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Biomedical subjects

F Gall

Publications and source records attributed to F Gall.

At least 19 recordsLinked to original sources
PubMed1990

[Ductal pancreatic cancer].

In a prospective study of 587 patients tumor resection was possible in 138 (23.5%). Only 91 (65.4%) had been classified as R0-resections. Since 1982 subtotal duodenopancreatectomy has been the preferred method for treating pancreatic head cancer. Operative mortality for the whole series was 6%, for subtotal duodenopancreatectomy only 2%. The 5-year-survival rate for all patients was 2.9% with a mean survival of 4 months. For tumor resection it was 11%, for R0-resection 16%. However, in stages I and II the 5-year-survival was 46% and in stage III with a solitary lymph node metastasis, 30%.

Carcinoma, Intraductal, Noninfiltrating↗
PubMed1978

[The venous thrombectomy (author's transl)].

Between 1973 and 1977 we performed 106 venous thrombectomies. 100 of these cases showed occlusion in the ilio-femoral area and 6 in the axillary area. The postoperative mortality was 2 per cent in pelvic thrombosis and 0 per cent in the Paget-von-Schroetter-Syndrome. Fatal pulmonary embolism did not occur. Seventy per cent of patients were free of complaints 6 months postoperatively. Best results were achieved by early operation. The Paget-von-Schroetter-Syndrome is frequently caused by a thoracic outlet syndrome. Therefore, the first rib has to be removed during the second operation in order to prevent recurrence.

Axillary Vein↗
PubMed1977

[Surgical treatment of acute deep leg and pelvic vein trombosis].

In the last 3 years 93 cases of iliofermoral trombosis were treated by surgery. We prefer the method used by Brunner, but under general anaesthesia and using a Bentley-Autotransfusion-System (ATS). The average age of our patients was 55 years (age ranged between 17 and 87 years). No lethal pulmonary embolism was observed. 2, 1 percent of the patients died following apoplex or acute heart failure. Of 67 patients who were operated on 6 months ago or more 70 percent have no further complaints, 28 percent still have some residual edema and only 2 patients have a severe postthrombotic syndrome. 50 percent of 40 control-phlebograms demonstrated patency of all veins. 20 percent had short segmentary occlusions with definite signs of recanalisation, while in 27 percent of the cases occlusions of the lower leg and thigh were found, the iliac veins being free. Only 2 postoperative phlebograms showed a complete iliofemoral venous occlusion. Our results prove, that the operative thrombectomy is a successful method, with which the main complications of the iliofemoral thrombosis-pulmonary embolisation and postthrombotic syndrome-can difinitely be reduced. Also because of better long term results, the operative therapy of acute ilofemoral thrombosis should be generally prefered instead of conservative treatment.

Adolescent↗
PubMed1977

[Revascularisation after lower-leg arterial block. Report of 115 femoro-crural reconstructions (author's transl)].

Revascularisation after arterial block in the lower leg is a low-risk procedure which is definitely superior to lumbar sympathectomy in stage III and IV. In 110 patients 115 femorocrural reconstructions were performed in almost 9 years. Four weeks after the operation the revascularisation was open and showed free flow in 93.3%. In 64.4% an open revascularisation with largely painless walking ability was found 2-9 years post-operatively.

Adult↗
PubMed1977

[Surgical treatment of chronic pancreatitis. Indications and early results].

A report is given on 28 resections on patients with chronic pancreatitis with a high frequency of severe destructive lesions in the head of the pancreas. Pseudocysts, single, multiple or extrapancreatic were present in almost 50%. Strictures of the Ductus Wirsungianus were found in 24 cases and 50% had multiple pancreatic stones. In these cases 12 partial and 9 total duodenopancreatectomies and 7 distal resections were performed. All patients with distal resections survived. Only one patient died in the group with partial and total duodenopancreatectomy, which accounts for a postoperative letality of 4.8%. Postoperative there were 4 reoccurrences of pancreatitis, due to further alcohol abusus, 1 patient died from alcohol intoxication. Patients with total seemed to do better than with partial pancreatectomy at a survey 18 months after operation.

Alcoholism↗
PubMed1977

[Vascular reconstruction in arterial occlusion of the lower leg (author's transl)].

In 84% of 115 femoro-crural arterial occlusions stage III and IV was present. All operations to revascularisation, including second operations could be performed without lethality. On leaving hospital in 93% the bypass was patent. Two to nine years after the operation in 64% of the venous grafts were good. Only eleven patients have had to subject amputations because of bypass occlusion since reconstruction. Our results prove that the femoro-crural reconstruction in arterial occlusion of the lower leg is superior to lumbar sympathectomy and the conservative treatment.

Adult↗