Intraoperative Esophagogastroduodenoscopy During Heller Myotomy: Evaluating Guidelines
ConclusionsBecause EGD does not appear to improve outcomes after LHM, we emphasize its selective, rather than routine, use. (Source: World Journal of Surgery)
Source: World Journal of Surgery - February 1, 2021 Category: Surgery Source Type: research

Neutrophil-to-Lymphocyte Ratio (NLR) and Platelet-to-Lymphocyte Ratio (PLR) as Possible Prognostic Markers for Patients Undergoing Resection of Adrenocortical Carcinoma
ConclusionElevated pre-operative NLR and PLR are associated with shorter OS, while higher PLR was also associated with a shorter RFS for patients undergoing curative intent resection of ACC. (Source: World Journal of Surgery)
Source: World Journal of Surgery - February 1, 2021 Category: Surgery Source Type: research

A Systems-based Approach to Reduce Deep Venous Thrombosis and Pulmonary Embolism in Trauma Patients
AbstractBackgroundVenous thromboembolism (VTE) in trauma patients carries significant morbidity and mortality. We previously described how titrating enoxaparin dosing by anti-Xa trough levels was associated with a lower VTE rate. We combined this strategy with a higher initial enoxaparin dose for a majority of patients and modified the electronic medical record (EMR) to encourage immediate dosing. We sought to determine if this systems-based approach was associated with a decrease in VTE rate.Study DesignA retrospective review was conducted of all trauma patients on prophylactic enoxaparin at an academic, Level I Trauma Ce...
Source: World Journal of Surgery - February 1, 2021 Category: Surgery Source Type: research

Perceptual Assessment and Acoustic Voice Analysis as Screening Tests for Vocal Fold Paresis After Thyroid or Parathyroid Surgery
AbstractBackgroundThe aim of this study was to evaluate the reliability of clinician-based perceptual assessment of voice and computerized acoustic voice analysis as screening tests for vocal fold paresis or paralysis (VFP) after thyroid and parathyroid surgery.MethodsThis was a prospective study of 181 patients undergoing thyroid or parathyroid procedure with pre and postoperative laryngoscopic vocal fold inspection, perceptual voice assessment using grade, roughness, breathiness, asthenia, and strain (GRBAS) scale and acoustic voice analysis using the multi-dimensional voice program (MDVP). Patients were divided into 2 g...
Source: World Journal of Surgery - February 1, 2021 Category: Surgery Source Type: research

Complete Lymphadenectomy Around the Entire Superior Mesenteric Artery Improves Survival in Artery-First Approach Pancreatoduodenectomy for T3 Pancreatic Ductal Adenocarcinoma
ConclusionsAFA-PD with complete lymphadenectomy around the entire SMA can prevent recurrences around the SMA and may prolong overall survival in patients with PDAC. (Source: World Journal of Surgery)
Source: World Journal of Surgery - February 1, 2021 Category: Surgery Source Type: research

What is the Best Therapeutic Strategy for Metachronous Resectable Colorectal Liver Metastases After Adjuvant Oxaliplatin-Based Chemotherapy? A Multidisciplinary Inter-Group Survey
ConclusionsThis national survey provides an overview of the practice patterns in the treatment of LM occurring after adjuvant FOLFOX for primary. It could be a basis to establish expert ’s recommendations for the clinical practice. (Source: World Journal of Surgery)
Source: World Journal of Surgery - February 1, 2021 Category: Surgery Source Type: research

Opioid Dependence After Lung Cancer Resection: Institutional Analysis of State Prescription Drug Database
AbstractBackgroundThe national opioid epidemic is a public health crisis. Thoracic surgery has also been associated with high incidence of new persistent opioid use. Our purpose was to describe the incidence and predictors of opioid use after lung cancer resection.MethodsRetrospective review of lung cancer resections from 2015 to 2018 was performed using the Ohio Automated Rx Reporting System. Opioid dosing was recorded as milligram morphine equivalents (MME). Patients were stratified by preoperative opioid use. Chronic preoperative opioid users (opioid dependent) filled  >  120 days supply of opioid ...
Source: World Journal of Surgery - February 1, 2021 Category: Surgery Source Type: research

