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  1. Article ; Online: Adjuvant Radiotherapy for Surgically Resected Stage III Merkel Cell Carcinoma.

    Pairawan, Seyed Saeed / Dominguez, Chloe E / Solomon, Naveenraj / Caba-Molina, David / O'Leary, Michael / Reeves, Mark E / Namm, Jukes P

    JAMA surgery

    2024  Volume 159, Issue 3, Page(s) 347–349

    MeSH term(s) Humans ; Carcinoma, Merkel Cell/pathology ; Carcinoma, Merkel Cell/radiotherapy ; Radiotherapy, Adjuvant ; Skin Neoplasms/pathology ; Disease-Free Survival ; Neoplasm Staging ; Retrospective Studies
    Language English
    Publishing date 2024-01-17
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2701841-6
    ISSN 2168-6262 ; 2168-6254
    ISSN (online) 2168-6262
    ISSN 2168-6254
    DOI 10.1001/jamasurg.2023.7016
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Uk I Zs.72: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

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  2. Article ; Online: Trends in Robotic Pancreaticoduodenectomy and Distal Pancreatectomy.

    Caba Molina, David / Lambreton, Fernando / Arrangoiz Majul, Rodrigo

    Journal of laparoendoscopic & advanced surgical techniques. Part A

    2018  Volume 29, Issue 2, Page(s) 147–151

    Abstract: Background: Pancreatic surgery remains a challenge even to the most experienced surgeons. Despite significant advances in the field, morbidity and mortality continue to have elevated rates even in specialized, high-volume centers. The rise of ... ...

    Abstract Background: Pancreatic surgery remains a challenge even to the most experienced surgeons. Despite significant advances in the field, morbidity and mortality continue to have elevated rates even in specialized, high-volume centers. The rise of laparoscopy in the past decades has improved outcomes for patients, but remains unused due to the technical complexities involved.
    Methods: A literature search was performed using PubMed and Google Scholar databases. Key words used in the search include: "robotic surgery," "robotic pancreas surgery," "pancreas surgery," "minimally invasive pancreas surgery," "robotic pancreaticoduodenectomy," and "robotic distal pancreatectomy." The studies included in our review were summarized in a patient intervention comparison and outcome table.
    Results: The use of a robotic platform has emerged to counteract the more challenging aspects of laparoscopic pancreatic surgery, but incurs a high cost. Data, however, show a trend toward ever improving outcomes such as operative time, estimated blood loss, and length of stay, while still offering the benefits of minimally invasive surgery.
    Conclusion: There is no question that the use of robots in surgery will continue to expand, and with this, appropriate measures must be taken to ensure patient safety in the form of standardized education and certification for the future generation of surgeons considering robotic surgery. As robotic pancreatic surgery grows, encouraging data have emerged-as surgeons become more skilled and programs gain experience, patients are being benefited by this expanding technology. Larger, prospective cohorts will also provide more definitive evidence of the benefits of robotic surgery.
    MeSH term(s) Blood Loss, Surgical ; Clinical Competence ; Humans ; Laparoscopy/adverse effects ; Laparoscopy/methods ; Length of Stay ; Operative Time ; Pancreatectomy/methods ; Pancreaticoduodenectomy/methods ; Robotic Surgical Procedures/economics ; Robotic Surgical Procedures/education ; Robotic Surgical Procedures/trends
    Language English
    Publishing date 2018-09-14
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1381909-4
    ISSN 1557-9034 ; 1092-6429
    ISSN (online) 1557-9034
    ISSN 1092-6429
    DOI 10.1089/lap.2018.0421
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 3246: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  3. Article ; Online: Spanish-Speaking Status: A Protective Factor in Colorectal Cancer Presentation at a Safety-Net Hospital.

    Silva, Trevor S / Singh, Anika / Sinjali, Kiran / Gochi, Andrea / Allison-Aipa, Timothy / Luca, Fabrizio / Plasencia, Alexis / Lum, Sharon / Solomon, Naveen / Caba Molina, David

    The Journal of surgical research

    2022  Volume 280, Page(s) 404–410

    Abstract: Introduction: Lower screening rates and poorer outcomes for colorectal cancer have been associated with Hispanic ethnicity and Spanish-speaking status, respectively.: Methods: We reviewed sequential colorectal cancer patients evaluated by the ... ...

