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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Randomized Controlled Trial Multicenter Study Clinical Trial
Pilot study of carotid surgery for acute stroke.
Carotid endarterectomy is usually delayed for 2 months following an acute stroke, but the stroke may progress or a further stroke may occur. A randomized pilot study of urgent carotid surgery for acute stroke was undertaken to assess the feasibility of a definitive multicentre trial. ⋯ A definitive trial of urgent carotid surgery would need to screen large numbers of patients but could focus on patients with partial anterior circulation infarcts.
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Multicenter Study
Initial experience with an absorbable laparoscopic ligation clip.
Laparoscopic surgery requires secure and safe methods of ligation and haemostasis. This study evaluated the efficacy of an absorbable ligation clip with a novel compression closure mechanism. ⋯ This new clip is as safe and effective as presently available metal and absorbable clips in providing haemostasis and securing tubular structures.