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Hepatobiliary Pancreat Dis Int ; 16 2 :Apr. Increasing evidence showed that a periadventiceal dissection of the SMA with early transection of the inflow during pancreaticoduodenectomy associates better early perioperative rectal cancer obstruction, and setup the scene for long-term oncological benefits. The objectives of the current study are to compare the operative results and long-term oncological outcomes of SMA first approach pancreaticoduodenectomy SMA-PD with standard pancreaticoduodenectomy S-PD. The SMA-PD was associated with less intraoperative bleeding, less blood transfusions and higher rate of associated venous resections.

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Distribuie pe: DESCRIERE This fourth edition of Surgery of the Anus, Rectum and Colon continues to redefine the field, with its comprehensive coverage of common and rare colorectal conditions, advances in the molecular biology and genetics of colorectal diseases, and new laparoscopic techniques. Contributions from international experts on specialized topics and various new illustrations ensure that the extensive text is not only current and authoritative, but easy to understand.

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Articole de sintez Jurnalul de Chirurgie, Iai,Vol. Ocazional, intenia curativ poate fi deliberat compromis, fie datorit comorbiditilor asociate, prea severe pentru a permite o rezecie standard n deplin siguran, fie datorit refuzului pacientului de a accepta protocolul standard cu intenie rectal cancer obstruction. Chirurgia rmne principala modalitate de tratament n cancerul rectal, dei asistm la o extindere a rolul radioterapiei, chimioterapiei i a noilor ageni biologici I.

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Эти законы могут быть выражены дифференциальными уравнениями, зависящими от времени. Если точно знать начальное состояние всей системы в заданный момент и точные уравнения, описывающие законы природы, теоретически мы можем предсказать все последствия. Конечно, люди не способны на это, ведь наши познания всегда ограничены, а статистика всегда сводит к минимуму применимость наших критериев.

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