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  • Articles: DFG German National Licenses  (2)
  • 1995-1999  (2)
  • 1950-1954
  • Metastases  (2)
  • 1
    Electronic Resource
    Electronic Resource
    Video-assisted thoracic surgery (VATS) for children with pulmonary metastases from osteosarcoma (1996)
    Springer
    Annals of surgical oncology 3 (1996), S. 539-542 
    Details
    ISSN: 1534-4681
    Keywords: Thoracoscopy ; Metastases ; Lung ; Children
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Background: Video-assisted thoracic surgery (VATS) may complement open thoracotomy in children with osteosarcoma requiring pulmonary metastasectomy. Methods: The records of children with metastatic pulmonary osteosarcoma considered for initial VATS intervention (n=9) were reviewed. Results: Two children did not have VATS exploration: one child with multiple bilateral nodules and another child with a deep parenchymal nodule. VATS provided diagnostic biopsy material in all cases when used (n=7). Two children had benign inflammatory lesions; four children had VATS-directed wedge resections of solitary malignant lesions; and one child had VATS biopsy of diffuse parenchymal and pleural pulmonary disease not amenable to resection. The mean operative time and hospital length of stay were 1.78 ± 0.54 h and 3.5 ± 1.8 days, respectively. There were two complications of VATS: bleeding in a child, requiring a transfusion, and a latent pneumothorax in a patient after removal of the chest tube. Conclusion: VATS is safe, serves as an excellent diagnostic modality, complements the open thoracotomy, and may enable the surgeon to avoid more extensive procedures in selected cases.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02306086
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Long-Term Survival After Complete Resection of Melanoma Metastatic to the Adrenal Gland (1999)
    Springer
    Annals of surgical oncology 6 (1999), S. 633-639 
    Details
    ISSN: 1534-4681
    Keywords: Melanoma ; Adrenal ; Metastases ; Surgery
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Background: Survival of patients with American Joint Committee on Cancer stage IV melanoma is generally poor, although there are occasional long-term survivors who have undergone surgical resection of a limited number of metastases. In the study, we examined the outcome of patients with adrenal gland metastases. Methods: Eighty-three patients with adrenal metastases were identified from our computerized melanoma database of 8250 patients. Univariate and multivariate analyses for overall survival differences were performed by using proportional hazards modeling. Results: Median survival for the 83 patients was 9.3 months (1–67 months). Of the 27 patients who underwent surgical exploration, 18 (66%) were rendered clinically free of disease by adrenalectomy alone (12 cases) or by adrenalectomy and resection of additional disease (6 cases). Nine patients underwent palliative adrenal resection. Median survival was 25.7 months after complete resection compared with 9.2 months after palliative resection (P = .02). Conclusions: Patients with adrenal metastases from melanoma, either isolated or with a limited number of additional metastases, may benefit from surgical resection if all visible disease can be removed. Patients with unresectable extra-adrenal disease achieve no survival benefit from adrenalectomy.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s10434-999-0633-z
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
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