The British journal of surgery
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Preoperative imaging and prediction of oesophageal conduit necrosis after oesophagectomy for cancer.
Oesophageal conduit necrosis following oesophagectomy is a rare but life-threatening complication. The present study aimed to assess the impact of coeliac axis stenosis on outcomes after oesophagectomy for cancer. ⋯ This study suggests that oesophageal conduit necrosis after oesophagectomy for cancer may be due to pre-existing coeliac axis stenosis.
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Since 2003, care for patients with oesophageal cancer has been centralized in a few dedicated centres in Denmark. The aim of this study was to assess changes in the treatment and outcome of patients registered in a nationwide database. ⋯ Indicators of quality of care have improved since the centralization of oesophageal cancer treatment in Denmark.
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Observational Study
Safety, productivity and predicted contribution of a surgical task-sharing programme in Sierra Leone.
Surgical task-sharing may be central to expanding the provision of surgical care in low-resource settings. The aims of this paper were to describe the set-up of a new surgical task-sharing training programme for associate clinicians and junior doctors in Sierra Leone, assess its productivity and safety, and estimate its future role in contributing to surgical volume. ⋯ SACHOs rapidly and safely achieved substantial increases in surgical volume in Sierra Leone.