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  1. Obesity is a major public health problem in both developed and developing countries alike and leads to a series of changes in respiratory physiology. There is a strong correlation between obesity and cardiopul...

    Authors: Luis VF Oliveira, Isabella C Aguiar, Raquel P Hirata, Newton S Faria Junior, Israel S Reis, Luciana MM Sampaio, Claudia S Oliveira, Paulo TC Carvalho, Fernando SS Leitao Filho, Lilian C Giannasi, Lia Azevedo Pinto, Carlos Alberto Malheiros and Wilson Rodrigues Freitas Jr

    Citation: BMC Surgery 2011 11:28

    Content type: Study protocol

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  3. In the everyday surgical life, staff may experience that patients with Alcohol Use Disorders (AUDs) seem reluctant to participate in alcohol intervention programs. The objective was therefore to assess accepta...

    Authors: Bolette Pedersen, Kristian Oppedal, Lisa Egund and Hanne Tønnesen

    Citation: BMC Surgery 2011 11:26

    Content type: Research article

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  4. Mesh repair of incisional hernia is superior to the conventional technique. From all available materials for open surgery polypropylene (PP) is the most widely used. Development resulted in meshes with larger ...

    Authors: Roland Ladurner, Costanza Chiapponi, Quirin Linhuber and Thomas Mussack

    Citation: BMC Surgery 2011 11:25

    Content type: Research article

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  5. Emerging attempts have been made to reduce operative trauma and improve cosmetic results of laparoscopic cholecystectomy. There is a trend towards minimizing the number of incisions such as natural translumina...

    Authors: Daniel C Steinemann, Dimitri A Raptis, Georg Lurje, Christian E Oberkofler, Roland Wyss, Adrian Zehnder, Mickael Lesurtel, René Vonlanthen, Pierre-Alain Clavien and Stefan Breitenstein

    Citation: BMC Surgery 2011 11:24

    Content type: Study protocol

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  6. Research estimates of inadvertent harm to patients undergoing modern healthcare demonstrate a serious problem. Much attention has been paid to analysis of the causes of error and harm, but researchers have typ...

    Authors: Peter McCulloch and Ken Catchpole

    Citation: BMC Surgery 2011 11:23

    Content type: Technical advance

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  7. Hepatic resection is still associated with significant morbidity. Although the period of parenchymal transection presents a crucial step during the operation, uncertainty persists regarding the optimal techniq...

    Authors: Nuh N Rahbari, Heike Elbers, Moritz Koch, Thomas Bruckner, Patrick Vogler, Fabian Striebel, Peter Schemmer, Arianeb Mehrabi, Markus W Büchler and Jürgen Weitz

    Citation: BMC Surgery 2011 11:22

    Content type: Study protocol

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  8. Surgical site infection (SSI) continues to be a major source of morbidity and mortality in developing countries despite recent advances in aseptic techniques. There is no baseline information regarding SSI in ...

    Authors: Brian Mawalla, Stephen E Mshana, Phillipo L Chalya, Can Imirzalioglu and William Mahalu

    Citation: BMC Surgery 2011 11:21

    Content type: Research article

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  9. The median laparotomy is frequently used by abdominal surgeons to gain rapid and wide access to the abdominal cavity with minimal damage to nerves, vascular structures and muscles of the abdominal wall. Howeve...

    Authors: Joris J Harlaar, Eva B Deerenberg, Gabrielle H van Ramshorst, Harold E Lont, Ed CMH van der Borst, Willem R Schouten, Joos Heisterkamp, Helena C van Doorn, Huib A Cense, Frits Berends, Hein BAC Stockmann, Wietske W Vrijland, Esther CJ Consten, Reyer T Ottow, Peter MNYH Go, John J Hermans…

    Citation: BMC Surgery 2011 11:20

    Content type: Study protocol

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  10. Biliary-enteric anastomosis (BEA) is a common surgical procedure performed for the management of biliary obstruction or leakage that results from a variety of benign and malignant diseases. Complications follo...

    Authors: Syed Nabeel Zafar, Muhammad Rizwan Khan, Rushna Raza, Muhammad N Khan, Mahwash Kasi, Ammar Rafiq and Omer H Jamy

    Citation: BMC Surgery 2011 11:19

    Content type: Research article

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  11. In the year 2000, the organizational structure of the ICU in the Zaandam Medical Centre (ZMC) changed from an open to a closed format ICU. The objective of this study was to evaluate the effect of this organiz...

    Authors: Frederik J van der Sluis, Cornelis Slagt, Barbara Liebman, Jan Beute, Jan WR Mulder and Alexander F Engel

    Citation: BMC Surgery 2011 11:18

    Content type: Research article

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  12. Colorectal cancer (CRC) is a major source of morbidity and mortality in the elderly population and surgery is often the only definitive management option. The suitability of surgical candidates based on age al...

