Safety and outcomes following resection of colorectal liver metastases in the era of current perioperative chemotherapy.

Background: Preoperative chemotherapy is increasingly utilized in the treatment of colorectal liver metastases (CRLM). Although this strategy may improve resectability, long-term advantages of preoperative chemotherapy for resectable CRLM are less clear. The objective of this study is to report safety and outcomes when perioperative chemotherapy is routinely added to surgery for CRLM.

Surgical portosystemic shunts in the era of TIPS and liver transplantation are still relevant.

Background: The surgical portosystemic shunts (PSS) are a time-proven modality for treating portal hypertension. Recently, in the era of liver transplantation and the transjugular intrahepatic portosystemic shunts (TIPS), use of the PSS has declined.

Objectives: This study was conducted to evaluate changes in practice, referral patterns, and short- and longterm outcomes of the use of the surgical PSS before and after the introduction of the Model for End-stage Liver Disease (MELD).

The computerized synoptic operative report: a novel tool in surgical residency education.

Hypothesis: As opposed to the traditional dictated report, the use of a computer-based synoptic operative report will mandate that the surgical resident have a better understanding of all facets of the procedure.

Design: A prospective study over a 10-month period.

Setting: A 636-bed community teaching hospital.

Carotid stenting: a surgeon's perspective.

Background: Recent multicenter studies have determined that the results of carotid stenting (CAS) are comparable to those of endarterectomy. Because most of these trials were performed in academic centers, it will be necessary to determine whether similar results can be obtained in community settings. This study reviewed the results of a single surgeon's experience with CAS performed in a university-affiliated community hospital.

Clinical outcomes and implications of failed infrainguinal endovascular stents.

Objective: While the influence of initial TransAtlantic InterSociety Consensus (TASC) II classification has been clearly shown to influence the primary patency of infrainguinal stenting procedures, its effect on outcomes once stent failure has occurred is less well documented. It is the objective of this paper to determine whether clinical outcomes and implications of anatomic stent failure vary according to initial TASC II classification.

Methods: Results were analyzed by TASC II classification.

Baroreceptor failure syndrome after bilateral carotid body tumor surgery.

A 41-year-old healthy man was diagnosed with bilateral carotid body tumors. The patient had a staged surgical removal of the tumors approximately 8 months apart. Postoperative recovery was uneventful after removal of the first and largest tumor; however, after removal of the second tumor, the patient developed tachycardia and hypertension.