A pre-operative nomogram for decision making in oncological surgical emergencies.

Background: The purpose of the study was to propose a clinical decision-making tool for predicting mortality in patients undergoing emergency abdominal surgery with a palliative intent in the oncology setting.

Methods: Identification of all emergency surgical procedures performed in a Department of Oncologic Surgery in a Comprehensive Cancer Center between January 2008 and January 2013. Multivariate logistic and Cox regression models were used to identify factors predicitve of mortality at 3 months and survival probabilities.

Spontaneous regression of primary abdominal wall desmoid tumors: more common than previously thought.

Purpose: The relevance of the initial observational approach for desmoid tumors (DTs) remains unclear. We investigated a new conservative management treatment for primary abdominal wall DTs.

Methods: Data were collected from 147 patients between 1993 and 2012.

Conservative en bloc surgery for aggressive angiomyxoma achieves good local control: analysis of 14 patients from a single institution.

Background: The purpose of this study was to assess the value of conservative surgery in aggressive angiomyxoma (AA) in our institutional series.

Method: This was a retrospective review of patients with AA treated at our institution between 1999 and 2010.

Results: Fourteen consecutive patients were analyzed: 8 primary tumors and 6 recurrences.

An alternative pancreatic anastomosis following pancreaticoduodenectomy.

Pancreatic head resection and reconstruction is technically challenging. Eight patients underwent pancreaticoduodenectomy for either ductal adenocarcinoma (n = 7) or neuroendocrine tumor (n = 1) in the head of the pancreas with a dilated pancreatic duct. The pancreatic stump could not be mobilized to form a standard pancreaticogastrostomy or a pancreaticojejunostomy following resection because of a complete fixation to the splenic vein (n = 2), common hepatic artery (n = 1), or mesentery (n = 3) or inadequate length of the pancreatic remnant (n = 2).

Long-term results of two-stage hepatectomy for irresectable colorectal cancer liver metastases.

Objective: To assess feasibility, risks, and long-term outcome of 2-stage hepatectomy as a means to improve resectability of colorectal liver metastases (CLM).

Summary Background Data: Two-stage hepatectomy uses compensatory liver regeneration after a first noncurative hepatectomy to enable a second curative resection.

Methods: Between October 1992 and January 2007, among 262 patients with initially irresectable CLM, 59 patients (23%) were planned for 2-stage hepatectomy.