Surgery
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Review Meta Analysis Comparative Study
Stapled versus handsewn intestinal anastomosis in emergency laparotomy: a systemic review and meta-analysis.
The optimal technique for gastrointestinal anastomosis remains controversial in emergency laparotomy. The aim of this meta-analysis was to compare outcomes of stapled versus handsewn anastomosis after emergency bowel resection. ⋯ Available evidence is sparse and at high risk of bias, and neither stapling nor handsewing is justifiably favored in emergency laparotomy. Surgeons might therefore select the technique of their own choice with caution owing to unresolved uncertainty.
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Review Meta Analysis Comparative Study
A systematic review and meta-analysis of portal vein ligation versus portal vein embolization for elective liver resection.
This meta-analysis aimed to review the percentage increase in future liver remnant (FLR) and perioperative outcomes after portal vein ligation (PVL) and portal vein embolization (PVE) before liver resection. ⋯ PVL and PVE result in comparable percentage increase in FLR with similar morbidity and mortality rates. The ALPPS procedure results in an improved percentage increase in FLR compared with PVE alone.