Video-Assisted Thoracoscopic Sleeve Lobectomy for Centrally Located Non-small Cell Lung Cancer: A Meta-analysis
AbstractBackgroundWhether video-assisted thoracoscopic surgery (VATS) sleeve lobectomy could be an alternative to traditional thoracotomy sleeve lobectomy in treating centrally located non-small cell lung cancer (NSCLC) remains unclear. Therefore, we conducted the first meta-analysis to compare the effects of VATS sleeve lobectomy with thoracotomy sleeve lobectomy.MethodsWe systematically searched relevant studies from Pubmed, Embase, and Web of Science on May 12, 2020. Data for analysis included short-term outcomes (blood loss, lymph node dissected, operation time, hospital stay, complications) and long-term outcomes (3-y...
Source: World Journal of Surgery - February 1, 2021 Category: Surgery Source Type: research

Preventable Morbidity and Mortality Among Non-trauma Emergency Surgery Patients: The Role of Personal Performance and System Flaws in Adverse Events
AbstractBackgroundPreventable morbidity and mortality among emergency surgery patients is not adequately analyzed. We aim to describe and classify preventable complications and deaths in this population.MethodsThe medical records and quality control documents of patients with emergency, non-trauma, surgical disease admitted between September 1, 2006, and August 31, 2018, and recorded to have a preventable or potentially preventable morbidity and mortality were reviewed. The primary outcome was a classification of the complications and deaths by a panel of experts, as attributable to issues of personal performance or system...
Source: World Journal of Surgery - February 1, 2021 Category: Surgery Source Type: research

Police Transportation Following Vehicular Trauma and Risk of Mortality in a Resource-Limited Setting
AbstractBackgroundIn resource-limited settings, prehospital trauma care and transportation from the scene to a hospital is not well developed. Critically injured patients present to the hospital via privately owned vehicles (PV), public transportation, or the police. We aimed to determine the mortality following road traffic injury based on the mode of transportation to our trauma center.MethodsWe performed a retrospective analysis of the Kamuzu Central Hospital (KCH) Trauma Registry from January 2011 to May 2018. Patients with road traffic injuries, presenting from the scene, were included. Those brought in dead or discha...
Source: World Journal of Surgery - February 1, 2021 Category: Surgery Source Type: research

Transoral Thyroidectomy: Safety and Outcomes of 200 Consecutive North American Cases
We describe our experience with TOETVA in a North American population in the context of the conventional transcervical approach thyroidectomy (TCA).Study designCases of TOETVA and TCA were reviewed from August 2017 to March 2020 at a tertiary care center. Outcomes included operative time, major (permanent recurrent laryngeal nerve (RLN) injury, permanent hypoparathyroidism, hematoma, conversion to open surgery), and minor complications. The TOETVA cohort was stratified into body mass index (BMI) classes of underweight/normal
Source: World Journal of Surgery - February 1, 2021 Category: Surgery Source Type: research

Letter to the Editor: Determinant of Breast-Conserving Therapy in the Asian Population: A Systematic Review
(Source: World Journal of Surgery)
Source: World Journal of Surgery - February 1, 2021 Category: Surgery Source Type: research

Letter to the Editor: Prehabilitation Before Major Abdominal Surgery —A Systematic Review and Meta-Analysis
(Source: World Journal of Surgery)
Source: World Journal of Surgery - February 1, 2021 Category: Surgery Source Type: research

We Asked the Experts: Reducing Opioid Prescription After Abdominal Surgery; A Place for Nerve Block and Wound Infiltration
(Source: World Journal of Surgery)
Source: World Journal of Surgery - February 1, 2021 Category: Surgery Source Type: research

Re-evaluating ‘Surgical Dogma’ in the Postoperative Management of Pheochromocytoma/Paragangliomas: Reflecting on the Data Cannot Help but to Bring About Change
(Source: World Journal of Surgery)
Source: World Journal of Surgery - February 1, 2021 Category: Surgery Source Type: research

We Need More Data: Choosing the Optimal Treatment Strategy for Patients with Resectable Metachronous Resectable Colorectal Liver Metastases
(Source: World Journal of Surgery)
Source: World Journal of Surgery - February 1, 2021 Category: Surgery Source Type: research

Dorothea Liebermann-Meffert (*1930: †2020)—A Life Dedicated to Surgery
(Source: World Journal of Surgery)
Source: World Journal of Surgery - February 1, 2021 Category: Surgery Source Type: research

