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Abstracts

Current ConceptsæManagement of Pancreatic Carcinoma*

Henry A. Pitt, MD

In the United States pancreatic cancer is the 11th most common malignancy, with nine new cases per 100,000 persons per year. However, pancreatic cancer is particularly deadly with approximately 25,000 deaths in the United States annually, making this malignancy the 5th leading cause of cancer death. Pancreatic cancer occurs with increased frequency with advanced age, in males, and in African Americans.

Cigarette smoking is a proven risk factor. Approximately two-thirds of pancreatic cancers arise in the head, neck and uncinate process. As a result, most patients present with obstructive jaundice. Spiral computerized tomography (CT) has become the standard to access the liver for metastases as well as the peripancreatic region for vascular encasement. The role of endoscopic ultrasound and of laparoscopy to further stage patients remains controversial.
Abstracts

"Dome Down" Laparoscopic Cholecystectomy
Glenn L. Sandler, MD

Endoscopic Drainage of Pancreatic Pseudocyst
Gary C. Vitale, MD

Thoracoscopic Splanchnicectomy for Pancreatic Pain
Henry L. Laws, MD


CT Guided Percutaneous Drainage of Infected Acute Necrotizing Pancreatitis
Patrick C. Freeny, MD

Management of Metastatic Carcinoma
T. S. Ravikumar, MD

Management of Liver Trauma
Juan C. Asensio, MD

Management of Benign Liver Tumors
Leslie H. Blumgart, MD, FRCS

Role and Techniques of "Dome-Down" Laparoscopic Cholecystectomy
Glenn L. Sandler, MD

Thoracoscopic Splanchnicectomy for Pancreatic Pain
Henry L. Laws, MD

Current ConceptsæAdequate Pain Management
Young K. Choi, MD

Prevention and Management of Infection Complicating Acute Pancreatitis
Henry L. Laws, MD

Indication for and Timing of ERCP in Biliary Pancreatitis
John Baillie, MB, ChB, FRCP

Timing of Laparoscopic Cholecystectomy After Biliary Pancreatitis
Gary C. Vitale

Magnetic Resonance Angiography
Martin R. Prince, MD, PhD

Pancreatic Imaging
Patrick C. Freeny, MD

Endoscopic Ultrasonography
Charles Noyer, MD

Limited Gastric Resection
Jo Buyske, MD

Current ConceptsæManagement of Pancreatic Carcinoma
Henry A. Pitt, MD


Watchful Waiting in the Management of Inguinal Hernia
Robert J. Fitzgibbons, MD

Treatment of Incisional (Ventral) Hernias: Open Repair
Maximo Deysine, MD, FACP

Treatment of Incisional (Ventral) Hernias: Laparoscopic Repair
Adrian E. Park, MD

Indications for Converting to Open Operation
John G. Hunter, MD

Medicolegal Implications of Common Bile Duct Injury During Laparoscopic Cholecystectomy
Kenneth A. Kern, MD, FACS

Role and Technique of Pylorus Preserving Pacreatectomy
Henry A. Pitt, MD