Titlebook: Difficult Decisions in Hepatobiliary and Pancreatic Surgery; An Evidence-Based Ap J. Michael Millis,Jeffrey B. Matthews Book 2016 The Edito

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https://doi.org/10.1007/978-3-662-61808-0 when an operation is needed. These include hemodynamic instability, continued bleeding, peritonitis, and other abdominal injuries requiring operation. Operative management involves a graded response to the injury. Selected angioembolization can be a useful adjunct to both operative and non-operative approach to hepatic trauma.

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Finding and Appraising the Evidence: EBM and GRADE,p the body evidence will be discussed. A more detailed treatment of the GRADE system to make explicit the decisions on the quality of evidence and the nature of recommendations for interventions will be provided.

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When Should You Operate on Major Hepatic Trauma?, when an operation is needed. These include hemodynamic instability, continued bleeding, peritonitis, and other abdominal injuries requiring operation. Operative management involves a graded response to the injury. Selected angioembolization can be a useful adjunct to both operative and non-operative approach to hepatic trauma.

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https://doi.org/10.1007/978-3-322-86184-9may play a great role for the final decision. Our results showed that not all the patients with small HCC are applicable for RFA treatment, so as to say, resection may be more beneficial for patients with the nonboundary type of small HCC.

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Rechtliche Fragen im Praxisalltag,tion). There is a growing body of evidence from both retrospective reviews of large clinical databases and prospective randomized controlled trials to recommend early laparoscopic cholecystectomy (ELC) over delayed laparoscopic cholecystectomy (DLC).

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Schutzbedürftigkeit des Patientenval. Current evidence suggests that in well-selected patients, the long-term oncologic outcomes achieved with laparoscopic liver resection are equivalent to those obtained with open liver resection. To date, there are no published randomized trials comparing laparoscopic to open liver resection, although two trials are ongoing.

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What Is the Best Surgical Method of Addressing Hepatic Hemangiomas?, formal hepatectomies to selected enucleation with improvement in outcomes regardless of the size of the lesion. Minimal invasive techniques have similar results as open surgery in appropriately selected patients with no difference in morbidity and mortality.