The British journal of surgery
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Multicenter Study
Impact of bowel dysfunction on quality of life after sphincter-preserving resection for rectal cancer.
Bowel dysfunction after sphincter-preserving surgery for rectal cancer is a common complication, with the potential to affect quality of life (QoL) strongly. The aim of this study was to examine the extent of bowel dysfunction and impact on health-related QoL after curative sphincter-preserving resection for rectal cancer. ⋯ Bowel dysfunction is a major problem with an immense impact on QoL following sphincter-preserving resection. The risk of major LARS was significantly increased after neoadjuvant therapy and total mesorectal excision.
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Multicenter Study Comparative Study
Predicting aortic complications after endovascular aneurysm repair.
Lifelong surveillance is standard after endovascular repair of abdominal aortic aneurysm (EVAR), but remains costly, heterogeneous and poorly calibrated. This study aimed to develop and validate a scoring system for aortic complications after EVAR, informing rationalized surveillance. ⋯ The risk score uses commonly available morphological data to stratify the rate of complications after EVAR. The proposals for rationalized surveillance could provide clinical and economic benefits.
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Multicenter Study Comparative Study
Outcome following laparoscopic and open total mesorectal excision for rectal cancer.
There are few reports on the oncological quality of resection and outcome after laparoscopic versus open total mesorectal excision (TME) for rectal cancer in everyday surgical practice. ⋯ Oncological outcome is comparable after laparoscopic and open TME in everyday surgical practice.