Background: Hepatic resection (HR) and radiofrequency ablation (RFA) have been proposed as equivalent treatments for colorectal liver metastasis. Hypothesis: Recurrence patterns after HR and RFA for solitary liver metastasis are similar. Design: Analysis of a prospective database at a tertiary care center with systematic review of follow-up imaging in all of the patients. Patients and Methods: Patients with solitary liver metastasis as the first site of metastasis treated for cure by HR or RFA were studied (patients received no prior liverdirected therapy). Prognostic factors, recurrence patterns, and survival rates were analyzed. Results: Of the 180 patients who were studied, 150 underwent HR and 30 underwent RFA. Radiofrequency ablation was used when resection would leave an inadequate liver remnant (20 patients) or comorbidity precluded safe HR (10 patients). Tumor size and treatment determined recurrence and survival. The local recurrence (LR) rate was markedly lower after HR (5%) than

Extended hepatectomy can be performed with a near-zero operative mortality rate and is associated with long-term survival in a subset of patients with malignant hepatobiliary disease. Combining extended hepatectomy with another intraabdominal procedure increases the risk of postoperative morbidity.

Articles you may be interested inA threshold-based approach to calorimetry in helium droplets: Measurement of binding energies of water clusters Rev. Sci. Instrum. 83, 073109 (2012); 10.1063/1.4738664 Effects of binding energy on exchange contributions to the stopping of electrons AIP Conf. Accurate structures and binding energies for small water clusters: The water trimer J. Chem. Phys. 110, 9435 (1999); 10.1063/1.478908Structures, binding energies, and spectra of isoenergetic water hexamer clusters: Extensive ab initio studiesThe binding energies of water cluster cations are obtained by measuring decay fractions of metastable dissociation and employing Klots' model of evaporative dissociation. Their variation with degree of solvation shows the commonly observed decrease, followed by a slow rise in magnitude, which typifies the trend found for solvated cations. There is no observed abrupt change in the vicinity of the well-known magic number (H 2 0hl' H+ corresponding to (H 2 0)20' H30+. Other data are used to deduce free energies for water clusters up to size n=28, allowing a determination of entropy changes with size. All of the thermochemical data, including prior literature values, are assessed in terms of calculations made using the liquid drop model and standard statistical mechanical equations. It is concluded that entropic rather than energetic effects give rise to the referred to magic number.

Findings of magic peaks corresponding to M(8)C(12)(+) (M = V, Zr, and Hf) formed from reactions of the respective metals with various small hydrocarbons, in conjunction with recent findings for the titanium system, establish metallo-carbohedrenes as a stable general class of molecular cluster ions. A dodecahedral structure of T(h) point symmetry accounts for the stability of these ionic clusters.

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