Article
593 search hits
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Pancreatic resections for advanced M1-pancreatic carcinoma: the value of synchronous metastasectomy
(2010)
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Stefanie Katharina Seelig
Björn Burkert
Ansgar Michael Chromik
Andrea Tannapfel
Waldemar Uhl
Mathias H. Seelig
- Background. For M1 pancreatic adenocarcinomas pancreatic resection is usually not indicated. However, in highly selected patients synchronous metastasectomy may be appropriate together with pancreatic resection when operative morbidity is low.
Materials and Methods. From January 1, 2004 to December, 2007 a total of 20 patients with pancreatic malignancies were retrospectively evaluated who underwent pancreatic surgery with synchronous resection of hepatic, adjacent organ, or peritoneal metastases for proven UICC stage IV periampullary cancer of the pancreas. Perioperative as well as clinicopathological parameters were evaluated.
Results. There were 20 patients (9 men, 11 women; mean age 58 years) identified. The primary tumor was located in the pancreatic head (n=9, 45%), in pancreatic tail (n=9, 45%), and in the papilla Vateri (n=2, 10%). Metastases were located in the liver (n=14, 70%), peritoneum (n=5, 25%), and omentum majus (n=2, 10%). Lymphnode metastases were present in 16 patients (80%). All patients received resection of their tumors together with metastasectomy. Pylorus preserving duodenopancreatectomy was performed in 8 patients, distal pancreatectomy in 8, duodenopancreatectomy in 2, and total pancreatectomy in 2. Morbidity was 45% and there was no perioperative mortality. Median postoperative survival was 10.7 months (2.6–37.7 months) which was not significantly different from a matched-pair group of patients who underwent pancreatic resection for UICC adenocarcinoma of the pancreas (median survival 15.6 months; =.1).
Conclusion. Pancreatic resection for M1 periampullary cancer of the pancreas can be performed safely in well-selected patients. However, indication for surgery has to be made on an individual basis.
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Uma mulher contra o nazismo : Ricarda Huch
(2010)
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Elcio Loureiro Cornelsen
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Intermediale Beziehungen im Film 'Der Himmel über Berlin'
(2010)
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Simone Malaguti
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Abordagens de ensino e aprendizagem de línguas : comunicativa e intercultural
(2010)
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Maria Nilse Schneider
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Análise da macro e da microestrutura de dicionários bilíngues português-alemão / alemão-português
(2010)
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Virginia Sita Farias
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A institucionalização e a literarização do filme
(2010)
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Joachim Paech
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On Brazilian Cinema : A Portrait of Director and Producer Walter Salles
(2010)
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Michael Korfmann
Filipe Kegles Kepler
- Walter Salles is probably the most widely known Brazilian director and producer. This article offers a portrait of his work over the last two decades as part of the cinematic and cultural changes that took place in Brazil. It starts with a historical overview of Brazilian film history and will then take a closer look at the films directed by Salles and his activities as producer. By looking at the evolution of the Brazilian film industry in the last ten to fifteen years in terms of market structures as well as aesthetic qualities, two major references become apparent: the more (but not only) commercial oriented productions of Globo Filmes, which often meet public taste and rely on a well-proven television language; second, the movies of Walter Salles as well as the films produced by Videofilmes, a company run and founded in 1987 by him and his brother, the documentarist João Moreira Salles. Videofilmes not only fosters many of the somewhat marginal, smaller film projects, but also serves as support for more artistically orientated movies.
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“Eine Kneipe ist wie ein Film” : Aproximações entre o cinema de Fatih Akin e o Neuer Deutscher Film de três décadas atrás
(2010)
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Gabriela Wondracek Linck
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Literatura e luz : iluminação elétrica, teatro e o filme expressionista
(2010)
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Michael Korfmann
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Franz Kafka e o medium Kaiserpanorama
(2010)
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Thiago Benites dos Santos
