1,721,023 research outputs found
Carcinoid tumors of the lung and multimodal therapy
No full textAIM:
To report our experience with bronchial carcinoids.
METHODS:
From January 1990 to March 2003 we treated 42 such patients, 30 females and 12 males. All patients underwent preoperative total body computed tomography (CT), total body In-111 octreotide scintigraphy, and SPECT of the thorax, with evaluation of serum levels of CEA, CgA, NSE, and urinary 5-HIAA. Diagnosis was obtained in 28 patients with fibre-optic bronchoscopy and in 14 patients with CT-guided trans-thoracic needle biopsy.
RESULTS:
There were 26 typical and 16 atypical carcinoids. 30 lobectomies, 5 bilobectomies, 6 wedge resections, and 1 pneumonectomy were carried out. The 3-year and the 5-year survival rates in the typical and atypical carcinoid groups were 100 % and 96 % vs. 81 % and 68 %, respectively (p < 0.001).
CONCLUSIONS:
Long-term survival is based on histological completeness of surgical treatment. Octreotide scintigraphy and SPECT document N (1) and N (2) precisely
Use of demiralized bone matrix and plate for sternal stabilization after traumatic dislocation
No full textTraumatic sternal segments dislocation is a rare pathology that is on the increase because of road accidents. Ideal treatment is controversial as it is a benign non-life-threatening lesion. The few cases reported in the literature do not shed light on any preferred procedure. In the present study, three patients were treated by surgical steel monofilament and eight by titanium screws and plates and demineralized bone matrix. The reduced hospitalization, rapid functional recovery, and excellent aesthetic results of the titanium patients make use of the surgical approach inevitable
Preoperative red sudan administration to locate thoracic duct lesion in videothoracoscopy
No full textGli AA illustrano i vantaggi della colorazione vitale in VAT
Interview with Prof. Duilio Divisi: reflections on malignant pleural effusions
Full text linkThe special series “Malignant Pleural Effusion” (1) led by
Prof. Duilio Divisi (Figure 1) and Prof. Roberto Crisci from
“G. Mazzini” Hospital of Teramo has attracted numerous
readers since its release. The aim of this series was to
identify the best strategies in order to reduce the discomfort
of patients and minimize the impact of the underlying
disease on everyday life. At this moment, we are honored
to have an interview with Prof. Divisi to share his scientific
career experience and insights on this special series
Surgical management of traumatic isolated sternal fracture and manubriosternal dislocation.
No full textVideoassisted Thoracic Surgery vs plaural drainage in the management of the first epi-sode of primary spontaneous pneumothorax
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