The British journal of surgery
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The incidence of pancreatic neuroendocrine neoplasms (pNEN) is increasing. This study aimed to evaluate predictors of overall survival and the indication for surgery. ⋯ Neuroendocrine tumours graded G3, lymph node and distant metastasis are independent predictors of worse overall survival in patients with pNEN.
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Comparative Study
Effect of hospital volume on quality of care and outcome after rectal cancer surgery.
Research on the relationship between hospital volume and quality of care in the treatment of rectal cancer is limited. ⋯ Some volume effects were observed, but their effect size was limited.
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Five-year survival after hepatic resection for colorectal cancer (CRC) liver metastases is good, but data on patient-reported outcomes are lacking. This study describes the long-term impact of liver surgery for CRC metastases on patient-reported outcomes. ⋯ Long-term survivors of metastatic colorectal cancer who have undergone liver surgery have excellent global quality of life, high levels of function and few symptoms.
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Review Meta Analysis Comparative Study
Meta-analysis of peak wall stress in ruptured, symptomatic and intact abdominal aortic aneurysms.
Abdominal aortic aneurysm (AAA) is an important cause of sudden death; however, there are currently incomplete means to predict the risk of AAA rupture. AAA peak wall stress (PWS) can be estimated using finite element analysis (FEA) methods from computed tomography (CT) scans. The question is whether AAA PWS can predict AAA rupture. The aim of this systematic review was to compare PWS in patients with ruptured and intact AAA. ⋯ This study suggests that PWS is greater in symptomatic or ruptured AAA than in asymptomatic intact AAA.