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Background: Expression of telomerase activity and stabilization of telomeres are concomitant with attainment of immortality in tumor cells. Telomerase activity levels in hepatocellular carcinoma (HCC) may serve as a predictive marker for recurrence after surgery. Methods: Telomerase activity...
The major complication in the performance of hepatic rectional surgery is hemorrhage. This report describes a novel technique to achieve hepatic parenchymal division. Preliminary use of the ultrasonic dissector results in the fracture of hepatocytes and leaves bridging arteries, veins, and ducts...
Background: Skin incision has been made directly in the breast for treatment of benign breast tumor in spite of the young age of the patient population. Methods: Small incisions (12 mm, 5 mm, and 2 mm) were made in the extramammary line, and the benign tumors (diagnosed by imaging and aspiration...
Background: Macromastia has been considered a contraindication to breast conservation therapy because of difficulties with radiation therapy. This study evaluates the feasibility of bilateral reduction mammoplasty as a component of breast conservation therapy for breast cancer patients with...
Purpose: The purposes of this study were to develop and assess a rating form for selection of surgical residents, determine the criteria most important in selection, determine the reliability of the assessment form and process both within and across sites, and document differences in procedure...
Misfortunes deriving from esophageal anastomotic leaks, perforations, and strictures are surgical problems of major magnitude, especially when a delay in treatment exceeds 12 hours. To this date, there is not unanimity in the approach to these problems. The costs in hospital expense, morbidity,...
Purpose: Critical limb ischemia due to multilevel arterial occlusive disease often may be treated with an inflow procedure alone; however, a subset patients require a subsequent infrainguinal revascularization for persistence of their symptoms. As diabetic patients typically exhibit a pattern of...
Persistent perineal sinus is a common and serious cause of morbidity after proctectomy for Crohn’s disease. Recently we have performed excision and omentoplasty on 6 patients with persistent perineal sinus. The perineal sinus was completely excised and communication was established with the...
Background: Leakage from esophageal anastomoses is higher than that for other gastrointestinal anastomoses. An intrathoracic anastomotic leak is a potentially catastrophic event. Methods: Patients with and without thoracic anastomotic leakage were compared for predisposing factors. Leak-related...
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