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British journal of surgery : BJS 21건

  1. [해외논문]   Spanish translation section  


    British journal of surgery : BJS v.105 no.9 ,pp. e260 - e265 , 2018 , 0007-1323 ,

    초록

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  2. [해외논문]   Issue information  


    British journal of surgery : BJS v.105 no.9 ,pp. 1071 - 1078 , 2018 , 0007-1323 ,

    초록

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  3. [해외논문]   Optimizing medical management in peripheral artery disease  

    Coughlin, P. A. (Division of Vascular and Endovascular Surgery, Addenbrooke's Hospital, Cambridge University Hospital Trust, Hills Road, Cambridge, CB2 0QQ, UK ) , Rudd, J. H. F. (Division of Cardiovascular Medicine, University of Cambridge, Addenbrooke's Hospital, Hills Road, Cambridge, CB2 0QQ, UK)
    British journal of surgery : BJS v.105 no.9 ,pp. 1079 - 1081 , 2018 , 0007-1323 ,

    초록

    Changing times

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  4. [해외논문]   Meta‐analysis of the oncological safety of autologous fat transfer after breast cancer  

    Krastev, T. K. (Department of Plastic, Reconstructive and Hand Surgery, Maastricht University Medical Centre, Maastricht, The Netherlands ) , Schop, S. J. (Department of Plastic, Reconstructive and Hand Surgery, Maastricht University Medical Centre, Maastricht, The Netherlands ) , Hommes, J. (Department of Plastic, Reconstructive and Hand Surgery, Maastricht University Medical Centre, Maastricht, The Netherlands ) , Piatkowski, A. A. (Department of Plastic, Reconstructive and Hand Surgery, Maastricht University Medical Centre, Maastricht, The Netherlands ) , Heuts, E. M. (Department of General Surgery, Maastricht University Medical Centre, Maastricht, The Netherlands ) , van der Hulst, R. R. W. J. (Department of Plastic, Reconstructive and Hand Surgery, Maastricht University Medical Centre, Maastricht, The Netherlands)
    British journal of surgery : BJS v.105 no.9 ,pp. 1082 - 1097 , 2018 , 0007-1323 ,

    초록

    Changing times

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  5. [해외논문]   Meta‐analysis of the cumulative risk of endometrial malignancy and systematic review of endometrial surveillance in extended tamoxifen therapy  

    Fleming, C. A. (Department of Breast and Endocrine Surgery, St Vincent's Hospital Group, Dublin, Ireland ) , Heneghan, H. M. (Department of Breast and Endocrine Surgery, St Vincent's Hospital Group, Dublin, Ireland ) , O'Brien, D. (Department of Gynaecology, St Vincent's Hospital Group, Dublin, Ireland) , McCartan, D. P. (Department of Breast and Endocrine Surgery, St Vincent's Hospital Group, Dublin, Ireland ) , McDermott, E. W. (Department of Breast and Endocrine Surgery, St Vincent's Hospital Group, Dublin, Ireland ) , Prichard, R. S. (Department of Breast and Endocrine Surgery, St Vincent's Hospital Group, Dublin, Ireland)
    British journal of surgery : BJS v.105 no.9 ,pp. 1098 - 1106 , 2018 , 0007-1323 ,

    초록

    Background Optimal management of the endometrium in patients with oestrogen receptor‐positive breast cancer taking extended tamoxifen therapy (for 10 years) remains uncertain. A meta‐analysis was performed to determine the cumulative risk ratio (RR) for endometrial malignancy following extended compared with standard tamoxifen treatment. A systematic review was undertaken to identify whether routine endometrial surveillance in patients receiving tamoxifen is associated with earlier detection and reduced incidence of endometrial malignancy. Methods Two independent searches were undertaken in the Cochrane Library, PubMed and MEDLINE. A meta‐analysis was performed of RCTs reporting on endometrial malignancy risk in extended tamoxifen therapy. A systematic review included prospective studies investigating the benefit of endometrial surveillance during tamoxifen therapy. Results Four RCTs reported on endometrial risk in extended tamoxifen therapy. The cumulative risk of endometrial malignancy increased twofold from 1·5 to 3·2 per cent with extended therapy compared with the standard 5 years of tamoxifen (RR 2·29, 95 per cent c.i. 1·60 to 3·28; P Conclusion Extended adjuvant tamoxifen is associated with an increase in endometrial cancer. No clear benefit has been shown for routine endometrial surveillance in asymptomatic patients on tamoxifen therapy.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  6. [해외논문]   Meta‐analysis of the effect of bariatric surgery on physical function  

