World journal of surgery
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World journal of surgery · Dec 2007
Comparative StudyIs preoperative transarterial chemoembolization needed for a resectable hepatocellular carcinoma?
Whether preoperative transarterial chemoembolization (TACE) has the therapeutic benefits in patients with resectable hepatocellular carcinoma (HCC) remains uncertain. ⋯ Preoperative TACE did not significantly improve the disease-free survival or the pattern of recurrence after curative resection of HCC. Even though this study is a retrospective analysis, preoperative TACE cannot be recommended as a routine procedure before hepatectomy for a resectable HCC.
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World journal of surgery · Dec 2007
Comparative StudyTrends in neonatal intestinal obstruction in a developing country, 1996-2005.
Despite the advances in neonatal surgery, the outcome of neonatal intestinal obstruction (NIO) in many developing countries has been reported to be poor. This study describes the trends in NIO, including the contributory factors in southeast Nigeria. ⋯ There is a trend toward earlier presentation and increased survival of babies with NIO in our setting. Improving the existing facilities and trained manpower, and establishing collaboration with centers that have excellent results may further encourage the trend.
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World journal of surgery · Dec 2007
Comparative StudyAcute abdominal pain: diagnostic impact of immediate CT scanning.
Acute abdominal pain is a common diagnostic problem. This study aimed to evaluate the routinely use of contrast enhanced computed tomographic (CT) scanning early in the diagnostic process. ⋯ Contrast-enhanced CT scanning results in superior diagnostic precision in patients with acute abdominal pain. The present work supports the strategy to include this examination early in the routine diagnostic process.