Annals of surgery
-
To develop a toolkit that covers the clinical, nontechnical, and empathic skills required for effective, safe surgical ward care. ⋯ We developed a toolkit that captures comprehensively the skills that are required for safe and effective ward care, including the high-risk situation where a patient decompensates. The toolkit offers a systematic evaluation of the quality and safety of surgical ward care and can be used to train and debrief residents' skills and performance.
-
Randomized Controlled Trial Comparative Study
Outcome analysis of a decade-long experience of isolated hepatic perfusion for unresectable liver metastases at a single institution.
To evaluate outcomes of isolated hepatic perfusion (IHP) on isolated liver metastases (LMs). ⋯ IHP results in excellent response rates for patients with unresectable liver metastasis from solid tumors. Improved local control for CRC patients undergoing IHP-HAI may improve survival.
-
Randomized Controlled Trial Multicenter Study
The impact of postoperative complications on long-term quality of life after curative colorectal cancer surgery.
To investigate the effect that complications have on patients' long-term quality of life (QoL) after curative colorectal cancer surgery. ⋯ Postoperative complications have adverse effects on long-term QoL, particularly for Physical, Role and Social Functioning, and Body Image, as well as for Mobility, Self-care, and Pain/Discomfort. These findings should inform future preoperative counseling and health care planning.
-
To evaluate the outcome of patients with hepatocellular-cholangiocarcinoma (HCC-CC) or intrahepatic cholangiocarcinoma (I-CC) on pathological examination after liver transplantation for HCC. ⋯ Patients with HCC-CC have similar survival to patients undergoing a transplant for HCC. Preoperative diagnosis of HCC-CC should not prompt the exclusion of these patients from transplant option.
-
Review Meta Analysis
Safety of short, in-hospital delays before surgery for acute appendicitis: multicentre cohort study, systematic review, and meta-analysis.
To determine safety of short in-hospital delays before appendicectomy. ⋯ Short delays of less than 24 hours before appendicectomy were not associated with increased rates of complex pathology in selected patients. These organizational delays may aid service provision, but planned delay beyond this should be avoided. However, where optimal surgical systems allow for expeditious surgery, prompt appendicectomy will still aid fastest resolution of pain for the individual patient.