Research Topics
| Steven StrasbergSummaryAffiliation: Washington University School of Medicine Country: USA Publications
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Publications
'Extreme' vasculobiliary injuries: association with fundus-down cholecystectomy in severely inflamed gallbladdersSteven M Strasberg
Section of HepatoPancreatoBiliary Surgery, Washington University in St Louis, MO 63110, USA
HPB (Oxford) 14:1-8. 2012..The pathogenesis of these injuries is not well understood. The purpose of this study was to elucidate the mechanism of injury through an analysis of clinical records, particularly the operative notes of the index procedure...
Use and dissemination of the brisbane 2000 nomenclature of liver anatomy and resectionsSteven M Strasberg
Section of Hepato Pancreato Biliary Surgery, Washington University in Saint Louis, MO 63110, USA
Ann Surg 257:377-82. 2013..The purpose of this study was to evaluate the use and dissemination of the nomenclature 10 years after its introduction...
Left-sided pancreatic cancer: distal pancreatectomy and its variants: radical antegrade modular pancreatosplenectomy and distal pancreatectomy with celiac axis resectionSteven M Strasberg
Department of Surgery, Washington University, St Louis, MO, USA
Cancer J 18:562-70. 2012..Results with distal pancreatectomy with celiac axis resection are mixed with some series reporting few or no long-term survivors, whereas others report long-term survival at approximately 20%...
Resection of tumors of the neck of the pancreas with venous invasion: the "Whipple at the Splenic Artery (WATSA)" procedureSteven M Strasberg
HPB Surgery Section, Department of Surgery, Washington University in Saint Louis, 660 South Euclid Avenue, Box 8109, Saint Louis, MO 63110, USA
J Gastrointest Surg 16:1048-54. 2012..Here, we present our method of resecting such tumors, which we term "Whipple at the Splenic Artery (WATSA)"...
Clinical practice. Acute calculous cholecystitisSteven M Strasberg
Section of Hepatobiliary-Pancreatic Surgery, Washington University in St. Louis and Barnes-Jewish Hospital, St. Louis, USA
N Engl J Med 358:2804-11. 2008
Role of FDG-PET staging in selecting the optimum patient for hepatic resection of metastatic colorectal cancerSteven M Strasberg
Section of Hepato Pancreato Biliary Surgery, Department of Surgery, Washington University in St Louis, St Louis, MO, USA
J Surg Oncol 102:955-9. 2010..FDG-PET is highly sensitive and specific for intrahepatic colorectal tumors and the most sensitive test for extrahepatic tumors. FDG-PET alters management in 25% of patients, reducing futile laparotomies and hepatectomies...
An analytical review of vasculobiliary injury in laparoscopic and open cholecystectomySteven M Strasberg
Section of Hepato Pancreato Biliary Surgery, Department of Surgery, Washington University in Saint Louis, St Louis, MO 63110, USA
HPB (Oxford) 13:1-14. 2011..We performed an analytical review with the aim of defining vasculobiliary injury and setting out the important issues in this area...
Postoperative morbidity index: a quantitative measure of severity of postoperative complicationsSteven M Strasberg
Department of Surgery, School of Medicine, Washington University in Saint Louis, St Louis, MO, USA
J Am Coll Surg 213:616-26. 2011..The purpose of this study was to evaluate and establish feasibility of quantitative morbidity scores for several common abdominal surgical procedures...
Pattern of venous collateral development after splenic vein occlusion in an extended Whipple procedure : comparison with collateral vein pattern in cases of sinistral portal hypertensionSteven M Strasberg
Section of HPB Surgery, Department of Surgery, Washington University in Saint Louis, Saint Louis, MO 63110, USA
J Gastrointest Surg 15:2070-9. 2011..Our purpose was to compare the pattern of venous collateral development after splenic vein ligation in an extended Whipple procedure with the pattern of collateral development in cases of sinistral portal hypertension...
Proposal for definition and severity grading of pancreatic anastomosis failure and pancreatic occlusion failureSteven M Strasberg
Section of Hepatobiliary-Pancreatic and Gastrointestinal Surgery, Washington University in St. Louis, MO, USA
Surgery 141:420-6. 2007
The accordion severity grading system of surgical complicationsSteven M Strasberg
Department of Surgery, Washington University in Saint Louis, St Louis, MO 63110, USA
Ann Surg 250:177-86. 2009..Our purpose was to determine how well T92 and its modifications have functioned as a severity grading system and to develop an improved system for reporting complications...