    Abstract Introduction: Lower screening rates and poorer outcomes for colorectal cancer have been associated with Hispanic ethnicity and Spanish-speaking status, respectively.
    Methods: We reviewed sequential colorectal cancer patients evaluated by the surgical service at a safety-net hospital (SNH) (2016-2019). Insurance type, stage, cancer type, surgery class (elective/urgent), initial surgeon contact setting (outpatient clinic/inpatient consult), operation (resection/diversion), and follow-up were compared by patient-reported primary spoken language.
    Results: Of 157 patients, 85 (54.1%) were men, 91 (58.0%) had colon cancer, 67 (42.7%) primarily spoke Spanish, and late stage (III or IV) presentations occurred in 83 (52.9%) patients. The median age was 58 y, cancer resection was completed in 48 (30.6%) patients, and 51 (32.5%) patients were initially seen as inpatient consults. On univariate analysis, Spanish-speaking status was significantly associated with female sex, Medicaid insurance, being seen as an outpatient consult, and undergoing elective and resection surgery. On multivariable logistic regression, Spanish-speaking patients had higher odds of having Medicaid insurance (AOR 2.28, P = 0.019), receiving a resection (AOR 3.96, P = 0.006), and undergoing an elective surgery (AOR 3.24, P = 0.025). Spanish-speaking patients also had lower odds of undergoing an initial inpatient consult (AOR 0.34, P = 0.046).
    Conclusions: Spanish-speaking status was associated with a lower likelihood of emergent presentation and need for palliative surgery among SNH colorectal cancer patients. Further research is needed to determine if culturally competent infrastructure in the SNH setting translates into Spanish-speaking status as a potentially protective factor.
    MeSH term(s) Humans ; Male ; United States ; Female ; Middle Aged ; Language ; Safety-net Providers ; Protective Factors ; Hispanic or Latino ; Colorectal Neoplasms/diagnosis ; Colorectal Neoplasms/surgery
    Language English
    Publishing date 2022-08-27
    Publishing country United States
    Document type Review ; Journal Article
    ZDB-ID 80170-7
    ISSN 1095-8673 ; 0022-4804
    ISSN (online) 1095-8673
    ISSN 0022-4804
    DOI 10.1016/j.jss.2022.06.060
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 178: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  4. Article: Laparoscopic resection of gastric schwannoma: A case report.

    Cordera, Fernando / Salazar-Vitale, Andrea / Mejía-Sánchez, Estephany / Arrangoiz, Rodrigo / Caba-Molina, David / Muñoz-Juárez, Manuel / Luque-de-León, Enrique / Moreno-Paquentín, Eduardo

    International journal of surgery case reports

    2019  Volume 65, Page(s) 271–274

    Abstract: Introduction: Gastric schwannomas are an extremely rare presentation of mesenchymal tumors originating from Schwann cells, accounting for 0.2% of all gastric tumors. Patients are usually asymptomatic, so these tumors are frequently detected incidentally. ...

    Abstract Introduction: Gastric schwannomas are an extremely rare presentation of mesenchymal tumors originating from Schwann cells, accounting for 0.2% of all gastric tumors. Patients are usually asymptomatic, so these tumors are frequently detected incidentally.
    Presentation of case: 68-year old male patient found to have a 5 cm mass in the lesser curvature of the stomach. After a careful preoperative evaluation, complete laparoscopic resection was performed. Pathology review confirmed a completely resected gastric Schwannoma. The patient's recovery was uneventful. At a one-year follow-up he remains asymptomatic and with no evidence of disease.
    Discussion: We present the uncommon case of a gastric schwannoma that was appropriately treated with a laparoscopic approach and present a current literature review focusing on diagnostic and treatment methods of these rare tumors.
    Conclusion: Schwannomas should be included in the differential diagnosis of gastric tumors and can be appropriately treated with a laparoscopic approach.
    Language English
    Publishing date 2019-10-25
    Publishing country Netherlands
    Document type Journal Article
    ISSN 2210-2612
    ISSN 2210-2612
    DOI 10.1016/j.ijscr.2019.10.037
    Database MEDical Literature Analysis and Retrieval System OnLINE

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