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  • 1
    Electronic Resource
    Electronic Resource
    Pulmonary adenocarcinoma metastatic to the gingiva (1999)
    Springer
    International journal of clinical oncology 4 (1999), S. 253-255 
    Details
    ISSN: 1437-7772
    Keywords: Key words Gingival metastasis ; Primary lung cancer ; Radiation therapy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Gingival metastasis from lung cancer is very uncommon. We report a case of distant metastasis of pulmonary adenocarcinoma in the mandibular gingiva. A 54-year-old man was admitted to our hospital on September 1, 1997 with hemoptysis. Right upper lobectomy with mediastinal lymph node dissection was performed on September 16. On the 14th postoperative day, the patient complained of a gingival swelling. In the lower right premolar area, a wide pedunculated mass was seen on the mandibular gingiva. Excisional biopsy of the tumor was performed, and histopathological examination revealed that the tumor was a metastatic lesion from the pulmonary adenocarcinoma. The patient received 46.8 Gy of linac irradiation to the tumor area and the entire oral condition improved markedly. However, bilateral adrenal gland metastases were recognized, and left inguinal lymph node metastasis was detected 2 months after lung resection. He developed tumor metastases to multiple organs and died of respiratory failure on December 12, 1997.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s101470050064
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  • 2
    Electronic Resource
    Electronic Resource
    Platelets as Participants in Hyperacute Guinea Pig-to-Rat Lung Xenorejection (1999)
    Springer
    Surgery today 29 (1999), S. 255-259 
    Details
    ISSN: 1436-2813
    Keywords: Key Words: xenotransplantation ; hyperacute xenorejection ; platelet ; sarpogrelate hydrochloride ; serotonin
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s005950050398
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    Paper (German National Licenses)
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  • 3
    Electronic Resource
    Electronic Resource
    Changes in Lung Lobar Volume and Bronchial Deformity After Right Upper Lobectomy (1998)
    Springer
    Surgery today 28 (1998), S. 285-288 
    Details
    ISSN: 1436-2813
    Keywords: Key Words: bronchial tree ; rabbit casting model ; bronchial branching angle ; lobar volume ; lobectomy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: n = 10) and A2 (n = 10) were control groups and groups B1 (n = 10) and B2 (n = 10) underwent RU lobectomy. Casting material was introduced into the airway and a heart-lung bloc was removed form the thoracic cavity in all groups. In groups A1 and B1, the volume of each lobe of the bilateral lungs was measured, while in groups A2 and B2, bronchial casts were made and the branching angles of the airway were measured. The volume ratio of the right upper lobe (RUL) to the total lung was 12.0 ± 0.4% in group A1; however, after RU lobectomy, the volume ratio of the right middle lobe (RML) to the total lung increased from 8.7 ± 0.6% in group A1 to 13.5 ± 0.8% in group B1. The volume of the left lung also increased from 43.0 ± 0.5% in group A1 to 48.8 ± 1.1% in group B1. The angle between the truncus intermedius and the RML bronchus was significantly smaller in group B2, at 109.0 ± 3.5°, than in group A2, in which it was 138.5 ± 1.7°. The angle between the RML bronchus and the coronal plane was 57.5 ± 2.5° in group A2 and 33.5 ± 3.3° in group B2. Our method of measuring the bronchial branching angle subsequent to RU lobectomy proved useful to illustrate postoperative positional changes and expansion of the remaining lobes.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s005950050122
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  • 4
    Electronic Resource
    Electronic Resource
    How different surgical methods of performing right upper lobectomy contribute to postoperative bronchial branching deformity: An experimental study (1999)
    Springer
    Surgery today 29 (1999), S. 610-613 
    Details
    ISSN: 1436-2813
    Keywords: right upper lobectomy ; bronchoplasty ; sleeve lobectomy ; wedge lobectomy ; mechanical stapling
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract It has been suggested that postoperative bronchial deformity is a complication of surgery and that the surgical methods employed may play a role in its development. We studied the relationship between postoperative bronchial branching deformity and various surgical methods, including hand suturing or mechanical stapling of right upper (RU) lobectomy, versus wedge or sleeve bronchoplasty with RU lobectomy. We used an in situ bronchial casting model in rabbits and measured the branching angles between: the trachea and the right main bronchus (RMB); the trachea and the left main bronchus; the RMB and the intermediate bronchus (IB); the IB and the right middle lobe bronchus (RMLB); and the RMLB and the coronal plane. In the mechanical stapling group, the angle between the RMB and the IB was wider than in the hand suturing group, and the RMLB diverged more laterally. In the wedge plasty group, the angle between the trachea and the RMB was wider, while that between the IB and the RMLB was narrower than in the hand suturing group. In the sleeve plasty group, the angle between the RMB and the IB and that between the IB and the RMLB were wider than in the hand suturing group. The findings of this experiment clearly demonstrate that postoperative deformity of the distal bronchus varies according to the surgical methods used.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02482986
