INTRODUCTION In a distal pancreatectomy combined with a distal gastrectomy, the splenic artery and vein must be conserved. However, it is not easy in pure laparoscopic surgery. We performed a hand-assisted laparoscopic spleen-preserving distal pancreatectomy (HALS-SPDP) combined with a laparoscopic distal gastrectomy (LDG) for the treatment of a pancreatic neuroendocrine tumor (NET) with early ...

OBJECTIVE Our aim was to compare the effect of central obesity (measured by waist-to-height ratio, WHtR) and total obesity (measured by body mass index, BMI) on life expectancy expressed as years of life lost (YLL), using data on British adults. METHODS A Cox proportional hazards model was applied to data from the prospective Health and Lifestyle Survey (HALS) and the cross sectional Health S...

Although the first reported laparoscopic assisted colectomy was in 1991 [1], the number of laparoscopic colonic procedures remained a minority of colonic resections. This was attributed to the fact that laparoscopic colectomy is technically challenging and demands a long learning curve. Therefore, hand-assisted laparoscopic surgery (HALS) was advocated as a useful alternative to laparoscopic co...

BACKGROUND Hierarchical cumulative scales are common and informative in psychology. The General Health Questionnaire (GHQ) does not appear to have been subjected to an analysis that examines the hierarchical and cumulative nature of its items. We report an analysis of data from the 30-item GHQ (GHQ-30) as part of the Health and Lifestyle Survey (HALS). METHOD Data from 6317 participants who c...

AIM Surgical trauma and associated complications are frequently related to physiological stress during colectomy. This study evaluated the response of adiponectin, resistin, and circulating soluble receptor for advanced glycation end products (sRAGE) in colectomy patients with or without an enhanced recovery protocol. METHOD Serum samples were collected from 44 colectomy patients at 3 timfram...

STUDY OBJECTIVES To determine whether British lung cancer (LC) trends are adequately explained by cigarette smoking trends, and whether modelling using aggregated smoking prevalence estimates can validly replace modelling using individual smoking histories. METHODS Observed LC trends for 1955-1985 for both sexes and three age groups were compared with multistage model predictions using smokin...

Electron paramagnetic resonance (EPR) and near-infrared magnetic circular dichroism (MCD) have been used to identify the ligands to the cytochrome b556 component of succinate: ubiquinone oxidoreductase (succinate dehydrogenase) from Escherichia coli. The 'highly axial low spin' (HALS) EPR spectrum suggests bis(histidine) ligation of the heme with the histidines in a staggered configuration. The...

This paper investigates inequality in smoking-related mortality risk, focusing on the intergenerational transmission of smoking. We estimate a latent factor model for smoking initiation, cessation and mortality risk using the British Health and Lifestyle Survey (HALS), and present results from a counterfactual approach to inequality of opportunity. Parental smoking lowers the age at starting by...

Zusammenfassung Paragangliome im Kopf-Hals-Bereich sind seltene Tumoren und treten sowohl sporadisch als auch hereditär auf. Sie können Systemerkrankungen darstellen sollten interdisziplinär abgeklärt werden. Nach internistischen, radiologischen genetischen Gesichtspunkten lassen sich Niedrig-/und Hochrisikopatienten identifizieren. Klinische Herausforderungen eine mögliche Metastasierung, mult...