Annals of surgery
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Review Case Reports
Liver transplantation for metastatic neuroendocrine tumors.
This article describes the experience with liver transplantation in patients with irresectable neuroendocrine hepatic metastases. ⋯ In selected patients, liver transplantation for irresectable neuroendocrine hepatic metastases may provide not only long-term palliation but even cure. Regarding the shortage of donor organs, liver grafting for neuroendocrine metastases should be considered solely in patients without evidence of extrahepatic tumor manifestation and in whom all other treatment methods are no longer effective.
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The authors present an accurate and comprehensive snapshot of appendicitis and the practice of appendectomy in the 1990s. ⋯ Despite a marked decline in associated mortality over the past 50 years, rates of perforation and negative appendectomy remain unchanged because they are influenced strongly by factors untouched by the intervening technologic advances.
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Comment Letter Clinical Trial
Ambulatory surgical management of breast carcinoma using a paravertebral block.
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The manometric effects of a 6-cm cricopharyngeal myotomy are recorded while the operation is being performed from cervical esophagus to the cricopharyngeus and then to the hypopharynx. ⋯ Extension of the cricopharyngeal myotomy over hypopharyngeal musculature produces a more significant decrease of UES resting pressure.