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  • 1
    Electronic Resource
    Electronic Resource
    Behandlungsergebnisse nach Wiedereingriffen beim Bronchialcarcinom (1971)
    Springer
    Lung 145 (1971), S. 150-156 
    Details
    ISSN: 1432-1750
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Zusammenfassung Rezidive, Impfmetastasen und die aufgeführten postoperativen Komplikationen sind Ursache einer deutlichen Verschlechterung der Prognose bei der Behandlung des Bronchialcarcinoms. Zur Verbesserung der Behandlungsergebnisse läßt sich — abgesehen von der Forderung nach Früherkennung des Leidens — kein allgemein gültiges Rezept anführen. Allerdings sollte eine zu ausgedehnte Skeletierung des Bronchusstumpfes zur Herabsetzung der Bronchusstumpfinsuffizienzen vermieden werden.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02095027
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  • 2
    Electronic Resource
    Electronic Resource
    Quantitative analysis of visual field and optic disk in glaucoma: retinal nerve fiber bundle-associated analysis (2000)
    Springer
    Graefe's archive for clinical and experimental ophthalmology 238 (2000), S. 306-314 
    Details
    ISSN: 1435-702X
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract  Background: A study was performed to evaluate whether visual field analysis using a perimetric nerve fiber bundle map gives information additional to global visual field indices and cumulative defect curves for early glaucoma diagnosis. Methods: One hundred and four control subjects, 124 patients with ocular hypertension (OHT), 97 patients with high-tension glaucoma without visual field defects (preHTG) and 91 patients with open-angle glaucoma with visual field defects [30 low-tension glaucoma (LTG), 61 high-tension glaucoma (HTG)] were included in this study. Correlation analyses were performed between (a) global visual field indices and total neuroretinal rim (NRR) area; (b) local mean values of four visual field areas and the NRR area of the corresponding four optic disk sectors; and (c) local mean values of 10 perimetric nerve fiber bundles (PNFB1–10) according to Weber and Ulrich (1991) and the four optic disk sectors. The correlations were adjusted for global mean defect and total NRR. Results: There were no significant correlations between NRR area and visual field in control subjects or in patients with OHT or preHTG for all three analyses. Significant correlations were found between the global visual field indices and the total NRR area for LTG and HTG. Significant correlations between local mean defects and NRR area of corresponding optic disk sectors were found only in LTG for the superior and inferior visual field area and the PNFB covering these areas. Conclusion: The method used for visual field analysis and sectorization of the optic disk does not give additional information on visual field defects in patients with normal global visual field indices and a normal cumulative defect curve. The nerve fiber bundle-related visual field analysis allows the topographical determination and quantification of glaucomatous damage.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s004170050357
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  • 3
    Electronic Resource
    Electronic Resource
    The full-field temporal contrast sensitivity test for glaucoma: influence of cataract (2000)
    Springer
    Graefe's archive for clinical and experimental ophthalmology 238 (2000), S. 427-432 
    Details
    ISSN: 1435-702X
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract  Purpose: To determine the influence of lens opacities on temporal contrast sensitivity, measured by the full-field flicker test (”Erlangen flicker test”). Methods: Thirty-six consecutive patients (mean age 71.1±11.6 years, 12 male, 24 female, refractive error –1.5±3.8 dpt) with cataract (visual acuity 0.21±0.16, retinal acuity 0.56±0.32, no glaucoma) were studied. Temporal contrast sensitivity (full-field flicker test, 37.1 Hz) and lens opacity (back scatter Lens Opacity Meter, Interzeag) were measured preoperatively and on the 3rd postoperative day. Statistics: nonparametric tests (Wilcoxon-test, Spearman correlation coefficient, Mann-Whitney U-test). Results: No significant difference was seen in temporal contrast sensitivity pre- and postoperatively, but there was a significant difference in lens opacity measurements pre- and postoperatively. No significant correlation was found between temporal contrast sensitivity and lens opacity values preoperatively and postoperatively. Conclusion: The temporal contrast sensitivity, measured by the full-field flicker test, seems to be independent of lens opacity due to the range of cataract included in this study. The data indicate that the full-field flicker test is useful for early glaucoma detection even in patients with cataract formations.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s004170050374
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  • 4
    Electronic Resource
    Electronic Resource
    172. Ergebnisse der Linkshemikolektomie mit und ohne vorgeschaltetem Entlastungs-Anus (1978)
    Springer
    Langenbeck's archives of surgery 347 (1978), S. 662-662 
    Details
    ISSN: 1435-2451
    Keywords: Loop colostomy ; Surgery, colonic ; Entlastungsanus bei Linkshemicolektomie
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Von 1963–1977 wurden 561 Patienten wegen Tumorerkrankungen und Divertikulose behandelt. Die Resektionsrate betrug 93%. Bei 209 Resektionen ohne Schutzcolostomie betrug die Rate der klinisch manifesten Nahtbrüche 12% (25 Patienten), die Letalität 4,8% (10 Patienten). Bei dem Vergleichskollektiv von 152 Resektionen unter Colostomieschutz war die Rate der Anastomoseninsuffizienzen mit 2,6% (4 Patienten) und die Letalität mit 1,3 (2 Patienten) niedriger. Aufgrund dieses Ergebnisses ist das zweizeitige Verfahren dem einzeitigen vorzuziehen.
