Meta-analysis of in-hospital delay before surgery as a risk factor for complications in patients with acute appendicitis.
CONCLUSION: This meta-analysis demonstrates that delaying appendicectomy for presumed uncomplicated appendicitis for up to 24 h after admission does not appear to be a risk factor for complicated appendicitis, postoperative surgical-site infection or morbidity. Delaying appendicectomy for up to 24 h may be an acceptable alternative for patients with no preoperative signs of complicated appendicitis. PMID: 29902346 [PubMed - in process] (Source: The British Journal of Surgery)
Source: The British Journal of Surgery - June 16, 2018 Category: Surgery Authors: van Dijk ST, van Dijk AH, Dijkgraaf MG, Boermeester MA Tags: Br J Surg Source Type: research

Is axillary ultrasound imaging necessary for all patients with breast cancer?
PMID: 29902347 [PubMed - in process] (Source: The British Journal of Surgery)
Source: The British Journal of Surgery - June 16, 2018 Category: Surgery Authors: Ahmed M, Douek M Tags: Br J Surg Source Type: research

Meta-analysis of the effect of bariatric surgery on physical function.
Abstract BACKGROUND: Obesity leads to an impairment of physical function that limits the ability to perform basic physical activities affecting quality of life. Literature on the effect of bariatric surgery on physical function is confounding and generally of low quality. METHODS: A comprehensive search was undertaken using MEDLINE, Scopus (including Embase), CENTRAL, PubMed, SPORTDiscus, Scirus and OpenGrey for published research and non-published studies to 31 March 2017. Studies employing objective measurement and self-reporting of physical function before and after bariatric surgery were included. The mag...
Source: The British Journal of Surgery - June 12, 2018 Category: Surgery Authors: Adil MT, Jain V, Rashid F, Al-Taan O, Whitelaw D, Jambulingam P Tags: Br J Surg Source Type: research

Clinicopathological features and outcome of type 3 gastric neuroendocrine tumours.
CONCLUSION: Low-grade type 3 gastric NET has non-aggressive features and a favourable prognosis. Wedge or endoscopic resection may be a valid option for patients with type 3 gastric G1 NET no larger than 1·5 cm without lymphovascular invasion. PMID: 29893418 [PubMed - as supplied by publisher] (Source: The British Journal of Surgery)
Source: The British Journal of Surgery - June 12, 2018 Category: Surgery Authors: Min BH, Hong M, Lee JH, Rhee PL, Sohn TS, Kim S, Kim KM, Kim JJ Tags: Br J Surg Source Type: research

Neoadjuvant chemotherapy response influences outcomes in non-colorectal, non-neuroendocrine liver metastases.
CONCLUSION: The prognosis of patients with NCNNE liver metastases is influenced by preoperative chemotherapy and resectability. PMID: 29893476 [PubMed - as supplied by publisher] (Source: The British Journal of Surgery)
Source: The British Journal of Surgery - June 12, 2018 Category: Surgery Authors: Lucchese AM, Kalil AN, Ruiz A, Karam V, Ciacio O, Pittau G, Castaing D, Cherqui D, Sa Cunha A, Vibert E, Adam R Tags: Br J Surg Source Type: research

Magnetic resonance tumour regression grade and pathological correlates in patients with rectal cancer.
CONCLUSION: Patients with mrTRG1 without tumour spread may be suitable for TAE. PMID: 29893988 [PubMed - as supplied by publisher] (Source: The British Journal of Surgery)
Source: The British Journal of Surgery - June 12, 2018 Category: Surgery Authors: Jang JK, Lee JL, Park SH, Park HJ, Park IJ, Kim JH, Choi SH, Kim J, Yu CS, Kim JC Tags: Br J Surg Source Type: research

Meta-analysis of the oncological safety of autologous fat transfer after breast cancer.
PMID: 29873061 [PubMed - as supplied by publisher] (Source: The British Journal of Surgery)
Source: The British Journal of Surgery - June 5, 2018 Category: Surgery Authors: Krastev TK, Schop SJ, Hommes J, Piatkowski AA, Heuts EM, van der Hulst RRWJ Tags: Br J Surg Source Type: research

