The use of a portable ultrasound system in the surgical assessment of rib fractures in an elderly patient.

Introduction: Portable ultrasound is a modality of medical ultrasonography that utilizes small and light devices, and is an established diagnostic method used in clinical settings such as Cardiology, Vascular Surgery, Radiology, Endocrinology, Pediatric and Obstetric & Gynecology.

Presentation Of Cases: We present a case report of 86-years old patient who underwent surgical rib fixation for multiple rib fractures followed by falling from standing height and our management experience.

Discussion: The use of portable ultrasound device in operation theatre demonstrates several advantages.

[Metastasis rates of lymph nodes and distribution in advanced gastric cancer and its clinical significance].

Objective: To investigate the characteristics of lymph node metastases in advanced gastric cancer and its clinical significance.

Methods: From April 2002 to July 2003, we studied 91 patients with advanced gastric cancer who underwent radical gastrectomy and lymphadenectomy from which specimens were obtained during surgery. Then, collection of dissected lymph node, histopathological and immunohistological studies were performed to detect the lymph node metastasis rates and calculation.