Annals of surgery
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To assess long-term survival and prognostic factors in a large series of patients with bile duct cancer. ⋯ R0 resection remains the best chance for long-term survival, and lymph node status is the most important prognostic factor following R0 resection.
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Although hospital procedure volume is clearly related to operative mortality with many cancer procedures, its effect on late survival is not well characterized. ⋯ Along with lower operative mortality, HVHs have better late survival rates with selected cancer resections than their lower-volume counterparts. Mechanisms underlying their better outcomes and thus opportunities for improvement remain to be identified.
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Multicenter Study Clinical Trial
Early assessment of pancreatic infections and overall prognosis in severe acute pancreatitis by procalcitonin (PCT): a prospective international multicenter study.
Pancreatic infections and sepsis are major complications in severe acute pancreatitis (AP) with significant impact on management and outcome. We investigated the value of Procalcitonin (PCT) for identifying patients at risk to develop pancreatic infections in severe AP. ⋯ Monitoring of PCT allows early and reliable assessment of clinically relevant pancreatic infections and overall prognosis in AP. This single test parameter significantly contributes to an improved stratification of patients at risk to develop major complications.
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Randomized Controlled Trial
Conventional versus binding pancreaticojejunostomy after pancreaticoduodenectomy: a prospective randomized trial.
This study compared the postoperative pancreatic anastomosis leakage rate of a new binding technique with the conventional technique of pancreaticojejunostomy after pancreaticoduodenectomy. ⋯ Binding pancreaticojejunostomy after panceaticoduodenectomy significantly decreased postoperative complication and pancreaticojejunostomy leakage rates and shortened hospital stay when compared with conventional pancreaticojejunostomy.