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1Lateral lymph node dissection for low rectal cancer: Is it necessary?显示文摘Rectal cancer constitutes a major public health issue.Total mesorectal excision has remained the gold standard treatment for mid and low rectal tumors since its introduction in the late 1980s.Removal of all lymph nodes located in the mesorectum has indeed improved pathological and oncological outcomes.However,when cancer spreads to the lateral lymph nodes(located along the iliac and obturator arteries)Western and Japanese practices differ.Where the Western guidelines consider this condition as an advanced form of the disease and use neoadjuvant radiochemotherapy liberally,the Japanese guidelines define it as a local disease and proceed to lateral lymph node dissection with or without neoadjuvant treatment.Herein,we review the current literature regarding both therapeutic strategies,with the aim of contributing to potential improvements in treatment and outcome for patients with low and mid rectal cancer.Niki Christou Jeremy Meyer Christian Toso Frédéric Ris Nicolas Christian Buchs 2019World Journal of Gastroenterology2019,25,31:11
2Management of hepatocellular adenoma: Solitary-uncomplicated, multiple and ruptured tumors显示文摘AIM: While hepatocellular adenomas (Has) have often been studied as a unique entity, we aimed to better define current management of the various forms of Has.METHODS: Twenty-five consecutive patients operated for solitary-uncomplicated (9), multiple (6), and ruptured (10)Has were reviewed according to management strategies and outcomes.RESULTS: All solitary-uncomplicated Has (ranged 2.2-14 cm in size) were removed. Out of 25 Has, 2 (8%) included foci of carcinoma. In the multiple HA group, previously undiagnosed tumors were identified during surgery in 5/6cases. In three cases with multiple spread HA, several lesions had to be left unresected. They remained unmodified after 4-, 6-, and 6-year radiological follow-up. Patients with ruptured HA (ranged 1.7-10 cm in size) were initially managed with hemodynamic support and angiography,allowing the embolization of actively bleeding tumors in two patients. All ruptured tumors were subsequently removed 5.5 d (range 4-70 d) after admission. CONCLUSION: Tumors suspected of HA, regardless of the size, should be resected, because of high chances of rupture causing bleeding, and/or containing malignant foci.Although it is desirable to remove all lesions of multiple HA, this may not be possible in some patients, for whom long-term radiological follow-up is advised. Ruptured HA can be managed by hemodynamic support and angiography,allowing scheduled surgery.Christian Toso Pietro Majno Axel Andres Laura Rubbia-Brandt Thierry Berney Leo Buhler Philippe Morel Gilles Mentha 2005World Journal of Gastroenterology2005,11,36:9
3Berberine behind the thriller of marked symptomatic bradycardia显示文摘Berberine is used in traditional Chinese medicine for the treatment of congestive heart failure, hypertension, diabetes, and dyslipidaemia and has a good safety profile. We report a case of a 53-year-old sportsman referred to our hospital for the onset of fatigue and dyspnoea upon exertion after he started berberine to treat hypercholesterolaemia. An electrocardiogram showed sinus bradycardia (45 bpm), first-degree atrioventricular block, and competitive junctional rhythm. An ergometric stress test showed slightly reduced chronotropic competence and the presence of runs of competitive junctional rhythm, atrial tachycardia, and sinus pauses in the recovery. After 10 d of wash-out from berberine, the patient experienced a complete resolution of symptoms, and an ergometric stress test showed good chronotropic competence. An electrocardiogram Holtershowed a latent hypervagotonic state. This is the first case report that shows that berberine could present certain side effects in hypervagotonic people, even in the absence of a situation that could cause drug accumulation. Therefore, berberine's use should be carefully weighed in hypervagotonic people due to the drug's bradycardic and antiarrhythmic properties, which could became proarrhythmic, exposing patients to potential health risks.Margherita Cannillo Simone Frea Cristina Fornengo Elisabetta Toso Giancarlo Mercurio Stefania Battista Fiorenzo Gaita 2013World Journal of Cardiology2013,5,7:3
4A Score Predicting Survival After Liver Retransplantation for Hepatitis C Virus Cirrhosis显示文摘Axel Andres Eric Gerstel Christophe Combescure Sonal Asthana Shaheed Merani Pietro Majno Thierry Berney Philippe Morel Norman Kneteman Gilles Mentha Christian Toso 2012Transplantation2012,,7:3
5Reducing anastomotic leak in colorectal surgery: The old dogmas and the new challenges显示文摘Anastomotic leak(AL)constitutes a significant issue in colorectal surgery,and its incidence has remained stable over the last years.The use of intra-abdominal drain or the use of mechanical bowel preparation alone have been proven to be useless in preventing AL and should be abandoned.The role or oral antibiotics preparation regimens should be clarified and compared to other routes of administration,such as the intravenous route or enema.In parallel,preoperative antibiotherapy should aim at targeting collagenase-inducing pathogens,as identified by the microbiome analysis.AL can be further reduced by fluorescence angiography,which leads to significant intraoperative changes in surgical strategies.Implementation of fluorescence angiography should be encouraged.Progress made in AL comprehension and prevention might probably allow reducing the rate of diverting stoma and conduct to a revision of its indications.Jeremy Meyer Surennaidoo Naiken Niki Christou Emilie Liot Christian Toso Nicolas Christian Buchs Frédéric Ris 2019World Journal of Gastroenterology2019,25,34:3
