Annals of surgery
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To compare opioid use in patients with obesity treated with bariatric surgery versus adults with obesity who underwent intensive lifestyle modification. ⋯ Bariatric surgery was associated with a higher proportion of opioid users and larger total opioid dose, compared to actively treated obese individuals. These trends were especially evident in patients who received additional surgery during follow-up.
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To describe the rate of missed carcinoma deposits in total hepatectomy specimens from patients treated with liver transplant (LT) for colorectal liver metastases (CRLM). ⋯ A complete radiographic response does not reliably predict a complete pathologic response. In patients with unresectable CRLM, total hepatectomy and LT represent a promising treatment option to prevent indolent disease progression from disappearing CRLM.
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To report one-year morbidity of robotic-assisted laparoscopic surgery (RALS) in a dedicated, multidisciplinary, pediatric robotic surgery program. Summary Background Data:RALS in pediatric surgery is expanding, but data on morbidity in children is limited. Methods:All children who underwent RALS (Da Vinci Xi®, Intuitive Surgical, USA) were prospectively included (October 2016 to May 2020; follow-up ≥1 year). ⋯ Three children died after a median follow-up of 20 [IQR=16] months. Conclusions:RALS is safe, even in the most vulnerable children with a wide scope of indications, age, and weight. Robot-specific complications or malfunctions are scarce.
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To analyze risk and patterns of locoregional failure (LRF) in patients of the RAPIDO trial at five years. ⋯ The EXP treatment was associated with an increased risk of LRR whereas the reduction in disease-related treatment failure and distant metastases remained after 5 years. Further refinement of the TNT in rectal cancer is mandated.
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The American Board of Surgery sought to investigate the suitability of Video-based Assessment (VBA) as an adjunct to certification for assessing technical skills. ⋯ VBA is promising for an adjunct to the current board certification process and should be further considered by the ABS.