Pancreatic surgery represents one of the most challenging areas in digestive surgery. In recent years, an increasing number of laparoscopic pancreatic procedures have been performed and laparoscopic distal pancreatect...Pancreatic surgery represents one of the most challenging areas in digestive surgery. In recent years, an increasing number of laparoscopic pancreatic procedures have been performed and laparoscopic distal pancreatectomy (LDP) has gained world-wide acceptance because it does not require anastomosis or other reconstruction. To date, English literature reports more than 300 papers focusing on LDP, but only 6% included more than 30 patients. Literature review confirms that LDP is a feasible and safe procedure in patients with benign or low grade malignancies. Decreased blood loss and morbidity, early recovery and shorter hospital stay may be the main advantages. Several concerns still exist for laparoscopic pancreatic adenocarcinoma excision. The individual surgeon determines the technical conduction of LDP, with or without spleen preservation; currently robotic pancreatic surgery has gained diffu- sion. Additional researches are necessary to determine the best technique to improve the procedure results.展开更多
This study aims to demonstrate who the Amazon man is, where he came from, how he used to live and how he lives nowadays. The Amazon scenario in the past, when it was almost untouchable compared with the present situat...This study aims to demonstrate who the Amazon man is, where he came from, how he used to live and how he lives nowadays. The Amazon scenario in the past, when it was almost untouchable compared with the present situation, after the economic, social, political, and environmental challenges. The methodology used was the reading of the books of authors and articles that made possible a better interpretation and development of the present work, through the interweaving of the authors＇ ideas.展开更多
文摘Pancreatic surgery represents one of the most challenging areas in digestive surgery. In recent years, an increasing number of laparoscopic pancreatic procedures have been performed and laparoscopic distal pancreatectomy (LDP) has gained world-wide acceptance because it does not require anastomosis or other reconstruction. To date, English literature reports more than 300 papers focusing on LDP, but only 6% included more than 30 patients. Literature review confirms that LDP is a feasible and safe procedure in patients with benign or low grade malignancies. Decreased blood loss and morbidity, early recovery and shorter hospital stay may be the main advantages. Several concerns still exist for laparoscopic pancreatic adenocarcinoma excision. The individual surgeon determines the technical conduction of LDP, with or without spleen preservation; currently robotic pancreatic surgery has gained diffu- sion. Additional researches are necessary to determine the best technique to improve the procedure results.
文摘This study aims to demonstrate who the Amazon man is, where he came from, how he used to live and how he lives nowadays. The Amazon scenario in the past, when it was almost untouchable compared with the present situation, after the economic, social, political, and environmental challenges. The methodology used was the reading of the books of authors and articles that made possible a better interpretation and development of the present work, through the interweaving of the authors＇ ideas.
