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  • 1
    Electronic Resource
    Electronic Resource
    Long-Term survivor of ruptured hepatocellular carcinoma after two hepatic resections (1994)
    Springer
    Journal of hepato-biliary-pancreatic surgery 1 (1994), S. 289-293 
    Details
    ISSN: 1436-0691
    Keywords: ruptured HCC
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract We report here a long-term survivor of ruptured hepatocellular carcinoma (HCC). A 37-year-old Japanese man complained of sudden abdominal pain after taking an alcoholic drink. Ultrasonographic examination showed a large amount of fluid in the abdominal cavity. Emergency laparotomy was performed. A solid mass showing extrahepatic growth was present in the right lobe of the liver. No active bleeding site was detected, but the tumor was covered with old blood coagula. The tumor was covered with the greater omentum to prevent further hemorrhage. Following assessment of the extent of the tumor and of liver function, delayed hepatectomy was performed. Histological examination indicated the tumor to be HCC. Twenty-six months after initial hepatic resection, partial resection of the liver was performed again for recurrent tumor. The patient has survived without recurrence for more than 5 years. The long survival was due, we believe to the liver being non-cirrhotic, the delayed hepatic resection, and the early detection of the recurrent tumor.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02391083
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Size disparity between donor and recipient in canine heart transplantation (1987)
    Springer
    Surgery today 17 (1987), S. 118-122 
    Details
    ISSN: 1436-2813
    Keywords: heart transplantation ; size disparity ; heart rate
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract To assess the feasibility and function of small donor hearts for large recipients, small donor hearts were orthotopically transplanted into large recipients. Thirty adult mongred dogs were used to form donor-recipient (D-R) combinations with the D-R heart weight ratio ranging from 0.47 to 1.78. In the D-R heart weight ratio of 0.8 or above (mean 1.11, Group I), the successful transplantation rate was 57 per cent, while it was 81 per cent in cases of less than 0.8 (mean 0.67, Group II) (no statistical difference). In 10 dogs (5 with D/R heart weight ratio ≧0.8, 5 with 〈0.8) a recovery rate in cardiac function of the transplanted small heart was studied 2 hours following transplantation. There was no significant difference, hemodynamically in the normal range of left atrial pressure (LAP) between the two groups. The close relationship between cardiac output (CO) and volume load in the range of 10 to 15 mmHg of LAP was transformed to a linear function in the over 0.8 group. It was technically and hemodynamically possible to transplant small dog hearts to larger recipients up to the D-R heart weight ratio of 0.47. The importance of an adequate heart rate for the increase of CO in transplanted smaller donor hearts was emphasized.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02470651
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    Paper (German National Licenses)
    Fulltext
  • 3
    Electronic Resource
    Electronic Resource
    Extended central bisegmentectomy—an en bloc resection of hepatic segments 4, 5, 8 and 7: Report of a case (1994)
    Springer
    Surgery today 24 (1994), S. 170-172 
    Details
    ISSN: 1436-2813
    Keywords: extended central bisegmentectomy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract We herein present an example of an extended central bisegmentectomy in a patient with a large hepatocellular carcinoma. According to a magnetic resonance imaging study, the right hepatic vein was displaced and narrowed at its origin and a large inferior right hepatic vein was revealed. In this case, owing to the only slightly functional remaining hepatic reserve, an extended central bisegmentectomy was selected as the optimum treatment. The postoperative course was uneventful except for some bile leakage. Twelve months after operation, the patient is still alive and no sign of recurrence has been detected. The extended central bisegmentectomy is an en bloc resection of hepatic segments 4, 5, 7, and 8. When the large inferior right hepatic vein is present, segment 6 can be preserved even when the right hepatic vein is sacrificed at its origin.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02473403
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    Paper (German National Licenses)
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  • 4
    Electronic Resource
    Electronic Resource
    Late massive hemorrhage following cystogastrostomy for pancreatic pseudocyst: Report of a case (1995)
    Springer
    Surgery today 25 (1995), S. 79-82 
    Details
    ISSN: 1436-2813
    Keywords: pancreatic pseudocyst ; cystogastrostomy ; postoperative hemorrhage
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract We report the case of a man who developed life-threatening massive gastric hemorrhage 3 months after undergoing cystogastrostomy for a pancreatic pseudocyst. After cystogastrostomy, the pancreatic pseudocyst became remarkably reduced in size, having the appearance of a shallow ulcer by barium study. However, tarry stools and hematemesis developed 3 months later, 6 days after which sudden massive hematemesis and melena occurred with severe hypotension. At emergency operation, a large artery at the bottom of the reduced cyst wall was found to have ruptured and hemostasis was achieved by suture ligation. The splenic artery was suspected as the bleeding point because a 95% abrupt stenosis was seen on angiography-performed the next day. Thus, the risk of hemorrhage occurring after internal drainage of a pancreatic pseudocyst even in the late postoperative period should always be borne in mind.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00309393
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    Paper (German National Licenses)
    Fulltext
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