Browsing by Author "Martin, RF"

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    Multidisciplinary considerations for patients with cancer of the pancreas or biliary tract
    (2000) Martin, RF; Rossi, RL
    In the past century, operative management has remained the mainstay of therapy for patients with pancreatic and biliary neoplasms. Currently, operative extirpation with clear surgical margins represents the only hope for long-term survival without evidence of disease in patients with these types of tumors. Advances in diagnostic imaging, noninvasive and minimally invasive procedures, anesthetic techniques, and palliative or adjuvant chemotherapy and radiation therapy all have improved the ability to care for patients with these maladies. This article reviews the advances made in these areas.
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    Options and strategies for the management of choledocholithiasis
    (1998) Rosenthal, RJ; Rossi, RL; Martin, RF
    The introduction of laparoscopic techniques for the management of biliary stone disease has expanded the therapeutic choices for surgeons confronted with choledocholithiasis. As new strategies emerge, the treatment of cholelithiasis and choledocholithiasis remains controversial, This paper discusses the options available for the treatment of common bile duct stones, Diagnostic and therapeutic algorithms are proposed, The treatment of these patients must be individualized, taking into consideration the condition of the patient, associated diseases, secondary complications of the gallstones, and the surgical expertise and resources of the institution.
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    The acute abdomen - An overview and algorithms
    (1997) Martin, RF; Rossi, RL
    The diagnosis and management of the patient with an acute abdomen remains one of the most difficult challenges for the surgeon. A thorough understanding of the anatomy and physiology of the abdomen are essential to properly generate a differential diagnosis and to formulate a treatment plan. While recent advances in technology can be extremely helpful in certain situations, they cannot replace a physician's clinical judgment based upon a good history and physical examination. This article provides a general overview of the evaluation of the patient with an acute abdomen. It will also suggest algorithms to consider in the diagnosis and treatment of these patients.