Pub Date : 2002-08-01DOI: 10.1046/J.1442-2034.2002.00135.X
N. Datta, S. Rehman, K. Chan, K. Chan, C. Y. Poon, J. Kwok
Two cases of interhemispheric subdural haematoma are presented. None of the patients had any neurological deficit on admission. They developed progressive neurological deficits within a day or two. Surgical treatment was by a large convexity craniectomy and a wide opening of the dura. The dura was left open in one case and primary duroplasty was done in the other. No deliberate attempt was made to remove the interhemispheric clot. Both patients made a quick and complete recovery by this simple procedure. Cranioplasty was carried out subsequently. Chinese Abstract Figure Chinese Abstract.
{"title":"Adult interhemispheric subdural haematoma: A simple option for an uncommon problem","authors":"N. Datta, S. Rehman, K. Chan, K. Chan, C. Y. Poon, J. Kwok","doi":"10.1046/J.1442-2034.2002.00135.X","DOIUrl":"https://doi.org/10.1046/J.1442-2034.2002.00135.X","url":null,"abstract":"Two cases of interhemispheric subdural haematoma are presented. None of the patients had any neurological deficit on admission. They developed progressive neurological deficits within a day or two. Surgical treatment was by a large convexity craniectomy and a wide opening of the dura. The dura was left open in one case and primary duroplasty was done in the other. No deliberate attempt was made to remove the interhemispheric clot. Both patients made a quick and complete recovery by this simple procedure. Cranioplasty was carried out subsequently. \u0000 \u0000 \u0000 \u0000Chinese Abstract \u0000 \u0000 \u0000 \u0000 \u0000Figure Chinese Abstract.","PeriodicalId":7943,"journal":{"name":"Annals of The College of Surgeons Hong Kong","volume":"57 1","pages":"87-90"},"PeriodicalIF":0.0,"publicationDate":"2002-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84877309","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}
Pub Date : 2002-08-01DOI: 10.1046/J.1442-2034.2002.00137.X
A. Langenberg
Anastomotic stricture in colorectal surgery is an established problem. The incidence and aetiology of these strictures are discussed as well as the treatment options. A simple method of resecting those strictures of the rectum that are not amenable to repeated dilatation is described. Chinese Abstract Figure Chinese Abstract.
{"title":"Per‐anal stapled resection of a stapled anastomotic stricture","authors":"A. Langenberg","doi":"10.1046/J.1442-2034.2002.00137.X","DOIUrl":"https://doi.org/10.1046/J.1442-2034.2002.00137.X","url":null,"abstract":"Anastomotic stricture in colorectal surgery is an established problem. The incidence and aetiology of these strictures are discussed as well as the treatment options. A simple method of resecting those strictures of the rectum that are not amenable to repeated dilatation is described. \u0000 \u0000 \u0000 \u0000Chinese Abstract \u0000 \u0000 \u0000 \u0000 \u0000Figure Chinese Abstract.","PeriodicalId":7943,"journal":{"name":"Annals of The College of Surgeons Hong Kong","volume":"14 1","pages":"91-93"},"PeriodicalIF":0.0,"publicationDate":"2002-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80456387","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}
Pub Date : 2002-08-01DOI: 10.1046/J.1442-2034.2002.00139.X
P. Chiu, S. Wong, K. Kwong, S. Kwok
Currently, there is still controversy on the issue of palliative gastrectomy for patients with advanced carcinoma of stomach in terms of safety and its benefits. From the data available in the literature, palliative gastrectomy seems to be associated with a better survival rate, better relief of symptoms and similar rates of perioperative morbidity and mortality when compared with laparotomy with or without gastrojejunostomy. However, all these studies are retrospective comparative studies or series that carried significant biases. This makes interpretation of the outcome difficult. A selective approach is advocated as palliative gastrectomy carries significant risks. Chinese Abstract Figure Chinese Abstract.
