Pancreatoduodenectomy is now the most fundamental operation for cancer of the pancreatic head. However, with the conventional operative procedure, the resection rate is low and long-term results are extremely poor. We introduced an extended radical Whipple operation in 1978 to improve surgical curability. Systemic dissection of extended lymph nodes and plexuses and en bloc resection of the port...

The biochemical diagnosis of male hypogonadism remains a controversial issue. The problem is compounded by the variety of laboratory assays available to measure serum testosterone (T) and the limited understanding, among clinicians, of their relative diagnostic validity. It is widely accepted that only the testosterone not bound to sex hormonebounding globulin is metabolically active. Therefore...

E14 WOUNDS www.woundsresearch.com Abstract: xxxxx Abstract: Traumatic spleen rupture is a common abdominal emergency that requires immediate diagnosis and prompt surgical treatment to ensure the patient’s survival. The operative indications of spleenpreserving therapy and the choice of surgical methods directly affect prognosis. Preservation of splenic function is the principle clinical aim, an...

Hyponatremia is a common electrolyte disorder among hospitalized patients and has been associated with increased mortality. Most patients are asymptomatic, but many do present with symptoms, usually of a generalized neurologic nature. Based-on medical history, physical examination (including volume-status assessment), and laboratory tests, patients can be classified as having either hypervolemi...