6The impact of waiting list alpha-fetoprotein changes on the outcome of liver transplant for hepatocellular carcinoma显示文摘Shaheed Merani Pietro Majno Norman M. Kneteman Thierry Berney Philippe Morel Gilles Mentha Christian Toso 2011Journal of Hepatology2011,,4:3
7Selection of patients with hepatocellular carcinoma before liver transplantation:need to combine alpha-fetoprotein with morphology?显示文摘Liver transplantation is the best treatment for selected patients with unresectable hepatocellular carcinoma (HCC). While candidate selection has been historically based on the restrictiveChristian Toso Gilles Mentha Pietro Majno 2010Hepatobiliary & Pancreatic Diseases International2010,9,5:2
8Total tumor volume and alpha‐fetoprotein for selection of transplant candidates with hepatocellular carcinoma: A prospective validation显示文摘Christian Toso Glenda Meeberg Roberto Hernandez‐Alejandro Jean‐Fran?ois Dufour Paul Marotta Pietro Majno Norman M. Kneteman 2015Hepatology2015,,1:2
9Reassessing selection criteria prior to liver transplantation for hepatocellular carcinoma utilizing the scientific registry of transplant recipients database显示文摘Christian Toso Sonal Asthana David L. Bigam A. M. James Shapiro Norman M. Kneteman 2009Hepatology2009,,3:2
10Timber-concrete composite bridges:Three case studies显示文摘During the last years, timber-concrete composite(TCC) structures have been extensively used in Europe both in new and existing buildings. Generally speaking, a composite structure combines the advantages of both materials employed: the strength and stiffness of the concrete in compression and the tensile strength, lightweight, low embodied energy, and aesthetical appearance of the timber. The concrete slab provides protection of the timber beams from direct contact with water, which is crucial to ensure the durability of the timber beams, particularly when used for bridges. Different types of connectors can be used to provide force exchange between the concrete slab and the timber beam. The choice of a structurally effective yet cheap shear connection between the concrete topping and the timber joist is crucial to make the TCC structures a viable solution that can compete with reinforced concrete and steel structures. In this paper, the possibilities offered by TCC structures for short-span bridge decks are discussed. The technology of TCC structures and the general design rules are illustrated. Three case studies are reported, including a short-span bridge tested in Colorado, USA, with the timber layer being constructed from recycled utility poles and notch connection; a TCC bridge with glulam beams and triangular notches with epoxyglued rebar connectors built in Portugal; and a TCC bridge with glulam beams and rectangular notches built in Germany. All the solutions were found to be structurally effective and aesthetically pleasing. They can all provide a sustainable option for short-span bridges.Massimo Fragiacomo Amedeo Gregori Junqing Xue Cristoforo Demartino Matteo Toso 2018Journal of Traffic and Transportation Engineering(English Edition)2018,5,6:2
11Mechanism of mitotic block and inhibition of cell proliferation by Taxol at low concentrations显示文摘Jordan MA Toso RJ Thrower D et d 1993Proc Natl Acad Sci USA1993,90,20:1
12Nerve growth factor:from neurotrophin to neurokine显示文摘Levi-Montalcini R Skaper SD Dal Toso R Petrelli L Leon A 1996Trends Neurosci1996,19,11:1
13Vascular endothelial growth factor expression in hepatic epithelioid hemangioendothelioma: Impli?cations for treatment and surgical management显示文摘EmamaulleeJ A Edgar R Toso C 2010Liver Transpl2010,16,2:1
14Statin treatment before percuta- neous cononary intervention显示文摘Leoncini M Toso A Maioli M 2013J Thorac Dis2013,5,3:1
15Intermediate survival and predictors of death after surgical ventricular restoration显示文摘 Toso A Maioli M 2001Semin Thorac Cardiovasc Surg2001,13,4:1
16Parkinsonian serum carries complement-dependent toxicity for rat mesencephalic dopaminergic neurons in culture显示文摘Defazio G Dal Toso R Benvegnu D 1994Brain Res1994,633,:1
17Parkinsonian serum carries complement-dependent toxicity for rat mesencephalic neurons in culture显示文摘Defazio G Dal Toso R Benvegnu D 1994Brain Res1994,633,12:1
18Post-stroke depression:researchmethodology of a large multicentre observational study(DESTRO) 显示文摘V Toso C Gandolfo S Paolucci L et ai 2004Neu-rol Sci2004,25,3:1
19Nerve growth factor from neurotropin to neutokin 显示文摘Levi-Montalcini R Skaper S D Toso R D 1996TINS1996,19,1:1
20Modulation of factor Ⅶ levels byintron 7 polymorphlsm: populantion and in vitro stodles显示文摘Pinotti M Toso R Girelli D 2000Blood2000,95,11:1
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