[1,686 consecutive prostatectomies at 8 national hospitals].
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Biomedical subjects
Publications and source records attributed to F Ueno.
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A rare case of carcinosarcoma of the ureter is reported. Histologically, this neoplasia was an unusual heterologous carcinosarcoma of the ureter. 2 years after the initial total nephroureterectomy, the patient died from recurrence.
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A new method for pelvic arteriography using a disposable elastic vein needle is presented. The technique is carried out by percutaneous transfemoral artery puncture and contrast medium is injected by a power air-driven injector which makes bilateral pelvic arteriography possible. Neither a radioopaque long catheter nor a guide wire are necessary in the present method. No major complications have been observed in a series of 162 cases. The present method is advantageous due to its simplicity and safety compared with ordinary Seldinger's method which is not always free of complications.
To determine the incidence of transient bacteremia associated with laparoscopy, a prospective study was carried out in 113 patients with diverse liver diseases. Blood samples for aerobic and anaerobic cultures were obtained for each patient immediately before laparoscopy, within three minutes after creation of pneumoperitoneum and within three minutes after needle biopsy of the liver. Five subjects were culture positive, and all isolates were of the propionibacterium species. Positive cultures did not correlate with the nature of underlying liver disease, and none of these patients developed clinical evidence of bacterial infection. Positive isolates might be assumed to be contaminants, but the fact propionibacterium has been known to cause endocarditis cannot be ignored. Until further evidence accumulates, antibiotic coverage in "high risk" patients with cardiac lesions who are predisposed to endocarditis undergoing laparoscopy may be warranted.