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Frailty and Liver resection: where do we stand?

Hepatoma Research 2020年第2期6卷 11-19页

作者： georgios S.sioutas Ioannis A.Ziogas georgios Tsoulfas Department of Medicine School of Health SciencesDemocritus University of ThraceAlexandroupolis 68100Greece First Department of Surgery Papageorgiou University HospitalAristotle University of ThessalonikiThessaloniki 54622Greece

As the world population is continuously aging, the number of older patients requiring liver surgery is also on the rise. Data have shown that age should not be a limiting factor for liver resection, as it cannot accurately predict postoperative outcomes. Instead, frailty can serve as a more reliable measure of the patient's overall health and functional reserves. Several frailty assessment tools have been implemented for preoperative risk stratification before liver surgery, and higher scores have commonly been associated with postoperative morbidity, mortality, and length of hospital stay. However, no consensus has been reached on the most useful screening tool. Future studies should focus on comparing the currently available assessment tools, constructing a liver resection-specific tool, and assessing the role of frailty assessment tools in preoperative patient optimization.

关键词： Frailty age elderly liver resection liver surgery morbidity morbidity complications

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Death due to fracture of thin calvarial hones after a fall： A forensic approach

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Chinese Journal of Traumatology 2017年第3期20卷 180-182页

作者： georgios.sioutas Maria-Valeria Karakasi Stylianos Kapetanakis Pavlos Pavlidis Department of Anatomy School of Medicine Democritus University of Thrace Dragana GR 68100 Alexandroupolis Greece Laboratory of Forensic Sciences School of Medicine Democritus University of Thrace Dragana GR 68100 Alexandroupolis Greece

A 45-year-old male was autopsied. He had fallen backwards from a two-stairs height to the ground and passed away. A skull fracture was detected in the left occipital area, extending up to the left side of the skul! base. The patient＇s death occurred due to the very low thickness of the calvarial bones, which led to the aforementioned fracture, and in turn resulted in subarachnoid hemorrhage and death. The cortical thickness was measured and compared with average values at standardized points. Uniform bone thinning was confirmed rather than localized. Calvarial thinning may result from various conditions. In the present case study, however, the exact mechanism which led to the low thickness of the calvarial bones of the patient is undetermined. Death due to the susceptible structure and fracture of calvarial bones has rarely been reported throughout relevant literature.

关键词： Calvarial thinning Thin neurocranial bones Skull fractures Cortical thickness Accidents Forensic pathology

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