    Notes: Summary Some 561 patients suffering from carcinoma and diverticulitis of the colon were treated from 1963 to 1977. Results of 361 resections: 209 resections done without loop colostomy showed anastomotic leakage in 12% and a mortality of 4.8%; in 152 resections done with loop colostomy, we found a leakage of 2.6% and a mortality of 1.3%. Because of these results, we propose in general a loop colostomy in left colonic surgery.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01579465
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  • 5
    Electronic Resource
    Electronic Resource
    175. Ergebnisse der Rezidivoperationen bei Colon- und Rectumcarcinom (1978)
    Springer
    Langenbeck's archives of surgery 347 (1978), S. 663-664 
    Details
    ISSN: 1435-2451
    Keywords: Survival time ; Recidivism, cause ; Recidivism early diagnosis ; CEA ; Überlebensquoten ; Rezidivursachen ; Frühdiagnose ; CEA
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung 1958–1974 wurden 42 Patienten wegen eines lokalen Coloncarcinomrezidivs operiert, davon 18 kurativ. Die durchschnittliche Überlebenszeit nach kurativer Behandlung betrug 2,5 Jahre. Ein Patient lebt 12, einer 10 und einer 6 Jahre rezidivfrei. Bei 49 Patienten wurde ein lokales Rezidiv nach Rectumamputation entfernt. Ein Patient lebt heute 8, zwei 6 Jahre rezidivfrei. Primärbelassene parakolische und epikolische Lymphknoten begünstigen das Rezidiv. Lange Überlebenszeiten und Dauerheilungen sind möglich. Die Behandlungserfolge hängen von der Früherkennung ab, these von der konstanten Überwachung unter Einschluß des CEA.
    Notes: Summary Forty-two patients were operated for local recurrences of colonic carcinoma; 18 of these were by radical excision. Medium survival time was 2.5 years. One patient survived 12, one 10, and one 6 years without signs of recurrences. In 49 patients, a local recurrence was excised after rectum excision. One patient survived 8 and 2 patients 6 years without signs of recurrences. Paracolic and epicolic lymph nodes are partially responsible for recurrences. Long-term survival or permanent remission is possible. The results depend on early diagnosis based on constant follow-up, including determination of CEA.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01579468
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  • 6
    Electronic Resource
    Electronic Resource
    189. Behandlungsergebnisse bei benignen und malignen Knochentumoren (1975)
    Springer
    Langenbeck's archives of surgery 339 (1975), S. 716-716 
    Details
    ISSN: 1435-2451
    Keywords: Tumors of bones ; Treatment ; Results ; Knochentumoren ; Behandlung ; Behandlungsergebnisse
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung 160 Publikationen der letzten 10 Jahre wurden mit den eigenen Ergebnissen verglichen. Von 1946–1971 wurden 199 histologisch gesicherte Knochentumoren operiert. 129 gutartigen standen 70 bösartige gegenüber. Die Überlebenszeit dieser 199 Patienten wurde festgestellt. Die Einteilung der Tumoren erfolgte nach dem Vorschlag von Ackerman u. Spjut. Bei Sichtung der Literatur und der eigenen Ergebnisse im Hinblick auf die malignen Tumoren kann folgernd gesagt werden, daß die frühzeitige, ausgiebige Resektionsbehandlung, im Zusammenhang mit der Strahlenbehandlung gute Ergebnisse bringt.