Letter to the Editor: Which Surgical Operations Should be Performed in District Hospitals in East, Central and Southern Africa? Results of a Survey of Regional Clinicians
(Source: World Journal of Surgery)
Source: World Journal of Surgery - February 1, 2021 Category: Surgery Source Type: research

Author ’s Reply: Prehabilitation Before Major Abdominal Surgery
(Source: World Journal of Surgery)
Source: World Journal of Surgery - February 1, 2021 Category: Surgery Source Type: research

The Potential Role of Preoperative Trabecular Bone Score in Predicting Changes in Bone Mineral Density After Parathyroidectomy
AbstractBackgroundThe skeletal indication for parathyroidectomy for primary hyperparathyroidism (PHPT) is based on bone mineral density (BMD) T-score  
Source: World Journal of Surgery - December 31, 2020 Category: Surgery Source Type: research

Passive Versus Active Intra-Abdominal Drainage Following Pancreaticoduodenectomy: A Retrospective Study Using The American College of Surgeons NSQIP Database
ConclusionsThe findings of this study suggest that AS drainage is protective against percutaneous drain insertion, but may be associated with increased risk of SSI. There was no relation between drainage type and POPF. A prospective, randomized controlled trial is warranted to further explore these findings. (Source: World Journal of Surgery)
Source: World Journal of Surgery - December 31, 2020 Category: Surgery Source Type: research

Impact of Mesh and Fixation on Chronic Inguinal Pain in Lichtenstein Hernia Repair: 5-Year Outcomes from the Finn Mesh Study
ConclusionThe choice of the mesh or fixation method had no effect on the overall long-term outcome, pain or recurrence of hernia. Less penetrating fixation (glue or self-gripping mesh) is a safe option for the fixation of mesh in Lichtenstein hernia repair. (Source: World Journal of Surgery)
Source: World Journal of Surgery - December 31, 2020 Category: Surgery Source Type: research

Pediatric Primary Hyperparathyroidism: Experience in a Tertiary Care Referral Center in a Developing Country Over Three Decades
AbstractBackgroundThere is limited experience in managing pediatric primary hyperparathyroidism (PHPT). The aim of this study was to analyze the clinical presentation and outcome of surgery in children with PHPT managed at a tertiary referral center.MethodsThis retrospective study (September 1989 –August 2019) consisted of 35 pediatric PHPT patients (
Source: World Journal of Surgery - December 31, 2020 Category: Surgery Source Type: research

Prevalence and Impact of Sarcopenia in Chronic Pancreatitis: A Review of the Literature
ConclusionThe review of these existing studies amalgamates the limited data on sarcopenia and its impact on CP. It has shown that sarcopenia is exceedingly prevalent and an important risk factor in CP patients. The data presented emphasises that sarcopenia has a significant prognostic value and  should be included in future prospective analyses in the outcomes of CP. (Source: World Journal of Surgery)
Source: World Journal of Surgery - December 31, 2020 Category: Surgery Source Type: research

The Challenges of Implementing Artificial Intelligence into Surgical Practice
This study explores the challenges of developing and implementing a machine-learning model for the prediction of CBD stones in patients presenting with acute biliary disease (ABD).MethodsAll patients presenting acutely to Christchurch Hospital over a two-year period with ABD were retrospectively identified. Clinical data points including lab test results, demographics and ethnicity were recorded. Several statistical techniques were utilised to develop a machine-learning model. Issues with data collection, quality, interpretation and barriers to implementation were identified and highlighted.ResultsIssues with patient ident...
Source: World Journal of Surgery - December 31, 2020 Category: Surgery Source Type: research

Evaluation of a Managed Surgical Consultation Network in Malawi
ConclusionThe MCN facilitated quick access to consultations with specialists on how to manage surgical patients in remote rural areas. It also helped to prevent unnecessary referrals, saving costs for patients, their guardians, referring hospitals and the health system as a whole. With time, the network has had spillover benefits, allowing the Ministry of Health closer monitoring of surgical activities in the districts and to respond faster to shortages of essential surgical resources. (Source: World Journal of Surgery)
Source: World Journal of Surgery - December 31, 2020 Category: Surgery Source Type: research

