Annals of surgery
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Randomized Controlled Trial Multicenter Study
Resection of Cavity Shave Margins in Stage 0-III Breast Cancer Patients Undergoing Breast Conserving Surgery: A Prospective Multicenter Randomized Controlled Trial.
Single-center studies have demonstrated that resection of cavity shave margins (CSM) halves the rate of positive margins and re-excision in breast cancer patients undergoing partial mastectomy (PM). We sought to determine if these findings were externally generalizable across practice settings. ⋯ Resection of CSM significantly reduces positive margin and re-excision rates in patients undergoing PM.
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Multicenter Study Clinical Trial
Comprehensive Learning Curve of Robotic Surgery: Discovery From a Multicenter Prospective Trial of Robotic Gastrectomy.
To evaluate the complication-based learning curve and identify learning-associated complications of robotic gastrectomy. ⋯ This is the first study suggesting that technical immaturity substantially affects the surgical outcomes of robotic gastrectomy and that robotic gastrectomy is a complex procedure with a significant learning curve that has implications for physician training and credentialing.
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Multicenter Study
Prediction Model of Long-term Survival After Esophageal Cancer Surgery.
We aimed to develop prediction models for estimating the long-term survival in patients who have undergone surgery for esophageal cancer. ⋯ These models showed good performance for predicting long-term survival after esophageal cancer surgery and may thus be useful for patients in planning their lives and to guide the postoperative treatment and follow-up.
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A recently retracted article discussing professionalism and young surgeons incites a social media storm on continued sexism in medical literature in 2020.
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Randomized Controlled Trial
Assessment of Robotic Versus Laparoscopic Distal Gastrectomy for Gastric Cancer: A Randomized Controlled Trial.
To evaluate the short-term outcomes of patients with GC who received RDG or LDG. ⋯ RDG is associated with a lower morbidity rate, faster recovery, milder inflammatory responses, and improved lymphadenectomy. Additionally, faster postoperative recovery in the RDG group enables early initiation of adjuvant chemotherapy. Our results provide evidence for the application of RDG in patients with GC.