    Notes: Summary Results quoted in 160 papers published in the last 10 years were compared with the authors' own results. From 1946 to 1971, 199 histologically confirmed bone tumors had been treated surgically, 129 being benign and 70 malignant tumors. The length of survival of these patients had been recorded. The tumors were classified according to the scheme suggested by Ackerman and Spjut. From the results recorded in the literature and the authors' own results it can be concluded that early and radical resection in combination with radiotherapy is as successful as amputation was earlier.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01257669
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  • 7
    Electronic Resource
    Electronic Resource
    Probleme der ein- oder mehrzeitigen Operationsverfahren am linken Colonabschnitt beim Dickdarmcarcinom (1975)
    Springer
    Langenbeck's archives of surgery 340 (1975), S. 127-135 
    Details
    ISSN: 1435-2451
    Keywords: One- or two-stage resection of the left part of the colon
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung In der Chirurgischen Universitätsklinik Düsseldorf wurden von 1963–1972 bei 260 Patienten Radikaloperationen wegen Coloncarcinoms - 163 Eingriffe entfielen auf die linke Dickdarmhälfte - durchgeführt. Verglichen wurden die eigenen Ergebnisse bei ein- und zweizeitigen Verfahren mit denen der einschlägigen Literatur. In 46,5% fand sich ein Carcinombefall der mitresezierten Lymphknoten. 24 mal wurde wegen Tumorperforation in Nachbarorgane eine erweiterte Resektion durchgeführt. Unter 147 einzeitigen Linksresektionen am Colon wurden 20 Anastomoseninsuffizienzen (13,5%) beobachtet. Es wurde 8mal eine Cöcalröhrenfistel und 4mal ein vorgeschalteter Quercolonafter zur Protektion der Anastomose angelegt. In keinem Falle kam es dabei zu einem Anastomosenleck. Die 4 Fälle einer Insuffizienz der Anastomose bei 16 mehrzeitigen Vorgehen fanden sich am extraperitoneal zurückverlagerten Anus. Die primäre Mortalität betrug 11,6%. 18 peritonitische Komplikationen verteilten sich auf 6 Fälle nach Rechts- und 12 Links-Resektionen.
    Notes: Summary 260 radically operations of carcinoma of the colon were carried out from 1963–1972; 163 of these operations have been done on the left part of the colon. The results of the one- and two-stage procedures were compared with the related literature. 46.5 per cent of the resected lymphnodes were affected by carcinoma. An expanded resection was done in 24 cases complicated with tumour perforation in adjacent organs. Among 147 one-stage left-side resections 20 insufficiencies of the anastomoses (13.5 per cent) were observed. To protect the anastomoses in 8 cases a coecal fistula and in 4 cases a fistula of the transverse colon were performed. There was no insufficiency of the anastomose. In 4 cases of two-stage procedures insufficiencies of the anastomose were found at the extraperitoneal replaced anus. The mortality was found to be 11.6 per cent. Peritonitis occurred in 18 cases: after 6 right sited and 12 left sited resections.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01259420
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  • 8
    Electronic Resource
    Electronic Resource
    145. ErgebniBe der Rectumlymphographie (1977)
    Springer
    Langenbeck's archives of surgery 345 (1977), S. 611-612 
    Details
    ISSN: 1435-2451
    Keywords: Lymphatics, rectal, contrasting ; Lymph nodes ; Rectumlymphographie, intramurale
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: ZusammenfaBung Bei 13 Patienten mit einem Rectumcarcinom wurden 5 ml Lipiodol U. F. mit einer Spezialnadel zirkulär submukös unterhalb und oberhalb des Tumors gespritzt. Komplikationen wurden nicht beobachtet. Dabei kam es konstant zur Darstellung intramuraler Lymphbahnen und zum Teil der tribudären Lymphknoten. Die Lymphknotendarstellung erfolgte ohne Regel. Es wurden die Methode, die röntgenologischen ErgebniBe und die klinische Relevanz aufgezeigt.
    Notes: Summary Five ml Lipiodol U. F. was injected into the submucosa of the rectum above and below the tumor in 13 patients with cancer of the rectum. No complications were observed. From the X-ray, the intramural lymphatic pathways and some of the lymph nodes were visible, although irregularly. The method, the X-ray results, and the clinical significance are discuBed.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01305590
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