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HYPOTHESIS Intraductal papillary mucinous neoplasm (IPMN) is an increasingly recognized disease of the pancreas. We report our experience with pancreatic resection for IPMN. DESIGN Retrospective review from 1992 through 2005 with additional independent histopathologic confirmation. SETTING Mayo Clinic Rochester, a tertiary care center. PATIENTS All(More)
Preamble This guideline has been approved by the American Association for the Study of Liver Diseases and represents the position of the Association. These recommendations provide a data-supported approach. They are based on the following: (1) formal review and analysis of the recently-published world literature on the topic (Medline search); (2) American(More)
In a 20-year period, 223 patients (median age, 64.8 years) with myelofibrosis with myeloid metaplasia (MMM) had therapeutic splenectomy at our institution. Primary indications for surgery were transfusion-dependent anemia (45.3%), symptomatic splenomegaly (39. 0%), portal hypertension (10.8%), and severe thrombocytopenia (4.9%). Operative mortality and(More)
  • F G Bakaeen, M M Murr, +8 authors J H Donohue
  • 2000
HYPOTHESIS Survival of patients with adenocarcinoma of the duodenum depends on the ability to perform a complete resection and the tumor stage DESIGN Retrospective case series. SETTING Tertiary care referral center. PATIENTS A cohort of 101 consecutive patients (mean age, 62 years), undergoing surgery for duodenal adenocarcinoma from January 1, 1976,(More)
PURPOSE Prior trials have shown that surgery followed by hepatic artery infusion (HAI) of floxuridine (FUDR) alternating with systemic fluorouracil improves survival rates. Oxaliplatin combined with capecitabine has demonstrated activity in advanced colorectal cancer. Based on this observation a trial was conducted to assess the potential benefit of(More)
HYPOTHESIS Laparoscopic distal pancreatectomy (LDP) provides outcome advantages compared with open distal pancreatectomy (ODP). DESIGN Single-institutional, retrospective review from January 1, 2004, to May 1, 2009. SETTING Tertiary referral center. PATIENTS Patients undergoing LDP (n = 100) were matched by age, pathologic diagnosis, and pancreatic(More)
Key Words: Hepatocellular carcinoma–Liver resection—Patients selection—Portal vein embo-lization—Chemoembolization—Intraoperative ultrasonography—Radiofrequency ablation. Among the potentially curative treatment options for hepatocellular carcinoma (HCC), liver resection is widely considered the mainstay of curative therapy. An important aspect of the(More)
Intrahepatic arterioportal fistulas (APF) are uncommon complications following hepatic trauma. Large fistulas can result in portal hypertension and cardiovascular compromise. A 46-year-old patient is described who presented with portal hypertension, variceal bleeding, and high output cardiac failure due to a large intrahepatic APF. Surgical closure of the(More)
Objective: To investigate clinical experience with the apparent malignant transformation of benign liver cell adenomas. Design: Retrospective review of personal experience and literature. Setting: University hospital and affiliated community hospitals. Patients: All patients diagnosed with liver cell adenomas over a 30-year period. Interventions: Liver(More)
Intrahepatic cholangiocarcinoma (ICC) is the second most common primary tumor of the liver. To further define its clinicopathology and surgical management, we reviewed our experience. Clinical presentations of 32 patients with ICC was similar to that with hepatocellular carcinoma. Jaundice occurred in only 27 percent. ICC was unresectable due to advanced(More)