Annals of surgery
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Evaluating the perioperative outcomes of minimally invasive (MIV) donor hepatectomy for adult live donor liver transplants in a large multi-institutional series from both Eastern and Western centers. ⋯ This study shows favorable early postoperative outcomes in more than 400 MIV donor hepatectomy from 10 experienced centers. These results are comparable to those of benchmarking series of open standard donor hepatectomy.
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Observational Study
Changes in Smoking Behavior Before and After Gastric Bypass: A 7-year Study.
To evaluate smoking history and change in smoking behavior, from 1 year before through 7 years after Roux-en-Y gastric bypass (RYGB) surgery, and to identify risk factors for post-surgery smoking. ⋯ Although most adults who smoked 1-year before RYGB quit pre-surgery, smoking prevalence rebounded across 7-years, primarily due to relapse.
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Multicenter Study
Safety and Efficacy of Bariatric Surgery in Cirrhosis Patients With Extreme Obesity.
To assess the safety and efficacy of bariatric surgery in patients with cirrhosis. ⋯ Bariatric surgery in obese cirrhotic patients is not associated with excessive mortality compared with noncirrhotic obese patients.
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To extend the IDEAL framework for device innovation, IDEAL-D, to include the preclinical stage of development (stage 0). ⋯ The proposed recommendations for preclinical evaluation of medical devices represent a proportionate and pragmatic approach that balances the de-risking of first-in-human translational studies against the benefits of rapid translation of new devices into clinical practice.