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  • 1
    Electronic Resource
    Electronic Resource
    Self-expanding metallic stents in the management of pyloric dysfunction after gastric pull-up operations (1999)
    Springer
    European radiology 9 (1999), S. 1123-1125 
    Details
    ISSN: 1432-1084
    Keywords: Key words: Pylorus ; Stenosis ; Surgery complications ; Stents and prostheses ; Oesophagus ; Stomach
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract. The purpose of this paper is to report the use and benefits of self-expanding metallic stents employed in pyloric dysfunction. Four patients treated with oesophagectomy and gastric pull-up for oesophageal carcinoma failed to respond to balloon dilatation for pyloric dysfunction. Three of the patients were thought to have residual tumour at sites remote from the pylorus prior to stenting, but the fourth, who had undergone surgery 8 years previously, was thought to be cured. All were treated with self-expanding metallic stents. All four patients responded well with resolution of their symptoms. Over a mean follow-up of 6 months there has been no recurrence of symptoms. Stent insertion represents a potentially valuable method of treatment in patients with post-surgical pyloric dysfunction in whom simple balloon dilatation has failed.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s003300050804
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  • 2
    Electronic Resource
    Electronic Resource
    NDC10: a gene involved in chromosome segregation in Saccharomyces cerevisiae
    Amsterdam : Elsevier
    Trends in Cell Biology 3 (1993), S. 257 
    Details
    ISSN: 0962-8924
    Source: Elsevier Journal Backfiles on ScienceDirect 1907 - 2002
    Topics: Biology , Medicine
    Type of Medium: Electronic Resource
    URL: http://linkinghub.elsevier.com/retrieve/pii/0962-8924(93)90052-3
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  • 3
    Electronic Resource
    Electronic Resource
    Radioimmunoassay of progesterone, 17-hydroxyprogesterone, estradiol-17β and prostaglandin F in human corpus luteum
    Amsterdam : Elsevier
    Steroids 26 (1975), S. 299-310 
    Details
    ISSN: 0039-128X
    Source: Elsevier Journal Backfiles on ScienceDirect 1907 - 2002
    Topics: Medicine
    Type of Medium: Electronic Resource
    URL: http://linkinghub.elsevier.com/retrieve/pii/0039-128X(75)90076-8
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  • 4
    Electronic Resource
    Electronic Resource
    Comparison between laparoscopic and conventional omental patch repair for perforated duodenal ulcer (1996)
    Springer
    Surgical endoscopy and other interventional techniques 10 (1996), S. 1060-1063 
    Details
    ISSN: 1432-2218
    Keywords: Key words: Laparoscopic omental patch repair — Perforated duodenal ulcer — Conventional omental patch repair
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Background: The aim of the study is to evaluate the safety and efficacy of laparoscopic omental patch repair. Method: This is a retrospective review of 53 consecutive patients with omental patch repair for perforated duodenal ulcer; 38 underwent conventional open approach and 15 underwent laparoscopic patch repair. The only selection criterion was availability of expertise for laparoscopic repair on the day of admission. By chance, the open group had poorer ASA scores. There were four deaths and five postoperative complications in the open group. Results: Laparoscopic repair was successful in 14 cases with one postoperative complication. Operative time was longer in the laparoscopic group (80 vs 65 min in open group, p= 0.02). Patients required less postoperative analgesics in the laparoscopic group (median amount of pethidine was 75 mg vs 175 mg in the open group, p= 0.03). There was no statistically significant difference in terms of hospital stay and return to normal activities between the two procedures. Follow-up Visick scores were comparable in both groups. Conclusions: Laparoscopic omental patch repair offers a safe alternative to the conventional method and causes less postoperative pain.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s004649900240
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  • 5
    Electronic Resource
    Electronic Resource
    Telesurgical laparoscopic cholecystectomy between two countries (2000)
    Springer
    Surgical endoscopy and other interventional techniques 14 (2000), S. 1085-1085 
    Details
    ISSN: 1432-2218
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s004640000099
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  • 6
    Electronic Resource
    Electronic Resource
    Diagnosis and treatment of common bile duct stones (CBDS) (1998)
    Springer
    Surgical endoscopy and other interventional techniques 12 (1998), S. 856-864 
    Details
    ISSN: 1432-2218
    Keywords: Key words: Common bile duct stones — Gallbladder — Bile duct calculi — Laparoscopic cholecystectomy — Endoscopic retrograde cholangiopancreaticography
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Background: Common bile duct stones (CBDS) are a frequent problem (10–15%) in patients with symptomatic cholecystolithiasis. Over the last decade, new diagnostic and surgical techniques have expanded the options for their management. This report of the Consensus Development Conference is intended to summarize the current state of the art, including principal guidelines and an extensive review of the literature. Methods: An international panel of 12 experts met under the auspices of the European Association of Endoscopic Surgery (EAES) to investigate the diagnostic and therapeutic alternatives for gallstone disease. Prior to the conference, all the experts were asked to submit their arguments in the form of published results. All papers received were weighted according to their scientific quality and relevance. The preconsensus document compiled out of this correspondence was altered following a discussion of the external evidence made available by the panel members and presented at the public conference session. The personal experiences of the participants and other aspects of individualized therapy were also considered. Results: Our panel of experts agreed that the presence of common bile duct stones should be investigated in all patients with symptomatic cholecystolithiasis. Based on preoperative noninvasive diagnostics, either endoscopic retrograde cholangiopancreaticography (ERCP) or intraoperative cholangiography should be employed for detecting CBDS. Eight of the 12 panelists recommended treating any diagnosed CBDS. For patients with no other extenuating circumstances, several treatment options exist. Stones can be extracted during ERCP, or either before or (in exceptional cases) after laparoscopic or open surgery. Bile duct clearance should always be combined with cholecystectomy. Evidence for further special aspects of CBDS treatment is equivocal and drawn from nonrandomized trials only. Conclusions: The management of common bile duct stones is currently undergoing some major changes. Many diagnostic and therapeutic strategies need further study.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s004649900729