Predictive value of abdominal CT in evaluating internal herniation after bariatric laparoscopic Roux-en-Y gastric bypass.
CONCLUSION: Abdominal CT is an important tool in diagnosing internal herniation, with a high specificity and a high negative predictive value. PMID: 29863276 [PubMed - as supplied by publisher] (Source: The British Journal of Surgery)
Source: The British Journal of Surgery - June 4, 2018 Category: Surgery Authors: Ederveen JC, van Berckel MMG, Nienhuijs SW, Weber RJP, Nederend J Tags: Br J Surg Source Type: research

Nomogram to predict lymph node metastasis in patients with early oesophageal squamous cell carcinoma.
This study aimed to develop and validate a nomogram for the prediction of lymph node metastasis in patients with early SCC. METHODS: A prediction model was developed in a derivation cohort of patients with clinicopathologically confirmed early SCC. Patients who underwent oesophagectomy for pT1 SCC between January 2010 and December 2013 were identified from an institutional database. Risk factors for lymph node metastasis were assessed using a binary logistic regression modelling technique. A nomogram for the prediction of lymph node metastasis was constructed using the results of multivariable analyses. For internal v...
Source: The British Journal of Surgery - June 4, 2018 Category: Surgery Authors: Zheng H, Tang H, Wang H, Fang Y, Shen Y, Feng M, Xu S, Fan H, Ge D, Wang Q, Tan L Tags: Br J Surg Source Type: research

Cholangiocarcinoma issue.
Authors: PMID: 29756646 [PubMed - in process] (Source: The British Journal of Surgery)
Source: The British Journal of Surgery - May 16, 2018 Category: Surgery Tags: Br J Surg Source Type: research

Surgery for perihilar cholangiocarcinoma.
PMID: 29756647 [PubMed - in process] (Source: The British Journal of Surgery)
Source: The British Journal of Surgery - May 16, 2018 Category: Surgery Authors: Groot Koerkamp B, Jarnagin WR Tags: Br J Surg Source Type: research

Abstracts of the 23rd Congress of the Spanish Society for Surgical Research, Madrid, November 2017.
Authors: PMID: 29726009 [PubMed] (Source: The British Journal of Surgery)
Source: The British Journal of Surgery - May 9, 2018 Category: Surgery Tags: Br J Surg Source Type: research

Meta-analysis of an artery-first approach versus standard pancreatoduodenectomy on perioperative outcomes and survival.
Abstract BACKGROUND: The aim of this systematic review and meta-analysis was to evaluate perioperative outcomes and survival in patients undergoing an artery-first approach to pancreatoduodenectomy in comparison with those having standard pancreatoduodenectomy. METHODS: A systematic search of PubMed, MEDLINE, Embase and the Cochrane Database of Systematic Reviews was performed in accordance with PRISMA guidelines. Comparative studies including patients who underwent artery-first pancreatoduodenectomy and standard pancreatoduodenectomy were analysed. RESULTS: Seventeen studies were included in the final a...
Source: The British Journal of Surgery - April 16, 2018 Category: Surgery Authors: Ironside N, Barreto SG, Loveday B, Shrikhande SV, Windsor JA, Pandanaboyana S Tags: Br J Surg Source Type: research

Multicentre observational study of adherence to Sepsis Six guidelines in emergency general surgery.
PMID: 29652080 [PubMed - in process] (Source: The British Journal of Surgery)
Source: The British Journal of Surgery - April 16, 2018 Category: Surgery Authors: UK National Surgical Research Collaborative Tags: Br J Surg Source Type: research

Eight-year follow-up of a randomized clinical trial comparing ultrasound-guided foam sclerotherapy with surgical stripping of the great saphenous vein.
CONCLUSION: Surgical stripping had a technically better outcome in terms of recurrence of GSV and SFJ reflux than UGFS in the long term. Long-term follow-up suggests significant clinical progression of venous disease measured by VCSS in both groups, but less after surgery. Registration number: NCT02304146 (http://www.clinicaltrials.gov). PMID: 29652081 [PubMed - in process] (Source: The British Journal of Surgery)
Source: The British Journal of Surgery - April 16, 2018 Category: Surgery Authors: Lam YL, Lawson JA, Toonder IM, Shadid NH, Sommer A, Veenstra M, van der Kleij AMJ, Ceulen RP, de Haan E, Ibrahim F, van Dooren T, Nieman FH, Wittens CHA Tags: Br J Surg Source Type: research

