Esophageal perforation in South of Sweden: results of surgical treatment in 125 consecutive patients.

Background: For many years there has been a debate as to which is the method of choice in treating patients with esophageal perforation. The literature consists mainly of small case series. Strategies for aiding patients struck with this disease is changing as new and less traumatic treatment options are developing.

Chest wall sarcoma: outcome in 22 patients after resection requiring thoracic cage reconstruction.

Purpose. To evaluate the outcome after resection of malignant chest wall sarcoma, requiring reconstruction of the chest wall.Subjects.

Reoperations are common following VATS for spontaneous pneumothorax: study of risk factors.

Objectives: To identify risk factors for reoperation following surgery for spontaneous pneumothorax.

Materials And Methods: This is a retrospective clinical study conducted on 240 consecutive patients operated on for spontaneous pneumothorax in Lund University Hospital between January 1996 and December 2003. Patient information was gained from medical charts and operation reports.

Pulmonary sequestration--a review of 8 cases treated with lobectomy.

Background And Aims: Pulmonary sequestration (PS) is a rare congenital malformation where non-functioning lung tissue is separated from the bronchial tree and vascularised with an aberrant artery from the systemic circulation. The aim of this report was to study all patients who were treated for PS at Lund University Hospital between 1994 and 2004, with emphasis on clinical presentation of the disease and evaluate the results of surgical treatment.

Material And Methods: 8 cases were identified, 7 females and one male, with a mean age of 7.

Bilateral thoracoscopic splanchnicectomy: effects on pancreatic pain and function.

Objective: To evaluate prospectively the effect of bilateral thoracoscopic splanchnicectomy on pancreatic pain and function.

Summary Background Data: Severe pain is often the dominant symptom in pancreatic disease, despite a wide variety of methods used for symptom relief. Refinement of thoracoscopic technique has led to the introduction of thoracoscopic splanchnicectomy in the treatment of pancreatic pain.

Malignant dysphagia: palliation with esophageal stents--long-term results in 100 patients.

Purpose: To evaluate the long-term palliative effect of self-expanding nitinol esophageal stents in patients with malignant dysphagia.

Materials And Methods: One hundred patients with severe dysphagia secondary to malignant esophageal strictures were treated with self-expanding nitinol stents. The strictures were caused by squamous carcinoma (n = 43), adenocarcinoma (n = 28), anastomotic tumor recurrence (n = 14), and mediastinal tumor (n = 15).

Thoracoscopic Splanchnicectomy for Chronic, Severe Pancreatic Pain.

Fourteen patients with pancreatic cancer, 2 with cancer of the papilla of Vater, and 14 with chronic pancreatitis were operated on with bilateral thoracoscopic splanchnicectomy caused by severe chronic pain. The median follow-up time was 13 months. Twenty patients were followed up for 3 months and 14 for at least 6 months.

Self-expanding stent in the treatment of benign esophageal strictures: experimental study in pigs and presentation of clinical cases.

The reaction of the normal esophageal wall to inserted self-expanding nitinol stents was studied in pigs. An inflammatory reaction with increasing fibrotic activity and degeneration of the muscular layers in the esophageal wall was demonstrated. Five patients with severe dysphagia secondary to benign esophageal strictures also underwent insertion of self-expanding nitinol stents.

Malignant esophageal strictures: treatment with a self-expanding nitinol stent.

A self-expanding esophageal nitinol stent was implanted under fluoroscopic guidance in 40 patients with malignant esophageal strictures and clinically significant dysphagia. The strictures were caused by squamous cell carcinoma (n = 14), adenocarcinoma (n = 12), recurrent anastomotic carcinoma (n = 8), and mediastinal tumors (n = 6). Eight stents were balloon dilated to maximum diameter immediately after insertion.

Cisplatin and 5-FU combined with radiotherapy and surgery in the treatment of squamous cell carcinoma of the esophagus. Palliative effects and tumor response.

The combination of cisplatin (90-120 mg/m2) and 5-fluorouracil (5-FU) (1,000 mg/m2/day in continuous infusion for five days) was given for 2-3 cycles, prior to combined radiotherapy and surgery, to 73 patients with esophageal squamous cell carcinoma, 60 with limited disease (LD), and 13 with extensive disease (ED) (i.e. with metastasis) of whom 3 had recurrent disease.

Embryonal rhabdomyosarcoma of the oesophagus. Case report.

In an 81-year-old man fibreoptic endoscopy and contrast radiography revealed an obstructive malignant tumour of the oesophagus. The patient survived only 2 months after diagnosis. Light and electron microscopy and immunohistopathologic studies confirmed the diagnosis of embryonal rhabdomyosarcoma.

Evaluation of the palliative effect of radiotherapy for esophageal carcinoma.

149 patients with carcinoma of the esophagus treated with radiotherapy were evaluated. Eighty-one patients had treatment with palliative intent and 68 with curative intent. The 4-year actuarial survival was 1 and 5% respectively.

Pulmonary leiomyosarcoma appearing as a cyst. Report of one case and review of the literature.

We describe a case of pulmonary sarcoma appearing as a cyst in the lower lobe. A review of the literature on cavities and malignancies of the lung shows that lung cavities with a wall thickness of 4 mm or less were benign in 92% of the cases. After investigation, a basal segmentectomy was performed in the belief that the lesion was benign.