Annals of surgery
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"I Came up Short on the Academic Ladder:": A Grounded Theory Study of Careerism in Academic Surgery.
This study aims to explore the definition of career success in academic surgery. ⋯ As the definition of career success in academic surgery changes to encompass a broader range of interests and ambitions, the traditional markers of success must come into review. Academic surgeons see the value of titles as a marker of success and as a means to achieving other goals, but overwhelmingly our interviewees felt that titles were a double-edged sword and that a more inclusive definition of academic success was needed.
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To investigate whether and how experience accumulation and technical refinements simultaneously implemented in auxiliary orthotopic liver transplantation (AOLT) may impact on outcomes. ⋯ These technical refinements favoring the liver graft and reducing morbidity may promote AOLT implementation among LT centers.
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Assess quality of life and mental health implications of mastectomy for breast cancer on sub-Saharan African women. ⋯ Women from Ghana and Ethiopia who underwent mastectomy experienced a decline in breast-related body image while also experiencing decreased levels of depression and anxiety.
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To assess the learning curve of pancreaticojejunostomy during robotic pancreatoduodenectomy (RPD) and to predict the risk of postoperative pancreatic fistula (POPF) by using the objective structured assessment of technical skills (OSATS), taking the fistula risk into account. ⋯ Video grading of the pancreatic anastomosis in RPD using OSATS identified a learning curve and a reduced risk of POPF in case of better surgical performance. Video grading may provide a valid method to surgical training, quality control, and improvement.
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To assess how liver allografts preserved using portable normothermic machine perfusion (NMP) compare against those that underwent ischemic cold storage (ICS) in the setting of donation after brain death (DBD) and donation after circulatory death (DCD) liver transplantation (LT). ⋯ Compared with conventional ICS, NMP can significantly reduce the incidence of EAD, RPS, and IC after DCD LT.