Results 21 to 30 of about 7,250 (186)

Optimizing the design of invasive placebo interventions in randomized controlled trials

open access: yesBJS (British Journal of Surgery), Volume 107, Issue 9, Page 1114-1122, August 2020., 2020
There are challenges in RCTs of invasive interventions with a placebo control. The DITTO framework outlines five stages to optimize invasive placebo design and delivery: deconstruction of the treatment intervention, identification (and removal) of the critical surgical element from the proposed placebo, consideration of risk, feasibility and the role ...
S. Cousins   +9 more
wiley   +1 more source

Locoregional recurrences after transanal total mesorectal excision of rectal cancer during implementation

open access: yesBJS (British Journal of Surgery), Volume 107, Issue 9, Page 1211-1220, August 2020., 2020
During the learning curve, the transanal total mesorectal excision procedure is associated with a high multifocal local recurrence rate, which appears to be related to suboptimal execution rather than the technique, and necessitates prolonged proctoring, optimization of the technique avoiding spillage, participation in controlled clinical trials with ...
S. E. van Oostendorp   +21 more
wiley   +1 more source

Reintervention or mortality within 90 days of bariatric surgery: population‐based cohort study

open access: yesBJS (British Journal of Surgery), Volume 107, Issue 9, Page 1221-1230, August 2020., 2020
This population‐based study in five Nordic countries, including 49 977 patients, showed that older age and co‐morbidity increased the risk of reintervention or death within 90 days after bariatric surgery. Sex, surgical approach and hospital volume did not appear to influence this risk, but female sex and laparoscopic approach were associated with ...
J. H. Kauppila   +10 more
wiley   +1 more source

Prediction of surgical difficulty in minimally invasive surgery for rectal cancer by use of MRI pelvimetry

open access: yesBJS Open, Volume 4, Issue 4, Page 666-677, August 2020., 2020
This study highlights the impact of MRI pelvimetry in predicting surgical difficulty in laparoscopic rectal surgery. Multivariable analysis identified that surgical difficulty was significantly associated with four variables: BMI, tumour size, anorectal angle and pelvic outlet.
T. Yamamoto   +6 more
wiley   +1 more source

Outcomes for high‐risk hepatoblastoma in a resource‐challenged setting

open access: yesBJS Open, Volume 4, Issue 4, Page 630-636, August 2020., 2020
The outcomes of children with high‐risk hepatoblastoma were assessed in the setting of a resource‐challenged nation, where access to organized chemotherapy and liver transplantation remains limited for the underprivileged. Excellent results were demonstrated.
A. Rammohan   +6 more
wiley   +1 more source

Impact of technically qualified surgeons on laparoscopic colorectal resection outcomes: results of a propensity score‐matching analysis

open access: yesBJS Open, Volume 4, Issue 3, Page 486-498, June 2020., 2020
The outcomes of 586 procedures performed or attended by surgeons certified by the Endoscopic Surgical Skill Qualification System (ESSQS) were compared with 842 procedures performed by surgeons without the ESSQS qualification. Attendance of ESSQS‐qualified surgeons led to superior outcomes in terms of duration of surgery, and operative complication and ...
N. Ichikawa   +15 more
wiley   +1 more source

Bariatric surgery: evidence-based practical recommendations [PDF]

open access: yes, 2008
[Resumen] La obesidad mórbida es, habitualmente, refractaria a los tratamientos convencionales, por lo que la modificación de hábitos dietéticos y de actividad física y/o el uso de fármacos consiguen pérdidas de peso parciales con habitual recuperación ...
Ahmad   +174 more
core   +2 more sources

Laparoscopic proximal gastrectomy with double‐flap technique versus laparoscopic subtotal gastrectomy for proximal early gastric cancer

open access: yesBJS Open, Volume 4, Issue 2, Page 252-259, April 2020., 2020
Laparoscopic proximal gastrectomy with double‐flap technique is different from laparoscopic subtotal gastrectomy in terms of preventing problems involving the small intestine and anaemia after surgery for proximal early gastric cancer. However, these procedures are comparable for other outcomes, even though they are opposing procedures.
Y. Kano   +6 more
wiley   +1 more source

Impact of a multidisciplinary training programme on outcome of upper rectal cancer by critical appraisal of the extent of mesorectal excision with postoperative MRI

open access: yesBJS Open, Volume 4, Issue 2, Page 274-283, April 2020., 2020
With a local quality assurance programme, significant improvement in local recurrence rates for cancer of the upper rectum was achieved by focusing on preoperative selection of type of surgery and the extent and completeness of mesorectal excision.
P. Bondeven   +3 more
wiley   +1 more source

Trainee performance in radical gastrectomy and its effect on outcomes

open access: yesBJS Open, Volume 4, Issue 1, Page 86-90, February 2020., 2020
This study of 272 D2 gastrectomies investigated whether trainee involvement was associated with adverse outcomes. No significant difference in morbidity, mortality, operating time, number of nodes resected, hospital stay or predicted 5‐year survival was noted, demonstrating that outcomes are not compromised by supervised trainee involvement.
M. Navidi   +6 more
wiley   +1 more source

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