The British journal of surgery
-
Randomized Controlled Trial Multicenter Study
Pancreatoduodenectomy with or without prophylactic falciform ligament wrap around the hepatic artery for prevention of postpancreatectomy haemorrhage: a randomized clinical trial (PANDA trial).
Postpancreatectomy haemorrhage (PPH) is a rare but potentially fatal complication after pancreatoduodenectomy. Preventive strategies are lacking with scarce data for support. The aim of this study was to investigate whether a prophylactic falciform ligament wrap around the hepatic and gastroduodenal artery can prevent PPH from these vessels. ⋯ NCT02588066 (http://www.clinicaltrials.gov).
-
Multicenter Study
Effects of structured intraoperative briefings on patient outcomes: multicentre before-and-after study.
Operations require collaboration between surgeons, anaesthetia professionals, and nurses. The aim of this study was to determine whether intraoperative briefings influence patient outcomes. ⋯ Short intraoperative briefings improve patient outcomes and should be performed routinely.
-
Comparative Study Observational Study
National time trends in mortality and graft survival following liver transplantation from circulatory death or brainstem death donors.
Despite high waiting list mortality rates, concern still exists on the appropriateness of using livers donated after circulatory death (DCD). We compared mortality and graft loss in recipients of livers donated after circulatory or brainstem death (DBD) across two successive time periods. ⋯ Mortality rates more than halved in recipients of a DCD liver over a decade and eventually compared similarly to mortality rates in recipients of a DBD liver. Regions with high waiting list mortality may mitigate this by use of DCD livers.