Association between hospital volume and quality of gastric cancer surgery in the CRITICS trial.
Abstract BACKGROUND: Studies investigating the association between hospital volume and quality of gastric cancer surgery are lacking. In the present study, the effect of hospital volume on quality of gastric cancer surgery was evaluated by analysing data from the CRITICS (ChemoRadiotherapy after Induction chemotherapy In Cancer of the Stomach) trial. METHODS: Patients who underwent gastrectomy with curative intent in the Netherlands were selected from the CRITICS trial database. Annual hospital volume of participating centres was derived from the Netherlands Cancer Registry. Hospital volume was categorized in...
Source: The British Journal of Surgery - April 16, 2018 Category: Surgery Authors: Claassen YHM, van Sandick JW, Hartgrink HH, Dikken JL, De Steur WO, van Grieken NCT, Boot H, Cats A, Trip AK, Jansen EPM, Meershoek-Klein Kranenbarg WM, Braak JPBM, Putter H, van Berge Henegouwen MI, Verheij M, van de Velde CJH Tags: Br J Surg Source Type: research

Progress and future direction in the management of advanced colorectal cancer.
PMID: 29652083 [PubMed - in process] (Source: The British Journal of Surgery)
Source: The British Journal of Surgery - April 16, 2018 Category: Surgery Authors: Brown KGM, Solomon MJ Tags: Br J Surg Source Type: research

Advanced colorectal cancer issue.
Authors: PMID: 29652085 [PubMed - in process] (Source: The British Journal of Surgery)
Source: The British Journal of Surgery - April 16, 2018 Category: Surgery Tags: Br J Surg Source Type: research

Five-year follow-up of a randomized clinical trial comparing open surgery, foam sclerotherapy and endovenous laser ablation for great saphenous varicose veins.
This study evaluated the long-term results of surgery, EVLA and UGFS in the treatment of GSV reflux. METHODS: Patients with symptomatic GSV reflux were randomized to undergo either open surgery, EVLA or UGFS. The main outcome measure was the occlusion rate of the GSV at 5 years after operation. RESULTS: The study included 196 patients treated during 2008-2010; of these, 166 (84·7 per cent) participated in the 5-year follow-up. At 5 years, the GSV occlusion rate was 96 (95 per cent c.i. 91 to 100) per cent in the open surgery group, 89 (82 to 98) per cent after EVLA and 51 (38 to 64) per cent ...
Source: The British Journal of Surgery - April 16, 2018 Category: Surgery Authors: Vähäaho S, Halmesmäki K, Albäck A, Saarinen E, Venermo M Tags: Br J Surg Source Type: research

Development and evaluation of a patient-centred measurement tool for surgeons' non-technical skills.
CONCLUSION: A novel nine-item assessment tool has been developed. The Patients' Evaluation of Non-Technical Skills (PENTS) tool allows valid and reliable measurement of surgeons' non-technical skills from the patient perspective. PMID: 29624657 [PubMed - as supplied by publisher] (Source: The British Journal of Surgery)
Source: The British Journal of Surgery - April 6, 2018 Category: Surgery Authors: Yule J, Hill K, Yule S Tags: Br J Surg Source Type: research

Population-based study of the sensitivity of axillary ultrasound imaging in the preoperative staging of node-positive invasive lobular carcinoma of the breast.
In this study the sensitivity of preoperative axillary staging between invasive lobular (ILC) and ductal (IDC) carcinoma was compared. METHODS: All women diagnosed with pure ILC or IDC in the West of Scotland in 2012-2014 were identified from a database maintained prospectively within the Managed Clinical Network. Pretreatment axillary ultrasound imaging (AUS), core biopsy and fine-needle aspiration cytology (FNAC) results were compared between ILC and IDC. RESULTS: Some 602 women with ILC and 4199 with IDC had undergone axillary surgery, of whom 209 and 1402 respectively had nodal metastases. Pretreatment AUS se...
Source: The British Journal of Surgery - April 5, 2018 Category: Surgery Authors: Morrow E, Lannigan A, Doughty J, Litherland J, Mansell J, Stallard S, Mallon E, Romics L Tags: Br J Surg Source Type: research

