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Visceral and general surgery

Section edited by René Fahrner

This section publishes articles covering all aspects of visceral surgery and general surgeries not covered by other sections. Submissions can cover training, practice and basic research. Randomized controlled trials are particularly encouraged.

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  1. Although drainage of pancreatic anastomoses after pancreaticoduodenectomy (PD) is still debated, it remains recommended, especially in patients with a high risk of post-operative pancreatic fistula (POPF). Mod...

    Authors: Ophélie Aumont, Aurélien Dupré, Adeline Abjean, Bruno Pereira, Julie Veziant, Bertrand Le Roy, Denis Pezet, Emmanuel Buc and Johan Gagnière

    Citation: BMC Surgery 2017 17:58

    Content type: Research article

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  2. Postoperative recovery after abdominal surgery is measured mostly based on subjective or self-reported data. In this article we aim to evaluate whether recovery of daily physical activity levels can be measure...

    Authors: Eva van der Meij, Hidde P. van der Ploeg, Baukje van den Heuvel, Boudewijn J. Dwars, W. J. H. Jeroen Meijerink, H. Jaap Bonjer, Judith A. F. Huirne and Johannes R. Anema

    Citation: BMC Surgery 2017 17:56

    Content type: Research article

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  3. Transabdominal Preperitoneal (TAPP) and Lichtenstein operation are established methods for inguinal hernia repair in clinical practice. Meta-analyses of randomized controlled studies, comparing those two metho...

    Authors: Uwe Scheuermann, Stefan Niebisch, Orestis Lyros, Boris Jansen-Winkeln and Ines Gockel

    Citation: BMC Surgery 2017 17:55

    Content type: Research article

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  4. A clear survival benefit has been reported for lung metastasectomy for colorectal cancer, and several clinicopathological prognostic factors have been proposed in the past. However, clinical advances, such as ...

    Authors: Shintaro Yokoyama, Masahiro Mitsuoka, Tetsushi Kinugasa, Toshihiro Hashiguchi, Ryoichi Matsumoto, Daigo Murakami, Tatsuya Nishi, Koichi Yoshiyama, Masaki Kashihara, Shinzo Takamori and Yoshito Akagi

    Citation: BMC Surgery 2017 17:54

    Content type: Research article

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  5. Pancreatic heterotopia (PH) is defined as ectopic pancreatic tissue outside the normal pancreas and its vasculature and duct system. Most frequently, PH is detected incidentally by histopathological examinatio...

    Authors: Alexander Betzler, Soeren T. Mees, Josefine Pump, Sebastian Schölch, Carolin Zimmermann, Daniela E. Aust, Jürgen Weitz, Thilo Welsch and Marius Distler

    Citation: BMC Surgery 2017 17:53

    Content type: Research article

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  6. This retrospective study aimed to investigate the incidence of each type of accessory hepatic duct by drip infusion cholangiography with CT (DIC-CT).

    Authors: Hiromichi Ishii, Akinori Noguchi, Tomoyuki Fukami, Riho Sugimoto, Hiroyuki Tada, Hiroki Takeshita, Seiji Umehara, Hiroyuki Izumi, Naoki Tani, Masahide Yamaguchi and Tetsuro Yamane

    Citation: BMC Surgery 2017 17:52

    Content type: Research article

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  7. Subxiphoid incisional hernia occurs as a complication following median sternotomy and are difficult to repair. We present recent data of a standardized technique for correction of subxiphoid incisional hernias...

    Authors: Gustavo Heluani Antunes de Mesquita, Leandro Ryuchi Iuamoto, Fabio Yuji Suguita, Felipe Futema Essu, Lucas Torres Oliveira, Matheus Belloni Torsani, Alberto Meyer and Wellington Andraus

    Citation: BMC Surgery 2017 17:51

    Content type: Research article

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  8. Nodal skip metastasis is a prognostic factor in some sites of malignancies, but its role in esophageal cancer is still unclear. The present study aimed to investigate occurrence and effect of nodal skip metast...

    Authors: Francesco Cavallin, Rita Alfieri, Marco Scarpa, Matteo Cagol, Alberto Ruol, Matteo Fassan, Massimo Rugge, Ermanno Ancona and Carlo Castoro

    Citation: BMC Surgery 2017 17:49

    Content type: Research article

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  9. Metastasis and recurrence are the most common reasons for treatment failure of colorectal carcinoma (CRC). Vasculogenic mimicry (VM, blood supply formation often seen in highly aggressive tumors), Aldehyde deh...

