The British journal of surgery
-
Multicenter Study
Long-term outcomes of sacral nerve stimulation for faecal incontinence.
Sacral nerve stimulation (SNS) has proven short- to medium-term effectiveness for the treatment of faecal incontinence (FI); fewer long-term outcomes have been presented and usually in small series. Here, the long-term effectiveness of SNS was evaluated in a large European cohort of patients with a minimum of 5 years' follow-up. ⋯ SNS remains an effective treatment for FI in the long term for approximately half of the patients starting therapy.
-
Multicenter Study
Prognostic impact of lymph node metastasis in distal cholangiocarcinoma.
The aim of the study was to investigate the prognostic impact of lymph node metastasis in cholangiocarcinoma using three different classifications. ⋯ The number of involved nodes was a strong predictor of survival in patients with distal cholangiocarcinoma.
-
Adrenocortical cancer (ACC) is a rare disease with a dismal prognosis. The majority of patients are diagnosed with advanced disease and raise difficult management challenges. ⋯ Open and potentially laparoscopic adrenalectomy for selected patients is the main treatment for non-metastatic ACC, but the overall 5-year survival rate remains low.
-
Multicenter Study
Distal pancreatectomy for pancreatic carcinoma in the era of multimodal treatment.
Recent publications have suggested improvements in the outcome of distal pancreatectomy (DP) for cancer, but the series were small and heterogeneous. The aim of the present study was to assess perioperative and long-term outcomes of DP for pancreatic adenocarcinoma in the era of multimodal treatment in a major European country. ⋯ Postoperative morbidity and mortality associated with pancreatic fistula remain considerable after DP, but both short- and long-term survival have improved markedly.