Intraoperative radiotherapy with the Intrabeam device for the treatment of resectable pancreatic adenocarcinoma.

Introduction: The application of intraoperative radiation therapy to the tumor bed after resection of pancreatic cancer has been shown to be beneficial in the local control of the disease. The objective of this study was to evaluate the preliminary outcomes after the application of a single intraoperative dose to the tumor bed with a new intraoperative radiotherapy device (Intrabeam) in terms of viability, safety and short-term results.

Methods: We studied 5 patients who underwent pancreaticoduodenectomy for resectable pancreatic cancer in which a radiotherapy boost (5Gy) was intraoperatively applied to the tumoral bed using the portable Intrabeam device, a low-energy point-source X-ray.

[Predictive factors of massive intestinal necrosis in acute mesenteric ischemia].

Introduction: Suspicion of intestinal necrosis in patients with mesenteric ischemia is mandatory in surgery. Many patients develop massive necrosis after open surgery. However, in some frail, elderly patients, preoperative prediction of massive intestinal necrosis could avoid an unnecessary laparotomy.

Analysis of the factors related to the decision of restoring intestinal continuity after Hartmann's procedure.

Background And Aims: Hartmann's operation is widely used for the surgical treatment of complicated left colonic disease. However, many patients never undergo reanastomosis. This study analyzes the factors related to the decision of restoring intestinal continuity.