Annals of surgery
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Multicenter Study Comparative Study
Defining Global Benchmarks in Elective Secondary Bariatric Surgery Comprising Conversional, Revisional and Reversal Procedures.
To define "best possible" outcomes for secondary bariatric surgery (BS). ⋯ Secondary BS is safe, although postoperative morbidity exceeds the established benchmarks for primary BS. The excess morbidity is due to an increased risk of gastrointestinal leakage and higher need for intensive care. The considerable rate of tertiary BS warrants expertise and future research to optimize the management of non-success after BS.
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Multicenter Study
Perihilar Cholangiocarcinoma-Novel Benchmark Values for Surgical and Oncological Outcomes From 24 Expert Centers.
The aim of this study was to define robust benchmark values for the surgical treatment of perihilar cholangiocarcinomas (PHC) to enable unbiased comparisons. ⋯ Surgery for PHC remains associated with high morbidity and mortality with now the availability of benchmark values covering 21 outcome parameters, which may serve as key references for comparison in any future analyses of individuals, group of patients or centers.
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Multicenter Study
Surgeon Perspectives on Benefits and Downsides of Overlapping Surgery: In-depth, Qualitative Interviews.
The aim of the study was to characterize surgeon perspectives regarding the benefits and downsides of conducting overlapping surgery. ⋯ The utilization of the novel perspectives presented here will allow for targeted assessment of physician perspectives in future quantitative studies and increase the likelihood that variables measured encompass the range of factors that surgeons find meaningful and relevant. Priority areas of future research should include examining effects of overlapping surgery on surgical training and surgeon wellness.
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Multicenter Study Observational Study
Predicting Intraoperative Difficulty of Open Liver Resections: The DIFF-scOR Study, An Analysis of 1393 Consecutive Hepatectomies From a French Multicenter Cohort.
The aim of this study was to build a predictive model of operative difficulty in open liver resections (LRs). ⋯ The DIFF-scOR accurately predicts open-LR difficulty and may be used for various purposes in clinical practice and research.
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Multicenter Study Comparative Study
Presentation, Treatment, and Prognosis of Esophageal Carcinoma in A Nationwide Comparison of Sweden and the Netherlands.
This population-based study aimed to compare presentation, treatment allocation and survival of potentially curable esophageal cancer patients between Sweden and the Netherlands. ⋯ Swedish patients with potentially curable esophageal cancer were less frequently allocated to curative treatment, and showed lower survival compared to Dutch patients. The less pronounced inter-country survival difference after curative treatment suggests that the overall survival difference could at least partly be due to relative undertreatment of Swedish patients. Shared curative treatment thresholds across Europe may help improve survival of esophageal cancer patients.