Annals of surgery
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Multicenter Study Comparative Study
Laparoscopy Decreases Pulmonary Complications in Patients Undergoing Major Liver Resection: A Propensity Score Analysis.
To compare both incidence and types of postoperative pulmonary complications (PPCs) between laparoscopic major hepatectomy (LMH) and open major hepatectomy (OMH). ⋯ Pure laparoscopy allows reducing PPCs in patients requiring major liver resection.
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Comparative Study
It's All About Location, Location, Location: A New Perspective on Trauma Transport.
To determine the effect of aeromedical transport on trauma mortality when accounting for geographic factors. ⋯ Helicopter transport does not impart a survival benefit for trauma patients when geographic considerations are taken into account.
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To evaluate the influence of IGFBP-3 methylation on recurrence in patients with stage II colorectal cancer (CRC) from 2 independent cohorts. ⋯ Detection of IGFBP-3 methylation in PTs, but not in LNs, provides a powerful tool for the identification of patients with stage II CRC at high risk of recurrence.
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Preoperative methods to estimate disease-specific survival (DSS) for resectable gastroesophageal (GE) junction and gastric adenocarcinoma are limited. We evaluated the relationship between DSS and pretreatment neutrophil to lymphocyte ratio (NLR). ⋯ In patients with resectable GE junction and gastric adenocarcinoma, pretreatment NLR independently predicts DSS. This and other clinical variables can be used in conjunction with cross-sectional imaging and endoscopic ultrasound as part of the preoperative risk stratification process.
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We evaluated regional access to bariatric surgery within the high-volume, center of excellence (COE) model of Ontario, Canada. ⋯ This study identified an unequal delivery of bariatric surgery within Ontario. Both longer distances and not having a bariatric facility within the same health region had significant negative effects. Further research into patient attitudes and referral patterns is required to better characterize these disparities.