Pancreatic cancer is the fourth leading cause of cancer-related death in the United States and one of the leading causes of cancer mortality in the United States. Due to its aggressive behavior and lack of effective therapies, palliation plays a critical role in the management of the disease. Most patients with pancreatic cancer suffer from severe pain, which adversely predicts prognosis and si...

background: primary pancreatic lymphoma (ppl) is a rare condition and its differentiation from most commonly adenocarcinoma is very important because of different prognosis and treatment strategies. the aim of this study was presenting different aspects for differentiating ppl from pancreatic adenocarcinoma. materials andmethods: during 14 months, 5 patients who underwent endoscopic ultrasonogr...

OBJECTIVE The objective of the current study was to evaluate the feasibility and safety of nonintubated uniportal video-assisted thoracoscopic surgery (VATS) for the management of primary spontaneous pneumothorax (PSP). METHODS From November 2011 to June 2013, 32 consecutive patients with PSP were treated by nonintubated uniportal thoracoscopic bullectomy using epidural anaesthesia and sedati...

We performed thoracoscopic wedge resections of blebs with a stapling device under local anesthesia with sedation in 34 consecutive patients who presented with spontaneous pneumothoraces. The indications for surgery included the absence of parietal pleural adhesions and knowledge of the precise bleb location prior to the procedure. Prior to surgery, 0.5% lidocaine was administered into the pleur...

BACKGROUND Pleural abrasion has been widely used to control the recurrence of primary spontaneous pneumothorax (PSP). However, controversy still exists regarding the advantages and disadvantages of pleural abrasion compared with other interventions in preventing the recurrence of PSP. METHODS The PubMed, Embase, and Cochrane Central Register of Controlled Trials databases were searched up to ...

primary pancreatic leiomyosarcomas are rare malignant neoplasms with an aggressive course and a large size. a 56-year-old woman presented with an 8-year history of abdominal pain. multislice computed tomography revealed a large heterogeneous mass with necrotic, calcified and macroscopic fatty areas. the tumor was excised. histopathological evaluation revealed leiomyosarcoma of the pancreas. if ...

mucoepidermoid carcinoma of the pancreas is rare. here, a 63-year-old woman with left upper abdominal pain and abdominal distension is presented. her mucoepidermoid carcinoma was located at the left upper abdomen, arising from the pancreatic body and tail without invasion of pancreatic capsule. on pathologic examination, the tumor consisted of three types of cells, the majority being poorly dif...

intraductal papillary mucinous neoplasms (ipmns) are rare pancreatic tumours, accounting for less of 1-2% of all neoplasms of the gland. main characteristics of ipmns are their favourable prognosis as these pre-malignant or frankly malignant lesions are usually slow-growing tumours and radical surgery is frequently possible. according with the localization of the lesions, three different entiti...

OBJECTIVE Traditionally vascular rings in infants and children are treated through an open thoracotomy. Recently, thoracoscopic surgery has been used for these complex procedures. This study reports our early experience with thoracoscopic division of vascular rings and evaluates the efficacy and safety of this approach. MATERIAL AND METHODS Patients who underwent thoracoscopic division of vas...

Topic: Is minimal access surgery of esophageal atresia with tracheoesophageal fistula by thoracotomy better than conventional thoracotomy? A multi-institutional review of literature. Objective: Minimal access surgical technique has been one of the most important surgical advances in the last few decades; we have reached now in such era that complex neonate surgical issue can be addressed safely...