{"title":"Review: Palliative gastrectomy for stage IV carcinoma of stomach","authors":"P. Chiu, S. Wong, K. Kwong, S. Kwok","doi":"10.1046/J.1442-2034.2002.00139.X","DOIUrl":"https://doi.org/10.1046/J.1442-2034.2002.00139.X","url":null,"abstract":"Currently, there is still controversy on the issue of palliative gastrectomy for patients with advanced carcinoma of stomach in terms of safety and its benefits. From the data available in the literature, palliative gastrectomy seems to be associated with a better survival rate, better relief of symptoms and similar rates of perioperative morbidity and mortality when compared with laparotomy with or without gastrojejunostomy. However, all these studies are retrospective comparative studies or series that carried significant biases. This makes interpretation of the outcome difficult. A selective approach is advocated as palliative gastrectomy carries significant risks. \u0000 \u0000 \u0000 \u0000Chinese Abstract \u0000 \u0000 \u0000 \u0000 \u0000Figure Chinese Abstract.","PeriodicalId":7943,"journal":{"name":"Annals of The College of Surgeons Hong Kong","volume":"33 1","pages":"65-70"},"PeriodicalIF":0.0,"publicationDate":"2002-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84634039","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}
Pub Date : 2002-08-01DOI: 10.1046/J.1442-2034.2002.00141.X
P. Ku, M. W. Pak, C. A. Hasselt
Objective: To describe a combined transoral and transnasal approach power-assisted endoscopic adenoidectomy by StraightShot® microdebrider and Endoscrub® device in children. Method: Transoral power-assisted endoscopic adenoidectomy using a 45°-curved cutting visor of a StraightShot® microdebrider (Medtronic Xomed, Jacksonville, FL, USA) is performed with an Endoscrub, irrigation device (Medtronic Xomed) attached to the rigid endoscope. The oscillating mode (1500 r.p.m.) of the microdebrider is selected. The dissection begins at the inferior pole of the adenoids and swifted upwards to the roof of the nasopharynx. Transnasal dissection of the choanal extension of the adenoids is achieved using a straight-cutting visor with the aid of a 0° rigid endoscope. Results: The technique was performed in 11 consecutive patients (six male and five female) in a 6-month period. The mean age of the patients was 6.9 years (range, 3–9 years). The main indication for surgery was obstructive sleep apnoea with huge obstructive adenoids and with choanal extension. The mean operative time was 4.8 min (range, 2–11 min). The mean blood loss was 12.8 mL (range, 4–16 mL). No intraoperative or postoperative complications were recorded. Conclusion: The described technique for dissection of adenoids in children is safe and is recommended for patients with large adenoids and with choanal extension. Chinese Abstract Figure Chinese Abstract.
{"title":"Combined transoral and transnasal power-assisted endoscopic adenoidectomy by a StraightShot® microdebrider and Endoscrub® device","authors":"P. Ku, M. W. Pak, C. A. Hasselt","doi":"10.1046/J.1442-2034.2002.00141.X","DOIUrl":"https://doi.org/10.1046/J.1442-2034.2002.00141.X","url":null,"abstract":"Objective: \u0000 \u0000To describe a combined transoral and transnasal approach power-assisted endoscopic adenoidectomy by StraightShot® microdebrider and Endoscrub® device in children. \u0000 \u0000 \u0000 \u0000Method: \u0000 \u0000Transoral power-assisted endoscopic adenoidectomy using a 45°-curved cutting visor of a StraightShot® microdebrider (Medtronic Xomed, Jacksonville, FL, USA) is performed with an Endoscrub, irrigation device (Medtronic Xomed) attached to the rigid endoscope. The oscillating mode (1500 r.p.m.) of the microdebrider is selected. The dissection begins at the inferior pole of the adenoids and swifted upwards to the roof of the nasopharynx. Transnasal dissection of the choanal extension of the adenoids is achieved using a straight-cutting visor with the aid of a 0° rigid endoscope. \u0000 \u0000 \u0000 \u0000Results: \u0000 \u0000The technique was performed in 11 consecutive patients (six male and five female) in a 6-month period. The mean age of the patients was 6.9 years (range, 3–9 years). The main indication for surgery was obstructive sleep apnoea with huge obstructive adenoids and with choanal extension. The mean operative time was 4.8 min (range, 2–11 min). The mean blood loss was 12.8 mL (range, 4–16 mL). No intraoperative or postoperative complications were recorded. \u0000 \u0000 \u0000 \u0000Conclusion: \u0000 \u0000The described technique for dissection of adenoids in children is safe and is recommended for patients with large adenoids and with choanal extension. \u0000 \u0000 \u0000 \u0000Chinese Abstract \u0000 \u0000 \u0000 \u0000 \u0000Figure Chinese Abstract.","PeriodicalId":7943,"journal":{"name":"Annals of The College of Surgeons Hong Kong","volume":"28 1","pages":"83-86"},"PeriodicalIF":0.0,"publicationDate":"2002-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76905251","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}
