Download e-book for kindle: Difficult Decisions in Hepatobiliary and Pancreatic Surgery: by J. Michael Millis, Jeffrey B. Matthews

By J. Michael Millis, Jeffrey B. Matthews

This ebook is a part of a chain masking surgical specialties. The volumes are multi-authored, containing short chapters, every one of that are dedicated to one or particular questions or judgements inside that forte which are tough or debatable. The volumes are meant as a present and well timed reference resource for training surgeons, surgeons in education, and educators that describe the prompt perfect technique, instead of typical care, in chosen scientific situations.

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2002;359(9300):57–61. 1016/S0140-6736(02)07283-5. 8. Grimes DA, Schulz KF. Bias and causal associations in observational research. Lancet. 2002;359(9302):248–52. 1016/S0140-6736(02)07451-2. 9. Guyatt GH, Oxman AD, Kunz R, Vist GE, Falck-Ytter Y, Schünemann HJ, GRADE Working Group. What is “quality of evidence” and why is it important to clinicians? BMJ (Clin Res Ed). 2008;336(7651):995–8. BE. 10. Haynes RB. Optimal search strategies for retrieving scientifically strong studies of treatment from Medline: analytical survey.

The mean follow up for this group was 39 months. Of the conservative arm (non operative) a mean follow up of 45 months showed no mortality or coagulation, although there’s no mention on growth or increased pain in the follow up [18]. In a retrospective cohort at the University of Miami including benign and solid tumors of the liver seen over 14 years a total of 130 cases where treated, 55 % were hemangiomas (71 patients). Surgical excision was performed in 49 %. The morbidity was 5 %. No rupture or progression of symptoms was observed in the asymptomatic group, although the follow up details are not specified in the study they concluded that resection in asymptomatic patients is not justified no matter the size [3].

Br J Surg. 2002;89:1240. 20. Yoon SS, Charny CK, Fong Y, et al. Diagnosis, management, and outcomes of 115 patients with hepatic hemangioma. J Am Coll Surg. 2003;197:392. 21. Charny CK, Jarnagin WR, Schwartz LH, et al. Management of 155 patients with benign liver tumours. Br J Surg. 2001;88:808. 22. Mezhir JJ, Fourman LT, Do RK, et al. Changes in the management of benign liver tumours: an analysis of 285 patients. HPB. 2013;15:156. 23. Weimann A, Ringe B, Klempnauer J, et al. Benign liver tumors: differential diagnosis and indications for surgery.

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