    Adil, M. T. (Department of Upper Gastrointestinal and Bariatric Surgery, Luton and Dunstable University Hospital, Lewsey Road, Luton LU4 0DZ, UK) , Jain, V. (Department of Upper Gastrointestinal and Bariatric Surgery, Luton and Dunstable University Hospital, Lewsey Road, Luton LU4 0DZ, UK) , Rashid, F. (Department of Upper Gastrointestinal and Bariatric Surgery, Luton and Dunstable University Hospital, Lewsey Road, Luton LU4 0DZ, UK) , Al‐ (Department of Upper Gastrointestinal and Bariatric Surgery, Luton and Dunstable University Hospital, Lewsey Road, Luton LU4 0DZ, UK) , taan, O. (Department of Upper Gastrointestinal and Bariatric Surgery, Luton and Dunstable University Hospital, Lewsey Road, Luton LU4 0DZ, UK) , Whitelaw, D. (Department of Upper Gastrointestinal and Bariatric Surgery, Luton and Dunstable University Hospital, Lewsey Road, Luton LU4 0DZ, UK<cou) , Jambulingam, P.
    British journal of surgery : BJS v.105 no.9 ,pp. 1107 - 1118 , 2018 , 0007-1323 ,

    초록

    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 magnitude of experimental effect was calculated in terms of the standardized mean difference (MD), and confidence intervals were set at 95 per cent to reflect a significance level of 0·05. Results Thirty studies including 1779 patients met the inclusion criteria. Physical function improved after bariatric surgery at 0–6 months (MD 0·90, 95 per cent c.i. 0·60 to 1·21; P P P P P = 0·02) and more than 12 to 36 months (MD 1·04, 0·40 to 1·68; P = 0·001). Self‐reported assessment of physical function showed similar improvements at 0–6 months (MD 0·80, 0·12 to 1·47; P = 0·02), more than 6 to 12 months (MD 1·42, 1·23 to 1·60; P P Conclusion Bariatric surgery improves physical function significantly within 6 months of the procedure and this effect persists over time to 36 months after surgery, whether measured objectively or by self‐reporting.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  7. [해외논문]   Snapshot quiz  


    British journal of surgery : BJS v.105 no.9 ,pp. 1118 - 1118 , 2018 , 0007-1323 ,

    초록

    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 magnitude of experimental effect was calculated in terms of the standardized mean difference (MD), and confidence intervals were set at 95 per cent to reflect a significance level of 0·05. Results Thirty studies including 1779 patients met the inclusion criteria. Physical function improved after bariatric surgery at 0–6 months (MD 0·90, 95 per cent c.i. 0·60 to 1·21; P P P P P = 0·02) and more than 12 to 36 months (MD 1·04, 0·40 to 1·68; P = 0·001). Self‐reported assessment of physical function showed similar improvements at 0–6 months (MD 0·80, 0·12 to 1·47; P = 0·02), more than 6 to 12 months (MD 1·42, 1·23 to 1·60; P P Conclusion Bariatric surgery improves physical function significantly within 6 months of the procedure and this effect persists over time to 36 months after surgery, whether measured objectively or by self‐reporting.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  8. [해외논문]   Randomized clinical trial of stapler hepatectomy versus LigaSure™ transection in elective hepatic resection  

    Fritzmann, J. (Department of Gastrointestinal, Thoracic and Vascular Surgery, University Hospital Carl Gustav Carus, Technical University Dresden, Dresden, Germany ) , Kirchberg, J. (Department of Gastrointestinal, Thoracic and Vascular Surgery, University Hospital Carl Gustav Carus, Technical University Dresden, Dresden, Germany ) , Sturm, D. (Department of Gastrointestinal, Thoracic and Vascular Surgery, University Hospital Carl Gustav Carus, Technical University Dresden, Dresden, Germany ) , Ulrich, A. B. (Department of General, Visceral and Transplantation Surgery, University of Heidelberg, Heidelberg, Germany ) , Knebel, P. (Department of General, Visceral and Transplantation Surgery, University of Heidelberg, Heidelberg, Germany ) , Mehrabi, A. (Department of General, Visceral and Transplantation Surgery, University of Heidelberg, Heidelberg, Germany ) , Bü (Department of General, Visceral and Transplantation Surgery, University of Heidelberg, Heidelberg, Germany ) , chler, M. W. (Department of Gastrointestinal, Thoracic and Vascular Surgery, University Hospital Carl Gustav Carus, Technical) , Weitz, J. , Reissfelder, C. , Rahbari, N. N.
    British journal of surgery : BJS v.105 no.9 ,pp. 1119 - 1127 , 2018 , 0007-1323 ,

