Annals of surgery
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Randomized Controlled Trial Multicenter Study Comparative Study Clinical Trial
External pancreatic duct stent decreases pancreatic fistula rate after pancreaticoduodenectomy: prospective multicenter randomized trial.
Pancreatic fistula (PF) is a leading cause of morbidity and mortality after pancreaticoduodenectomy (PD). The aim of this multicenter prospective randomized trial was to compare the results of PD with an external drainage stent versus no stent. ⋯ External drainage of pancreatic duct with a stent reduced. PF and overall morbidity rates after PD in high risk patients (soft pancreatic texture and a nondilated pancreatic duct).
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Randomized Controlled Trial Comparative Study
Ex vivo technical skills training transfers to the operating room and enhances cognitive learning: a randomized controlled trial.
Surgical training in the operating room includes acquiring technical skills and cognitive knowledge. Technical skills training on simulated models has been shown to improve technical performance in the operating room, and may also enhance the acquisition of other skills by freeing cognitive capacity. This has yet to be investigated. ⋯ Technical skills training using a low fidelity synthetic simulator resulted in improved technical performance in the operating room, and enhanced the ability of residents to attend to cognitive components of surgical expertise.
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Comment Letter Randomized Controlled Trial Comparative Study
Very early cholecystectomy in patients with predicted mild acute pancreatitis: caution advised.