The British journal of surgery
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Multicenter Study
Long-term survival following resection of colorectal hepatic metastases. Association Française de Chirurgie.
The aim of this study was to analyse characteristics of patients who survived more than 5 years after liver resection of colorectal metastases. ⋯ Resection of colorectal hepatic metastases can provide long-term survival even in patients with poor prognostic factors. It seems justified to undertake resection of colorectal liver metastases whenever it may be performed safely as a curative treatment.
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Comment Letter Randomized Controlled Trial Clinical Trial
Prospective randomized trial of clips versus subcuticular polydioxanone for neck wound closure.
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Melanoma of the nose is rare and management guidelines are poorly defined. In the past, excision margins have often been much narrower than for melanoma elsewhere. ⋯ Adequate surgical excision is the mainstay of successful treatment for melanoma of the nose. Excision margins for nasal melanoma should not be any less than for melanoma elsewhere. Careful planning is required, not only to gain local disease control and the best chance of cure, but also to achieve functionally and aesthetically acceptable results. Excision margins need not be compromised in view of the variety of local flaps that can be employed to close the primary defect.
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Erythromycin has been shown to be a powerful prokinetic of the gastrointestinal tract. Little is known about its value to improve motility and transit in gastrectomized patients. ⋯ Oral erythromycin improves gastrointestinal transit and motility after subtotal gastrectomy. The findings after total gastrectomy are controversial.