    초록

    Background Previous studies have demonstrated stapler hepatectomy and use of various energy devices to be safe alternatives to the clamp‐crushing technique in elective hepatic resection. In this randomized trial, the effectiveness and safety of stapler hepatectomy were compared with those of parenchymal transection with the LigaSure™ vessel sealing system. Method Patients scheduled for elective liver resection at two tertiary‐care centres were randomized during surgery to stapler hepatectomy or transection with the LigaSure™ device. Total intraoperative blood loss was the primary efficacy endpoint. Transection time, duration of operation, perioperative complications and length of hospital stay were recorded as secondary endpoints. Results A total of 138 patients were analysed, 69 in the LigaSure™ and 69 in the stapler hepatectomy group. Baseline characteristics were well balanced between the groups. Mean intraoperative blood loss was significantly higher in the LigaSure™ group than the stapler hepatectomy group: 1101 (95 per cent c.i. 915 to 1287) versus 961 (752 to 1170) ml ( P = 0·028). The parenchymal transection time was significantly shorter in the stapler group ( P = 0·005), as was the total duration of operation ( P = 0·027). Surgical morbidity did not differ between the groups, nor did the grade of complications. Conclusion Stapler hepatectomy was associated with reduced blood loss and a shorter duration of operation than the LigaSure™ device for parenchymal transection in elective partial hepatectomy. Registration number: NCT01858987 ( http://www.clinicaltrials.gov ).

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  9. [해외논문]   Two‐year results of the randomized clinical trial DILALA comparing laparoscopic lavage with resection as treatment for perforated diverticulitis  

    Kohl, A. (Centre for Perioperative Optimization, Department of Surgery, Herlev Hospital, Herlev, and Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark ) , Rosenberg, J. (Centre for Perioperative Optimization, Department of Surgery, Herlev Hospital, Herlev, and Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark ) , Bock, D. (Department of Surgery, Institute of Clinical Sciences, Scandinavian Surgical Outcomes Research Group, Sahlgrenska Academy, University of Gothenburg, Sahlgrenska University Hospital/Östra, Gothenburg, Sweden ) , Bisgaard, T. (GastroUnit, Surgical Division, Hvidovre Hospital, University of Copenhagen, Hvidovre, Denmark) , Skullman, S. (Department of Surgery, Skövde Hospital, Skövde, Sweden) , Thornell, A. (Department of Surgery, Institute of Clinical Sciences, Scandinavian Surgical Outcomes Research Group, Sahlgrenska Academy, University of Gothenburg, Sahlgrenska University Hospital/Öst) , Gehrman, J. , Angenete, E. , Haglind, E.
    British journal of surgery : BJS v.105 no.9 ,pp. 1128 - 1134 , 2018 , 0007-1323 ,

    초록

    Background Traditionally, perforated diverticulitis with purulent peritonitis was treated with resection and colostomy (Hartmann's procedure), with inherent complications and risk of a permanent stoma. The DILALA (DIverticulitis – LAparoscopic LAvage versus resection (Hartmann's procedure) for acute diverticulitis with peritonitis) and other randomized trials found laparoscopic lavage to be a feasible and safe alternative. The medium‐term follow‐up results of DILALA are reported here. Methods Patients were randomized during surgery after being diagnosed with Hinchey grade III perforated diverticulitis at diagnostic laparoscopy. The primary outcome was the proportion of patients with one or more secondary operations from 0 to 24 months after the index procedure in the laparoscopic lavage versus Hartmann's procedure groups. The trial was registered as ISRCTN82208287. Results Forty‐three patients were randomized to laparoscopic lavage and 40 to Hartmann's procedure. Patients in the lavage group had a 45 per cent reduced risk of undergoing one or more operations within 24 months (relative risk 0·55, 95 per cent c.i. 0·36 to 0·84; P = 0·012) and had fewer operations (ratio 0·51, 95 per cent c.i. 0·31 to 0·87; P = 0·024) compared with those in the Hartmann's group. No difference was found in mean number of readmissions (1·37 versus 1·50; P = 0·221) or mortality between patients randomized to laparoscopic lavage or Hartmann's procedure. Three patients in the lavage group and nine in the Hartmann's group had a colostomy at 24 months. Conclusion Laparoscopic lavage is a better option for perforated diverticulitis with purulent peritonitis than open resection and colostomy.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  10. [해외논문]   Value of risk scores in the decision to palliate patients with ruptured abdominal aortic aneurysm  