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  • 7
    Electronic Resource
    Electronic Resource
    Early international results of laparoscopic gastrectomies (1997)
    Springer
    Surgical endoscopy and other interventional techniques 11 (1997), S. 650 -652 
    Details
    ISSN: 1432-2218
    Keywords: Key words: Laparoscopic gastrectomy — International results — Questionnaire survey
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Background: The first totally laparoscopic Billroth II gastrectomy was performed in 1992. To date, laparoscopic gastrectomy has been performed by a small number of surgeons around the world and the laparoscopic approach has been extended to Billroth I and total gastrectomy. The aim of this study is to review the state of laparoscopically performed gastrectomies in the international scene. Methods: Questionnaires were prepared and sent to every surgeon in the world known by the authors or their contacts to have performed a laparoscopic gastrectomy. A questionnaire survey was started in July 1994 and completed by November 1994. Data collected included age, sex, type of gastric resection, technique of reconstruction after resection, average duration of surgery, time to liquid and solid intake, postoperative hospital stay, complications, and opinions of the surgeons. Results: Sixteen surgeons contributed to this study. A total number of 118 cases of laparoscopic gastrectomies, comprising Billroth I (11), Billroth II (87), vagotomy and antrectomy (10), and total gastrectomy (10) had been performed. The indications were gastric and/or duodenal ulcers and benign and malignant gastric tumors. Conclusions: Laparoscopic gastrectomy was found to be superior to the open technique by 10 of 16 surgeons because of faster recovery, less pain, and better cosmesis. The procedure was an expensive and long operation according to four. Two surgeons were uncertain of any benefit because of limited experience.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s004649900413
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  • 8
    Electronic Resource
    Electronic Resource
    Management of Mirizzi's syndrome in the laparoscopic era (1998)
    Springer
    Surgical endoscopy and other interventional techniques 12 (1998), S. 1242-1244 
    Details
    ISSN: 1432-2218
    Keywords: Key words: Cholelithiasis — Choledocholithiasis — Cholecystocholedochal fistula — Laparoscopy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Background: Mirizzi's syndrome is an uncommon cause of common hepatic duct obstruction resulting from gallstone impaction in the cystic duct or gallbladder neck. The role of laparoscopic surgery in the treatment of this condition is still not well defined. This article reports six cases of Mirizzi's syndrome and comments on the management of this condition using the laparoscopic approach. Methods: A review of 878 consecutive cholecystectomies from July 1991 to July 1996 identified six cases of Mirizzi's syndrome (0.7%) that were approached laparoscopically. Results: This study involved three men and three women with mean age of 64 (range, 57–70) years. All cases were approached by laparoscopy. One case was converted because of unclear anatomy in the Calot's triangle due to dense adhesions; open cholecystectomy, exploration of the common bile duct and T-tube insertion was performed. The other five cases were successfully managed laparoscopically. Subtotal cholecystectomy was performed in two cases, and in three patients with cholecystocholedochal fistula, the defect was closed over a T tube. There was no postoperative morbidity or mortality. A follow-up period of 8 to 17 (mean, 12) months revealed no complications. Conclusions: Laparoscopic management of Mirizzi's syndrome is feasible and safe but can be technically demanding. A policy of trial dissection by an experienced laparoscopic surgeon is recommended, and if anatomy remains unclear, it is prudent to convert.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s004649900828
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  • 9
    Electronic Resource
    Electronic Resource
    Needlescopic or minisite cholecystectomy (1999)
    Springer
    Surgical endoscopy and other interventional techniques 13 (1999), S. 303-305 
    Details
    ISSN: 1432-2218
    Keywords: Key words: Minisite cholecystectomy — Needlescopic cholecystectomy — Gallstone disease
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract. Needlescopic or minisite cholecystectomy is laparoscopic cholecystectomy done through tiny ports from 1.4 mm to 3 mm in size. This refinement of conventional laparoscopic cholecystectomy reduces further the invasiveness of the operation and gives an improved cosmetic effect. This series describes the result of 36 needlescopic cholecystectomies done between February 1996 and April 1997. Patients with acute cholecystitis were excluded. There were two conversions to conventional laparoscopic surgery and no conversions to open surgery. Thirty-four patients were successfully treated by this technique. Analgesic consumption and cosmetic result was superior compared to a previous published series of conventionally done cases in the same department.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s004649900971
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  • 10
    Electronic Resource
    Electronic Resource
    Endoscopic patch closure of malignant esophagotracheal fistula using Histoacryl glue (1994)
    Springer
    Surgical endoscopy and other interventional techniques 8 (1994), S. 1434-1435 
    Details
    ISSN: 1432-2218
    Keywords: Esophagotracheal fistula ; Endoscopy ; Patch closure ; Histoacryl glue
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Esophagotracheal fistula is one sequel of advanced carcinoma of the esophagus. Although the pneumatic cuffed tracheoesophageal fistula stent provides satisfactory palliation for fistulas, high fistulas remain a major problem. We report a case of a 64-year-old gentleman with a high fistula that was treated successfully with endoscopic patch closure using Histoacryl glue.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00187353
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