0000000000287266
AUTHOR
S. Braunstein
Clinical results of transanal endoscopic microsurgery
Using the "transanal endoscopic microsurgery" technique, 140 patients were treated at the Department of Surgery in Cologne and Mainz. Of the patients with adenomas, 68.2% had typical symptoms preoperatively. The postoperative hospital attendance was 8.7 days, with an average resection size of 14.4 cm2. The postoperative complication rate was 5%, and there were no deaths related to the technique. In a prospective controlled trial, 2.2% of the patients with adenomas treated endoscopically in Mainz showed recidivation, requiring reoperation. The follow-up rate was 100%. In 30 cases, microscopic examination revealed carcinoma. Radical reoperation in 8 pT1 tumours showed neither remaining tumour…
Osteonectin Expression in Odontogenous and Non-odontogenous Tumors and Tumor-like Lesions of the Skull and Jaw Bones
The organic matrix of osseous and odontogenic tissues is formed mainly by collagen type I. In addition there is a considerable bulk of noncollagenous proteins (Prince et al. 1987) in bone among which osteonectin represents the greatest amount. This protein, first isolated by Termine et al. (1981) has a molecular weight of 29 kD and possibly is involved in the mineralization process of collagenous fibrils in bone (Romberg et al. 1985). Recently osteonectin could be demonstrated in bone tumors and normal bone and has been considered as a marker for bone tumor cells (Schulz et al. 1985; Jundt et al. 1987). The aim of the present study was to examine the expression of osteonectin in odontogenou…
Endoscopic Microsurgery of Rectal Tumors
Seventy-five patients with sessile adenomas or early carcinomas of the rectum or rectosigmoid were operated on with the new technique "transanal endoscopic microsurgery" Employing a newly developed complex endoscopic operating system, complete removal of sessile adenomas can be accomplished up to a distance of 25 cm from the anal verge, accurately and non-invasively. Complications occurred in three cases, with no resulting mortality. In the follow-up period we discovered only one adenomatous recurrence that required operative treatment. The superior accuracy of preparation, a short average stay in hospital, and low recurrence and complication rates are the advantages of this transanal endos…
Endoscopic Ultrasonography in the Diagnosis of Regional Lymph Nodes in Esophageal and Gastric Cancer - Results of Studies in Vitro
A total of 90 regional lymph nodes (43 benign/47 metastatic) from 16 surgical resection specimens of patients with esophageal and gastric carcinoma were examined in vitro by endosonography. The validity of endosonographic criteria of lymph node dignity (size, echogenicity, internal echo pattern and margin structure) was assessed using computer-supported B-mode analysis and compared to histopathological results. Of 26 lymph nodes with a diameter of more than 10 mm, 19 were metastatic (72%). The subjective assessment of the internal echo pattern (homogeneity) and the node margins by an experienced observer allowed the diagnosis of metastatic lymph nodes, but there was a high proportion of fal…