Pub Date : 2002-08-01DOI: 10.1046/J.1442-2034.2002.00140.X
D. Lam, Catherine Lai-Yin Choy, S. Lam, S. Kwok
Objective: Per-rectal bleeding is a common reason of surgical referral. The average waiting time in a busy clinic could be months, which should preferably be shortened for potentially serious cases. With little information on referral letters, other methods for triage have to be searched for. Age and symptoms as triage methods were evaluated. Methods: Data from patients attending the United Christian Hospital specialist clinic for per-rectal bleeding were collected prospectively. The association between age and the prevalence of colorectal neoplasia was analysed. The most suitable cut-off age was determined by a receiving operating characteristic (ROC) curve. For symptoms, a questionnaire to check for high-risk features of per-rectal bleeding was designed. Non-medically trained volunteers were instructed to interview each patient before the surgical consultation. A positive result for the questionnaire is the presence of high-risk features. The surgeons were unaware of the questionnaires’ findings. The results were compared with the final diagnosis. Positive diagnoses were defined as either malignancy or significant polyps. The sensitivity and specificity of age and the questionnaire were computed. Results: A total of 194 patients were interviewed. Twenty patients declined colonoscopy and were excluded, leaving 174 for analysis. The ROC curve showed 60 years to be the most suitable age for triage. The sensitivity and specificity of age (≥ 60 years old) was 73.1% and 62.8%, respectively. The sensitivity and specificity of the questionnaire was 65.4% and 55.4%, respectively. The positive predictive value of age was 25.7%, which was increased to 33.6% with a positive questionnaire result. The negative predictive value of 93.0% by age alone was increased to 95.5% with a negative questionnaire result. Conclusion: Age is a very effective triage criterion. Using 60 years of age as a cut-off point screens out low-risk patients effectively. A preconsultation-structured interview designed to identify high-risk symptoms has little additional triage benefit. Chinese Abstract Figure Chinese Abstract. Figure Chinese Abstract. Figure Chinese Abstract. Figure Chinese Abstract. Figure Chinese Abstract.
{"title":"Age and symptoms as a triage method for per‐rectal bleeding","authors":"D. Lam, Catherine Lai-Yin Choy, S. Lam, S. Kwok","doi":"10.1046/J.1442-2034.2002.00140.X","DOIUrl":"https://doi.org/10.1046/J.1442-2034.2002.00140.X","url":null,"abstract":"Objective: \u0000Per-rectal bleeding is a common reason of surgical referral. The average waiting time in a busy clinic could be months, which should preferably be shortened for potentially serious cases. With little information on referral letters, other methods for triage have to be searched for. Age and symptoms as triage methods were evaluated. \u0000 \u0000Methods: \u0000Data from patients attending the United Christian Hospital specialist clinic for per-rectal bleeding were collected prospectively. The association between age and the prevalence of colorectal neoplasia was analysed. The most suitable cut-off age was determined by a receiving operating characteristic (ROC) curve. For symptoms, a questionnaire to check for high-risk features of per-rectal bleeding was designed. Non-medically trained volunteers were instructed to interview each patient before the surgical consultation. A positive result for the questionnaire is the presence of high-risk features. The surgeons were unaware of the questionnaires’ findings. The results were compared with the final diagnosis. Positive diagnoses were defined as either malignancy or significant polyps. The sensitivity and specificity of age and the questionnaire were computed. \u0000 \u0000Results: \u0000A total of 194 patients were interviewed. Twenty patients