Biliary injury after laparoscopic cholecystectomy in a patient with right liver agenesis: case report and review of the literatureRyan C Fields
Department of Surgery, Barnes Jewish Hospital, Washington University School of Medicine, St Louis, MO 63110, USA
J Gastrointest Surg 12:1577-81. 2008..An 87-year-old man underwent attempted laparoscopic cholecystectomy...
A phase II study of alternating cycles of split course radiation therapy and gemcitabine chemotherapy for inoperable pancreatic or biliary tract carcinomaLilie L Lin
Department of Radiation Oncology, Washington University School of Medicine, St. Louis, Missouri 63110, USA
Am J Clin Oncol 28:234-41. 2005..Despite the prolongation in radiation treatment time because of split-course treatment, patients with sufficient response were able to undergo resection...
Adjuvant interferon-based chemoradiation followed by gemcitabine for resected pancreatic adenocarcinoma: a single-institution phase II studyDavid C Linehan
Department of Surgery, Barnes Jewish Hospital Washington University Medical Center and Siteman Cancer Center, St Louis, Missouri 63110, USA
Ann Surg 248:145-51. 2008..The primary end point was 2-year overall survival, with secondary endpoints being 2-year disease-free survival, and the frequency of grade 3 or 4 toxicity...
Retrograde jejunoduodenal intussusception: a rare cause of acute pancreatitis after surgery for duodenal atresiaLi Ern Chen
Department of Surgery, Washington University School of Medicine, Saint Louis, MO 63110, USA
J Pediatr Surg 43:e31-3. 2008..This case describes the heretofore unreported phenomenon of retrograde jejunoduodenal intussusception causing acute pancreatitis in a patient who underwent duodenojejunostomy in infancy...
Celiac disease unmasked after pancreaticoduodenectomyChristian D Stone
Department of Medicine, Division of Gastroenterology, Washington University in Saint Louis, Saint Louis, Missouri 63110, USA
JPEN J Parenter Enteral Nutr 29:270-1. 2005
Utility of staging laparoscopy in subsets of peripancreatic and biliary malignanciesCharles M Vollmer
Section of Hepatobiliary-Pancreatic Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, Missouri, USA
Ann Surg 235:1-7. 2002..CONCLUSIONS: The utility of staging laparoscopy depends on diagnosis. It is recommended for continued use in pancreatic head and gallbladder cancers but not in ampullary malignancies...
Use of a bipolar vessel-sealing device for parenchymal transection during liver surgerySteven M Strasberg
Section of Hepatobiliary Pancreatic Surgery, Department of Surgery, School of Medicine, Washington University in St Louis, St Louis, MO 63110, USA
J Gastrointest Surg 6:569-74. 2002..We conclude that the device is a useful tool in standard liver resections...
Bile duct injuries 12 years after the introduction of laparoscopic cholecystectomyWilliam C Chapman
Sections of Transplantation, Washington University, St. Louis School of Medicine, St. Louis, MO, USA
J Gastrointest Surg 7:412-6. 2003
Prospective trial of a blood supply-based technique of pancreaticojejunostomy: effect on anastomotic failure in the Whipple procedureSteven M Strasberg
Department of Surgery, Washington University, St Louis, MO, USA
J Am Coll Surg 194:746-58; discussion 759-60. 2002....
Radical antegrade modular pancreatosplenectomy procedure for adenocarcinoma of the body and tail of the pancreas: ability to obtain negative tangential marginsSteven M Strasberg
Department of Surgery, Washington University School of Medicine, St Louis, MO 63110, USA
J Am Coll Surg 204:244-9. 2007..We now present results of treatment of patients with adenocarcinoma using RAMPS with particular reference to the ability of this procedure to obtain negative tangential margin rates...
Common bile duct injury following laparoscopic cholecystectomy in the setting of sinistroposition of the galladder and biliary confluence: a case reportTricia A Moo-Young
Section of HPB Surgery, Washington University in Saint Louis, Campus Box 8109, St Louis, MO 63110, USA
J Gastrointest Surg 14:166-70. 2010..A bile duct injury occurred to a 64-year-old female with highly aberrant bile ducts due to sinistroposition. Methods of potential injury avoidance are discussed...
