Publications by authors named "T Keck"
Objective: Splenectomy is regularly performed in total and distal pancreatectomy due to technical reasons, lymph node dissection and radicality of the operation. However, the spleen serves as an important organ for competent immune function, and its removal is associated with an increased incidence of cancer and a worse outcome in some cancer entities (Haematologica 99:392-398, 2014; Dis Colon Rectum 51:213-217, 2008; Dis Esophagus 21:334-339, 2008). The impact of splenectomy in pancreatic cancer is not fully resolved (J Am Coll Surg 188:516-521, 1999; J Surg Oncol 119:784-793, 2019).
View Article and Find Full Text PDFObjective: Ampullary neoplastic lesions can be resected by endoscopic papillectomy (EP) or transduodenal surgical ampullectomy (TSA) while pancreaticoduodenectomy is reserved for more advanced lesions. We present the largest retrospective comparative study analysing EP and TSA.
Design: Of all patients in the database, lesions with prior interventions, benign histology advanced malignancy (T2 and more), patients with hereditary syndromes and those undergoing pancreatoduodenectomy were excluded.
The Impact of Climate Change on the Mental Health of Populations at Disproportionate Risk of Health Impacts and Inequities: A Rapid Scoping Review of Reviews.
Int J Environ Res Public Health
October 2024
Article Synopsis
- The text discusses the growing recognition of climate change's impact on mental health, especially for vulnerable populations such as those in low-income countries, children, and indigenous communities.
- A scoping review of existing research showcases the direct and indirect mental health effects tied to climate events and identifies common mental health issues observed.
- The review emphasizes gaps in current research methods and calls for systematic approaches, including better comparison groups and tailored mental health measurements, while highlighting the need for further studies on indirect effects and specific vulnerable populations.
Objective: The aim of this study was to evaluate the different phases of the learning curve for robotic distal pancreatectomy (RDP) in international expert centers.
Summary Background Data: RDP is an emerging minimally invasive approach; however, only limited, mostly single center data are available on its safe implementation, including the learning curve.
Methods: Consecutive patients undergoing elective RDP from 16 expert centers across three continents were included to assess the learning curve.