Showing papers in "Surgery in 2000"

TL;DR: A simple method of measurement provides an assessment of the liver remnant before resection and is useful in evaluating response to portal vein embolization and in predicating the outcome before extended liver resections.

TL;DR: The ability to alter immunocyte function through extracellular hormonal influences or by manipulating intracellular signaling mechanisms are potential strategies for regulating the inflammatory cytokine response during injury.

TL;DR: In severely burned children, hypermetabolism and catabolism remain exaggerated for at least 9 months after injury, suggesting that therapeutic attempts to manipulate the catabolic and hypermetabolic response to severe injury should be continued long after injury.

TL;DR: The data suggests that students are more likely to be influenced to pursue surgical careers by offering early exposure to positive role models and career and academic opportunities in surgery.

TL;DR: Multivariate analysis indicated that microscopic and macroscopic venous invasion, surgical margin, indocyanine-green retention, and tumor size and number were significant predictors of postresectional survival in HCC patients.

TL;DR: Investigation of immunocyte function and blood levels of hormones, cytokines, and acute phase reactants in 20 patients with stage I gastrointestinal cancer found an increase of lymphocyte subsets that depress cellular immunity coupled with a decrease of the subset that promote it played an important role in the development of immunosuppression.

TL;DR: Multivariate analysis revealed that the independent factors favorable to cancer-free survival (> 5-year survival) were female gender, well-differentiated pathology, uncomplicated cases, colon versus rectal location, and early stage.

TL;DR: Favorable 22% long-term survival can be achieved with metastasectomy in this selected group of patients with isolated hepatic metastases from breast cancer and the role of neoadjuvant high-dose chemotherapy is evaluated.

TL;DR: The risk factors for malignancy were the age of the patient, the coexistence of gallstones, and the size of the polypoid lesions (>10 mm in diameter), and in asymptomatic patients, cholecystectomy can be justified if there are risk Factors for Malignancy.

TL;DR: Liver transplantation from controlled NHBDs results in similar patient survival and post-transplant complications, however, primary nonfunction was higher and allograft survival was less in recipients of livers fromNHBDs.

TL;DR: This is the first reported study on the effectiveness of liver resection for the treatment of mass-forming type cholangiocarcinoma, showing that surgical therapy can prolong survival if local radicality can be achieved and lymph-node metastases are absent.

TL;DR: These data support the policy that all blue nodes and all nodes with 10% or more of the ex vivo count of the hottest SLN should be harvested for optimal nodal staging.

TL;DR: This study indicates that technetium 99m-MIBI parathyroid scintigraphy is a sensitive and specific tool for topographic localization even of smallParathyroid adenomas, especially with the use of SPECT.

TL;DR: The overall morbidity and mortality rate in this series is higher than most recently published series, and more (extended) liver resections resulted in an increased rate of microscopic tumor-free resections, at the cost of higher hospital morbidities and mortality.

TL;DR: Laroscopic ultrasonography followed by laparoscopic removal of the insulinoma in patients with clinically manifested hyperinsulinism is a feasible and safe technique with low morbidity and fast postoperative recovery.

TL;DR: R3PE is more useful than standard right portal vein embolization in preparation for right hepatic trisegmentectomy and has the potential to increase the safety of this high-risk surgery for patients with biliary tract carcinoma.

TL;DR: Improved function is seen after parathyroidectomy when compared with patients who did not undergo operation and supports surgical management of mild primary hyperparathyroidism at the time of diagnosis because many patients have reversible nonclassic symptoms of the disease.

TL;DR: Dietary arginine supplementation enhanced both wound breaking strength and collagen deposition in WT but not iNOS-KO mice, suggesting that the metabolism of arkinine via the NO pathway is one mechanism by which arginines enhances wound healing.

TL;DR: Early use of dynamic helical CT scanning in the multiply injured patient with a pelvic fracture accurately identifies the need for emergent angiographic embolization.

TL;DR: In this series with 55 months of follow-up, HJ repair of LC injuries was associated with an initial 95.2% success rate and an ultimate success rate of 100%.

TL;DR: An aggressive surgical approach is justified for PETs in patients with MEN 1, however, MEN1 gene mutations in exons 3 to 8 seem to be associated with mild behavior of PETs, possibly allowing surveillance in asymptomatic patients.

TL;DR: The RAP score correctly identified trauma patients at increased risk for the development of DVT, and withholding prophylaxis in low-risk patients can reduce hospital charges without risk.

TL;DR: The ABSITE measures knowledge but does not correlate with technical skill or operative performance, and there may be a role for both skill testing and intraoperative assessment in the evaluation of surgical competency.

TL;DR: Extended liver resections with difficult reconstructions of the hepatic venous confluens are feasible by ex situ liver surgery and subsequent autotransplantation, however, the early postoperative mortality rate is high, especially in patients with cholestatic livers.

TL;DR: The best predictors of a poor outcome in patients with FNMTC are the number of family members affected by thyroid cancer and evidence of distant metastasis.

TL;DR: It is shown that gastric cancers with characteristics of vascular invasion have greater intratumoral angiogenesis and that VEGF and p53 overexpression is associated with intratumoran angiogenic and metastases to distant organs.

TL;DR: Compared with patients who received the Lichtenstein patch for ambulatory inguinal hernia repair, patients who underwent the Perfix plug-and-patch operation experienced less postoperative pain in the first 8 days after the operation but consumed similar postoperative analgesic medication.

TL;DR: GPEH should be repaired soon after recognition, and if present, fundoplication should be part of the repair along with the reduction of the hernia, excision of the sac, gastropexy, and crural closure.