1,721,175 research outputs found
ASO Author Reflections: Hepatopancreatoduodenectomy: Why, When, and How?
No full textHepatopancreatoduodenectomy: Why, When, and How
Chirurgia della pancreatite acuta. Indicazioni, timing e risultati dell’intervento chirurgico
No full textIs there a place for central pancreatectomy in pancreatic surgery?
No full textTumors located in the neck of the pancreas that are not small and superficial enough to be enucleated are usually resected with a pancreaticoduodenectomy or left splenopancreatectomy. Such operations may cause digestive disorders, glucose intolerance, and late postsplenectomy infection. Central pancreatectomy is a segmental resection whereby the cephalic stump is sutured and the distal stump anastomosed with a Roux-en-Y jejunal loop. The purpose of this study was to evaluate whether central pancreatectomy has a place in pancreatic surgery. Thirteen patients with the following tumors underwent central pancreatectomy: five endocrine tumors, one mucinous and six serous cystadenomas, and one solid cystic-papillary tumor. Mean operative time was 250 minutes. Operative mortality was zero. Complications occurred in three patients (23\%). At mean follow-up of 68 months, no recurrences were found. Postoperative oral glucose tolerance, pancreolauryl, and fecal fat excretion tests were normal in all patients. We believe that central pancreatectomy does have a place in pancreatic surgery; it is a reliable technique for benign or low-grade malignant tumors and has a surgical risk similar to that of standard operations. Its principal advantage is that it preserves pancreatic parenchyma and the anatomy of the upper gastrointestinal and biliary tract and the spleen better than pancreaticoduodenectomy or distal pancreatic and splenic resection. (J Gastrointest Surg 1998;2:509-517.
Comparison of Seven Staging Systems in Cirrhotic Patients with Hepatocellular Carcinoma in a Cohort of Patients who Underwent Radiofrequency Ablation with Complete Response-Response to Dr. Yun Ku Cho
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Surgical Treatment of Hilar and Intrahepatic Cholangiocarcinoma
No full textCholangiocarcinoma is the second most frequent primary neoplasm of the liver and its incidence is increasing in Western countries. These neoplasms arise from the biliary tract and can be categorized according to their anatomical location as intrahepatic and extrahepatic cholangiocarcinomas. Their prognosis is poor and most patients are unfortunately not suitable for curative resection at the time of diagnosis, due to advanced stage of tumor. However, in recent years, improvement in non invasive diagnostic imaging modalities, preoperative optimisation of liver function, a better understanding of liver anatomy and increased safety of liver surgery had gradually improved outcome.This book contains an up-to-date review of diagnostic and staging tools of cholangiocarcinoma, and of long-term outcome of surgery and liver transplantation. It also provides a guide to optimal selection of therapeutic modalities and a detailed description details of surgical techniques and principles for curative and palliative surgery. The volume will appeal to physicians and hepatobiliary surgeons who want to improve their knowledge about surgical management of intrahepatic and hilar cholangiocarcinomas
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