World journal of surgery
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World journal of surgery · May 2010
Was there shortening of the interval between diagnosis and treatment of colorectal cancer in southern Netherlands between 2005 and 2008?
The Dutch Cancer Society proposed that the interval between diagnosis and start of treatment should be less than 15 working days. The purpose of this study was to determine whether the interval from diagnosis to treatment for patients with colorectal cancer (CRC) shortened between 2005 and 2008 in hospitals in southern Netherlands. ⋯ Time to treatment for patients with CRC in southern Netherlands did not shorten between 2005 and 2008. The time to treatment should be reduced to meet the advice of the Dutch Cancer Society.
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World journal of surgery · Apr 2010
Randomized Controlled TrialEnabling, implementing, and validating training methods in laparoscopic surgery.
The challenges of teaching and learning technical skills for laparoscopic surgery have limited the use of laparoscopy for complex abdominal surgery. In an attempt to facilitate learning these skills, surgical educators are using simulators, but there is little conclusive evidence that simulators can predict improved performance by surgical trainees receiving training on them (predictive validity). ⋯ Although predictive validity for the virtual simulator was not conclusively established, reasons for this failure are discussed. Based on the evidence that training on simulators results in some task performance improvement, future studies are justified to better define more effective use of the simulator.
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World journal of surgery · Apr 2010
C-reactive protein is an early predictor of septic complications after elective colorectal surgery.
Nowadays, most patients who undergo colorectal surgery are discharged early. An early predictor of septic complications could avoid readmissions and decrease morbidity. CRP could be a good predictor allowing a safe discharge. ⋯ C-reactive protein is a simple way to ensure a safe discharge from hospital after elective colorectal surgery. Patients with CRP values >125 mg/l on the fourth postoperative day should not be discharged.