Annals of surgery
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Randomized Controlled Trial Comparative Study
Thoracoscopic pleurodesis for primary spontaneous pneumothorax with high recurrence risk: a prospective randomized trial.
To compare the efficacy and safety between apical pleurectomy and pleural abrasion with minocycline in primary spontaneous pneumothorax (PSP) with high recurrence risk. ⋯ : Pleural abrasion with minocycline pleurodesis is as effective as apical pleurectomy and either technique is appropriate for treating PSP patients with high recurrence risk. This trial was registered at http://www.clinicaltrials.gov (ID: NCT00270751).
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To characterize surgeons' beliefs and approach to the use of an advance directive in the decision to perform high-risk operations. ⋯ Many surgeons do not routinely discuss advanced directives preoperatively and more than one half reported they would decline to operate on patients whose directives limit postoperative care. This practice may limit the expression of patient preferences during decision making for high-risk operations.
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Identification of predictors of malignancy for branch duct type intraductal papillary mucinous neoplasms (IPMN). ⋯ We identified 2 useful predictive factors for malignancy in branch duct type IPMN; a mural nodule size >5 mm and a CEA level in the pancreatic juice obtained by preoperative ERP >30 ng/mL.
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To determine whether resident participation impacts complication rates after appendectomy. ⋯ Resident participation represents an independent risk factor for postoperative complications after appendectomy.
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To examine Asian American (Chinese, Japanese, Korean, Indian subcontinent, Southeast Asian, Philippine and South Pacific Islands, and Middle East) representation in national organizations and editorial boards important in US academic surgery. ⋯ Asian American academic surgeons are absent from the governing boards of surgical organizations and peer-reviewed surgical journals, a situation that mentorship and the development of effective social networks though an Asian American surgeons' association may correct.