Surgical endoscopy
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Multicenter Study
Impact of laparoscopy in patients aged over 70 years requiring distal pancreatectomy: a French multicentric comparative study.
Few data are available concerning short-term results of minimally invasive surgery in patients > 70 years old requiring distal pancreatectomy. The aim of this study was to compare short-term results after laparoscopic (LDP) versus open distal pancreatectomy (ODP) in this subgroup of patients. ⋯ The laparoscopic approach seems to reduce blood loss, postoperative confusion, and length of stay in elderly patients requiring distal pancreatectomy.
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Multicenter Study Observational Study
An observational study of the timing of surgery, use of laparoscopy and outcomes for acute cholecystitis in the USA and UK.
Evidence supports early laparoscopic cholecystectomy for acute cholecystitis. Differences in treatment patterns between the USA and UK, associated outcomes and resource utilization are not well understood. ⋯ This study highlights management practices for acute cholecystitis in the USA and England. Despite best evidence, index admission laparoscopic cholecystectomy is performed less in England, which significantly impacts subsequent healthcare utilization.