declined colonoscopy and were excluded, leaving 174 for analysis. The ROC curve showed 60 years to be the most suitable age for triage. The sensitivity and specificity of age (≥ 60 years old) was 73.1% and 62.8%, respectively. The sensitivity and specificity of the questionnaire was 65.4% and 55.4%, respectively. The positive predictive value of age was 25.7%, which was increased to 33.6% with a positive questionnaire result. The negative predictive value of 93.0% by age alone was increased to 95.5% with a negative questionnaire result. \u0000 \u0000Conclusion: \u0000Age is a very effective triage criterion. Using 60 years of age as a cut-off point screens out low-risk patients effectively. A preconsultation-structured interview designed to identify high-risk symptoms has little additional triage benefit. \u0000 \u0000Chinese Abstract \u0000 \u0000 \u0000 \u0000Figure Chinese Abstract. \u0000 \u0000 \u0000 \u0000Figure Chinese Abstract. \u0000 \u0000 \u0000 \u0000Figure Chinese Abstract. \u0000 \u0000 \u0000 \u0000Figure Chinese Abstract. \u0000 \u0000 \u0000 \u0000Figure Chinese Abstract.","PeriodicalId":7943,"journal":{"name":"Annals of The College of Surgeons Hong Kong","volume":"120 1","pages":"77-82"},"PeriodicalIF":0.0,"publicationDate":"2002-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86133539","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}
Pub Date : 2002-08-01DOI: 10.1046/J.1442-2034.2002.00138.X
H. Tsumura, T. Kagawa, T. Ichikawa, M. Nishihara
A patient in whom the laparoscopic procedure for intestinal endometriosis with small bowel obstruction was effective is reported. A 35-year-old woman who had complained of a stomach ache during menstruation had been followed up for 1 year at another hospital. She presented at Hiroshima Funairi Hospital with upper abdominal pain, and was admitted with suspected small bowel obstruction as a result of plain abdominal X-ray showing abnormal intestine gas. Laparoscopic observation revealed marked adhesion and stenosis of the distal ileum, which were responsible for the obstruction. Mini-laparotomy was selected and ilectomy and anastomosis were performed under laparoscopic-assisted procedure. Histologically, endometriosis was confirmed and resection of the involved segment yielded excellent results, and the patient was discharged. This was an extremely rare case of intestinal obstructive involvement by endometriosis and we briefly discuss here the effectiveness of laparoscopic-assisted operation. Chinese Abstract Figure Chinese Abstract.
{"title":"Successful laparoscopic‐assisted treatment of ileal endometriosis with intestinal obstruction","authors":"H. Tsumura, T. Kagawa, T. Ichikawa, M. Nishihara","doi":"10.1046/J.1442-2034.2002.00138.X","DOIUrl":"https://doi.org/10.1046/J.1442-2034.2002.00138.X","url":null,"abstract":"A patient in whom the laparoscopic procedure for intestinal endometriosis with small bowel obstruction was effective is reported. A 35-year-old woman who had complained of a stomach ache during menstruation had been followed up for 1 year at another hospital. She presented at Hiroshima Funairi Hospital with upper abdominal pain, and was admitted with suspected small bowel obstruction as a result of plain abdominal X-ray showing abnormal intestine gas. Laparoscopic observation revealed marked adhesion and stenosis of the distal ileum, which were responsible for the obstruction. Mini-laparotomy was selected and ilectomy and anastomosis were performed under laparoscopic-assisted procedure. Histologically, endometriosis was confirmed and resection of the involved segment yielded excellent results, and the patient was discharged. This was an extremely rare case of intestinal obstructive involvement by endometriosis and we briefly discuss here the effectiveness of laparoscopic-assisted operation. \u0000 \u0000 \u0000 \u0000Chinese Abstract \u0000 \u0000 \u0000 \u0000 \u0000Figure Chinese Abstract.","PeriodicalId":7943,"journal":{"name":"Annals of The College of Surgeons Hong Kong","volume":"41 1","pages":"94-96"},"PeriodicalIF":0.0,"publicationDate":"2002-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87714204","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}
Pub Date : 2002-05-01DOI: 10.1046/J.1442-2034.2002.T01-7-00134.X
D. W. Lee, A. Chan, T. Sze, C. Ko, C. Poon, K. C. Chan, K. Sin, S. Chung
