HELP: Resection of early-detected recondite neoplasms

Administrador del Nodo Postmaster at neubio.sld.ar
Thu Sep 7 12:25:33 EST 1995


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>From:	The Post Office <postmaster at secyt.gov.ar>
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>Subject: HELP: Resection of early-detected recondite neoplasms
>Cc:	The Post Office <postoffice at secyt.gov.ar>
>Message-Id: <95Aug31.161201arg.3838 at secyt.gov.ar>
>Date:	Thu, 31 Aug 1995 16:07:36 -0300
>
>
>Dear BIOSCI Administrator,
>                          following your instructions (since we
>are unsure about where and how to post the following urgent 
>message) I would like to ask you for re-directing it to the
>lists you deem most appropriate to return surgical answers ra-
>pidly. I know BIOSCI lists are for basic scientists rather than
>for medical practitioners,  but we have no list of surgical
>or cancer forums, and besides our message was already bounced
>back with a sensible lack of valuable time. And probably you
>can find a reasonable way to direct the message to an important
>group of practitioners.  
>                           So I dare to submit you what I pro-
>pose to post, asking for your direct re-sending it where you
>deem useful, if feasible. 
>                  Let me thank you in advance for your action.
>                               Prof. M. Crocco
>                          <Postmaster at neubio.sld.ar>
>                          September the second, 1995
>
>error: unresolvable: CANCER-L at WVNVN.WVNET.EDU
>------- Original Message follows -------
>
>to CANCER-L at WVNVN.WVNET.EDU
>with UUCP
>from neubio!Postmaster
>Date: Sat, 31 Aug 85 15:42:08 ARG
>From: Administrador del Nodo <Postmaster at neubio.sld.ar>
>Message-ID: <877hd721 at neubio.sld.ar>
>X-Mailer: UUPC/PcCorreo 3.0
>To: CANCER-L at WVNVN.WVNET.EDU
>Subject: SURGICAL APPROACH TO RETROPERITONEUM AFTER WHIPPLE
>
>Dear Colleagues,
>                for perhaps a fortnight we have the
>chance of resection of two early-detected, small metas-
>tasic adenocarcinomae (from a pancreatic-head primary 
>resected two years ago). That time is allowed by estimating
>their growth rate. One of them is located in the cau-
>date lobe of the liver, amid the aorta and the cava
>but still well separated of both vessels. The second
>nodule is contiguous to the operatory bed in the
>(resected) pancreatic head. Yesterday one of our
>surgeons touched this last during an exploratory laparo-
>tomy, finding it stone-hard behind the intestinal
>ansae that prevent accesing it. He decided closing
>surgery (feared of being not able of reconstructing the
>Whipple -he himself performed it two years ago- after having
>the zone brought down to enter the retroperitoneum and
>extirpating both nodules and, of course, the cau-
>date lobe of the liver). 
>                        We are considering re-open next
>week the operation if any surgical approach, for which
>I pray hereby urgent comments and suggerences, could
>afford reasonable certainty of avoiding major destruc-
>tion of the operated zone (full of adherences) and
>dehiscence prevention.  Some colleagues tell us performing
>a toraco-phreno-laparothomy, opening both toracic and
>abdominal cavities (the first to enter into the retro-
>peritoneum and the second to accomplish the hepatic
>resection).  Patient is a slender young woman in good 
>general state (though laparotomized the last 28 August), and 
>the stage of these small tumors probably allow control of
>eventual further micrometastases, by systemic adjuvancy 
>(5FU + cisplatin in continuous infusion, melatonin-modulated
>immunotherapy with IL-2, hyperalimentation and antioxidants),
>thus enabling long survival if resection is achieved. 
>
>So we are prone to take high risks (since cost-benefit rela-
>tion is also high) if a good access can be find to minimize
>the trauma of a major surgery.
>
>Of course such surgery can result eventually in intra- or
>postoperatory death, making very important to get advice
>regarding such infrequent scenario.
>        
>            Thus let me thank in advance for the comments
>and suggerences for deciding the surgical approach, as above
>petitioned.
>
>
>     =*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=
>     Prof. Dr. M.F. Crocco,
>     <postmaster at neubio.sld.ar> 
>                              
>     Director, Centro de Investig. Neurobiologicas, Ministry
>     of Health & Welfare, Argentine Republic; and Head, Lab. of
>     Electroneurobiological Res., Hospital "Dr. Jose Tiburcio Borda", 
>     Municipality of Buenos Aires,
>     Office:  Phone/Fax (54 1) 306 -7314
>              e-mail <postmaster at neubio.gov.ar>
>     Standard disclaimer: Las opiniones de este mensaje son personales
>     y no comprometen las dependencias a cargo del firmante
>   Reply to THIS message,  ONLY to: <postmaster at neubio.sld.ar> 
>   =*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=
>

       =*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=
       Prof. Dr. M.F. Crocco,
       <postmaster at neubio.sld.ar> 
                            
       Director, Centro de Investig. Neurobiologicas, Ministry
       of Health & Welfare, Argentine Republic; and Head, Lab. of
       Electroneurobiological Res., Hospital "Dr. Jose Tiburcio Borda", 
       Municipality of Buenos Aires,
       Office:  Phone/Fax (54 1) 306 -7314
                e-mail <postmaster at neubio.gov.ar>
       Standard disclaimer: Las opiniones de este mensaje son personales
       y no comprometen las dependencias a cargo del firmante
   Reply to THIS message,  ONLY to: <postmaster at neubio.sld.ar> 
   =*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=





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