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This month we bring you a series of articles designed to make you think about ongoing problems and techniques in our surgical armamentarium. The first of these considers whether to stent bilioenteric anastomoses after iatrogenic injury. Dr Miguel Angel Mercado and associates recommended using a stent when nonhealthy (scarred, ischemic) and small ducts (<4 mm) are found.
The second article deals with the value of an extended lymphadenectomy for distal bile duct cancers and prognostic indicators after such procedures. In a significant series (26 patients), Dr Takanori Yoshida and associates achieved a 37% 5-year survival rate (comparable to the best results in current literature) and noted that patients with up to 2 positive lymph nodes and negative resection margins had a more favorable prognosis.
This Month in Archives of Surgery. Arch Surg. 2002;137(1):10. doi:https://doi.org/10.1001/archsurg.137.1.10
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