Preserving a Replaced Left Hepatic Artery Arising from the Left Gastric Artery During Laparoscopic Distal Gastrectomy for Gastric Cancer
AbstractBackgroundA replaced left hepatic artery (RLHA) arising from the left gastric artery (LGA) is occasionally encountered during laparoscopic gastrectomy. Although the RLHA is usually divided at the root level as RLHA preservation might result in inadequate lymph node dissection, blood flow disruption by RLHA division may lead to hepatic ischemia. To date, there is no consensus on RLHA preservation. Thus, we aimed to evaluate the efficacy of RLHA preservation by investigating the short-term outcomes of patients with RLHA who underwent laparoscopic distal gastrectomy (LDG).MethodsA total of 106 patients with an aberran...
Source: World Journal of Surgery - December 31, 2020 Category: Surgery Source Type: research

Early Induction of Bedside Pneumoperitoneum in the Management of Residual Pleural Space and Air Leaks After Pulmonary Resection
AbstractBackgroundThe pneumoperitoneum to treat prolonged air leaks or pleural space problems after pulmonary resection has been successfully used for decades. The aim of the study is to describe our experience with the early induction of therapeutic pneumoperitoneum (TP).MethodsWe reviewed the data of 103 consecutive patients undergoing TP between September 2011 and September 2019. Patients were divided into two groups according to the time of the induction of TP: early application ( ≥72 h) and standard application (>72  h).ResultsIn total, 52 early TP and 51 standard TP were analyzed. The median time of T...
Source: World Journal of Surgery - December 31, 2020 Category: Surgery Source Type: research

Factors Associated with Attrition and Performance Throughout Surgical Training: A Systematic Review and Meta-Analysis
AbstractBackgroundAttrition within surgical training is a challenge. In the USA, attrition rates are as high as 20 –26%. The factors predicting attrition are not well known. The aim of this systematic review is to identify factors that influence attrition or performance during surgical training.MethodThe review was performed in line with PRISMA guidelines and registered with the Open Science Framework (OSF). Medline, EMBASE, PubMed and the Cochrane Central Register of Controlled Trials were searched for articles. Risk of bias was assessed using the Newcastle –Ottawa scale. Pooled estimates were calculated using...
Source: World Journal of Surgery - December 31, 2020 Category: Surgery Source Type: research

Liver Parenchyma Transection-First Approach for Laparoscopic Left Hemihepatectomy: A Propensity Score Matching Analysis
ConclusionThe prior liver parenchyma approach for LLH is safe and reproducible in selected patients, which showed improved perioperative outcomes and comparable long-term oncological outcomes compared with the conventional approach. (Source: World Journal of Surgery)
Source: World Journal of Surgery - December 31, 2020 Category: Surgery Source Type: research

Predictors of In-Hospital Mortality in Surgical Wards: A Multivariable Retrospective Cohort Analysis of 2,800,069 Hospitalizations
This study analyzed mortality predictors based on outcomes obtained from a national database of adult patients.Materials and methodsThis retrospective study design collected data obtained from the National Health Fund in Poland comprised of 2,800,069 hospitalizations of adult patients in surgical wards during one calendar year. Predictors of mortality which were analyzed included: the patient ’s gender and age, diagnosis-related group category assigned to the hospitalization, length of the hospitalization, hospital type, admission type, and day of admission.ResultsThe overall mortality rate was 0.8%, and the highest ...
Source: World Journal of Surgery - December 31, 2020 Category: Surgery Source Type: research

Delta Neutrophil Index and Neutrophil-to-Lymphocyte Ratio in the Differentiation of Thyroid Malignancy and Nodular Goiter
AbstractBackgroundIt was aimed to evaluate the relationship between delta neutrophil index (DNI) and neutrophil-to-lymphocyte ratio (NLR) in the preoperative differentiation of nodular goiter and thyroid malignancy.MethodsPatients over the age of 18 who underwent thyroid surgery between November 2014 and November 2019 were evaluated in this retrospective cohort study. Patients were divided into two groups according to their pathology results: malignant (Group M) and benign (Group B) thyroid disorders. White blood cell (WBC) count, neutrophil count, lymphocyte count, IG count and DNI were measured using an automated hematol...
Source: World Journal of Surgery - December 31, 2020 Category: Surgery Source Type: research