    Sweeting, M. J. (Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK ) , Ulug, P. (Vascular Surgery Research Group, Imperial College London, London, UK ) , Roy, J. (Department of Molecular Medicine and Surgery, Karolinska Institute, Stockholm, Sweden ) , Hultgren, R. (Department of Molecular Medicine and Surgery, Karolinska Institute, Stockholm, Sweden ) , Indrakusuma, R. (Department of Vascular Surgery, Academic Medical Centre, Amsterdam, The Netherlands ) , Balm, R. (Department of Vascular Surgery, Academic Medical Centre, Amsterdam, The Netherlands ) , Thompson, M. M. (Stanford School of Medicine, Stanford, California, USA ) , Hinchliffe, R. J. (Bristol Centre for Surgical Research, University of Bristol, Bristol, UK ) , Thompson, S. G. (Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK ) , Powell, J. T. (Vascular Surgery Research Group, Imperial College London, London, UK ) , Balm, R. (Academic Medical Centre, Amsterdam, TheNetherlands) , Koelemay, M. J. W. (Academic Medical Centre, Amsterdam, TheNetherlands) , Idu, M. M. (Academic Medical Centr) , Kox, C. , Legemate, D. A. , Huisman, L. C. , Willems, M. C. M. , Reekers, J. A. , van Delden, O. M. , van Lienden, K. P. , Hoornweg, L. L. , Reimerink, J. J. , van Beek, S. C. , Vahl, A. C. , Leijdekkers, V. J. , Bosma, J. , Montauban van Swijndregt, A. D. , de Vries, C. , van der Hulst, V. P. M. , Peringa, J. , Blomjous, J. G. A. M. , Visser, M. J.T , van der Heijden, F. H.W. M. , Wisselink, W , Hoksbergen, A.W. J. , Blankensteijn, J. D. , Visser, M. T. J. , Coveliers, H. M. E. , Nederhoed, J. H. , van den Berg, F. G. , van der Meijs, B. B. , van den Oever, M. L. P. , Lely, R. J. , Meijerink, M. R. , Westra, I. , Voorwinde, A. , Ultee, J. M. , van Nieuwenhuizen, R. C. , Dwars, B. J. , Nagy, T. O. M. , Tolenaar, P. , Wiersema, A. M. , Lawson, J. A. , van Aken, P. J. , Stigter, A. A. , van
    British journal of surgery : BJS v.105 no.9 ,pp. 1135 - 1144 , 2018 , 0007-1323 ,

    초록

    Background The aim of this study was to develop a 48‐h mortality risk score, which included morphology data, for patients with ruptured abdominal aortic aneurysm presenting to an emergency department, and to assess its predictive accuracy and clinical effectiveness in triaging patients to immediate aneurysm repair, transfer or palliative care. Methods Data from patients in the IMPROVE (Immediate Management of the Patient With Ruptured Aneurysm: Open Versus Endovascular Repair) randomized trial were used to develop the risk score. Variables considered included age, sex, haemodynamic markers and aortic morphology. Backwards selection was used to identify relevant predictors. Predictive performance was assessed using calibration plots and the C‐statistic. Validation of the newly developed and other previously published scores was conducted in four external populations. The net benefit of treating patients based on a risk threshold compared with treating none was quantified. Results Data from 536 patients in the IMPROVE trial were included. The final variables retained were age, sex, haemoglobin level, serum creatinine level, systolic BP, aortic neck length and angle, and acute myocardial ischaemia. The discrimination of the score for 48‐h mortality in the IMPROVE data was reasonable (C‐statistic 0·710, 95 per cent c.i. 0·659 to 0·760), but varied in external populations (from 0·652 to 0·761). The new score outperformed other published risk scores in some, but not all, populations. An 8 (95 per cent c.i. 5 to 11) per cent improvement in the C‐statistic was estimated compared with using age alone. Conclusion The assessed risk scores did not have sufficient accuracy to enable potentially life‐saving decisions to be made regarding intervention. Focus should therefore shift to offering repair to more patients and reducing non‐intervention rates, while respecting the wishes of the patient and family.

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