Journal of the American College of Surgeons
The most recent articles from:
J. Am. Coll. Surg.
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Comment Letter
Unilateral vs bilateral parathyroidectomy: a healthy debate.
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Biography Historical Article
A lesson on maturing in surgery from Dr DeBakey.
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Patients identified at surgical exploration with unresectable pancreatic ductal adenocarcinoma receive palliative, noncurative therapy. We hypothesized that accurate radiographic restaging, multimodality treatment, and advanced surgical technique can offer patients deemed unresectable at previous exploration the possibility for curative salvage pancreatectomy. ⋯ In this very selected cohort of high-risk patients, the majority had anatomically resectable tumors on restaging. Accurate radiographic restaging, a multimodality treatment strategy, and advanced surgical techniques can provide an opportunity for cure in a substantial proportion of select patients who were deemed unresectable at exploration.