Outcomes of Laparoscopic Splenectomy for Treatment of Splenomegaly: A Systematic Review and Meta-analysis
AbstractObjectivesTo review the evidence regarding the outcomes of laparoscopic techniques in cases of splenomegaly.BackgroundEndoscopic approaches such as laparoscopic, hand-assisted laparoscopic, and robotic surgery are commonly used for splenectomy, but the advantages in cases of splenomegaly are controversial.Review methodsWe conducted a systematic review using PRISMA guidelines. PubMed/MEDLINE, ScienceDirect, Scopus, Cochrane Library, and Web of Science were searched up to February 2020.ResultsNineteen studies were included for meta-analysis. In relation to  laparoscopic splenectomy (LS) versus open splenectomy (...
Source: World Journal of Surgery - December 31, 2020 Category: Surgery Source Type: research

A Call to Action: Translating Procedural Baskets into Improved Surgical Capacity at the District Hospital
(Source: World Journal of Surgery)
Source: World Journal of Surgery - December 31, 2020 Category: Surgery Source Type: research

Letter to the Editor: Trends in Appendicitis Among Pregnant Women, the Risk for Cardiac Arrest, and Maternal –Fetal Mortality
(Source: World Journal of Surgery)
Source: World Journal of Surgery - December 31, 2020 Category: Surgery Source Type: research

Letter to the Editor: A Last Resort When There is No Blood: Experiences and Perceptions of Intraoperative Autotransfusion Among Medical Doctors Deployed to Resource-Limited Settings
(Source: World Journal of Surgery)
Source: World Journal of Surgery - December 31, 2020 Category: Surgery Source Type: research

We Asked the Experts: Emerging Role of YouTube Surgical Videos in Education and Training
(Source: World Journal of Surgery)
Source: World Journal of Surgery - December 31, 2020 Category: Surgery Source Type: research

Authors ’ Reply: Trends in Appendicitis Among Pregnant Women, the Risk for Cardiac Arrest, and Maternal–Fetal Mortality
(Source: World Journal of Surgery)
Source: World Journal of Surgery - December 31, 2020 Category: Surgery Source Type: research

Author ’s Reply: a Last Resort When There is No Blood: Experiences and Perceptions of Intraoperative Autotransfusion Among Medical Doctors Deployed to Resource-Limited Settings
(Source: World Journal of Surgery)
Source: World Journal of Surgery - December 31, 2020 Category: Surgery Source Type: research

The Policies for the Disclosure of Funding and Conflict of Interest in Surgery Journals: A Cross-Sectional Survey
ConclusionsMost journals have policies for reporting of funding and disclosure of financial COI. However, many do not have clear policies for disclosing non-financial COI. Major limitations in the policies include the lack of processes for the verification of disclosed interests and for dealing with underreporting of funding and of COI. (Source: World Journal of Surgery)
Source: World Journal of Surgery - December 21, 2020 Category: Surgery Source Type: research

Prognostic Utility of the Glasgow Prognostic Score for the Long-Term Outcomes After Liver Resection for Intrahepatic Cholangiocarcinoma: A Multi-institutional Study
AbstractObjectiveThe usefulness of the modified Glasgow prognostic score (GPS) as a prognostic tool remains unclear for patients undergoing curative surgery for intrahepatic cholangiocarcinoma (ICC). Therefore, this study investigated the prognostic usefulness of the GPS for patients who underwent ICC surgery.MethodAll ICC patients who had a curative-intent hepatectomy at 17 institutions between 2000 and 2016 were included. The correlation was assessed between the preoperative GPS and the baseline characteristics of the patients, histopathological parameters, surgical parameters, and the postresection overall survival (OS)...
Source: World Journal of Surgery - December 21, 2020 Category: Surgery Source Type: research

Development and Validation of a New Nomogram for Predicting Clinically Relevant Postoperative Pancreatic Fistula After Pancreatoduodenectomy
This study aimed at developing a nomogram with high accuracy in predicting CR-POPF after PD.MethodsA total of 1182 patients undergoing PD in the First Affiliated Hospital of Sun Yat-sen University (FAHSYSU,n = 762) and Fudan University Shanghai Cancer Center (FUSCC,n = 420) between January 2010 and May 2018 were enrolled. The patients from FAHSYSU were assigned as testing cohort, and those from FUSCC were used as external validation cohort. Univariate and multivariate logistic regression analyses were performed to determine the predictive factors for CR-POP F. Nomogram was developed on the basis...
Source: World Journal of Surgery - December 21, 2020 Category: Surgery Source Type: research

