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| 1 | Outcome of gall bladder polypoidal lesions detected by transabdominal ultrasound scanning: A nine year experience显示文摘AIM: To determine the outcome of polypoidal lesions within the gall bladder (PLG) diagnosed by trans-abdominal scanning.METHODS: A nine-year (1993-2002) retrospective casenote review of all patients who underwent ultrasound scanning after referral to a single Upper GI Surgeon at a District General Hospital was conducted. Patients who were diagnosed with a PLG were included in our study. A database was constructed and patient details, investigations including ultrasound scan (USS) findings, treatment and histology and final diagnosis were recorded. RESULTS: Twenty-three (out of 651) patients were diagnosed pre-operatively by USS to have a polyp-likegall bladder lesion (PLG). Post cholecystectomy histological examination revealed 12 gallstones, 7 cholesterol polyps, 3 adenocarcinomas within polyps and 1 normal gall bladder. The specificity of USS in the diagnosis of PLG was 92.3%. All the true polyps were malignant. Overall USS had 66.66% sensitivity and 100% specificity in the pre-operative suspicion of malignancy. Using size greater than 10 mm as measured on USS as a cut-off, we find 100% sensitivity and 86.95% specificity with a positive predictive value of 50% in the diagnosis of malignancy in PLG.CONCLUSION: A large number of PLG are in fact calculi within diseased gall bladder. In cases of gall bladder polyps more then 10 mm in size on USS further imaging (crosssectional and/or EUS) is indicated prior to surgery. This will help in the optimal management of patients and avoid histological surprises. | D Chattopadhyay R Lochan S Balupuri BR Gopinath KS Wynne | 2005 | World Journal of Gastroenterology2005，11，14： | 23 |
| 2 | Oncological Feasibility of Laparoscopic Distal Pancreatectomy for Adenocarcinoma: A Single-Institution Comparative Study显示文摘 | S. Rehman S. K. P. John R. Lochan B. C. Jaques D. M. Manas R. M. Charnley J. J. French S. A. White | 2014 | World Journal of Surgery2014，，2： | 3 |
| 3 | Management strategies in isolated pancreatic trauma显示文摘 | Lochan R Sen G Barrett AM | 2009 | J Hepatobiliary Pancreat Surg2009，16，2： | 1 |
| 4 | Effects of low level pulsed radio frequency fields on induced osteoporosis in rat bone显示文摘 | Jayanand Behari J Lochan R | | 0，，06： | 1 |
| 5 | Quality of life and func- tional outcome at 3, 6 and 12 months after acute necrotisingpancreatitis显示文摘 | W~ight SE Lochan R Imrie K | 2009 | Intensive Care Med2009，35，11： | 1 |
| 6 | Liver resection for colorectal liver metastasis显示文摘 | Lochan R SA White DM Manas | 2007 | Surg Oncol2007，16，1： | 1 |
| 7 | Effects of low level pulsed radio frequency fields on induced osteoporosis in rat bone显示文摘 | Jayanand Bahari J Lochan R | 2003 | India J Exp Biol2003，41，6： | 1 |
| 8 | Cyclooxygenase-2 polymorphisms and pancreatic cancer susceptibility显示文摘 | Ozhan G Lochan R Leathart JB | 2011 | Pancreas2011，40，8： | 1 |
| 9 | Liver resection for colorectalliver metastasis显示文摘 | Lochan R White SA Manas DM | 2007 | Surg Oncol2007，16，1： | 1 |
| 10 | Liver resection for colorectal liver metastasis 显示文摘 | Lochan R White SA Manas DM | 2007 | Surg Oncol2007，16，1： | 1 |
| 11 | Collision-aware rate adaptation in multi-rate WLANs: Design and implementation显示文摘 | Seongkwan K Lochan V Sunghyun C | 2010 | Computer Networks2010，54，17： | 1 |
| 12 | Liver resection for colorectal liver metastasis显示文摘 | Lochan R White SA Manas DM | 2007 | Surg Onco12007，16，1： | 1 |
| 13 | Management strategies in isolated pancreatic trauma显示文摘 | Lochan R Sen G Barrett AM | 2009 | J Hepatobiliary Pancreat Surg2009，16，2： | 1 |
| 14 | Bile peritonitis due to intra-hepatic bile duct rupture显示文摘Generalized biliary peritonitis is a serious intra-abdominal emergency. Most of them occur due to duodenal ulcer perforation and rapidly evolve into bacterial peritonitis due to contamination by gut organisms and food. In this situation, recognition of the pathology and its treatment is straightforward and is usually associated with a good outcome. There are a few unusual causes of biliary peritonitis, of which rupture of the biliary tree is one.We describe a rare case of biliary peritonitis due to rupture of an intra-hepatic biliary radical. Unusual causes of peritonitis do interrupt our daily routine emergency surgical experience. Rapid recognition of the presence of peritonitis, adequate resuscitation, recognition of operative findings, establishment of biliary anatomy, and performance of a meticulous surgical procedure resulted in a good outcome. | R Lochan BV Joypaul | 2005 | World Journal of Gastroenterology2005，11，42： | 1 |
| 15 | Liver resection for eolorectal liver metastasis显示文摘 | LOCHAN R WHITE S A MANAS D M | 2007 | Surg Oncol2007，16，1： | 1 |
| 16 | Adsorption of Cr (VI) in layered double hydrox-ides 显示文摘 | Rajib Lochan Goswamee Pinaki Sengupta Krishna Gopal Bhat-tacharyya | 1998 | Applied Clay Science1998，13，： | 1 |
| 17 | Methods of Haemostasis During Liver Reseetion-A UK National Survey显示文摘 | Lochan R Ansari I Coates R | 2013 | Dig Surg2013，30，46： | 1 |
| 18 | Separation dynamics of strap-on booster显示文摘 | Raheev Lochan V Adimurthy | 1992 | Jourmal of Guidance Control and Dynam-ics1992，15，1： | 1 |
| 19 | Liver resection for colorectal liver metastasis显示文摘 | R. Lochan S.A. White D.M. Manas | 2007 | Surgical Oncology2007，，1： | 1 |
| 20 | Liver resection for colorectal liver metastasis显示文摘 | Lochan R White SA Manas DM | 2007 | Surg Oncol2007，16，1： | 1 |
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