Search results for "ORAC"

S3-Leitlinie „Einsatz der intraaortalen Ballongegenpulsation in der Herzchirurgie“

2015

Although intra-aortic balloon pumping (IABP) is the most frequently used mechanical cardiac assist device in cardiothoracic surgery, there are only guidelines for substantive sections of aortic counterpulsation including prophylactic and postoperative use. In contrast, evidence-based recommendations are still lacking concerning intraoperative use, management, contraindication and other relevant issues. According to international surveys, important aspects of IABP usage show a wide variation in clinical practice. The results of a national questionnaire performed before initiation of this guideline confirmed these findings and demonstrated a clear need for the development of a consensus-based…

Corrigendum to: A comparative analysis of Pancoast tumour resection performed via video-assisted thoracic surgery versus standard open approaches (In…

2015

Hybrid minimally invasive esophagectomy for esophageal cancer : less is more

2019

In a recently published multi-center randomized controlled trial ( New England Journal of Medicine 2019;380:152-162) Christophe Mariette and colleagues compared open transthoracic esophagectomy to hybrid esophagectomy (open thoracic phase, laparoscopic abdominal phase) for patients with resectable cancer of the middle or lower third of the esophagus (MIRO trial) (1).

Combined thoracotomy and laminectomy for spinal cavernomas with intrathoracic growth.

2007

Dumbbell shaped epidural cavernomas are uncommon lesions. Of these, the extraforaminal extension is usually limited, and the lesions are removed surgically by an extended laminectomy. We present two cases of dumbbell shaped epidural cavernomas with a considerable intrathoracic growth. They were resected through a combined thoracotomy and laminectomy. Only in the case in which a wide approach to the posterior mediastinum was performed it was possible to completely remove the lesion. Since it is possible to anticipate this histological diagnosis by the magnetic resonance imaging characteristics, we propose that a wide transthoracic approach should be performed associated to a laminectomy if a…

Uniportal thoracoscopy combined with laparoscopy as minimally invasive treatment of esophageal cancer

2018

A 67-year-old man was referred to our attention for management of esophageal adenocarcinoma, localized at the level of the esophagogastric junction and obstructed the 1/3 of the esophageal lumen. Due to the extension of the disease (T3N1M0-Stage IIIA), the patient underwent neo-adjuvant chemo-radiation therapy and he was then scheduled for a minimally invasive surgical procedure including laparoscopic gastroplasty, uniportal thoracoscopic esophageal dissection and intrathoracic end-to-end esophago-gastric anastomosis. No intraoperative and post-operative complications were seen. The patient was discharged in post-operative day 9. Pathological study confirmed the diagnosis of adenocarcinoma …

Mechanostructural adaptations preceding postpneumonectomy lung growth

2012

In many species, pneumonectomy results in compensatory growth in the remaining lung. Although the late mechanical consequences of murine pneumonectomy are known, little is known about the anatomic adaptations and respiratory mechanics during compensatory lung growth. To investigate the structural and mechanical changes during compensatory growth, mice were studied for 21 days after left pneumonectomy using microCT and respiratory system impedance (FlexiVent). Anatomic changes after left pneumonectomy included minimal mediastinal shift or chestwall remodeling, but significant displacement of the heart and cardiac lobe. Mean displacement of the cardiac lobe centroid was 5.2 ± 0.8 mm. Lung imp…

Should intentional endovascular stent-graft coverage of the left subclavian artery be preceded by prophylactic revascularisation?

2011

Thoracic endovascular aortic repair (TEVAR) has emerged as a promising therapeutic alternative to conventional open aortic replacement but it requires suitable proximal and distal landing zones for stent-graft anchoring. Many aortic pathologies affect in the immediate proximity of the left subclavian artery (LSA) limiting the proximal landing zone site without proximal vessel coverage. In patients in whom the distance between the LSA and aortic lesion is too short, extension of the landing zone can be obtained by covering the LSA's origin with the endovascular stent graft (ESG). This manoeuvre has the potential for immediate and delayed neurological and vascular symptoms. Some authors, ther…

Diagnostic procedures in internal medicine. Thoracentesis, paracentesis and arthrocentesis in hospital practice. [Procedure diagnostiche in medicina …

1999

The aim of this paper is to give a rapid and concise guide for the diagnostic procedures frequently used in internist's clinical practice. Thoracentesis, paracentesis and arthrocentesis were analyzed as regards to indications, contraindications, procedure of execution and interpretation of findings. Addressed to the young physician, the present paper could also be useful as a rapid guide for the experienced physician which does not frequently use these procedures.

A new Northeast Asian Lynceus (Crustacea: Branchiopoda: Laevicaudata) with uniquely modified thoracopods and an evaluation of DNA barcoding for clam …

2020

A new species of smooth clam shrimp (Branchiopoda: Laevicaudata) from Mongolia and China is described here based on both morphological and genetic differences. The new species, Lynceus grossipedia n. sp., has unique features, including asymmetrically modified male thoracopods (left side thoracopods III-VI), male claspers “movable finger” (=endopod) with delicate setation, and broad, bicarinate male and female rostrum. Lynceus grossipedia n. sp. is compared with the genera Paralimnetis Gurney, 1931 and Lynceiopsis Daday, 1912 and a recently described Lynceus Müller, 1776 from China, also showing modified male thoracopods. Lynceus mandsuricus Daday, 1927 is declared nomen inquirendum. DNA bar…

Klientu apkalpošanas centru informācijas integrācija Oracle datu noliktavā

2015

Klientu apkalpošanas centru informācijas integrācija Oracle datu noliktavā ir daļa no uzņēmuma datu ielādes procesa. Darbā aprakstīts klientu apkalpošanas centru datu ielādes process un atskaites. Darbs realizēts izmantojot Oracle Data Integrator 11g un Oracle Buisness Intelligence Enterprise Edition 11g. Kvalifikācijas darbā iekļauta programmatūras prasību specifikācija, programmatūras projektējuma apraksts, testēšanas dokumentācija, programmatūras projekta pārvaldība, kvalitātes nodrošināšana, konfigurācijas pārvaldība, darbietilpības novērtējums, izmantotā literatūra un pielikums. Pielikumā pievienots: programmatūras koda piemērs, XML faili un tiem atbilstošās XML shēmas.