    Authors: Bo Zhu, Lei Zhou, Lan Yu, Shiwu Wu, Wenqing Song, Xiaomeng Gong and Danna Wang

    Citation: BMC Surgery 2017 17:47

    Content type: Research article

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  10. To evaluate feasibility and benefits of intracorporeal anastomosis, we compared short-term surgical outcomes between laparoscopy-assisted distal gastrectomy (LADG) and totally laparoscopic distal gastrectomy (...

    Authors: Ji-Hyun Kim, Kyong-Hwa Jun and Hyung-Min Chin

    Citation: BMC Surgery 2017 17:45

    Content type: Research article

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  11. A considerable number of patients with portal hypertension (PHT) have to undergo splenectomy because they do not meet the requirements for liver transplantation (LT) or cannot find a suitable liver donor. Howe...

    Authors: LingXiang Kong, Ming Li, Lei Li, Li Jiang, Jiayin Yang and Lvnan Yan

    Citation: BMC Surgery 2017 17:44

    Content type: Research article

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  12. Surgical mortality audit is an important tool for quality assurance and professional development but little is known about the impact of such activity on professional practice at the individual surgeon level. ...

    Authors: Chi-Wai Lui, Frances M. Boyle, Arkadiusz Peter Wysocki, Peter Baker, Alisha D’Souza, Sonya Faint, Therese Rey-Conde and John B. North

    Citation: BMC Surgery 2017 17:42

    Content type: Research article

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  13. Parastomal hernia is a very common complication after stoma formation. Current surgical techniques for repairing parastomal hernia have unsatisfactory results. We aim to assess our preliminary experience with ...

    Authors: Raquel Conde-Muíño, José-Luis Díez, Alberto Martínez, Francisco Huertas, Inmaculada Segura and Pablo Palma

    Citation: BMC Surgery 2017 17:41

    Content type: Research article

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  14. An incisional hernia is a common complication following abdominal surgery. Polypropylene mesh is frequently used in the repair of such defects and has nearly become the standard surgical treatment modality. Th...

    Authors: Oktay Aydin, Kuzey Aydinuraz, Fatih Agalar, I. Tayfun Sahiner, Canan Agalar, Cem Bayram, Emir Baki Denkbas and Pinar Atasoy

    Citation: BMC Surgery 2017 17:40

    Content type: Research article

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  15. Recent data have suggested that upfront cholecystectomy should be performed even in the presence of moderately abnormal liver function tests (LFTs). As a consequence, more common bile duct (CBD) stones are dis...

    Authors: Sandra de Sousa, Olivier Tobler, Pouya Iranmanesh, Jean-Louis Frossard, Philippe Morel and Christian Toso

    Citation: BMC Surgery 2017 17:39

    Content type: Research article

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  16. Extrahepatic cholestasis sensitizes the liver to ischemia/reperfusion (I/R) injury during surgery for perihilar cholangiocarcinoma. It is associated with pre-existent sterile inflammation, microvascular perfus...

    Authors: Jimme K. Wiggers, Rowan F. van Golen, Joanne Verheij, Annemiek M. Dekker, Thomas M. van Gulik and Michal Heger

    Citation: BMC Surgery 2017 17:35

    Content type: Research article

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  17. Limited data are available on the importance of routine lymphadenectomy of the hepatoduodenal ligament in the treatment of liver metastasis from colorectal cancer in the literature.

    Authors: Daniel Pindak, Jana Pavlendova, Miroslav Tomas, Jozef Dolnik, Robert Duchon and Juraj Pechan

    Citation: BMC Surgery 2017 17:34

    Content type: Research article

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  18. Laparoscopic resections for submucosal tumors (SMTs) of the stomach have been developed rapidly over the past decade. Several types of laparoscopic methods for gastric SMTs have been created. We assessed the s...

    Authors: Ke Chen, Yu Pan, Shu-ting Zhai, Jun-hai Pan, Wei-hua Yu, Ding-wei Chen, Jia-fei Yan and Xian-fa Wang

    Citation: BMC Surgery 2017 17:33

    Content type: Research article

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  19. The short-term outcomes of laparoscopic-assisted surgery for colorectal cancer (LAC) have not been fully evaluated in elderly patients. The aim of this study was to compare the short term surgical outcomes of ...

