Annals of surgery
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Multicenter Study Comparative Study
One-millimeter cancer-free margin is curative for colorectal liver metastases: a propensity score case-match approach.
To investigate the influence of clear surgical resection margin width on disease recurrence rate after intentionally curative resection of colorectal liver metastases. ⋯ One-mm cancer-free resection margin achieved in patients with colorectal liver metastases should now be considered the standard of care.
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Multicenter Study Comparative Study
It's big surgery: preoperative expressions of risk, responsibility, and commitment to treatment after high-risk operations.
To identify the processes, surgeons use to establish patient buy-in to postoperative treatments. ⋯ Surgeons who perform high-risk operations communicate the risks of surgery and express their commitment to the patient's survival. However, they rarely discuss prolonged life-supporting treatments explicitly and patients do not discuss their preferences. It is not possible to determine patients' desires for prolonged postoperative life support on the basis of these preoperative conversations alone.
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To perform long-term histopathological and clinical assessment of patients who have previously undergone cardiomyotomy for achalasia. ⋯ The clinical outcome remains excellent in most patients at long-term follow-up after cardiomyotomy for achalasia. Surveillance endoscopy might identify high-risk patients but routine endoscopy in all patients is probably not necessary, particularly early after surgery.
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Editorial Comment
Preparing for the worst: a promising step in the right direction.