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Robotic distal pancreatectomy has become an established approach for the management of pancreatic body and tail lesions, offering enhanced dexterity, improved visualization, and refined dissection around critical vascular structures. A 55-year-old man with hypertension, a history of smoking, and chronic alcohol abuse presented with progressive upper abdominal pain and postprandial bloating. MRI and CT identifie...
The treatment of locally advanced rectal adenocarcinoma is based on a multimodal approach, including total mesorectal excision1. Robotic surgery provides a three-dimensional visualization, a stable image, and greater precision in pelvic dissection, allowing better control over critical structures2. The use of indocyanine green fluorescence enables real-time assessment of anastomotic perfusion, enhancing anastom...
Introduction: Breast cancer biological subtype has an important impact in the definition of the treatment strategy and the prognosis. However, the influence of neoadjuvant chemotherapy in the immunohistochemistry profile of the tumor is not well clarified. This study aims to evaluate the incidence of immunohistochemistry profile changes after neoadjuvant chemotherapy and the impact of these changes in adj...
Clear-cell hidradenocarcinomas are extremely uncommon sweat gland tumors with a predilection for the head and neck. In the limited number of articles reporting breast involvement, the primary focus concerns this entity's histological and immunohistochemical characteristics. Since hidradenocarcinomas of the breast have the potential to resemble a primary breast carcinoma closely, diagnosis may be challenging. Th...
In 2020, female breast cancer was the most commonly diagnosed cancer worldwide, representing the type of cancer with the highest incidence among women and the second most common cause of cancer death among women in all OECD countries. The conventional measures addressing the burden of breast cancer by measuring mortality, incidence, and survival do not entirely reflect the quality of life and patients experienc...
Introduction: Retroperitoneal soft tissue sarcomas have a wide range of histologic entities but they are frequently studied as a single disease. Being liposarcomas the most frequent histologic type, we’ve carried a retrospective analysis from a cohort of patients treated at a referral center to assess prognostic factors associated with demographic and therapeutic characteristics.Methods: A retrospective analysi...
Goals: Sentinel lymph node biopsy (SLNB) is indicated when a mastectomy is performed by Ductal Carcinoma In Situ (DCIS). When mastectomy is performed after one or more attempts of breast conservative surgery (BCS), the need to perform SLNBis questionable. The goal of this study was to determine the histological upgrade rate and SLNB results in this specific group of patients.Methods: Retrospective study of a ca...
Anatomic variations of the hepatic artery are not uncommon and may lead to iatrogenic injuries during pancreatoduodenectomy (PD). Two classifications (Michels’ and Hiatt’s) have been used to describe the different variations. Ligation of an aberrant hepatic artery may result in life-threatening complications, such as liver necrosis. Preoperative imaging is crucial for detection of these variations.; As variaçõe...