American journal of surgery
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Comparative Study
Outcomes of laparoscopic and open colectomy at academic centers.
Laparoscopic techniques have emerged as a suitable approach for colon resection. This study determined and compared the outcomes of patients undergoing laparoscopic or open colectomy at United States academic centers. ⋯ Despite the major biases inherent in this retrospective review of the University Health System Consortium, which favors the use of laparoscopic colectomy by United States academic surgeons, laparoscopic colectomy offers the potential of significantly shorter LOS, fewer costs, lower in-hospital morbidity rates, and comparable risk-adjusted mortality rates compared with open colectomy. Laparoscopic colectomy is as safe as the open approach.
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A 39-year old man was admitted to our hospital with a chest stab wound. The stab wound was approximately 3 cm long by 4 cm deep and located in the subxiphoid process area. ⋯ The patient was treated by conservative therapy, and the pneumopericardium spontaneously disappeared after 5 days. The patient was discharged on hospital day 7.
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Breast magnetic resonance imaging (MRI) has been recommended increasingly in the preoperative setting for patients newly diagnosed with malignancy to evaluate tumor extent, multicentricity, and contralateral disease. ⋯ Breast MRI is recommended for preoperative evaluation of the newly diagnosed breast cancer patient.