American journal of surgery
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Most thymectomies are performed via sternotomy. Minimally invasive thymectomy (MIT) has been described but its potential benefits and drawbacks remain unclear. ⋯ MIT can be performed with similar morbidity and efficacy as transsternal thymectomy. Patients require fewer narcotics and can be discharged earlier.
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Adults with cancer may be considered for extracorporeal life support (ECLS) as a means of support if failing conventional therapy. ⋯ Adults with cancer can be offered ECLS with a small but real expectation for survival. Impaired pulmonary status and the development of infections are associated with death.
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Comparative Study
Splenectomy leads to a persistent hypercoagulable state after trauma.
It was hypothesized that splenectomy following trauma results in hypercoagulability. ⋯ A significant difference in deep venous thrombosis formation was noted, and coagulation assays indicated persistent hypercoagulability following splenectomy for trauma.
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Comparative Study
Donor/recipient algorithm for management of the middle hepatic vein in right graft live donor liver transplantation.
The aim of this study was to delineate an algorithm for donor and recipient criteria and middle hepatic vein (MHV) management in right-graft live-donor liver transplantation (LDLT) on the basis of computerized 3-dimensional computed tomographic image analysis. ⋯ The proposed algorithm favored the inclusion of the MHV with the right grafts. It also allowed for the procurement of grafts that were potentially small for size without compromising donor or recipient safety.
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Comparative Study
Laparoscopic approach of surgical treatment for primary hepatolithiasis: a cohort study.
The aim of the current study was to evaluate the perioperative and long-term outcome of a laparoscopic approach for management of primary hepatolithiasis. ⋯ In selected patients with primary hepatolithiasis, a laparoscopic approach of definitive treatment is safe and effective with good immediate and long-term outcomes.