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1.  Intraoperative assessment of lymph node involvement in gastric carcinoma. 
This study compares the assessment of lymph nodes by the surgeon, at the time of operation, with the pathologist's assessment on the resected specimen in 85 cases of total gastrectomy with extended lymphadenectomy for gastric carcinoma. There was correlation in 67% of cases, in 28% the disease was overstaged, and in only 5% was it understaged by intraoperative assessment. This has important implications for the comparison of trials and management decisions based on surgical assessment.
PMCID: PMC2499029  PMID: 2634990
3.  Catheterisation for nephrectomy? 
A retrospective review of 64 nephrectomies performed in 1985 and 1986 revealed an incidence of postoperative catheterisation of 48%, compared with 20% in an age and sex matched group of patients undergoing cholecystectomy (P less than 0.01). In the 27 male patients over 40 years of age undergoing nephrectomy, there was a 75% incidence of postoperative catheterisation. A figure of 47% was found for the comparable female group. We recommend that routine peroperative catheterisation should be performed in patients over 40 years of age undergoing a nephrectomy.
PMCID: PMC2499058  PMID: 2604345
7.  Bupivacaine squirting. 
PMCID: PMC2499049  PMID: 2604353
25.  Choledochoscopy via the cystic duct: evaluation of a new ultrathin disposable choledochoscope. 
A 2 mm fibreoptic choledochoscope with a disposable (resterilisable) flexible section was evaluated in 25 cadavers and 13 patients undergoing cholecystectomy. It was possible to pass the instrument via the cystic duct (CD) into the common bile duct (CBD) in 23 out of 25 cadavers and in 12 out of 13 patients. The CD diameter in cadavers was 2.4 mm (SD 0.5). Optical clarity was excellent and it was easy to pass into the duodenum, but proximal passage required mobilisation of the CD/CBD junction. This instrument may be a useful adjunct or even an alternative to intraoperative cholangiography.
PMCID: PMC2499009  PMID: 2802480

Results 1-25 (191)