than those with disease confined to the liver. Documented recurrence of hydatid disease occurred in eight cases following surgery and only one patient actually died from hydatid disease. This was a case in which spillage occurred at the initial procedure. This paper is presented as a reminder that hydatid disease still occurs with sufficient frequency to pose therapeutic problems for surgeons. Whilst total eradication of the parasite will only occur with enforcement of public health measures, surgery would still appear to be effective therapy for established hydatid disease so long as care is taken to avoid cyst rupt

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1987.tb01330.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

Prolonged postoperative peritoneal lavage has been used as a part of the management of 55 patients with diffuse peritonitis. The lavage technique consisted of 60 min cycles of instillation and drainage of a lavage fluid into the peritoneal cavity via a peritoneal dialysis catheter. The lavage fluid was a slightly hypertonic salt solution containing antibiotics, usually cefotaxime and metronidazole. The overall mortality rale in the series was 11 % (6/55). Only one of these patients had residual abdominal sepsis present at post‐mortem, the remaining deaths being due to a progression of the pre‐existing disease. Five patients showed evidence of further intra‐abdominal sepsis. In three of these patients this was associated with the presence of a previously well established abscess cavity. The overall results indicate that, for this group of patients recognized to be at high risk of mortality or further sepsis, the use of prolonged postoperative peritoneal lavage is associated with an improved ou

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1987.tb01331.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

Neutrophil count and luminol‐dependent chemiluminescence were measured pre‐operatively and on the second, sixth and ninth days after operation in nine patients undergoing major, elective gastrointestinal surgery. The aim of the study was to test the hypothesis that elective surgery as a form of injury has no prolonged deleterious effect on neutrophil activity in non‐septic patients. A significant increase in neutrophil count was demonstrated in all patients at day 2 (p<0.01) and day 9 (p<0.01). Neutrophil chemiluminescence increased on day 2 and day 6, the increase on day 6 being significant (p<0.02). In the first 9 days after elective gastrointestinal surgery, a biphasic neutrophilia occurs and the metabolic response of neutrophilia to an opsonized particle is not impaired. These data would support the hypothesis that major elective surgery has no deleterious effects on neutrophil activity, and indeed that neutrophil activity may be enh

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1987.tb01332.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1987.tb01333.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY