The British journal of surgery
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Multicenter Study Meta Analysis
Multicentre analysis of oncological and survival outcomes following anastomotic leakage after rectal cancer surgery.
The association between diverting stomas and symptomatic anastomotic leakage after rectal cancer surgery was studied, as well as the impact of leakage on local recurrence, distant metastasis, and disease-free, overall and cancer-specific survival. ⋯ Diverting stomas were associated with less symptomatic anastomotic leakage. Oncological outcome was not significantly influenced by leakage, but overall survival was reduced.
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Review Meta Analysis Comparative Study
Meta-analysis of randomized controlled trials comparing open and laparoscopic ventral and incisional hernia repair with mesh.
Laparoscopic ventral and incisional hernia repair has been reported in a number of small trials to have equivalent or superior outcomes to open repair. ⋯ Laparoscopic repair of ventral and incisional hernia is at least as effective, if not superior to, the open approach in a number of outcomes.
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Review Meta Analysis
Meta-analysis of standard, restrictive and supplemental fluid administration in colorectal surgery.
Optimal fluid therapy for colorectal surgery remains uncertain. ⋯ Using standardized definitions, this meta-analysis suggests that restrictive rather than standard fluid amount according to current textbook opinion, and goal-directed fluid therapy rather than fluid therapy guided by conventional haemodynamic variables, reduce morbidity after colorectal resection.
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Review Meta Analysis
Systematic review of randomized controlled trials on the effectiveness of virtual reality training for laparoscopic surgery.
Surgical training has traditionally been one of apprenticeship. The aim of this review was to determine whether virtual reality (VR) training can supplement and/or replace conventional laparoscopic training in surgical trainees with limited or no laparoscopic experience. ⋯ VR training can supplement standard laparoscopic surgical training. It is at least as effective as video training in supplementing standard laparoscopic training.