    Authors: Muhammad Rizwan Khan, Hassaan Bari, Syed Nabeel Zafar and Syed Ahsan Raza

    Citation: BMC Surgery 2011 11:17

    Content type: Research article

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  13. Although liver resection has long been established for selected patients with benign hepatic disease, the success of surgical treatment of these patients cannot be evaluated exclusively through postoperative m...

    Authors: Carsten Kamphues, Sabine Engel, Timm Denecke, Roberta Bova, Michael Hippler-Benscheidt, Gero Puhl, Peter Neuhaus and Daniel Seehofer

    Citation: BMC Surgery 2011 11:16

    Content type: Research article

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  14. Various agents and techniques have been introduced to limit intra-operative blood loss from skin lesions. No uniformity regarding the type of haemostasis exists and this is generally based on the surgeon's pre...

    Authors: Marieke D Groenewold, Astrid J Gribnau and Dirk T Ubbink

    Citation: BMC Surgery 2011 11:15

    Content type: Research article

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  15. Upper gastrointestinal haemorrhage is mainly caused by ulcers. Gastric varicosis due to portal hypertension can also be held responsible for upper gastrointestinal bleeding. Portal hypertension causes the deve...

    Authors: Klaus T von Trotha, Marcel Binnebösel, Son Truong, Florian F Behrendt, Hermann E Wasmuth, Ulf P Neumann and Marc Jansen

    Citation: BMC Surgery 2011 11:14

    Content type: Case report

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  16. Adhesions are fibrous bands of scar tissue, often a result of surgery, that form between internal organs and tissues, joining them together abnormally. Postoperative adhesions frequently occur following abdomi...

    Authors: Vanja Sikirica, Bela Bapat, Sean D Candrilli, Keith L Davis, Malcolm Wilson and Alan Johns

    Citation: BMC Surgery 2011 11:13

    Content type: Research article

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  17. Enterocutaneous fistulas (ECF) are debilitating and usually result following complex abdominal surgery. While there is an association with inflammatory bowel disease (IBD), a large number of fistulas occur aft...

    Authors: Goher Rahbour, Ailsa L Hart, Hafid O Al-Hassi, Mohammad R Ullah, Simon M Gabe, Stella C Knight, Janindra Warusavitarne and Carolynne J Vaizey

    Citation: BMC Surgery 2011 11:12

    Content type: Study protocol

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  18. The presence of lymph node metastases remains the most reliable prognostic predictor and the gold indicator for adjuvant treatment in colon cancer (CC). In spite of a potentially curative resection, 20 to 30% ...

    Authors: Daniel J Lips, Boukje Koebrugge, Gerrit Jan Liefers, Johannes C van de Linden, Vincent THBM Smit, Hans FM Pruijt, Hein Putter, Cornelis JH van de Velde and Koop Bosscha

    Citation: BMC Surgery 2011 11:11

    Content type: Study protocol

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  19. Higher closure rates of the open abdomen have been reported with negative pressure wound therapy (NPWT) than with other wound management techniques. However, the method has occasionally been associated with in...

    Authors: Sandra Lindstedt, Malin Malmsjö, Johan Hansson, Joanna Hlebowicz and Richard Ingemansson

    Citation: BMC Surgery 2011 11:10

    Content type: Research article

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  20. Major colorectal surgery usually requires a hospital stay of more than 12 days. Inadequate pain management, intestinal dysfunction and immobilisation are the main factors associated with delay in recovery. The...

    Authors: José M Ramírez, Juan A Blasco, José V Roig, Sergio Maeso-Martínez, José E Casal, Fernando Esteban and Daniel Callejo Lic

    Citation: BMC Surgery 2011 11:9

    Content type: Research article

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  21. Breast-conserving surgery for breast cancer was developed as a method to preserve healthy breast tissue, thereby improving cosmetic outcomes. Thus far, the primary aim of breast-conserving surgery has been the...

    Authors: Nicole MA Krekel, Barbara M Zonderhuis, Hermien WH Schreurs, Alexander MF Lopes Cardozo, Herman Rijna, Henk van der Veen, Sandra Muller, Pieter Poortman, Louise de Widt, Wilfred K de Roos, Anne Marie Bosch, Annette HM Taets van Amerongen, Elisabeth Bergers, Mecheline HM van der Linden, Elly SM de Lange de Klerk, Henri AH Winters…

    Citation: BMC Surgery 2011 11:8

    Content type: Study protocol

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  22. Due to the increase of cardiovascular diseases acetylsalicylic acid (ASA) has become one of the most frequently prescribed drugs these days. Despite the rising number of patients with ASA medication presenting...

