American journal of surgery
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Randomized Controlled Trial Comparative Study
Prospective randomized comparative study of single incision laparoscopic cholecystectomy versus conventional four-port laparoscopic cholecystectomy.
This study aimed to compare the outcomes of single-incision laparoscopic cholecystectomy (SILC) versus conventional 4-port laparoscopic cholecystectomy (LC). ⋯ SILC was feasible and safe for properly selected patients in experienced hands.
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Neurosurgery is not just about head injuries and brain tumors. It is a specialty that currently stands at the forefront of biomedical and technological developments. Modern neurosurgery requires not only creativity and perseverance on behalf of your patients but also clinical acumen, surgical judgment, and technical expertise. This career resource guides the reader through the pathway to a practice in neurosurgery.
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Cardiothoracic surgeons provide care to neonates, children, adults, and the elderly with a range of disorders of the heart, lungs, esophagus, and major blood vessels of the chest. The field of cardiothoracic surgery continues to thrive among the transformations in thoracic and cardiovascular medicine. This article is intended to provide a guide to medical students and physicians on the training, certification, research, and funding opportunities as well as societies and journals specific to cardiothoracic surgery.
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Laparoscopic antireflux surgery is an accepted treatment for persistent gastroesophageal reflux but about 4% of patients will eventually require revision surgery. ⋯ Laparoscopic revision antireflux surgery appears to be feasible and safe, but subject to somewhat greater risk of conversion, higher morbidity, longer hospital stay, and poorer outcomes than primary laparoscopic fundoplication.
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Comparative Study
Comparison of different risk-adjustment models in assessing short-term surgical outcome after transthoracic esophagectomy in patients with esophageal cancer.
Different risk-prediction models have been developed, but none is generally accepted in selecting patients for esophagectomy. This study evaluated 5 most frequently used risk-prediction models, including the American Society of Anesthesiologists, Portsmouth-modified Physiological and Operative Severity Score for the enUmeration of Mortality and morbidity (P-POSSUM), and the adjusted version for Oesophagogastric surgery (O-POSSUM), Charlson and the Age adjusted Charlson score to assess postoperative mortality after transthoracic esophagectomy. ⋯ Postoperative mortality after esophagectomy was best predicted by O-POSSUM. However, it still overpredicted postoperative mortality.