    Authors: Keisuke Kazama, Toru Aoyama, Tsutomu Hayashi, Takanobu Yamada, Masakatsu Numata, Shinya Amano, Mariko Kamiya, Tsutomu Sato, Takaki Yoshikawa, Manabu Shiozawa, Takashi Oshima, Norio Yukawa, Yasushi Rino and Munetaka Masuda

    Citation: BMC Surgery 2017 17:29

    Content type: Research article

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  20. Ulcerative colitis (UC) harbours a high risk of UC-associated colorectal cancer (UCCC), which is important cause of morbidity and mortality in patients with inflammatory bowel disease. Overall Survival (OS) of...

    Authors: Yoon Dae Han, Mahdi Hussain Al Bandar, Audrius Dulskas, Min Soo Cho, Hyuk Hur, Byung Soh Min, Kang Young Lee and Nam Kyu Kim

    Citation: BMC Surgery 2017 17:28

    Content type: Research article

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  21. Seroma formation and lymphoedema are frequently encountered complications after radical lymph node dissection (RLND). Attempts to reduce the lymphatic morbidity include the use of Ultrasonic Scalpel. The aim o...

    Authors: Olivier Gié, Marie-Laure Matthey-Gié, Pedro-Manuel Marques-Vidal, Nicolas Demartines and Maurice Matter

    Citation: BMC Surgery 2017 17:27

    Content type: Research article

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  22. In recent years, staging laparoscopy has gained acceptance as part of the assessment of resectability of upper gastrointestinal (UGI) malignancies. Not infrequently, we encounter tumours that are either locall...

    Authors: Sze Li Siow, Hans Alexander Mahendran, Chee Ming Wong, Nirumal Kumar Milaksh and Myo Nyunt

    Citation: BMC Surgery 2017 17:25

    Content type: Research article

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  23. Delayed gastric emptying (DGE) remains the most frequent complication following pancreatoduodenectomy (PD) with published incidences as high as 61%. The present study investigates the impact of bowel reconstru...

    Authors: Tim R. Glowka, Markus Webler, Hanno Matthaei, Nico Schäfer, Volker Schmitz, Jörg C. Kalff, Jens Standop and Steffen Manekeller

    Citation: BMC Surgery 2017 17:24

    Content type: Research article

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  24. Centralisation of specialist surgical services requires that patients are referred to a regional centre for surgery. This process may disadvantage patients who live far from the regional centre or are referred...

    Authors: Bassem Amr, Golnaz Shahtahmassebi, Somaiah Aroori, Matthew J. Bowles, Christopher D. Briggs and David A. Stell

    Citation: BMC Surgery 2017 17:23

    Content type: Research article

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  25. Several factors and patient characteristics influence the risk of surgical wound dehiscence and incisional hernia after midline laparotomy. The purpose of this study was to investigate whether a specified, or ...

    Authors: Sofie Walming, Eva Angenete, Mattias Block, David Bock, Bodil Gessler and Eva Haglind

    Citation: BMC Surgery 2017 17:19

    Content type: Research article

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  26. Enhanced recovery after surgery (ERAS) protocols are now well-known to be useful for elective colorectal surgery, as they result in shorter hospital stays without adversely affecting morbidity. However, the ef...

    Authors: Dai Shida, Kyoko Tagawa, Kentaro Inada, Keiichi Nasu, Yasuji Seyama, Tsuyoshi Maeshiro, Sachio Miyamoto, Satoru Inoue and Nobutaka Umekita

    Citation: BMC Surgery 2017 17:18

    Content type: Research article

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  27. Terms such as “glass ceiling” and “sticky floor” are still commonly used to describe women’s role in academic surgery. Despite continued efforts to address disparities between men and women in the field, gende...

    Authors: Claudia Mueller, Robert Wright and Sabine Girod

    Citation: BMC Surgery 2017 17:16

    Content type: Research article

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  28. Official guidelines recommend palliative treatments for patients with liver metastases from gastric cancer. However, many case series reported that hepatectomy for such cases is safe and effective. This system...

    Authors: Ying-Yang Liao, Ning-Fu Peng, Di Long, Peng-Cheng Yu, Sen Zhang, Jian-Hong Zhong and Le-Qun Li

    Citation: BMC Surgery 2017 17:14

    Content type: Research article

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  29. Recent advances in robotic technology suggest that the utilization of the da Vinci Single-Site™ platform for cholecystectomy is safe, feasible and results in a shorter learning curve compared to conventional s...

