Laparoscopic nephroureterectomy: initial clinical case report.

Using a 12-mm GIA laparoscopic stapling device, a method of organ entrapment, and a recently developed high-speed electrical tissue morcellator, laparoscopic nephroureterectomy was accomplished in an 82-year-old male with a low-grade transitional cell cancer of the renal pelvis.     

New England Medical Center Posterior Circulation Stroke Registry II. Vascular Lesions

Among 407 New England Medical Center Posterior Circulation Registry (NEMC-PCR) patients, the extracranial (ECVA) and intracranial vertebral arteries (ICVA) were the commonest sites of severe occlusive disease followed by the basilar artery (BA). Severe occlusive lesions were found in >1 large artery in 148 patients; 134 had unilateral or bilateral severe disease at one arterial location. Single arterial site occlusive disease occurred most often in the ECVA (52 patients, 15 bilateral) followed by the ICVA (40 patients, 12 bilateral) and the BA (46 patients). Involvement of the ICVAs and the BA was very common and some patients also had ECVA lesions. Hypertension, smoking, and coronary and peripheral vascular disease were most prevalent in patients with extracranial disease while diabetes and hyperlipidemia were more common when occlusive lesions were only intracranial. Intra-arterial embolism was the most common mechanism of brain infarction in patients with ECVA and ICVA occlusive disease. ICVA occlusive lesions infrequently caused infarction limited to the proximal territory (medulla and posterior inferior cerebellum). BA lesions most often caused infarcts limited to the middle posterior circulation territory (pons and anterior inferior cerebellum). Posterior cerebral artery occlusive lesions were predominantly embolic. Penetrating artery disease caused mostly pontine and thalamic infarcts. Prognosis was poorest in patients with BA disease. The best prognosis surprisingly was in patients who had multiple arterial occlusive lesions; they often had position-sensitive transient ischemic attacks during months or years.     

牛奶和钙盐在胃肠道内的钙吸收

目的和方法目前尚不清楚，摄入非水溶性钙盐的钙吸收是否比摄入水溶性差的钙盐钙吸收更好；另外也不清楚，牛奶制品的钙吸收是否比钙盐钙吸收更好。作者采用一种单次服用就能精确测定钙的净吸收率的方法，给８例健康空腹受试者服用含５００mg钙的５种不同水溶性的钙盐和牛奶，服用顺序是随机的。结果按钙盐的水溶性递减次序排列，以平均钙的净吸收率±标准误表示：醋酸钙（３２±４）％，乳酸钙（３２±４）％，葡萄糖酸钙（２７±３）％，柠檬酸钙（３０±３）％；碳酸钙（３９±３）％。按方差分析，钙盐和牛奶的钙吸收率差异无统计学意义…     

Telerobotische Chirurgie zwischen Baltimore und München

Die rasante Entwicklung der Laparoskopie in der Urologie erfordert die Ausbildung von Spezialisten, um den hohen Standard der Patientenversorgung zu gew?hrleisten.     

刺果甘草化学成分的研究

从刺果甘草(Glycyrrhiza pallidiflora Maxim)的根和根茎中分离到五种化合物,经理化性质和光谱方法鉴定,化合物P-2为4-羟基-2,4’-二甲氧基查尔酮,为一新的化合物,命名为刺果甘草查尔酮(glypallichalcone,P-2)。其它分别为4'-O-methyl-coumestrol(P-1),谷氨酸乙酰化物(N-acetylglutamicacid,P-3)和芒柄花素(formononetin,P-4),均为首次从该植物中获得。此外还得到β-谷甾醇(β-sitos-terol,P-5)     

Flexible, actively deflectable fiberoptic ureteronephroscopy

We performed 76 flexible, actively deflectable ureteronephroscopic procedures in 68 patients. Of the patients 61 were examined transurethrally, 3 via an ileal loop, 2 percutaneously and 2 via ureterostomy. Indications for flexible, actively deflectable ureteronephroscopy included urolithiasis in 28 patients, upper tract filling defect in 25, lateralizing hematuria in 8, retrograde endopyelotomy in 2, post-endopyelotomy evaluation in 6, surveillance for transitional cell carcinoma in 4 and other reasons in 3. The area of interest was accessed successfully in 96% of the patients. In 57 instances an attempt was made to inspect all calices and was successful in two-thirds of the patients. However, greater than 75% of the collecting system was accessed in all but 2 of these 57 patients. Over-all, diagnostic and/or therapeutic maneuvers were successful in 84% of the patients. Flexible, actively deflectable ureteronephroscopy provides the urologist with a minimally invasive means to evaluate and treat pathological conditions of the upper urinary tract.