Radical antegrade modular pancreatosplenectomySteven M Strasberg
Section of Hepatobiliary-Pancreatic Surgery, Department of Surgery, Washington University in St. Louis, St. Louis, MO 63110, USA
Surgery 133:521-7. 2003..Three patients had complications develop; no postoperative deaths occurred. CONCLUSION: Early results with the procedure are encouraging...
Downsizing to resectability of a large solid and cystic papillary tumor of the pancreas by single-agent chemotherapyJulie Kanter
Department of Pediatrics, Washington University School of Medicine, St Louis, MO 63110, USA
J Pediatr Surg 44:e23-5. 2009..We report the case of a 14-year-old female with SCPT who was successfully downsized with gemcitabine before definitive surgical resection...
Influence of obesity and other risk factors on survival outcomes in patients undergoing pancreaticoduodenectomy for pancreatic cancerMonica Dandona
Department of Medicine, Washington University School of Medicine, St Louis, MO, USA
Pancreas 40:931-7. 2011..The impact of risk factors on prognosis in patients with pancreatic cancer, particularly obesity, has recently become controversial...
The international position on laparoscopic liver surgery: The Louisville Statement, 2008Joseph F Buell
Department of Surgery, Director of Transplantation, Jewish Hospital Transplant Center, 200 Abraham Flexner Way, Louisville, KY 40202, USA
Ann Surg 250:825-30. 2009..To summarize the current world position on laparoscopic liver surgery...
Establishing "normal" values for liver function tests after reconstruction of biliary injuriesElizabeth A Fialkowski
Department of Surgery, Washington University School of Medicine, St Louis, MO 63110, USA
J Am Coll Surg 207:705-9. 2008..This study's aim was to determine LFT reference values after biliary-enteric anastomosis for biliary injury repair in persons who have had an excellent postoperative course for > 6 months...
Effect of steatohepatitis associated with irinotecan or oxaliplatin pretreatment on resectability of hepatic colorectal metastasesFelix G Fernandez
Section of Hepatobiliary-Pancreatic Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, MO 63110, USA
J Am Coll Surg 200:845-53. 2005..It can affect the ability to perform large liver resections. Consideration should be given to performing resections before commencing these agents and to obtaining preoperative biopsy in those who have received these agents...
Single-incision laparoscopic cholecystectomy: initial experience with critical view of safety dissection and routine intraoperative cholangiographyArthur Rawlings
Department of Surgery and Institute for Minimally Invasive Surgery, Washington University School of Medicine, St Louis, MO 63110, USA
J Am Coll Surg 211:1-7. 2010..We present our initial experience with SILC using CVS dissection and routine IOC...
Avoidance of biliary injury during laparoscopic cholecystectomySteven M Strasberg
Section of Hepatobiliary-Pancreatic and Gastrointestinal Surgery, Department of Surgery, Washington University in Saint Louis, St Louis, MO 63110, USA
J Hepatobiliary Pancreat Surg 9:543-7. 2002..This technique is unreliable and should not be used alone for anatomic identification of the ducts. It is preferable to use the critical view technique or to perform a cholangiogram...
Quantitative weighting of postoperative complications based on the accordion severity grading system: demonstration of potential impact using the american college of surgeons national surgical quality improvement programMatthew R Porembka
Department of Surgery, School of Medicine, Washington University in St Louis, St Louis, MO, USA
J Am Coll Surg 210:286-98. 2010....
"Sideways": results of repair of biliary injuries using a policy of side-to-side hepatico-jejunostomyEmily R Winslow
Section of Hepato Pancreato Biliary Surgery, Department of Surgery, Mallinckrodt Institute of Radiology, Washington University in Saint Louis, St Louis, Missouri 63110, USA
Ann Surg 249:426-34. 2009..Compared with end-to-side repairs, side-to-side anastomoses require less dissection, theoretically preserving blood supply to the bile ducts, and usually permit wider anastomoses...
Error traps and vasculo-biliary injury in laparoscopic and open cholecystectomySteven M Strasberg
Section of Hepatobiliary Pancreatic and Gastrointestinal Surgery, Department of Surgery, Washington University in Saint Louis, 1 Barnes Hospital Plaza, St Louis, MO 63110, USA
J Hepatobiliary Pancreat Surg 15:284-92. 2008..Knowledge of these error traps and their avoidance can help to reduce the incidence of biliary injuries...
