The British journal of surgery
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Multicenter Study
Surgical management of patients with colorectal cancer and simultaneous liver and lung metastases.
The management of patients with colorectal cancer and simultaneously diagnosed liver and lung metastases (SLLM) remains controversial. ⋯ Patients who had resection of liver and lung metastases had similar overall survival to those who had undergone removal of isolated liver metastases.
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Multicenter Study
Determinants of improved survival after oesophagectomy for cancer.
Survival after oesophagectomy for cancer seems to be improving. This study aimed to identify the most important contributors to this change. ⋯ The observed increase in long-term survival after surgery for oesophageal cancer between 1999 and 2010 in the Netherlands is difficult to explain fully, although the recent increase seems to be partly attributable to the introduction of neoadjuvant therapy.
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Randomized Controlled Trial Multicenter Study
Randomized multicentre feasibility trial of intermediate care versus standard ward care after emergency abdominal surgery (InCare trial).
Emergency abdominal surgery carries a considerable risk of death and postoperative complications. Early detection and timely management of complications may reduce mortality. The aim was to evaluate the effect and feasibility of intermediate care compared with standard ward care in patients who had emergency abdominal surgery. ⋯ NCT01209663 (http://www.clinicaltrials.gov).
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Multicenter Study
Surgeons' and trainees' perceived self-efficacy in operating theatre non-technical skills.
An important factor that may influence an individual's performance is self-efficacy, a personal judgement of capability to perform a particular task successfully. This prospective study explored newly qualified surgeons' and surgical trainees' self-efficacy in non-technical skills compared with their non-technical skills performance in simulated scenarios. ⋯ The results suggest that new surgeons and surgical trainees have poor insight into their non-technical skills. Although it was not possible to correlate participants' self-belief in their abilities directly with their performance in a simulation, in general they became more critical in appraisal of their abilities as a result of the intervention.
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Multicenter Study
Conditions, preventable deaths, procedures and validation of a countrywide survey of surgical care in Nepal.
To determine a true denominator of worldwide surgical need, it is imperative to include estimations at a population-based level, to capture those individuals unable to access surgical care. This study was designed to validate the Surgeons OverSeas Assessment of Surgical need (SOSAS) tool with the addition of a visual physical examination, and describe the prevalence of surgical conditions, deaths possibly averted with access to surgical care, and the number of surgical procedures performed annually, in Nepal. ⋯ The visual physical examination component validated the SOSAS tool, and justified the estimates of previous studies in Sierra Leone and Rwanda. These data provide insights into the health needs of Nepal and provide evidence to develop surgical programmes, assist with monitoring and evaluation, and help with advocacy for increased resources in Nepal.