G Litarczek, D Tulbure, A Rădan, I Moţoiu, I Funduc, A Gayraud, L Oftez, A Dumitriu
The study attempted to evaluate the effects of anesthesia and of surgical interventions on certain humoral and cellular components of the mechanism of specific immunity. A total of 64 patients suffering with benign and malignant affections of the stomach and of the colon that had underwent resections under general anesthesia of the hypnoanalgesia type were followed at three stages of their evolution--before surgery, at 24 hours after surgery, and 7 days after surgery. Blood samples were obtained for performing the following tests: count of lymphocytes, blastic transformations test, stimulated control (with PHA and PWM), rosetting test, total number of eosinophils, high affinity eosinophils, and other tests. Electrophoretic fractions, total serum proteins, and dosage of IgG, IgM, and IgA immunoglobulins were also measured. A total of 24 tests have been performed. The patients were investigated both globally and according to sex, type of affection (malignant, or other), and by age. The results indicated a depression of the majority of the results of tests excepting those which detect precursor B, and T-helper cells, which showed a stimulation. Differentiated behaviours were also noted in the various groups with regard to the intensity of the reaction, although not with its direction.
{"title":"[Changes in cellular and humoral immunologic mechanisms in the postoperative period].","authors":"G Litarczek, D Tulbure, A Rădan, I Moţoiu, I Funduc, A Gayraud, L Oftez, A Dumitriu","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The study attempted to evaluate the effects of anesthesia and of surgical interventions on certain humoral and cellular components of the mechanism of specific immunity. A total of 64 patients suffering with benign and malignant affections of the stomach and of the colon that had underwent resections under general anesthesia of the hypnoanalgesia type were followed at three stages of their evolution--before surgery, at 24 hours after surgery, and 7 days after surgery. Blood samples were obtained for performing the following tests: count of lymphocytes, blastic transformations test, stimulated control (with PHA and PWM), rosetting test, total number of eosinophils, high affinity eosinophils, and other tests. Electrophoretic fractions, total serum proteins, and dosage of IgG, IgM, and IgA immunoglobulins were also measured. A total of 24 tests have been performed. The patients were investigated both globally and according to sex, type of affection (malignant, or other), and by age. The results indicated a depression of the majority of the results of tests excepting those which detect precursor B, and T-helper cells, which showed a stimulation. Differentiated behaviours were also noted in the various groups with regard to the intensity of the reaction, although not with its direction.</p>","PeriodicalId":76436,"journal":{"name":"Revista de chirurgie, oncologie, radiologie, o.r.l., oftalmologie, stomatologie. Chirurgie","volume":"38 1","pages":"69-80"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13671432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Between 1976 and 1987 the authors have operated 351 renal carcinomas of the clear cell type, and 51 Wilms tumours. In 35 of the patients there was malignant thrombosis of the abdominal vena cava. Total resection of the vena cava was done in the subhepatic portion in 6 of the patients, and lateral resection with removal of the thrombus was carried out in another 15 patients. In the other 14 cases thrombosis of the vena cava was accompanied by visceral, lymph node metastases, or by invasion of the surrounding organs, and palliative nephrectomy alone was done in 13 patients. One of the patients declined surgery. A new staging is suggested, of the venous invasion, which correlates satisfactorily with the patients' perspectives. Invasion of the main renal venous pathway is noted by V1, invasion of the abdominal vena cava is noted by V2 (with subgroups V2a, when the thrombus is free in the vein, without contacts with the venous wall, and V2b, when the thrombus infiltrates the wall of the vena cava. In cases staged as N0M0V2a perifascial nephrectomy and unblocking of the abdominal vena cava may achieve remarkably long survival, while the V2b substage should be assimilated to visceral metastases.
{"title":"[Diagnostic, staging and therapeutic problems in invasion of the abdominal vena cava in renal cancer].","authors":"E Proca, I Sinescu","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Between 1976 and 1987 the authors have operated 351 renal carcinomas of the clear cell type, and 51 Wilms tumours. In 35 of the patients there was malignant thrombosis of the abdominal vena cava. Total resection of the vena cava was done in the subhepatic portion in 6 of the patients, and lateral resection with removal of the thrombus was carried out in another 15 patients. In the other 14 cases thrombosis of the vena cava was accompanied by visceral, lymph node metastases, or by invasion of the surrounding organs, and palliative nephrectomy alone was done in 13 patients. One of the patients declined surgery. A new staging is suggested, of the venous invasion, which correlates satisfactorily with the patients' perspectives. Invasion of the main renal venous pathway is noted by V1, invasion of the abdominal vena cava is noted by V2 (with subgroups V2a, when the thrombus is free in the vein, without contacts with the venous wall, and V2b, when the thrombus infiltrates the wall of the vena cava. In cases staged as N0M0V2a perifascial nephrectomy and unblocking of the abdominal vena cava may achieve remarkably long survival, while the V2b substage should be assimilated to visceral metastases.</p>","PeriodicalId":76436,"journal":{"name":"Revista de chirurgie, oncologie, radiologie, o.r.l., oftalmologie, stomatologie. Chirurgie","volume":"38 1","pages":"1-17"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13691495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
An unique case is presented, never mentioned before the world specialized literature, concerning an intraarticular teratoid formation in the knee. Initially a sessile, pediculated formation 3/3 cm in size, on the interior aspect of the synovial sac, became free following an accident, and blocked the knee in the flexed position at an angle of 30 degrees, simulating rupture of the medial meniscus and intercondylar luxation.
{"title":"[Intra-articular teratoma of the knee].","authors":"C C Baciu, V Filon, I Rogoz, D Cicloşan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>An unique case is presented, never mentioned before the world specialized literature, concerning an intraarticular teratoid formation in the knee. Initially a sessile, pediculated formation 3/3 cm in size, on the interior aspect of the synovial sac, became free following an accident, and blocked the knee in the flexed position at an angle of 30 degrees, simulating rupture of the medial meniscus and intercondylar luxation.</p>","PeriodicalId":76436,"journal":{"name":"Revista de chirurgie, oncologie, radiologie, o.r.l., oftalmologie, stomatologie. Chirurgie","volume":"38 1","pages":"65-8"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13671429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[The role of surgical intervention in the combined treatment of advanced ovarian neoplasms].","authors":"I Popescu, S G Ionescu, D Setlacec","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76436,"journal":{"name":"Revista de chirurgie, oncologie, radiologie, o.r.l., oftalmologie, stomatologie. Chirurgie","volume":"37 6","pages":"417-22"},"PeriodicalIF":0.0,"publicationDate":"1988-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14111952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Complications due to excessive intravascular length of a central venous catheter].","authors":"N Bacalbaşa, M E Zaharia","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76436,"journal":{"name":"Revista de chirurgie, oncologie, radiologie, o.r.l., oftalmologie, stomatologie. Chirurgie","volume":"37 6","pages":"473-5"},"PeriodicalIF":0.0,"publicationDate":"1988-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14111959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[The Harrison-Debas operation in traumatic rupture of the duodenum].","authors":"S Duca, E L Popa, D Blendea","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76436,"journal":{"name":"Revista de chirurgie, oncologie, radiologie, o.r.l., oftalmologie, stomatologie. Chirurgie","volume":"37 6","pages":"433-40"},"PeriodicalIF":0.0,"publicationDate":"1988-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14111954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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