The British journal of surgery
-
Randomized Controlled Trial Clinical Trial
Prospective randomized trial of end-to-end versus side-to-side biliary reconstruction after orthotopic liver transplantation.
Biliary reconstruction is the Achilles heel of liver transplantation. Side-to-side anastomosis of donor and recipient bile duct has been claimed to be superior to end-to-end anastomosis in uncontrolled studies. ⋯ Side-to-side and end-to-end biliary anastomosis at liver transplantation are equally effective.
-
The aim of the present work was to study the preoperative leucocyte counts and C-reactive protein (CRP) values in three groups of patients operated on for a clinical suspicion of acute appendicitis with different findings at appendicectomy: an uninflamed appendix, uncomplicated acute appendicitis or complicated acute appendicitis. In particular, patients with acute appendicitis but a normal leucocyte count and CRP level were sought. ⋯ Acute appendicitis is very unlikely when both the leucocyte count and CRP value are normal.