{"title":"PATIENT‐CONTROLLED SEDATION VERSUS INTRAVENOUS SEDATION FOR COLONOSCOPY IN THE ELDERLY: A PROSPECTIVE RANDOMIZED CONTROLLED TRIAL","authors":"D. W. Lee, A. Chan, T. Sze, C. Ko, C. Poon, K. C. Chan, K. Sin, S. Chung","doi":"10.1046/J.1442-2034.2002.T01-7-00134.X","DOIUrl":"https://doi.org/10.1046/J.1442-2034.2002.T01-7-00134.X","url":null,"abstract":"","PeriodicalId":7943,"journal":{"name":"Annals of The College of Surgeons Hong Kong","volume":"47 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2002-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77904828","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}
Pub Date : 2002-05-01DOI: 10.1046/J.1442-2034.2002.T01-6-00134.X
H. Lau, N. Patil, F. Lee
{"title":"A PROSPECTIVE RANDOMIZED TRIAL OF SUBFASCIAL PERFUSION WITH BUPIVACAINE FOLLOWING AMBULATORY LICHTENSTEIN HERNIPLASTY","authors":"H. Lau, N. Patil, F. Lee","doi":"10.1046/J.1442-2034.2002.T01-6-00134.X","DOIUrl":"https://doi.org/10.1046/J.1442-2034.2002.T01-6-00134.X","url":null,"abstract":"","PeriodicalId":7943,"journal":{"name":"Annals of The College of Surgeons Hong Kong","volume":"1 1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2002-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78475294","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}
Pub Date : 2002-05-01DOI: 10.1046/J.1442-2034.2002.T01-2-00134.X
S. Lam, C. Lam, K. Tse, S. Chan, Dovgiĭ SIu, S. Kwok
{"title":"USE OF DO‐NOT‐RESUSCITATE (DNR) IN A SURGICAL UNIT","authors":"S. Lam, C. Lam, K. Tse, S. Chan, Dovgiĭ SIu, S. Kwok","doi":"10.1046/J.1442-2034.2002.T01-2-00134.X","DOIUrl":"https://doi.org/10.1046/J.1442-2034.2002.T01-2-00134.X","url":null,"abstract":"","PeriodicalId":7943,"journal":{"name":"Annals of The College of Surgeons Hong Kong","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2002-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74877393","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}
Pub Date : 2002-05-01DOI: 10.1046/J.1442-2034.2002.00133.X
W. Hung, M. Chan, Sui-Fan Chong, K. Mak, Y. Lau, A. Yip
Objective: To assess the accuracy of sentinel lymph node biopsy (SLNB) using combined isotope and blue dye mapping technique. Method: Prospective analysis of 50 cases of SLNB in patients with breast cancer. Accuracy was assessed by comparing the histology of sentinel lymph node (SLN) with axillary dissection specimen. Results: Sentinel lymph nodes were localized in 47 cases (94%) and correctly predicted the axillary status in all cases (100% accuracy) with no false negative result. Frozen section analysis of SLN was associated with a 33% false negative rate. Immunohistochemical staining did not improve the detection of metastasis compared with haematoxylin–eosin paraffin sections. Conclusions: Sentinel lymph node biopsy is highly accurate in staging the nodal involvement in breast cancer using the combined mapping technique. Chinese Abstract Figure Chinese Abstract.
{"title":"Sentinel node biopsy in breast cancer: Report of 50 cases using combined isotope and blue dye mapping","authors":"W. Hung, M. Chan, Sui-Fan Chong, K. Mak, Y. Lau, A. Yip","doi":"10.1046/J.1442-2034.2002.00133.X","DOIUrl":"https://doi.org/10.1046/J.1442-2034.2002.00133.X","url":null,"abstract":"Objective: To assess the accuracy of sentinel lymph node biopsy (SLNB) using combined isotope and blue dye mapping technique. \u0000 \u0000 \u0000 \u0000Method: Prospective analysis of 50 cases of SLNB in patients with breast cancer. Accuracy was assessed by comparing the histology of sentinel lymph node (SLN) with axillary dissection specimen. \u0000 \u0000 \u0000 \u0000Results: Sentinel lymph nodes were localized in 47 cases (94%) and correctly predicted the axillary status in all cases (100% accuracy) with no false negative result. Frozen section analysis of SLN was associated with a 33% false negative rate. Immunohistochemical staining did not improve the detection of metastasis compared with haematoxylin–eosin paraffin sections. \u0000 \u0000 \u0000 \u0000Conclusions: Sentinel lymph node biopsy is highly accurate in staging the nodal involvement in breast cancer using the combined mapping technique. \u0000 \u0000 \u0000 \u0000Chinese Abstract \u0000 \u0000 \u0000 \u0000 \u0000Figure Chinese Abstract.","PeriodicalId":7943,"journal":{"name":"Annals of The College of Surgeons Hong Kong","volume":"43 1","pages":"53-57"},"PeriodicalIF":0.0,"publicationDate":"2002-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85529204","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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