Annals of surgery
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Multicenter Study
Postoperative complications reduce adjuvant chemotherapy use in resectable pancreatic cancer.
To assess the impact of postoperative complications on the receipt of adjuvant chemotherapy. ⋯ Postoperative complications are common following pancreatic surgery and are associated with adjuvant chemotherapy omission and treatment delays.
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Randomized Controlled Trial Multicenter Study
Endoscopic harvesting device type and outcomes in patients undergoing coronary artery bypass surgery.
To evaluate angiographic and clinical outcomes associated with open and closed dissection tunnel endoscopic vein harvesting (EVH) devices. ⋯ No differences in angiographic or clinical outcomes were observed among patients who underwent open versus closed tunnel endoscopic harvesting for coronary bypass surgery. These findings suggest that the risks associated with EVH that were reported in a previous PREVENT-IV analysis are not related to a specific EVH device.
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Multicenter Study
Predicting recurrence of pancreatic solid pseudopapillary tumors after surgical resection: a multicenter analysis in Korea.
Solid pseudopapillary tumors (SPTs) of the pancreas are still considered a surgical enigma. Many clinical research trials have failed to identify prognostic factors that predict the malignant behavior of SPTs. ⋯ More specific pathologic descriptions need to be employed in pathologic report forms to provide proper information to predict SPT recurrence after resection. Future studies emphasizing the standardized pathologic evaluation of pancreatic SPTs may unveil the enigmatic nature of pancreatic SPTs.
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Multicenter Study
A risk model for esophagectomy using data of 5354 patients included in a Japanese nationwide web-based database.
This study aimed to create a risk model of mortality associated with esophagectomy using a Japanese nationwide database. ⋯ This study was the first, as per our knowledge, to perform risk stratification for esophagectomy using a Japanese nationwide database. The 30-day and operative mortality rates were relatively lower than those in previous reports. The risk models developed in this study may contribute toward improvements in quality control of procedures and creation of a novel scoring system.
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Multicenter Study
Hepatic resection associated with good survival for selected patients with intermediate and advanced-stage hepatocellular carcinoma.
The efficacy and safety of hepatic resection (HR) to treat patients with Barcelona Clinic Liver Cancer (BCLC) stage B and C hepatocellular carcinoma (HCC) was retrospectively assessed. ⋯ Our clinical and literature analyses suggest that in patients with HCC with preserved liver function, the presence of large, solitary tumors, multinodular tumors, macrovascular invasion, or PHT are not contraindications for HR.