Publications by authors named "Donzilia Sousa Silva"
Article Synopsis
- The REDISCOVER consensus conference focused on creating guidelines for the perioperative care of patients with borderline-resectable and locally advanced pancreatic ductal adenocarcinoma (PDAC).
- Using a structured methodology and expert consensus, the conference developed 34 recommendations on various aspects of surgical care, patient selection, and management of pancreatic cancer.
- Despite the low evidence quality for most recommendations, participants highlighted the importance of establishing an international registry to enhance understanding and care for this patient group.
Background: Intraductal papillary neoplasm of the bile ducts (IPNB) is a rare disease in Western countries. The aim of this study was to compare tumor characteristics, management strategies, and outcomes between Western and Eastern patients who underwent surgical resection for IPNB.
Methods: A multi-institutional retrospective series of patients with IPNB undergoing surgery between January 2010 and December 2020 was gathered under the auspices of the European-African Hepato-Pancreato-Biliary Association (E-AHPBA), and at Nagoya University Hospital, Japan.
Article Synopsis
- The study investigates surgical methods and outcomes for Intraductal Papillary Neoplasm of the Bile Duct (IPNB) across 28 European centers, highlighting its rarity in Western countries.
- Out of 85 patients analyzed (median age 66), open surgery was more common, and a significant portion achieved the "textbook outcome" (TO) indicating successful surgery without major complications.
- Key findings suggest that factors like patient comorbidities, tumor characteristics, and the type of surgical resection impact overall survival, with achieving TO being a critical factor for better prognosis.
Perivascular epithelioid cell neoplasm (PEComa) is a rare type of tumour, and primary retroperitoneal PEComa is rarer still. Although pulmonary lymphangioleiomyomatosis (LAM), angiomyolipomas and clear cell 'sugar' tumours of the lung are well described, relatively little is known about other members of the PEComa family. We describe a case of an asymptomatic retroperitoneal PEComa, lymphangioleiomyoma type, which appeared in a previously healthy middle-aged woman as an incidental finding, in a CT scan performed in the context of spontaneous pneumothorax.
View Article and Find Full Text PDFIntroduction: Ciliated hepatic foregut cyst (CHFC) is a rare cystic lesion that arises from the embryonic foregut with approximately 100 cases reported. Most commonly identified in segment IV of the liver, CHFC is typically asymptomatic and incidentally found on abdominal imaging. It is important to consider this entity in the differential diagnosis of atypical liver lesions since CHFC carries a risk of transformation into squamous cell carcinoma.
View Article and Find Full Text PDFArticle Synopsis
- * Both simultaneous pancreas-kidney transplantation (SPK) and pancreas transplant alone enhance long-term survival and significantly improve recipients' quality of life, outweighing potential downsides.
- * SPK performed before dialysis offers better outcomes than after dialysis, which adversely affects survival rates, suggesting that kidney grafts should be preferentially allocated to SPK candidates.
Introduction: Duodenum is the second most frequent location for a diverticulum in the digestive tract. Complications are rare and perforation was only reported in less than 200 cases.
Presentation Of Case: A 79-year-old female was admitted to Emergency Department with abdominal pain and vomiting for the last 24h.