Annals of surgery
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We sought to investigate whether a volume-outcome relationship exists for lower extremity arterial bypass (LEAB) surgery. ⋯ A positive volume-outcome relationship exists for LEAB procedures even after employing multilevel risk adjustment models. There are benefits in terms of mortality and limb salvage both in the short-term and at 1 year postsurgery.
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Comparative Study Clinical Trial
Significantly increased pregnancy rates after laparoscopic restorative proctocolectomy: a cross-sectional study.
To assess the impact of a laparoscopic approach on female fecundity in ileoanal pouch surgery. ⋯ Pregnancy rates are significantly higher after laparoscopic IPAA. This makes the laparoscopic approach the method of choice in young women.
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Case Reports
Extracorporeal life support for pancreatitis-induced acute respiratory distress syndrome.
Adult respiratory distress syndrome (ARDS) secondary to acute pancreatitis is associated with a poor prognosis. We hypothesized that extracorporeal life support (ECLS) may be an effective treatment option for the most severe cases of pancreatitis-induced ARDS. ⋯ ECLS is useful in treating severe pancreatitis-induced ARDS. Pancreatic debridement can be performed during ECLS, using a comprehensive protocol to minimize bleeding complications.
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Comparative Study
Resection or transplantation for early hepatocellular carcinoma in a cirrhotic liver: does size define the best oncological strategy?
Resection and liver transplantation (LT) are the only curative options for hepatocellular carcinoma in cirrhotic patients (HCC-cirr). ⋯ On an intention-to-treat basis, LT is associated with the best survival outcomes in patients with early HCC-cirr. Resection may achieve comparable OS in patients with single HCC-cirr of size smaller than 3 cm; however, the RFS still remains lower than that in patients of group T. This study could serve as a guide for HCC-cirr patients who are candidates for either resection or LT.