[Mediastinal germ cell tumor--recommendation for therapeutic procedure].

Report about the rare case of an extragonadal germ cell tumor in the anterior mediastinum. A therapeutic recommendation is done referring to therapy of testicular cancer.

[Resection of the superior vena cava in tumor occlusion].

Report about three cases of resection of the superior vena cava for tumor stenosis or occlusion. In one patient no reconstruction was performed while in the other two interposition of an armored PTFE-prosthesis between right brachio-cephalic vein and vena cava superior was carried out. In agreement with other authors it is concluded that best results can be obtained by reconstruction with a PTFE-prosthesis or autologous vein graft.

[Morbidity and mortality following resection of an aortic aneurysm in the aged].

From August 1984-August 1985 118 abdominal aortic aneurysms were treated surgically in the City Hospital Nuremberg. The mean age was 68.9 years, with 26.

Digital transvenous angiography in follow-up examinations after carotid reconstruction: early results.

A total of 187 check-up examinations by DVSA were carried out after various types of carotid reconstructions. The results were inconclusive in only 2.7% of the cases.

Late results with Dardik-biograft in peripheral arterial surgery.

A total of 117 vascular reconstructions below the inguinal ligament were performed using Dardik's human umbilical vein. The indication for surgery was limb salvage in 91.5%.

Splenic repair by fibrin tissue adhesive and collagen fleece.

A new biogenic tissue adhesive has been used for repair of traumatic and incidental splenic lesions in 108 patients. The theoretical basis of fibrin adhesive application and technical details of this method, including the combination with a collagen fleece, are described. Complete hemostasis was achieved in 100 patients.

[Surgical therapy of stomach cancer-stagnation or progress? Results of 2665 stomach cancer patients].

The results of surgical therapy in 1165 patients with gastric cancer who underwent treatment between 1949 and 1964 are compared with those of 1500 patients who were operated on between 1969 and 1981. Special emphasis is placed on curability, operative methods and postoperative mortality. The 5-year survival rates of patients from the time periods 1950-1959 and 1969-1976 are compared.

[Anastomotic technique in tracheal resection. Animal experiments (author's transl)].

In 24 rabbits and 6 dogs, two subtotal tracheal transsections each were reanastomosed using Dexon , Vicryl, Prolene and Mersilene in running or interrupted suture technique. In order to avoid traumatisation of the perichondrium, sutures included the marginal cartilagenous ring and all layers of the tracheal wall. By putting every second stitch in a 8-figure, an ideal adaptation could be achieved.

[The treatment of tracheal stenosis by segmental resection (author's transl)].

In the past we treated most tracheal stenoses by creating a temporary open groove with subsequent reconstruction. This method has led to unsatisfactory results in some cases and has the disadvantage of a long duration of treatment. Therefore, we replaced it by segmental resection of the trachea with an end to end anastomosis.

Gastrinemia, serum minerals and calciotropic hormones following highly selective vagotomy in duodenal ulcer patients. Results of a 1-year study.

Duodenal ulcer patients with normal (n = 36) or increased (n = 24) gastric acid production during maximal pentagastrin stimulation, were examined preoperatively and at different intervals (up to 1 year) after highly selective vagotomy (HSV). Fasting levels of gastrin, parathormone, calcitonin, proteins, calcium and magnesium fractions, inorganic phosphate and alkaline phosphatase were determined in serum, those of glucagon in plasma. Both types of patients have the same gastrin levels preoperatively (approx.

Steroid receptors and response to endocrine treatment and chemotherapy of advanced breast cancer.

The remission rates after endocrine and cytostatic treatment were determined in 192 female patients with advanced breast cancer depending on the estrogen, progesterone, and androgen receptor content and on the disease-dominant site. Of 60 women with tumors containing estradiol receptors 39 responded to endocrine treatment. This was only true in two of 31 women without estradiol receptors.

Fasting blood values of glucose, insulin, glucagon, gastrin following highly selective vagotomy in duodenal ulcer patients.

Changes in fasting blood levels of glucose, insulin, glucagon and gastrin were determined in duodenal ulcer patients (n equal to 59) before and up to 1 year after highly selective vagotomy (HSV). There was an increase in glucose values after HSV by approximately 6 mg/dl. The rise in gastrin levels was variable depending on the maximal preoperative acid secretion during pentagastrin stimulation.