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  • 5
    Electronic Resource
    Electronic Resource
    Platelets as participants in hyperacute guinea pig-to-rat lung xenorejection (1999)
    Springer
    Surgery today 29 (1999), S. 255-259 
    Details
    ISSN: 1436-2813
    Keywords: xenotransplantation ; hyperacute xenorejection ; platelet ; sarpogrelate hydrochloride ; serotonin
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract It is well known that xenotransplantation leads to immediate graft dysfunction. This study was designed to specifically examine the role of platelets in mediating lung hyperacute xenorejection (HXR) in a guinea pig-to-rat model. A total of 18 lungs were perfused with blood using an ex vivo apparatus. The animals were divided into the following four groups: a CE group comprising circuit only with rat blood; a SYN group comprising rat lungs and blood; a XE group comprising guinea pig lungs and rat blood; and an SH group comprising guinea pig lungs and rat blood with sarpogrelate hydrochloride, a suppresser of platelet aggregation. The platelet and serotonin in the blood were lower and the wet/dry weight ratio of the lung (W/D) in the XE group were higher than those in the SYN group after perfusion. The platelet count was higher, but the serotonin and W/D were lower in the SH group than in the XE group. These results suggest that platelets strongly affect HXR. Thus, the administration of drugs to suppress platelet aggregation would reduce xenotransplanted lung edema.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02483016
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    Paper (German National Licenses)
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  • 6
    Electronic Resource
    Electronic Resource
    How Different Surgical Methods of Performing Right Upper Lobectomy Contribute to Postoperative Bronchial Branching Deformity: An Experimental Study (1999)
    Springer
    Surgery today 29 (1999), S. 610-613 
    Details
    ISSN: 1436-2813
    Keywords: Key Words: right upper lobectomy ; bronchoplasty ; sleeve lobectomy ; wedge lobectomy ; mechanical stapling
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s005950050476
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    Paper (German National Licenses)
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  • 7
    Electronic Resource
    Electronic Resource
    Analysis of the Anatomic Changes in the Thoracic Cage After a Lung Resection Using Magnetic Resonance Imaging (2000)
    Springer
    Surgery today 30 (2000), S. 879-885 
    Details
    ISSN: 1436-2813
    Keywords: Key words Lung lobectomy ; Magnetic resonance imaging ; Left ventricular geometry ; Mediastinum ; Diaphragm
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The thoracic cage after a lung resection is filled by the remaining lobes, the elevated diaphragm, the diminished thoracic cage, and by mediastinal shifting. The changes in the thorax after a lung resection were quantified using magnetic resonance imaging. The study group consisted of 39 patients who had undergone a lobectomy, four who had undergone a pneumonectomy, and 14 controls. The left ventricular angle, ascending aortic angle, mediastinal shift, longitudinal length of the thoracic cage, the distance between the thoracic apex and the level of the aortic valve, and diaphragmatic elevation were all measured. After a right lower lobectomy, the mediastinum shifted more rightward than after a right upper lobectomy. The diaphragm became more greatly elevated after a right upper lobectomy than after a right lower lobectomy. When a chest wall resection was added to a right upper lobectomy, the mediastinal anatomical changes decreased. After a left upper lobectomy, the degree of mediastinal shifting was greater than after a left lower lobectomy. A left upper lobectomy shifted the mediastinum at the level of the right atrium. This method is easily reproducible and was found to be effective for quantifying the changes in the thorax after a lung resection.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s005950070038
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  • 8
    Electronic Resource
    Electronic Resource
    Spontaneous rupture of the iliac vein: Report of a case (1995)
    Springer
    Surgery today 25 (1995), S. 465-467 
    Details
    ISSN: 1436-2813
    Keywords: spontaneous rupture of iliac vein ; venous thrombosis ; retroperitoneal hematoma
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract We reprot a rare case of a spontaneous rupture of the iliac vein which was then surgically treated with good results. A 66-year-old woman was admitted complaining of leg swelling and lower abdominal pain. On the 3rd day after admission, an operation was performed because of a gradually increasing hematoma in the retroperitoneal space. Laparotomy revealed a 17 mm longitudinal tear on the anterior surface of the left external iliac vein with a thrombus inside the lumen. Most of the previously reported 14 cases of this nature have required emergency operations.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00311830
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    Paper (German National Licenses)
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