The British journal of surgery
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Diabetes remission is an important outcome after bariatric surgery. The purpose of this study was to identify risk prediction models of diabetes remission after bariatric surgery. ⋯ A variety of models are available for predicting risk of diabetes following bariatric surgery, but only two have undergone external validation.
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Randomized Controlled Trial
Randomized clinical trial of chewing gum after laparoscopic colorectal resection.
Chewing gum may enhance intestinal motility after surgery. This trial studied whether chewing gum could lead to a further reduction in ileus in patients who had a laparoscopic colorectal resection and followed an enhanced recovery programme. ⋯ NCT02419586 (https://clinicaltrials.gov/).
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Multicenter Study Observational Study
Retrospective analysis of 30-day mortality for emergency general surgery admissions evaluating the weekend effect.
The weekend effect describes excess mortality associated with hospital admission on Saturday or Sunday. This study assessed whether a weekend effect exists for patients admitted for emergency general surgery. ⋯ During the past 15 years there has been a weekend effect in patients undergoing emergency general surgery based on day of operation, but not day of admission. Overall mortality for emergency general surgery has improved significantly, and in the past 5 years the increased mortality risk of weekend surgery has reduced.
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Multicenter Study Observational Study
Multicentre observational study of surgical system failures in aortic procedures and their effect on patient outcomes.
Vascular surgical care has changed dramatically in recent years with little knowledge of the impact of system failures on patient safety. The primary aim of this multicentre observational study was to define the landscape of surgical system failures, errors and inefficiency (collectively termed failures) in aortic surgery. Secondary aims were to investigate determinants of these failures and their relationship with patient outcomes. ⋯ Failure in aortic procedures is frequently caused by issues with team-working and equipment, and is associated with patient harm. Multidisciplinary team training, effective use of technology and new-device accreditation may improve patient outcomes.
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Comparative Study Observational Study
Propensity score-based analysis of outcomes of laparoscopic versus open liver resection for colorectal metastases.
There is a need for high-level evidence regarding the added value of laparoscopic (LLR) compared with open (OLR) liver resection. The aim of this study was to compare the surgical and oncological outcomes of patients with colorectal liver metastases (CRLM) undergoing LLR and OLR using propensity score matching to minimize bias. ⋯ Propensity score matching showed that LLR for CRLM may provide R0 resection rates and long-term OS comparable to those for OLR, with lower blood loss and morbidity, and shorter postoperative hospital stay.