Who oversees innovative practice? Is there a structure that meets the monitoring needs of new techniques?Steven M Strasberg
Section of Hepato Pancreato Biliary Surgery, Department of Surgery, St Louis, MO 63110, USA
J Am Coll Surg 196:938-48. 2003
Five-year survival after resection of hepatic metastases from colorectal cancer in patients screened by positron emission tomography with F-18 fluorodeoxyglucose (FDG-PET)Felix G Fernandez
Section of Hepatobiliary-Pancreatic Surgery, Department of Surgery, Division of Nuclear Medicine, Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri, USA
Ann Surg 240:438-47; discussion 447-50. 2004..FDG-PET appears to define a new cohort of patients in whom tumor grade is a very important prognostic variable...
Chemotherapy-induced normalization of FDG uptake by colorectal liver metastases does not usually indicate complete pathologic responseMarcus C B Tan
Section of Hepato Pancreato Biliary and GI Surgery, Department of Surgery, Washington University School of Medicine, St Louis, MO 63110, USA
J Gastrointest Surg 11:1112-9. 2007..Therefore, currently, curative resection of liver metastases in these patients should not be deferred on the basis of FDG-PET findings...
Prevalence of regulatory T cells is increased in peripheral blood and tumor microenvironment of patients with pancreas or breast adenocarcinomaUdaya K Liyanage
Alvin J. Siteman Cancer Center, Department of Surgery, Washington University School of Medicine, St. Louis, MO 63110, USA
J Immunol 169:2756-61. 2002..These T(reg) may mitigate the immune response against cancer, and may partly explain the poor immune response against tumor Ags...
ERCP and surgical intervention in pancreatic and biliary malignanciesSteven M Strasberg
Pruett Professor of Surgery, Section of Hepatobiliary-Pancreatic Surgery, Washington University in St. Louis, St. Louis, Missouri 63110, USA
Gastrointest Endosc 56:S213-7. 2002
Biliary injury in laparoscopic surgery: part 2. Changing the culture of cholecystectomySteven M Strasberg
Section of Hepatobiliary-Pancreatic and Gastrointestinal Surgery, Department of Surgery, Washington University in St Louis, St Louis, MO, USA
J Am Coll Surg 201:604-11. 2005
Nomenclature of hepatic anatomy and resections: a review of the Brisbane 2000 systemSteven M Strasberg
Section of Hepatobiliary-Pancreatic Surgery, Department of Surgery, and The Siteman Cancer Center, Washington University School of Medicine, Box 8109, Suite 17308 West Pavilion Tower, 1 Barnes Hospital Plaza, St. Louis, MO 63110, USA
J Hepatobiliary Pancreat Surg 12:351-5. 2005..The article describes historical developments central to the emergence of the new terminology and describes the terminology, its attributes, and rules of application...
Saline-linked surface radiofrequency ablation: factors affecting steam popping and depth of injury in the pig liverStefan A Topp
Section of Hepatobiliary-Pancreatic Surgery, Department of Surgery, Washington University in Saint Louis, St. Louis, Missouri, USA
Ann Surg 239:518-27. 2004..Tissue destruction to 20 mm can be safely achieved with short periods of inflow occlusion. The device has promise as a treatment of superficial tumors and close resection margins...
Absorbable mesh reinforcement of a stapled pancreatic transection line reduces the leak rate with distal pancreatectomyReuben I Thaker
Department of Surgery, Division of Hepatobiliary, Pancreatic, and Gastrointestinal Surgery, Washington University School of Medicine, St Louis, MO 63110, USA
J Gastrointest Surg 11:59-65. 2007..Mesh reinforcement was possible with open or laparoscopic resections. No complications were attributable to the use of absorbable mesh...
Cut it out: Managing hepatic abscesses in patients with chronic granulomatous diseaseLi Ern Chen
St Louis Children's Hospital, Washington University School of Medicine, St Louis, MO, USA
J Pediatr Surg 38:709-13. 2003..Primary hepatic resection removing all involved tissue is safe and definitive for the management of this problem...
