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General Surgery
D. F. **
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Article
Open AccessImpact of Frailty on Short-Term Outcomes After Laparoscopic and Open Hepatectomy
Although laparoscopic hepatectomy (LH) is associated with improved short-term outcomes compared to open hepatectomy (OH), it is unknown whether frail patients also benefit from LH. The aim of this study was to...
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Article
The effect of end-ischaemic normothermic machine perfusion on donor hepatic artery endothelial integrity
Ex vivo normothermic machine liver perfusion (NMLP) involves artificial cannulation of vessels and generation of flow pressures. This could lead to shear stress–induced endothelial damage, predisposing to vasc...
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Why This Book and Why Now? A Rationale and Systems Impact for Geriatric Trauma and Acute Care Surgery
The geriatric population is increasing. The number of geriatric patients suffering from injury or undergoing emergent surgery is also growing. All of this is occurring without adequate systems in place to meet...
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Robotic-Assisted Pancreaticoduodenectomy (Whipple)
Pancreaticoduodenectomy (PD; Whipple operation) is widely considered to be among the most technically challenging abdominal operations performed. Minimally invasive PD represents a formidable challenge, which ...
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Anatomy and Physiology of the Skin
The human skin is organized into three primary layers: epidermis, dermis, and the subcutaneous fat residing directly beneath them. Most germane to melanoma is the melanocyte, a specialized pigment-producing ce...
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Transanal Approaches: Transanal Minimally Invasive Surgery (TAMIS)
Following the popularization of colorectal cancer screening, the incidence of large rectal polyps and early-stage cancer is increasing [1]. Due to the suboptimal functional outcomes following proctectomy, an a...
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Robotic-Assisted Distal Pancreatectomy
Robotic distal pancreatectomy is a natural evolution of minimally invasive approaches now increasingly used for the most complex oncologic abdominal operations. In this chapter, we review our standardized oper...
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General Evaluation, Risk Management, and Goals of Care
The key drivers of this chapter are the empirical evidence of an ever-growing population of elderly trauma patients and the unmet need for reliable approaches to general evaluation, risk management, and goals ...
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Geriatric Cerebrovascular Injury
The incidence and prevalence of cerebrovascular disease increase with age. Acute care surgeons are sure to encounter this set of diseases when treating the emergently sick and injured in this age group. Cerebr...
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Robotic Low Anterior Resection: Fully Robotic Technique
Several descriptions of the robotic low anterior resection have been reported in the literature. The aim of this chapter is to analyze the indications and the limits of the different fully robotic surgical tec...
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Chapter
Starting and Develo** a Robotic Program
There are several views on how to develop and maintain a successful robotics program. Administration may support a program for marketing purposes or oppose one secondary to costs. Many surgeons support having ...
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Gastrointestinal Bleeding in the Elderly Patient
As with management of gastrointestinal bleeding in younger adults, successful therapy of gastrointestinal hemorrhage in the elderly depends on source identification and source control through directed interven...
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Chapter
Biliary Pain and a Normal Ultrasound
The routine investigation for patients with suspected biliary pain is a trans-abdominal ultrasound scan [1]. Whilst ultrasound is minimally invasive, low cost and easy to perform, their accuracy may be influen...
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Immunobiology of the Melanoma Microenvironment
Melanoma has been a prototype cancer to investigate tumor immunity and development of immunotherapy. The recent analyses on the patients treated with immune checkpoint inhibitors made a great progress of human...
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Traumatic Subarachnoid Hemorrhage
Traumatic subarachnoid hemorrhage (t-SAH) is common across the spectrum of mild moderate and severe traumatic brain injury (TBI).
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Geriatric Thoracic Vascular Injury
Thoracic vascular injuries are highly lethal after both blunt and penetrating trauma, regardless of age. In particular, blunt aortic injury still carries an 85% mortality at the scene. A recent revolution has ...
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Laparoscopic Procedures: Single-Incision Laparoscopic Colorectal Surgery
Laparoscopy was the greatest technological advance in colorectal surgery in the last quarter century. The first laparoscopic colon resection in the United States was performed in 1991. Since that time, the ben...
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The Background of Robotic Surgery
The history of robotic surgery is fascinating and helps us better understand the evolution of our currently available technologies. Like many advances in surgery, its history is rooted in the US military and w...
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Geriatric Vascular Trauma and Vascular emergencies
We review the epidemiology, diagnosis, and management of vascular injuries to the extremities in this chapter. For the purpose of practical learning we define the extremities as upper anything distal to the in...
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Minimally Invasive Techniques for Inflammatory Bowel Disease
Inflammatory bowel diseases are well suited for minimally invasive surgical approaches. Laparoscopic techniques are varied and differ depending on surgeon experience, severity of disease, and other patient cha...
