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991.
P Catalano MR Di Pace AM Caruso S Salerno M Cimador E De Grazia 《Journal of pediatric surgery》2012,47(9):1767-1771
BackgroundAnastomotic stricture is an important problem after esophageal atresia (EA) repair. This study evaluates a technique of oblique esophageal anastomosis without use of a flap in order to prevent stricture formation.MethodsMedical records of 16 patients (14 with EA type III and 2 with EA type IV Ladd-Gross classification) who underwent primary repair of EA at birth without anastomotic tension were reviewed, evaluating long-term follow-up results. All patients were studied with esophageal contrast study, pH-multichannel intraluminal impedance, and endoscopy. The incidence of complications and their management were analysed.ResultsContrast esophagogram and esophagoscopy always showed regular patency of the suture line.ConclusionsOur technique of oblique anastomosis is simple, safe, and effective in preventing stricture formation even in the long-term follow-up. 相似文献
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Santambrogio R Costa M Barabino M Zuin M Bertolini E De Filippi F Bruno S Opocher E 《Surgical endoscopy》2012,26(4):1108-1115
Background
Aggressive treatment of intrahepatic recurrence of hepatocellular carcinoma (HCC) increases patients’ survival. This study aimed to evaluate laparoscopic thermal ablation (TA) in the treatment of intrahepatic HCC recurrences. 相似文献997.
Francesco Rosato Dario Bruzzone Faisal H. Cheema Antonio Capo Enrico Ardemagni Anna Verna Silvia Rosano Claudio Grossi Fabio Barili 《Artificial organs》2012,36(10):868-874
The comparison of hemodilution at the end of surgery is of limited use as it represents only a snapshot of a dynamic phenomenon. This study was undertaken to compare the perioperative hemoglobin curves of isolated coronary artery bypass grafting performed with minimized extracorporeal circulation, traditional cardiopulmonary bypass, and off‐pump technique. The propensity score method was used to select three groups of patients, homogenous regarding preoperative and operative data, who underwent isolated coronary artery bypass grafting. A generalized linear mixed model was used for estimating differences in perioperative hemoglobin trends among groups. The three groups were each composed of 50 patients with no differences in demographic data, preoperative risk profile, preoperative hemoglobin, or type of surgery. There was no significant difference in major postoperative complications. The pattern of the hemodilution curves was similar in patients operated with mini‐circuit and off‐pump technique (P > 005). Mini‐circuit led to a 3.1 ± 11.9% hemoglobin reduction, which was similar to the off‐pump group (1.6 ± 8.9%, P = 0.99 at ANOVA) and significantly different from the standard extracorporeal circuit group (16.0 ± 10.3%, P < 0.001 at ANOVA). The generalized linear mixed model determined that the standard circuit was the only independent predictor for increased hemodilution. Its effect on hemodilution was time‐dependent and the slope of the hemoglobin curve was more pronounced between systemic heparinization and the end of surgery. Perioperative hemoglobin trends of patients who underwent myocardial revascularization with mini‐circuit were similar to those of off‐pump surgery and significantly less pronounced than those of standard extracorporeal circulation. 相似文献
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Steven A. Safren Jeffrey S. Gonzalez Deborah J. Wexler Christina Psaros Linda M. Delahanty Aaron J. Blashill Aleksandra I. Margolina Enrico Cagliero 《Diabetes care》2014,37(3):625-633