Routine histopathological examination after female-to-male gender-confirming mastectomy.
CONCLUSION: The discovery of an unexpected breast cancer in a 31-year-old transman emphasizes the importance of thorough routine histopathological examination of mastectomy specimens. The number of tissue blocks taken should be based on age and breast weight. PMID: 29623678 [PubMed - as supplied by publisher] (Source: The British Journal of Surgery)
Source: The British Journal of Surgery - April 5, 2018 Category: Surgery Authors: Van Renterghem SMJ, Van Dorpe J, Monstrey SJ, Defreyne J, Claes KEY, Praet M, Verbeke SLJ, T'Sjoen GGR, Van Bockstal MR Tags: Br J Surg Source Type: research

Ethanol ablation for refractory bile leakage after complex hepatectomy.
Abstract BACKGROUND: Only a few reports exist on the use of ethanol ablation for posthepatectomy bile leakage. The aim of this study was to assess the value of ethanol ablation in refractory bile leakage. METHODS: Medical records of consecutive patients who underwent a first hepatobiliary resection with bilioenteric anastomosis between 2007 and 2016 were reviewed retrospectively, with special attention to bile leakage and ethanol ablation therapy. Bile leakage was graded as A/B1/B2 according to the International Study Group of Liver Surgery definition. Absolute ethanol was injected into the target bile duct d...
Source: The British Journal of Surgery - April 4, 2018 Category: Surgery Authors: Ito A, Ebata T, Yokoyama Y, Igami T, Mizuno T, Yamaguchi J, Onoe S, Nagino M Tags: Br J Surg Source Type: research

Multicentre randomized clinical trial of inspiratory muscle training versus usual care before surgery for oesophageal cancer.
H, Gosselink R, van Hillegersberg R, Backx FJG Abstract BACKGROUND: Up to 40 per cent of patients undergoing oesophagectomy develop pneumonia. The aim of this study was to assess whether preoperative inspiratory muscle training (IMT) reduces the rate of pneumonia after oesophagectomy. METHODS: Patients with oesophageal cancer were randomized to a home-based IMT programme before surgery or usual care. IMT included the use of a flow-resistive inspiratory loading device, and patients were instructed to train twice a day at high intensity (more than 60 per cent of maximum inspiratory muscle strength) for 2 weeks ...
Source: The British Journal of Surgery - April 1, 2018 Category: Surgery Authors: Valkenet K, Trappenburg JCA, Ruurda JP, Guinan EM, Reynolds JV, Nafteux P, Fontaine M, Rodrigo HE, van der Peet DL, Hania SW, Sosef MN, Willms J, Rosman C, Pieters H, Scheepers JJG, Faber T, Kouwenhoven EA, Tinselboer M, Räsänen J, Ryynänen H, Gosselin Tags: Br J Surg Source Type: research

Meta-analysis of neoadjuvant therapy and its impact in facilitating breast conservation in operable breast cancer.
l F Abstract BACKGROUND: Neoadjuvant therapy (NAT) for operable breast cancer may facilitate more breast-conserving surgery (BCS). It seems, however, that this benefit is not being realized fully. METHODS: A systematic review of the literature was performed. RCTs were included. The criteria for inclusion were: documentation of surgical assessment before and after NAT, surgery performed (BCS or mastectomy), and clinical and pathological responses. RESULTS: A total of 1452 patients from seven RCTs met the inclusion criteria. After NAT, the feasibility of BCS increased from 43·3 to 60·4 per cent (P 
Source: The British Journal of Surgery - April 1, 2018 Category: Surgery Authors: Karakatsanis A, Tasoulis MK, Wärnberg F, Nilsson G, MacNeill F Tags: Br J Surg Source Type: research

Surgery 3.0, artificial intelligence and the next-generation surgeon.
PMID: 29603133 [PubMed - in process] (Source: The British Journal of Surgery)
Source: The British Journal of Surgery - April 1, 2018 Category: Surgery Authors: Mirnezami R, Ahmed A Tags: Br J Surg Source Type: research

Anatomy lesson of the brain and cerebral membranes captured on canvas by Rembrandt in 1656.
Authors: PMID: 29603134 [PubMed - in process] (Source: The British Journal of Surgery)
Source: The British Journal of Surgery - April 1, 2018 Category: Surgery Tags: Br J Surg Source Type: research

Postconditioning effects of argon or xenon on early graft function in a porcine model of kidney autotransplantation.
CONCLUSION: Postconditioning with argon or xenon did not improve kidney graft function in this experimental model. Surgical relevance Ischaemia-reperfusion injury is inevitable during renal transplantation and can lead to delayed graft function and primary non-function. Based on mainly small animal experiments, noble gases (argon and xenon) have been proposed to minimize this ischaemia-reperfusion injury and improve outcomes after transplantation. The hypothesis that postconditioning with argon or xenon inhalation would improve graft function was tested in a porcine kidney autotransplantation model. The peak plasma creatin...
Source: The British Journal of Surgery - March 30, 2018 Category: Surgery Authors: De Deken J, Rex S, Lerut E, Martinet W, Monbaliu D, Pirenne J, Jochmans I Tags: Br J Surg Source Type: research

Thirty-day mortality in patients undergoing laparotomy for small bowel obstruction.
CONCLUSION: In patients who require an emergency laparotomy with adhesiolysis or resection for SBO, a delay to surgery of more than 72 h is associated with a higher 30-day postoperative mortality rate. PMID: 29603126 [PubMed - as supplied by publisher] (Source: The British Journal of Surgery)
Source: The British Journal of Surgery - March 30, 2018 Category: Surgery Authors: Peacock O, Bassett MG, Kuryba A, Walker K, Davies E, Anderson I, Vohra RS, National Emergency Laparotomy Audit (NELA) Project Team Tags: Br J Surg Source Type: research

Population-based cohort study of surgical myotomy and pneumatic dilatation as primary interventions for oesophageal achalasia.
Abstract BACKGROUND: The aim of this national population-based cohort study was to compare rates of reintervention after surgical myotomy versus sequential pneumatic dilatation for the primary management of oesophageal achalasia. METHODS: Patients with oesophageal achalasia diagnosed between 2002 and 2012, and without an intervention in the preceding 5 years were identified from the Hospital Episode Statistics database. Patients were divided into two groups based on the primary treatment, and propensity score matching was used to compensate for differences in baseline characteristics. RESULTS: Som...
Source: The British Journal of Surgery - March 30, 2018 Category: Surgery Authors: Markar SR, Mackenzie H, Askari A, Faiz O, Hoare J, Zaninotto G, Hanna GB Tags: Br J Surg Source Type: research

Comparison of chlorhexidine-isopropanol with isopropanol skin antisepsis for prevention of surgical-site infection after abdominal surgery.
CONCLUSION: This study showed a benefit of adding chlorhexidine to alcohol for skin antisepsis in reducing early SSI compared with alcohol alone. PMID: 29600816 [PubMed - as supplied by publisher] (Source: The British Journal of Surgery)
Source: The British Journal of Surgery - March 30, 2018 Category: Surgery Authors: Harnoss JC, Assadian O, Kramer A, Probst P, Müller-Lantzsch C, Scheerer L, Bruckner T, Diener MK, Büchler MW, Ulrich AB Tags: Br J Surg Source Type: research

Relationship between intraoperative non-technical performance and technical events in bariatric surgery.
CONCLUSION: This study demonstrated that technical and non-technical performances are related, on both an individual and a team level. Valuable data can be obtained around intraoperative errors, events and rectifications. PMID: 29601079 [PubMed - as supplied by publisher] (Source: The British Journal of Surgery)
Source: The British Journal of Surgery - March 30, 2018 Category: Surgery Authors: Fecso AB, Kuzulugil SS, Babaoglu C, Bener AB, Grantcharov TP Tags: Br J Surg Source Type: research

Outcome of open abdominal management following military trauma.
CONCLUSION: Rates of delayed primary closure of abdominal fascia after temporary abdominal closure appear high. Subsequent rates of incisional hernia formation were similar in patients undergoing delayed primary closure and those who had closure at the primary laparotomy. PMID: 29601081 [PubMed - as supplied by publisher] (Source: The British Journal of Surgery)
Source: The British Journal of Surgery - March 30, 2018 Category: Surgery Authors: Pengelly S, Berry JEA, Herrick SE, Bowley DM, Carlson GL Tags: Br J Surg Source Type: research

Cardiopulmonary fitness before and after neoadjuvant chemotherapy in patients with oesophagogastric cancer.
Abstract BACKGROUND: Neoadjuvant chemotherapy may have a detrimental impact on cardiorespiratory reserve. Determination of oxygen uptake at the anaerobic threshold by cardiopulmonary exercise testing (CPET) provides an objective measure of cardiorespiratory reserve. Anaerobic threshold can be used to predict perioperative risk. A low anaerobic threshold is associated with increased morbidity after oesophagogastrectomy. The aim of this study was to establish whether neoadjuvant chemotherapy has an adverse effect on fitness, and whether there is recovery of fitness before surgery for oesophageal and gastric adenocar...
Source: The British Journal of Surgery - March 30, 2018 Category: Surgery Authors: Navidi M, Phillips AW, Griffin SM, Duffield KE, Greystoke A, Sumpter K, Sinclair RCF Tags: Br J Surg Source Type: research

Construct and criterion validity testing of the Non-Technical Skills for Surgeons (NOTSS) behaviour assessment tool using videos of simulated operations.
CONCLUSION: The NOTSS tool can be applied in research and education settings to measure non-technical skills in a valid and efficient manner. PMID: 29601087 [PubMed - as supplied by publisher] (Source: The British Journal of Surgery)
Source: The British Journal of Surgery - March 30, 2018 Category: Surgery Authors: Yule S, Gupta A, Gazarian D, Geraghty A, Smink DS, Beard J, Sundt T, Youngson G, McIlhenny C, Paterson-Brown S Tags: Br J Surg Source Type: research

Biomarkers in colorectal liver metastases.
CONCLUSION: Knowledge of somatic mutations can guide the use of preoperative therapy, extent of surgical margin and selection for ablation alone. PMID: 29579319 [PubMed - as supplied by publisher] (Source: The British Journal of Surgery)
Source: The British Journal of Surgery - March 26, 2018 Category: Surgery Authors: Yamashita S, Chun YS, Kopetz SE, Vauthey JN Tags: Br J Surg Source Type: research

Randomized clinical trial of platysma muscle suture versus no suture for wound closure after thyroid surgery.
CONCLUSION: Omitting the platysma muscle suture after thyroid surgery resulted in less wound-specific pain initially, with no difference in postoperative wound complications or cosmetic results. Registration number: NCT02951000 (http://www.clinicaltrials.gov). PMID: 29579320 [PubMed - as supplied by publisher] (Source: The British Journal of Surgery)
Source: The British Journal of Surgery - March 26, 2018 Category: Surgery Authors: Senne M, Zein R, Falch C, Kirschniak A, Koenigsrainer A, Müller S Tags: Br J Surg Source Type: research

Multicentre study of laparoscopic or open assessment of the peritoneal cancer index (BIG-RENAPE).
CONCLUSION: Laparoscopy may underestimate the extent of CRPM. PMID: 29579322 [PubMed - as supplied by publisher] (Source: The British Journal of Surgery)
Source: The British Journal of Surgery - March 26, 2018 Category: Surgery Authors: Passot G, Dumont F, Goéré D, Arvieux C, Rousset P, Regimbeau JM, Elias D, Villeneuve L, Glehen O, BIG-RENAPE Surgery Working Group Tags: Br J Surg Source Type: research

