ABSTRACT
Dramatic improvements in morbidity and mortality rates following liver resections have been reported in the past decade. Consequently, the indications for hepatectomy are becoming more liberal. Many techniques of liver resection with or without vascular clamping have been reported with excellent clinical results. Total vascular exclusion (TVE) of the liver during parenchymal transection has been advocated susceptible to increase the resectability of tumors that might not be safely approached by other techniques. Cirrhotic livers are probably more vulnerable to ischemic injury related to TVE than normal livers. The indications and technical and metabolic aspects of the technique are reviewed.
Subject(s)
Hepatectomy , Liver Neoplasms/surgery , Liver/blood supply , Constriction , Contraindications , Hepatectomy/mortality , Hepatectomy/trends , Hepatic Veins/surgery , Humans , Liver Neoplasms/epidemiology , Morbidity , Risk , Vascular Surgical Procedures , Vena Cava, Inferior/surgerySubject(s)
Candidiasis/microbiology , Colitis, Ulcerative/microbiology , Thyroiditis, Suppurative/etiology , Acute Disease , Amphotericin B/therapeutic use , Candidiasis/drug therapy , Colitis, Ulcerative/complications , Colitis, Ulcerative/drug therapy , Humans , Male , Methylprednisolone/therapeutic use , Middle Aged , Necrosis , Thyroiditis, Suppurative/microbiology , Thyroiditis, Suppurative/pathologyABSTRACT
Our surgical experience for the Cushing syndrome, reviewed in 23 patients. The accuracy of localizing adrenal lesions increased recently. The present study shows that, adrenal surgery, after accurate diagnosis and localisation, can be performed with low morbidity and mortality.
Subject(s)
Adrenalectomy , Cushing Syndrome/surgery , Adult , Cushing Syndrome/diagnosis , Cushing Syndrome/diagnostic imaging , Female , Humans , Male , Postoperative Complications , Tomography, X-Ray ComputedABSTRACT
We describe a case of primary myxoid chondrosarcoma of the thyroid gland that occurred in a 68-year-old man. To our knowledge, this is the first case of such a tumor reported in the english literature under this name.
Subject(s)
Chondrosarcoma/pathology , Thyroid Neoplasms/pathology , Aged , Chondrosarcoma/ultrastructure , Humans , Male , Microscopy, Electron , Thyroid Gland/pathology , Thyroid Gland/ultrastructure , Thyroid Neoplasms/ultrastructureSubject(s)
Adenolymphoma/surgery , Parotid Neoplasms/surgery , Adenolymphoma/pathology , Aged , Female , Humans , Male , Middle Aged , Parotid Neoplasms/pathologyABSTRACT
From January 1962 through October 1975, 455 patients with single thyroid nodules were operated on at King Paul Hospital. Malignancy was proved in forty-three patients. The overall incidence of carcinoma was 9.5 per cent. A higher incidence of cancer was found in patients less than ten years of age (40 per cent), between eleven and twenty years of age (20 per cent), and more than sixty-one years of age (17.4 per cent). Malignant nodules were more frequent in males (17.5 per cent) than in females (8.3 per cent). Radioactive iodine scanning does not distinguish benign from malignant nodule. Solitary thyroid nodules require operative excision supplemented with replacement therapy.
