Acta Chir Belg
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To evaluate our initial results with the titanium transverse plate fixation system of the sternum in four patients. ⋯ The titanium transverse plate fixation system is a very promising adjunct to the armamentarium of the cardio-thoracic surgeon for treatment of sternal problems, including dehiscence and fractures, even when mediastinitis is involved. It offers more stability compared to simple rewiring, without the need for extensive retrosternal dissection.
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Randomized Controlled Trial Comparative Study
A quality of life comparison of laparoscopic and open approaches in acute appendicitis: a randomised prospective study.
The study aimed to evaluate the utility of a laparoscopic approach in the management of patients with right lower abdominal pain and in the quality of life after the operation. ⋯ Laparoscopic appendectomy is a safe method, which also has advantages of diagnostic procedure for other pathologies, a better quality of life both in the early and late period, and a short hospital stay. The important advantage is also seen in the late period with better quality of life.
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Comparative Study
Morbidity and mortality after induction chemotherapy followed by surgery in IIIa-N2 non small cell lung cancer.
To evaluate the frequency and risk of postoperative complications and mortality in patients with IIIa-N2 non small cell lung cancer after induction chemotherapy and surgery. ⋯ Although surgery after induction therapy for IIIa-N2 NSCLC can be done with a morbidity and mortality comparable to surgery alone, it remains a high risk operation. It should therefore be performed in a center with experience. Bronchial stump protection should be used whenever there is an increased risk for developing a bronchopleural fistula. In deciding whether to do surgery or radiotherapy one should keep in mind the feasibility of performing a complete resection together with a preoperative assessment to predict complications and mortality. For the preoperative assessment several scoring systems can be used from which we find the simplified comorbidity score most useful.
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Comparative Study
Major liver resections for primary liver malignancies in the elderly.
The aim of our prospective study was to assess the results of major hepatic resections for primary liver tumours in patients 75 years of age or older. ⋯ Advanced age does not seem to negatively affect the outcome of liver resections for malignancies. Hepatic resections in patients 75 years of age or older may be carried out with relative safety as long as patients are appropriately selected.