    Authors: Lukasz Filip Grochola, Christopher Soll, Adrian Zehnder, Roland Wyss, Pascal Herzog and Stefan Breitenstein

    Citation: BMC Surgery 2017 17:13

    Content type: Study protocol

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  30. The National Comprehensive Cancer Network (NCCN) and the American Society of Clinical Oncology (ASCO) provide guidelines regarding axillary nodal evaluation in ductal carcinoma in situ (DCIS), but data regarding ...

    Authors: Katrina B. Mitchell, Heather Lin, Yu Shen, Alfred Colfry, Henry Kuerer, Simona F. Shaitelman, Gildy V. Babiera and Isabelle Bedrosian

    Citation: BMC Surgery 2017 17:12

    Content type: Research article

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  31. Portal vein stenosis develops due to different causes including postoperative inflammation and oncological processes. However, limited effective therapy is available for portal vein stenosis. The objectives of...

    Authors: Atsushi Kato, Hiroaki Shimizu, Masayuki Ohtsuka, Hideyuki Yoshitomi, Katsunori Furukawa and Masaru Miyazaki

    Citation: BMC Surgery 2017 17:11

    Content type: Research article

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  32. Perioperative thermal disturbances during orthotopic liver transplantation (OLT) are common. We hypothesized that in patients undergoing OLT the use of a humidified high flow CO2 warming system maintains higher i...

    Authors: Laurence Weinberg, Andrew Huang, Daniel Alban, Robert Jones, David Story, Larry McNicol and Brett Pearce

    Citation: BMC Surgery 2017 17:10

    Content type: Research article

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  33. Many studies have reported the oncological outcomes between open radical nephroureterectomy (ONU) and laparoscopic radical nephroureterectomy (LNU) of upper tract urothelial carcinoma (UTUC). However, few data...

    Authors: Jian-Ye Liu, Ying-Bo Dai, Fang-Jian Zhou, Zhi Long, Yong-Hong Li, Dan Xie, Bin Liu, Jin Tang, Jing Tan, Kun Yao and Le-Ye He

    Citation: BMC Surgery 2017 17:8

    Content type: Research article

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  34. Restrictive intraoperative fluid management is increasingly recommended for patients undergoing esophagectomy. Controversy still exists about the impact of postoperative fluid management on perioperative outcome.

    Authors: Torben Glatz, Birte Kulemann, Goran Marjanovic, Svenja Bregenzer, Frank Makowiec and Jens Hoeppner

    Citation: BMC Surgery 2017 17:6

    Content type: Research article

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  35. Laparoscopic surgery has been performed less frequently in the era of pancreatic cancer due to technical difficulties and concerns about oncological safety. Radical antegrade modular pancreatosplenectomy (RAMP...

    Authors: Eun Young Kim and Tae Ho Hong

    Citation: BMC Surgery 2017 17:2

    Content type: Research article

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  36. Primary closure following laparoscopic common bile duct exploration (LCBDE) has been widely adopted because of the efficacy and safety in treatment of common bile duct (CBD) stones. However, the risk factors f...

    Authors: Dongbin Liu, Feng Cao, Jiafeng Liu, Dahua Xu, Yuehua Wang and Fei Li

    Citation: BMC Surgery 2017 17:1

    Content type: Research article

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  37. Encapsulating Peritoneal Sclerosis (EPS) describes a variety of diseases that are frequently confused with different names and different etiopathogeneses. The aim of this article is to report personal experien...

    Authors: Hisham Allam, Omer Al Yahri, Sharon Mathew, Adham Darweesh, Ahmed Nafea Suliman, Sherif Abdelaziem, Mohamed Khairat, Adriana Toro and Isidoro Di Carlo

    Citation: BMC Surgery 2016 16:81

    Content type: Research article

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  38. A congenital adhesion band is a rare condition, but may induce a small bowel obstruction (SBO) at any age. However, only a few sporadic case reports exit. We aimed to identify the clinical characteristics of c...

    Authors: Kwang-Ho Yang, Tae-Beom Lee, Si-Hak Lee, Soo-Hong Kim, Yong-Hoon Cho and Hae-Young Kim

    Citation: BMC Surgery 2016 16:79

    Content type: Research article

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  39. Immediate laparoscopic cholecystectomy is the accepted standard for the treatment of acute cholecystitis. The aim of the present study was to evaluate the feasibility of a standardized approach with tailored c...

