The British journal of surgery
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Randomized Controlled Trial Multicenter Study Comparative Study
Renal function 5 years after open and endovascular aortic aneurysm repair from a randomized trial.
Deterioration of renal function after major vascular surgery is an important complication, and may vary between patients undergoing endovascular (EVAR) or open surgical (OR) repair of an abdominal aortic aneurysm (AAA). The objective was to determine the impact of OR and EVAR on renal function after 5 years. ⋯ Renal function 5 years after OR and EVAR for AAA was similar. Neither surgical procedure accelerated the loss of renal function.
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Randomized Controlled Trial Comparative Study
Randomized trial of the effect of video feedback on the acquisition of surgical skills.
Constructive feedback provides a mechanism for reinforcing learning during the acquisition of surgical skills. Feedback is usually given verbally, and sometimes documented, after direct observation by a trained assessor. The aim was to evaluate video recording as an effective modality for enhancing feedback, in comparison with standard verbal feedback alone. ⋯ The addition of video feedback can improve the acquisition of surgical skills, and could be incorporated into formal surgical curricula.
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Owing to expanded surgical indications for colorectal liver metastasis (CRLM) and improved systemic therapy, hepatic surgeons are increasingly faced with the problem of disappearing (no longer visible on imaging) liver metastasis (DLM). ⋯ Liver resection should include all original sites of disease if possible.
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Comparative Study
Outcome after resection and radiofrequency ablation of liver metastases from small intestinal neuroendocrine tumours.
In patients with small intestinal neuroendocrine tumour (SI-NET), liver resection or radiofrequency ablation (RFA) of liver metastases is performed for palliation of carcinoid syndrome, and in an effort to improve survival. Data are generally reported from case series, and no randomized trials have studied these treatments. The aim was to compare outcome after liver resection and/or RFA with that of non-surgical treatment in patients with liver metastases from SI-NET. ⋯ These data do not support the use of liver resection and/or RFA in an effort to prolong survival in patients with liver metastases from SI-NET.