Library

X
feed icon rss

Your email was sent successfully. Check your inbox.

An error occurred while sending the email. Please try again.

Proceed reservation?

Export
Filter
  • Key words: Endoscopic palliation — Rectal cancer — Self-expanding metal stent — Endoprosthesis  (1)
  • Key words: VATS — Staging of extrathoracic tumors — Peripheral pulmonary lesions  (1)
  • 1
    Electronic Resource
    Electronic Resource
    Video-assisted thoracic surgery (1998)
    Springer
    Surgical endoscopy and other interventional techniques 12 (1998), S. 133-136 
    Details
    ISSN: 1432-2218
    Keywords: Key words: VATS — Staging of extrathoracic tumors — Peripheral pulmonary lesions
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Background: This prospective study was conducted to investigate the value of video-assisted thoracic surgery (VATS) for staging and therapy of thoracic tumors. Methods: VATS was performed in 86 patients presenting peripheral pulmonary nodules. Indications for thoracoscopy included diagnosis of indeterminated pulmonary lesions (n= 55), staging of disseminated disease (n= 24), and therapeutic interventions (n= 7). Previous or simultaneous tumors belonged to gastrointestinal tract (n= 27), sarcoma (n= 19), breast (n= 12), and miscellaneous. VATS was carried out under general anesthesia using double lumen intubation. Results: VATS was successfully performed in 78% of patients. It was converted in 19 patients (22%) because of adhesions (n= 12), technical problems (n= 3), and lesions not to be found (n= 4). VATS revealed malignancy in 81% and benign lesions in 19%. Additional information compared to conventional staging was obtained in 48%, resulting in therapeutic consequences in 34% of the patients. Postoperative complications related to VATS were observed in nine patients. Conclusions: In this study, VATS proved to be a sensitive technique for staging of pulmonary lesions. Thoracoscopic wedge resection may have significant impact on the operative management of carefully selected patients with peripheral pulmonary lesions.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s004649900613
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
    Paper (German National Licenses)
    Fulltext
  • 2
    Electronic Resource
    Electronic Resource
    Application of rectal stents for palliation of obstructing rectosigmoid cancer (1997)
    Springer
    Surgical endoscopy and other interventional techniques 11 (1997), S. 758 -761 
    Details
    ISSN: 1432-2218
    Keywords: Key words: Endoscopic palliation — Rectal cancer — Self-expanding metal stent — Endoprosthesis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Background: The rationale of palliative endoscopic treatment is to avoid a colostomy in patients with advanced disease and limited life expectancy. This study was conducted to evaluate the role of endoscopic stent implantation for palliation of obstructing rectal cancer. Methods: Overall, 19 patients (aged 47–87 years) with nonresectable or metastatic rectal cancer were treated by stent insertion after laser recanalization or dilation. Three types of stents, i.e., plastic tubes (n= 8), self-expanding mesh stents (n= 6), and endocoil stents (n= 5), were used to maintain luminal patency. Results: Endoscopic stent implantation was successfully performed in all 19 patients. Long-term luminal patency and satisfactory bowel function were achieved in 16 of 19 patients (84%). After a median follow-up of 6 months, eight of the patients have died and eight are still alive without evidence of recurrent obstruction. Dislocation of the endoprosthesis occurred in two of eight plastic tubes and one of five mesh stents. Recurrent obstruction due to tumor ingrowth was only observed in patients treated with self-expanding mesh stents (n= 2). In spite of reinsertion and laser therapy a colostomy was required in three of 19 patients. There was no evidence of treatment failure in five patients who received endocoil stents. None of the patients experienced serious complications related to the endoscopic procedure. Conclusions: Endoscopic stent implantation seems to be a safe and efficient palliative approach to selected patients with obstructing rectal cancer. Currently, self-expanding coil stents are superior to other devices because of lower risk of dislocation and tumor ingrowth.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s004649900444
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
    Paper (German National Licenses)
    Fulltext
Close ⊗
This website uses cookies and the analysis tool Matomo. More information can be found here...