    Authors: Fabian Grass, Matthieu Cachemaille, Catherine Blanc, Nicolas Fournier, Nermin Halkic, Nicolas Demartines and Martin Hübner

    Citation: BMC Surgery 2016 16:78

    Content type: Research article

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  40. Secondary hyperparathyroidism (SHPT) is associated with adverse outcomes in patients receiving maintenance dialysis. Parathyroidectomy is a treatment for SHPT; whether parathyroidectomy utilization varies geog...

    Authors: James B. Wetmore, Jiannong Liu, Paul J. Dluzniewski, Areef Ishani, Geoffrey A. Block and Allan J. Collins

    Citation: BMC Surgery 2016 16:77

    Content type: Research article

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  41. To estimate the proportion of elderly patients (>70 years) with breast cancer eligible for an Exclusive IntraOperative RadioTherapy (E-IORT) and to evaluate their local recurrence-free survival rate.

    Authors: Eric Lambaudie, Gilles Houvenaeghel, Amira Ziouèche, Sophie Knight, François Dravet, Jean Remy Garbay, Sylvie Giard, Hélène Charitansky, Monique Cohen, Christelle Faure, Delphine Hudry, Paul Azuar, Richard Villet, Pierre Gimbergues, Christine Tunon de Lara, Agnès Tallet…

    Citation: BMC Surgery 2016 16:74

    Content type: Research article

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  42. In recent years, a step-up approach based on minimally invasive techniques was recommended by latest guidelines as initial invasive treatment for infected pancreatic necrosis (IPN). In this study, we aimed to ...

    Authors: Zhihui Tong, Lu Ke, Baiqiang Li, Gang Li, Jing Zhou, Xiao Shen, Weiqin Li, Ning Li and Jieshou Li

    Citation: BMC Surgery 2016 16:73

    Content type: Technical advance

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  43. In this study, we studied the therapeutic effectiveness of percutaneous drainage with antibiotics and the need for an interval appendectomy for treating appendiceal abscess in children with a research-oriented...

    Authors: Chih-Cheng Luo, Kuang-Fu Cheng, Chen-Sheng Huang, Hung-Chieh Lo, Sheng-Mao Wu, Hung-Chang Huang, Wen-Kuei Chien and Ray-Jade Chen

    Citation: BMC Surgery 2016 16:72

    Content type: Research article

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  44. Single-incision laparoscopic colectomy (SILC) requires only one umbilical port site and (depending on technique) a specimen extraction site.

    Authors: Anne Catharina Brockhaus, Stefan Sauerland and Stefan Saad

    Citation: BMC Surgery 2016 16:71

    Content type: Research article

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  45. Persistent infections with high risk human papillomaviruses (HR-HPV) cause virtually all cervical cancers.

    Authors: Laurențiu Pirtea, Dorin Grigoraş, Petru Matusz, Marilena Pirtea, Lavinia Moleriu, Anca Tudor, Răzvan Ilina, Cristina Secoşan, Florin Horhat and Octavian Mazilu

    Citation: BMC Surgery 2016 16:70

    Content type: Research article

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  46. Several inflammatory response biomarkers, including lymphocyte-to-monocyte ratio (LMR), neutrophil-to-lymphocyte ratio (NLR), and platelet-to-lymphocyte ratio (PLR) have been reported to predict survival in va...

    Authors: Noriyuki Hirahara, Takeshi Matsubara, Yoko Mizota, Shuichi Ishibashi and Yoshitsugu Tajima

    Citation: BMC Surgery 2016 16:66

    Content type: Research article

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  47. Robotic surgery has been developed with the aim of improving surgical quality and overcoming the limitations of conventional laparoscopy in the performance of complex mini-invasive procedures. The present stud...

    Authors: Fabio Cianchi, Giampiero Indennitate, Giacomo Trallori, Manuela Ortolani, Beatrice Paoli, Giuseppe Macrì, Gabriele Lami, Beatrice Mallardi, Benedetta Badii, Fabio Staderini, Etleva Qirici, Antonio Taddei, Maria Novella Ringressi, Luca Messerini, Luca Novelli, Siro Bagnoli…

    Citation: BMC Surgery 2016 16:65

    Content type: Research article

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