Annals of surgery
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Randomized Controlled Trial
The Value of Isosulfan Blue Dye in Addition to Isotope Scanning in the Identification of the Sentinel Lymph Node in Breast Cancer Patients With a Positive Lymphoscintigraphy: A Randomized Controlled Trial (ISRCTN98849733).
Sentinel lymph node biopsy (SLNB) has become the gold standard for axillary staging. Debate remains as to the optimal method of SLN detection. ⋯ This study failed to demonstrate an advantage with the addition of isosulfan blue dye to radioisotope in the identification of the SLN in the presence of a positive preoperative lymphoscintigram.
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We describe the technical details and evaluate the safety, feasibility, and usefulness of a combined lateral and abdominal (CLA) approach for laparoscopic resection of liver segments 7 and 8. ⋯ The CLA approach permits safe laparoscopic resection of lesions in the posterosuperior area of segments 7 and 8, allowing surgeons to overcome the difficulties of limited visualization and access to the target lesions.
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To investigate the association between antibiotic prophylaxis (AP) and surgical-site infection in pediatric patients. ⋯ In pediatric surgery, complete compliance with AP was associated with 30% decreased risk of SSI.
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To establish a risk model for distal gastrectomy in Japanese patients with gastric cancer. ⋯ The risk model developed using nationwide Japanese data on distal gastrectomy in gastric cancer can predict surgical outcomes.