A5033495723- Pancreatic and Hepatic Oncology Research
- Cholangiocarcinoma and Gallbladder Cancer Studies
- Pancreatitis Pathology and Treatment
- Hernia repair and management
- Gallbladder and Bile Duct Disorders
- Neuroendocrine Tumor Research Advances
- Pelvic and Acetabular Injuries
- Pancreatic function and diabetes
- Hepatocellular Carcinoma Treatment and Prognosis
- Gastrointestinal Tumor Research and Treatment
- Surgical site infection prevention
- Intestinal and Peritoneal Adhesions
- Pediatric Hepatobiliary Diseases and Treatments
- Gastric Cancer Management and Outcomes
- Advances in Oncology and Radiotherapy
- Head and Neck Anomalies
- Global Cancer Incidence and Screening
- Hip and Femur Fractures
- Peptidase Inhibition and Analysis
- Organ Transplantation Techniques and Outcomes
- Advanced Radiotherapy Techniques
- Abdominal Surgery and Complications
- Paleopathology and ancient diseases
- Autopsy Techniques and Outcomes
- Soft tissue tumor case studies
Cleveland Clinic
2016-2025
Barro Colorado Island
2024
Allegheny Health Network
2020
University of Cincinnati
2020
Vanderbilt University Medical Center
2019
Neurological Surgery
2016
Objective: To quantify the rate of progression in surveilled cysts and assess what factors should indicate delayed resection. Background: Side-branch intraductal papillary mucinous neoplasms (SB-IPMNs) are increasingly discovered, making it challenging to identify which patients require resection, thus avoiding inappropriate treatment. Most incidental lesions surveyed, yet consequences that decision remain uncertain. Methods: A prospectively maintained database pancreatic cystic was queried...
ABSTRACT Introduction Pancreatic ductal adenocarcinoma (PDAC) of the body/tail is notably different than PDAC in head pancreas. Surgery plus chemotherapy known to improve outcomes for all PDAC. The sequence this therapy well studied cancers yet has never been evaluated systematically relation distal pancreatectomy (DP). Methods Patients receiving DP and who received were included. compared neoadjuvant systemic (NAST) only, adjuvant (AST) both NAST + AST, total (TNT), defined as > 24 weeks...
OBJECTIVE In 2009, Santoni and colleagues described a novel technique of posterior instrumentation; the cortical bone trajectory (CBT) was as caudocephalad medial-to-lateral trajectory. Reported indications for CBT fixation include patients with osteoporosis, single-level degenerative disease, or adjacent-segment disease (ASD). cases revision surgery, it is technically possible beneficial to place traditional pedicle screw at same spinal level side. It remains unclear feasibility placing...
Branch-duct intraductal papillary mucinous neoplasms (BD-IPMNs) are becoming more prevalent with advanced medical imaging and account for most of pancreatic cystic (PCNs). Most incidental lesions should be surveyed, resection reserved specific, high-risk cases. Solid organ transplantation candidates may high risk before transplant will require systemic immunosuppression after transplant, which has been theorized to alter the natural history IPMN. We aimed describe progression in surveilled...
The COVID-19 pandemic required rapid adaptation of multidisciplinary tumor board conferences to a virtual setting; however, there are little data describing the benefits and challenges using such platform.An anonymous quality improvement survey was sent participants meetings at large academic institution. Participants answered questions pertaining relative strengths weaknesses in-person settings.A total 335 responses (23.3% response rate) were recorded, 253 met inclusion criteria....
Abstract Background Chemotherapy for pancreatic adenocarcinoma (PDAC) has significantly improved in recent years. While the involvement of hepatic artery lymph node (HALN; station 8a node) likely represents advanced disease, a comparison to patients with metastases on modern chemotherapy is lacking. Methods Patients who underwent pancreatoduodenectomy HALN sent pathologic review at single institution from 2003 2018 were reviewed. presented liver‐only time PDAC diagnosis (Stage IV) and...
Background Gallbladder cancer (GBC) is the most common biliary tract malignancy and has a poor prognosis. The clinical significance of focal vs diffuse GBC remains unclear. Methods A retrospective review was conducted on all patients with non-metastatic at quaternary care center. Pathology reviewed, gallbladder pattern defined based extent mucosal involvement; “diffuse” if tumor multicentric or “focal” only in single location. Patients undergoing liver resection portal lymphadenectomy were...
Serous cystic neoplasms (SCN) are benign pancreatic that may require resection based on local complications and rate of growth. We aimed to develop a predictive model for the growth curve SCNs aid in clinical decision making determining need surgical resection. Utilizing prospectively maintained cyst database from single institution, patients with were identified. Diagnosis confirmation included imaging, aspiration, pathology, or expert opinion. Cyst size diameter was measured by radiology...
Five-year survival in pancreatic adenocarcinoma is less than 20%. While previous studies have postulated that a carbohydrate antigen 19-9 (CA19-9) threshold could predict outcome of resection, the role for CA19-9 decision-making remains unclear. This study aims to assess whether levels combined with tumor size improve prediction post-resection survival.
Abstract Introduction Colorectal cancer liver metastasis (CRLM) occurs in upto 50% of cases and drives patient outcomes. Up‐front resection is the treatment choice resectable cases. There no consensus yet established as to safety intraoperative autotransfusion for CRLM. Methods Patients undergoing curative‐intent hepatectomy CRLM at a single quaternary‐care institution from 1999 2016 were included. Demographics, surgical variables, Fong Clinical Risk Score (FCRS), use auto and/or...