The British journal of surgery
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The aim was to evaluate the applicability of laparoscopic surgery in the treatment of primary rectal cancer in a training unit. ⋯ Supervised trainees can perform routine laparoscopic rectal cancer resection.
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Radiation-induced fibrosis (RIF) is a late complication of radiotherapy that results in progressive functional and cosmetic impairment. Autologous fat has emerged as an option for soft tissue reconstruction. There are also sporadic reports suggesting regression of fibrosis following regional lipotransfer. This systematic review aimed to identify cellular mechanisms driving RIF, and the potential role of lipotransfer in attenuating these processes. ⋯ Understanding how lipotransfer causes regression of RIF remains unclear; there are a number of new hypotheses for future research.
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Randomized Controlled Trial Multicenter Study
Quality of life from a randomized trial of open and endovascular repair for abdominal aortic aneurysm.
Long-term survival is similar after open or endovascular repair of abdominal aortic aneurysm. Few data exist on the effect of either procedure on long-term health-related quality of life (HRQoL) and health status. ⋯ In this study EVAR appeared to be associated with less severe disruption to HRQoL and health status in the short term. However, during longer-term follow-up to 5 years, patients receiving open repair appeared to have improved quality of life and health status.