Follow-up after endovascular aortic aneurysm repair can be stratified based on first postoperative imaging.
This study was designed to examine whether it may be possible to identify patients at low risk of complications based on their first postoperative CT angiogram (CTA). METHODS: All patients undergoing EVAR in two Swedish centres between 2001 and 2012 were identified retrospectively and categorized based on the first postoperative CTA as at low risk (proximal and distal sealing zone at least 10 mm and no endoleak) or high risk (sealing zone less than 10 mm and/or presence of any endoleak) of complications. RESULTS: Some 326 patients (273 men) with a CTA performed less than 1 year after EVAR were included (low risk ...
Source: The British Journal of Surgery - March 26, 2018 Category: Surgery Authors: Baderkhan H, Haller O, Wanhainen A, Björck M, Mani K Tags: Br J Surg Source Type: research

Serum carcinoembryonic antigen trends for diagnosing colorectal cancer recurrence in the FACS randomized clinical trial.
CONCLUSION: Interpreting trends in CEA measurements instead of single CEA test results improves diagnostic accuracy for recurrence, but not sufficiently to warrant it being used as a single surveillance strategy to trigger further investigation. In the absence of a more accurate biomarker, monitoring trends in CEA should be combined with clinical, endoscopic and imaging surveillance for improved accuracy. PMID: 29579327 [PubMed - as supplied by publisher] (Source: The British Journal of Surgery)
Source: The British Journal of Surgery - March 26, 2018 Category: Surgery Authors: Shinkins B, Primrose JN, Pugh SA, Nicholson BD, Perera R, James T, Mant D Tags: Br J Surg Source Type: research

Prediction of morbidity following cytoreductive surgery for metastatic gastrointestinal stromal tumour in patients on tyrosine kinase inhibitor therapy.
Abstract BACKGROUND: Although cytoreductive surgery has been shown to be beneficial in carefully selected patients with metastatic gastrointestinal stromal tumours (GISTs) treated with tyrosine kinase inhibitors (TKIs), factors predictive of postoperative morbidity have not been investigated previously. METHODS: A surgical complexity score for GIST metastasectomy (GM-SCS) composed of patient-related and surgical factors was assigned retrospectively to patients with metastatic GIST treated with TKI therapy and surgery at two institutions between 2002 and 2014. The ability of clinicopathological factors and GM-...
Source: The British Journal of Surgery - March 26, 2018 Category: Surgery Authors: Fairweather M, Cavnar MJ, Li GZ, Bertagnolli MM, DeMatteo RP, Raut CP Tags: Br J Surg Source Type: research

Initial experience with purely laparoscopic living-donor right hepatectomy.
CONCLUSION: Purely laparoscopic donor hepatectomy differs from open donor hepatectomy in terms of angle and caudal view. Therefore, surgeons experienced in open donor hepatectomy must gain adequate experience in laparoscopic liver surgery and make adjustments when performing PLDRH. PMID: 29579333 [PubMed - as supplied by publisher] (Source: The British Journal of Surgery)
Source: The British Journal of Surgery - March 26, 2018 Category: Surgery Authors: Hong SK, Lee KW, Choi Y, Kim HS, Ahn SW, Yoon KC, Kim H, Yi NJ, Suh KS Tags: Br J Surg Source Type: research

Risk profile analysis and complications after surgery for autoimmune thyroid disease.
Abstract BACKGROUND: Surgical approaches to autoimmune thyroid disease are currently hampered by concerns over postoperative complications. Risk profiles and incidences of postoperative complications have not been investigated systematically, and studies with sufficient power to show valid data have not been performed. METHODS: A prospective multicentre European study was conducted between July 2010 and December 2012. Questionnaires were used to collect data prospectively on patients who had surgery for autoimmune thyroid disease and the findings were compared with those of patients undergoing surgery for mul...
Source: The British Journal of Surgery - March 26, 2018 Category: Surgery Authors: Thomusch O, Sekulla C, Billmann F, Seifert G, Dralle H, Lorenz K, Prospective Evaluation Study of Thyroid Surgery (PETS 2) Study Group Tags: Br J Surg Source Type: research

Risk of major amputation in patients with intermittent claudication undergoing early revascularization.
CONCLUSION: Patients presenting with intermittent claudication who underwent early revascularization appeared to be at higher risk of amputation than those who had initial conservative treatment. PMID: 29566427 [PubMed - as supplied by publisher] (Source: The British Journal of Surgery)
Source: The British Journal of Surgery - March 22, 2018 Category: Surgery Authors: Golledge J, Moxon JV, Rowbotham S, Pinchbeck J, Yip L, Velu R, Quigley F, Jenkins J, Morris DR Tags: Br J Surg Source Type: research