Saline-linked surface radiofrequency ablation: a safe and effective method of surface ablation of hepatic metastatic colorectal cancerJennifer L Gnerlich
Section of Hepatobiliary Pancreatic Surgery, Department of Surgery, Washington University School of Medicine, St Louis, Missouri, USA
Ann Surg 250:96-102. 2009..To determine the safety and efficacy of saline-linked surface radiofrequency ablation (SLSRFA) in a clinical setting...
Isolation of right main and right sectional portal pedicles for liver resection without hepatotomy or inflow occlusionSteven M Strasberg
Section of Hepatobiliary-Pancreatic Surgery, Siteman Cancer Center, Washington University in St Louis, Barnes-Jewish Hospital, St Louis, MO, USA
J Am Coll Surg 206:390-6. 2008
Strength of the evidence: adjuvant therapy for resected pancreatic cancerVincent J Picozzi
Section of Medical Oncology, Virginia Mason Medical Center, 1100 Ninth Ave Buck 2, Seattle, WA 98111, USA
J Gastrointest Surg 12:657-61. 2008..Additional randomized trials are needed to address significant areas of controversy within available data...
Protection of the liver during hepatic surgeryPierre Alain Clavien
Department of Visceral and Transplantation Surgery, University Hospital Zurich, 100 Raemistrasse, 8091 Zurich, Switzerland
J Gastrointest Surg 8:313-27. 2004....
Selection of patients for resection of hepatic colorectal metastases: expert consensus statement by Charnsangavej et alWilliam C Chapman
Ann Surg Oncol 13:1269-70. 2006
Background: Tokyo Guidelines for the management of acute cholangitis and cholecystitisTadahiro Takada
Department of Surgery, Teikyo University School of Medicine, 2 11 1 Kaga, Itabashi ku, Tokyo, 173 8605, Japan
J Hepatobiliary Pancreat Surg 14:1-10. 2007..Finally, an International Consensus Meeting took place in Tokyo, on 1-2 April, 2006, to obtain international agreement on diagnostic criteria, severity assessment, and management...
Flowcharts for the diagnosis and treatment of acute cholangitis and cholecystitis: Tokyo GuidelinesFumihiko Miura
Department of Surgery, Teikyo University School of Medicine, 2 11 1 Kaga, Itabashi ku, Tokyo, 173 8605, Japan
J Hepatobiliary Pancreat Surg 14:27-34. 2007..Delayed elective cholecystectomy may be performed after initial treatment with gallbladder drainage and improvement of the patient's general medical condition...
Antimicrobial therapy for acute cholangitis: Tokyo GuidelinesAtsushi Tanaka
Department of Medicine, Teikyo University School of Medicine, 2 11 1, Kaga, Itabashi ku, Tokyo, 173 8605, Japan
J Hepatobiliary Pancreat Surg 14:59-67. 2007..If the causative organisms are identified, empirically chosen antimicrobial drugs should be replaced by narrower-spectrum antimicrobial agents, the most appropriate for the species and the site of the infection...
Left-sided pancreatectomy: a multicenter comparison of laparoscopic and open approachesDavid A Kooby
Winship Cancer Institute, Emory University School of Medicine, 1365C Clifton Rd, NE, 2nd Floor, Atlanta, GA 30322, USA
Ann Surg 248:438-46. 2008..To compare perioperative outcomes of laparoscopic left-sided pancreatectomy (LLP) with traditional open left-sided pancreatectomy (OLP) in a multicenter experience...
Definitions, pathophysiology, and epidemiology of acute cholangitis and cholecystitis: Tokyo GuidelinesYasutoshi Kimura
First Department of Surgery, Sapporo Medical University School of Medicine, S 1, W 16, Chuo Ku, Sapporo, Hokkaido, 060 8543, Japan
J Hepatobiliary Pancreat Surg 14:15-26. 2007..Variations in treatment and risk factors influencing the mortality rates indicate the necessity for standardized diagnostic, treatment, and severity assessment criteria...
Survival of patients staged by FDG-PET before resection of hepatic metastases from colorectal cancerSteven M Strasberg
Ann Surg 235:308; author reply 310. 2002
Research Grants
- INJURY TO LIVER SINUSOIDAL ENDOTHELIAL CELLSSteven Strasberg; Fiscal Year: 2003..A potentially beneficial improvements in preservation solutions are identified they will be tested in whole isolated livers and by transplantation in the rat. ..