Did the COVID-19 Pandemic Cause a Delay in the Diagnosis of Acute Appendicitis?
ConclusionWe did not observe any clear increase in the diagnosis of perforated appendicitis during the pandemic period, even in patients who were transferred from other hospitals. (Source: World Journal of Surgery)
Source: World Journal of Surgery - December 21, 2020 Category: Surgery Source Type: research

The Usefulness of a Preoperative Nomogram for Predicting the Probability of Conversion from Laparoscopic to Open Distal Pancreatectomy: A Single-Center Experience
ConclusionThe nomogram proposed could serve as an effective preoperative tool capable of assessing the probability of conversion, allowing to take reliable decisions regarding indications and adequate stepwise training program of LDP. (Source: World Journal of Surgery)
Source: World Journal of Surgery - December 21, 2020 Category: Surgery Source Type: research

Positive Lymph Nodes in Adrenocortical Carcinoma: What Does It Mean?
AbstractBackgroundThe role of lymphadenectomy in adrenocortical carcinoma resection is controversial. Therefore, we conducted a population-based study to assess the association between positive lymph nodes (LN) and survival.MethodsThe Surveillance, Epidemiology, and End Results set of cancer registries were utilized. The associations between positive lymph nodes and tumor size, grade and laterality were assessed. Cancer specific survival (CSS) trends and factors affecting survival were analyzed.ResultsA total of 2170 adult patients were identified; 60% underwent resection. Among those resected, LN were examined in 23% and ...
Source: World Journal of Surgery - December 21, 2020 Category: Surgery Source Type: research

Video-Based Guided Simulation without Peer or Expert Feedback is Not Enough: A Randomized Controlled Trial of Simulation-Based Training for Medical Students
AbstractBackgroundFeedback is a pivotal cornerstone and a challenge in psychomotor training. There are different teaching methodologies; however, some may be less effective.MethodsA prospective randomized controlled trial was conducted in 130 medical students to compare the effectiveness of the video-guided learning (VLG), peer-feedback (PFG) and the expert feedback (EFG) for teaching suturing skills. The program lasted 4 weeks. Students were recorded making 3-simple stitches (pre-assessment and post-assessment). The primary outcome was a global scale (OSATS). The secondary outcomes were performance time, specific rating s...
Source: World Journal of Surgery - December 21, 2020 Category: Surgery Source Type: research

Estimation of the National Surgical Needs in India by Enumerating the Surgical Procedures in an Urban Community Under Universal Health Coverage
ConclusionA total of 3646 surgeries were estimated annually to meet the surgical needs of Indian population as compared to the global estimate of 5000 surgeries per 100,000 people. Caesarean section, cataract, surgeries for fractures and hernia are the major contributors to the surgical needs. More enumeration-based studies are needed for better estimates from rural as well as other urban areas. (Source: World Journal of Surgery)
Source: World Journal of Surgery - December 21, 2020 Category: Surgery Source Type: research

Different Crises, Different Patterns of Trauma. The Impact of a Social Crisis and the COVID-19 Health Pandemic on a High Violence Area.
ConclusionDifferent crises may have different patterns of trauma. Crisis periods that include extended periods of lockdown and curfew may lead to increasing penetrating trauma volume. Governments and health officials should anticipate the aggregate impact of these measures on public health and develop strategies to actively mitigate them.Level of evidenceIII (Source: World Journal of Surgery)
Source: World Journal of Surgery - December 21, 2020 Category: Surgery Source Type: research

Posterior Retroperitoneoscopic Versus Laparoscopic Transperitoneal Adrenalectomy: A Systematic Review by an Updated Meta-Analysis
ConclusionsThis analysis demonstrates that while PRA tends to be performed for smaller tumours it allows for less EBL, earlier post-operative oral intake and shorter hospital stays. In appropriately selected patients, it represents an invaluable tool in the endocrine surgeon ’s armamentarium. (Source: World Journal of Surgery)
Source: World Journal of Surgery - December 21, 2020 Category: Surgery Source Type: research

Early Enteral Nutrition Could Reduce Risk of Recurrent Leakage After Definitive Resection of Anastomotic Leakage After Colorectal Cancer Surgery
ConclusionEEN could reduce the recurrent leakage rate and defecation time after definitive resection of anastomotic leakage resulting from sigmoid colon or rectal cancer radical resection. (Source: World Journal of Surgery)
Source: World Journal of Surgery - December 21, 2020 Category: Surgery Source Type: research