Operating list composition and surgical performance.
CONCLUSION: There is a robust relationship between operating list composition and surgical performance (indexed by duration of operation). An evidence-based approach to structuring a theatre list could reduce the total operating time. PMID: 29558567 [PubMed - as supplied by publisher] (Source: The British Journal of Surgery)
Source: The British Journal of Surgery - March 20, 2018 Category: Surgery Authors: Pike TW, Mushtaq F, Mann RP, Chambers P, Hall G, Tomlinson JE, Mir R, Wilkie RM, Mon-Williams M, Lodge JPA Tags: Br J Surg Source Type: research

Twenty-year experience of paediatric thyroid surgery using intraoperative nerve monitoring.
CONCLUSION: Continuous IONM measures nerve electrophysiology more accurately than intermittent IONM during thyroidectomy in children. PMID: 29532905 [PubMed - as supplied by publisher] (Source: The British Journal of Surgery)
Source: The British Journal of Surgery - March 13, 2018 Category: Surgery Authors: Schneider R, Machens A, Sekulla C, Lorenz K, Weber F, Dralle H Tags: Br J Surg Source Type: research

Survival following liver transplantation for liver-only colorectal metastases compared with hepatocellular carcinoma.
CONCLUSION: The low-risk group of patients with colorectal cancer and unresectable liver-only disease had a 5-year OS rate following liver transplantation similar to that of patients with HCC with lesions within the Milan criteria. PMID: 29532908 [PubMed - as supplied by publisher] (Source: The British Journal of Surgery)
Source: The British Journal of Surgery - March 13, 2018 Category: Surgery Authors: Dueland S, Foss A, Solheim JM, Hagness M, Line PD Tags: Br J Surg Source Type: research

Factors affecting outcomes following pelvic exenteration for locally recurrent rectal cancer.
This study analysed data from an international collaboration to determine robust parameters that could inform clinical decision-making. METHODS: Anonymized data on patients who had pelvic exenteration for LRRC between 2004 and 2014 were accrued from 27 specialist centres. The primary endpoint was survival. The impact of resection margin, bone resection, node status and use of neoadjuvant therapy (before exenteration) was assessed. RESULTS: Of 1184 patients, 614 (51·9 per cent) had neoadjuvant therapy. A clear resection margin (R0 resection) was achieved in 55·4 per cent of operations. Twenty-one pat...
Source: The British Journal of Surgery - March 12, 2018 Category: Surgery Authors: PelvEx Collaborative Tags: Br J Surg Source Type: research

Discrete-choice experiment to analyse preferences for centralizing specialist cancer surgery services.
CONCLUSION: Respondents' preferences in this selected sample were consistent with centralization. PMID: 29512137 [PubMed - as supplied by publisher] (Source: The British Journal of Surgery)
Source: The British Journal of Surgery - March 7, 2018 Category: Surgery Authors: Vallejo-Torres L, Melnychuk M, Vindrola-Padros C, Aitchison M, Clarke CS, Fulop NJ, Hines J, Levermore C, Maddineni SB, Perry C, Pritchard-Jones K, Ramsay AIG, Shackley DC, Morris S Tags: Br J Surg Source Type: research

Multicentre study evaluating the surgical learning curve for posterior retroperitoneoscopic adrenalectomy.
CONCLUSION: In specialized endocrine surgical centres between 24 and 42 procedures are required to fulfil the entire surgical learning curve for the posterior retroperitoneoscopic adrenalectomy. PMID: 29493779 [PubMed - as supplied by publisher] (Source: The British Journal of Surgery)
Source: The British Journal of Surgery - March 1, 2018 Category: Surgery Authors: Vrielink OM, Engelsman AF, Hemmer PHJ, de Vries J, Vorselaars WMCM, Vriens MR, Karakatsanis A, Hellman P, Sywak MS, van Leeuwen BL, El Moumni M, Kruijff S Tags: Br J Surg Source Type: research