ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1975.tb03911.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY

摘要:

SummaryThe relation between the anatomical features in the development of renal parenchymal tumours and the prognosis are analysed. It is suggested that the clinical and anatomical classification must be revised.*

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1975.tb03912.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY

摘要:

SummaryTo determine the optimum temperature at which thein situkidney should be maintained while it is ischaemic, 47 mongrel dogs were studied.35 of these underwent 90 minutes of left renal ischaemia with the kidney temperature maintained at 37°, 30°, 22°, 15°, 10°, 5° and 0° C respectively.The effect on renal function was determined by measurements of G.F.R. before and at regular 15‐minute intervals after the ischaemic period. Computer statistical analysis exposed the optimum temperature to be 15° C.Renal artery blood flow, renal histology,51Cr labelled platelets and renal arteriography were used to determine the mechanism of ischaemic injury.Quantitation of renal cell injury confirmed that no additional protection to ischaemia could be gained by cooling below 15° C.15° C is recommended as the optimum temperature for use in clinical renal

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1975.tb03913.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY

摘要:

SummaryA brief review of reported cases of tumours in solitary kidneys and of bilateral simultaneously occurring tumours is reported.1 case of bilateral simultaneously occurring tumour and 3 cases of tumour occurring in solitary kidneys are reported.The treatment of these cases by simple partial nephrectomy under regional hypothermia is described.The place ofex vivo“Bench Surgery” for this condition is discus

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1975.tb03914.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY

摘要:

Summary63 cadaveric kidneys have been preserved for up to 36 hours by continuous perfusion on a Gambro machine. 52 kidneys were transplanted: 13 (25%) functioned immediately, 23 (44%) functioned after 2 to 28 days, and 16 (31%) failed to function. 11 kidneys with poor perfusion flow characteristics were discarded. Of 30 kidneys followed for more than 18 months, graft survival was 50%.Analysis of warm and cold ischaemia data, of perfusion flow rates and biochemical studies, and comparison of function of 18 pairs of kidneys only one of which was continuously perfused, suggests that this method of preservation effectively extends the preservation time to 36 hours, but does not improve the immediate function and non‐function rates, and does not provide an accurate assessment of viabilit

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1975.tb03915.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY

摘要:

SummaryRenal injuries are rarely a threat to life and all patients should have an intravenous urogram performed at the time of admission.Patients with a normal urogram may be mobilised for early discharge.Patients with minor abnormalities of the urogram, but in whom all the collecting system is visible, rarely caused any difficulties in management. Should the haematuria persist beyond a week, then arteriography should be performed. The arteriogram sometimes shows the presence of major cortical lacerations with minor abnormalities of the intravenous urogram.If the initial urogram fails to opacify the injured kidney, immediate arteriography is required to exclude a vascular injury. We also believe that early arteriography is advisable in those patients where part of the kidney appears to be non‐functioning as it is in this group of patients that operation may become necessary. The indications for renal arteriography are summarised in Table I

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1975.tb03916.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY

摘要:

SummaryThe ultrasonic features of 162 bladder tumours are described.Comparing clinical staging by the TNM system and the ultrasonic appearances, there is a high degree of accuracy in staging by ultrasound.The use of this painless non‐invasive technique is assessed and should be used in staging bladder tumours only in conjunction with other established methods, and not in isolatio

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1975.tb03917.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY

摘要:

Summary30 patients with proven bladder malignant disease have been treated by Helmstein's hydrostatic pressure technique.Massive necrosis of tumour tissue has been shown to occur at cystoscopy, cytologically and on histological examination.Double contrast cystography can indicate reduction in tumour size within 2 weeks of treatment. Haematuria is usually stopped with diminution of frequency and dysuria.This treatment is suitable for large bulky T1tumours and advanced T4growths where palliation is the only treatment possible but not for T2and T3growths.Elderly and ill patients can tolerate this therapy easily and there were no serious side‐effects in this serie

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1975.tb03918.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY

摘要:

SummaryThis study has shown that there is a linear relationship between bladder blood flow and bladder pressure. At a bladder pressure of 80 mm Hg (blood pressure in rabbits varying from 90/60100/70 mm Hg) the blood flow in the bladder is minimal.It is suggested that bladder distension at 80 mm Hg in rabbits leads to hypoxia in the bladder wall as a result of the reduced blood flow.Prolonged bladder wall hypoxia occurring as a result of prolonged bladder distension may be responsible for selective necrosis of bladder tumours.

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1975.tb03919.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY

摘要:

SummaryIn 180 urograms performed on 203 patients admitted to hospital with acute or acute‐on‐chronic retention of urine 38 abnormalities were noted, most of them being related to upper tract obstruction.Of 4 diverticula detected only one needed treatment.Waiting for the urogram imposed an extra delay of more than 3 days between admission and operation and an equal prolongation of the whole hospital stay.There appears to be no justification for routine urography prior to prostatectomy in the patient admitted with urinary retent

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1975.tb03920.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY