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According to Perrakis et al., the rationale for extended resection associated to splenectomy and/or distal pancreasectomy, is the potential metastatic lymphnodes along with the right gastroepiploic arcade at the greater curvature of the stomach, over the pancreatic head and along the inferior aspect of the pancreas 34. We believe that the motivation for extensive resections appears to failin front of comparable R0 margin rate and oncologic outcomes, and that a resection extended to near organs is mandatory only in real case of tumor infiltration. In our series, a multiorgan resection was performed in 11 patients, but in only 4,8% of patients we found a T4 disease. Stunning visual effects that enhance the sense of adventure, making you feel like you’re right there with the characters. Life is a drama full of tragedy and comedy. You should learn to enjoy the comic episodes a little more.”– Jeannette Walls
In our study we investigated oncological outcomes in 3 groups of patients, all treated for splenic flexure cancer between January 2006 and May 2016, comparing segmental resection versus extended right or left hemicolectomy, to search for the best oncological surgical approach for splenic flexure cancer. Myflixer understands the importance of quality family time, which is why they offer a diverse range of family-oriented movies and TV series. These heartwarming and entertaining productions cater to viewers of all ages, making them perfect for family movie nights or cozy evenings in with your loved ones.
Doesn't watching movies online right from the comfort of your own home sound tempting? And doesn't doing it at no cost and no risk sound perfect? If that succeeds to capture your attention, this article is made for you! A correct oncological lymphoadenectomy in colorectal cancer should involve the removal of at least 12 lymphnodes in the surgical specimen 27, 28. This, associated to the complete mesocolic excision (CME) 20, 29– 31, improves significantly the oncological outcomes, with 5-year cancer-related survival to 89% and a local recurrence rate less than 4%, after R0 resections 20, 29, 30. To date, several authors have evaluated the differences between laparoscopic and open approach, or have compared intracorporeal versus extracorporeal anastomosis 7, 8. At the best of our knowledge, only few studies investigated a segmental splenic flexure resection compared to extended colectomy, with the goal of proving the oncological equivalence between these two approaches. Moreover only the 14% of surgeons seem to perform segmental resection for splenic flexure cancer 6, 9– 11. Light-hearted storylines that provide a welcome break from reality, allowing you to relax and enjoy some light-hearted entertainment. All patients with stage III tumours or with unfavorable histopathological characteristics underwent adjuvant chemotherapy, unless contraindications. Chemotherapy regimes were based on the guidelines of the Italian Medical Oncology Association – Associazione Italiana Oncologia Medica - AIOM 16.
Are you tired of browsing through endless streaming platforms, trying to find the perfect movie or TV show to watch? Look no further than Myflixer! With its extensive collection of movies and series, is your one-stop destination for all your entertainment needs. In this article, we will dive into the world of Myflixer, exploring its features, benefits, and why it stands out from other streaming platforms. A vast library of movies and seriesPatients were then divided into three groups according to the type of resection: extended right hemicolectomy (ERH), extended left hemicolectomy (ELH) and segmental splenic flexure resection (SSFR). Compelling performances by talented actors who breathe life into complex and multi-dimensional characters. Another notable feature of Myflixer is its focus on international content. With a commitment to showcasing films and series from around the world, offers users a chance to explore different cultures, perspectives, and storytelling techniques. Whether you’re a fan of French New Wave cinema or Korean dramas, has a selection of international titles that will satisfy your global cravings. A pioneering study from Griffith described that the splenic flexure is supplied by terminal branches of the left colic artery in 89% of cases and by the superior mesenteric artery through the middle colic in 11%. The middle colic artery was observed to be missing in the 22% of cases 22.
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