    Authors: Dalibor Antolovic, Christoph Reissfelder, Anastasia Rakow, Pietro Contin, Nuh N Rahbari, Markus W Büchler, Jürgen Weitz and Moritz Koch

    Citation: BMC Surgery 2011 11:7

    Content type: Study protocol

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  23. The myofibroblasts play a central role in wound healing throughout the body. The process of wound healing in the colon was evaluated with emphasis on the role of myofibroblasts.

    Authors: Christophoros Kosmidis, Christoforos Efthimiadis, Georgios Anthimidis, George Basdanis, Stylianos Apostolidis, Prodromos Hytiroglou, Kalliopi Vasiliadou, John Prousalidis and Epameinondas Fahantidis

    Citation: BMC Surgery 2011 11:6

    Content type: Research article

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  24. Adhesions formation is a significant postsurgical complication. At present, there is no effective method for preventing adhesions formation [1], although barrier products such as Dextran (Dex) [2] and sodium hyal...

    Authors: Qiang-Ye Zhang, Sheng Ma, Dong Xi, Wen-Tong Zhang and Ai-Wu Li

    Citation: BMC Surgery 2011 11:5

    Content type: Research article

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  25. Decision-making in patients with acute appendicitis poses a diagnostic challenge worldwide, despite much advancement in abdominal surgery. The Modified Alvarado Scoring System (MASS) has been reported to be a ...

    Authors: Emmanuel S Kanumba, Joseph B Mabula, Peter Rambau and Phillipo L Chalya

    Citation: BMC Surgery 2011 11:4

    Content type: Research article

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  26. Malignant perivascular epitheliod cell tumor (PEComa) is a very rare entity composed of distinctive perivascular epitheliod cells with variable immunoreactivity for melanocytic and muscle markers. At present t...

    Authors: Federico Selvaggi, Domenico Risio, Roberta Claudi, Roberta Cianci, Domenico Angelucci, Daniela Pulcini, Alberto D'Aulerio, Margherita Legnini, Roberto Cotellese and Paolo Innocenti

    Citation: BMC Surgery 2011 11:3

    Content type: Case report

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  27. There is a rise in incidence of esophageal carcinoma due to increasing incidence of adenocarcinoma. Probably the only curative option to date is the use of neoadjuvant therapy followed by surgical resection. T...

    Authors: Surya SAY Biere, Kirsten W Maas, Luigi Bonavina, Josep Roig Garcia, Mark I van Berge Henegouwen, Camiel Rosman, Meindert N Sosef, Elly SM de Lange, H Jaap Bonjer, Miguel A Cuesta and Donald L van der Peet

    Citation: BMC Surgery 2011 11:2

    Content type: Study protocol

    Published on:

  28. Unprovoked superficial thrombophlebitis and subsequent venous thromboembolism are well-described albeit rare presenting features of advanced visceral malignancy that often manifest too late for curative interv...

    Authors: Sri G Thrumurthy, Abeyratne HMP Anuruddha, Merrenna IM De Zoysa and Dharmabandhu N Samarasekera

    Citation: BMC Surgery 2011 11:1

    Content type: Case report

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  29. Resorbable bone hemostasis materials, oxidized regenerated cellulose (ORC) and microfibrillar collagen (MFC), remain at the site of application for up to 8 weeks and may impair osteogenesis. Our experimental s...

    Authors: Jonathan K Armstrong, Bo Han, Kenrick Kuwahara, Zhi Yang, Clara E Magyar, Sarah M Dry, Elisa Atti, Sotirios Tetradis and Timothy C Fisher

    Citation: BMC Surgery 2010 10:37

    Content type: Research article

    Published on:

  30. Selective decontamination of the digestive tract (SDD) to eliminate gram-negative bacteria is still not widely accepted, although it reduces the incidence of nosocomial infections. In a previous retrospective ...

    Authors: Franziska Näf, René Warschkow, Walter Kolb, Michael Zünd, Jochen Lange and Thomas Steffen

    Citation: BMC Surgery 2010 10:36

    Content type: Research article

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  31. Intestinal atresia is a common cause of neonatal intestinal obstruction, and management of this disease in limited setup of a developing country is very difficult.

    Authors: Vikal C Shakya, Chandra S Agrawal, Pramod Shrestha, Prakash Poudel, Sudeep Khaniya and Shailesh Adhikary

    Citation: BMC Surgery 2010 10:35

    Content type: Research article

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  32. To assess safety, risk factors and clinical outcomes in elderly patients with spinal stenosis after decompressive laminectomy.

    Authors: Asgeir S Jakola, Andreas Sørlie, Sasha Gulati, Øystein P Nygaard, Stian Lydersen and Tore Solberg

    Citation: BMC Surgery 2010 10:34

    Content type: Research article

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  33. Currently, there is no consensus opinion regarding the optimal procedure of choice in super-super-morbid obesity (Body mass index, BMI > 60 kg/m2). Roux-en-Y gastric bypass (RYGB) is associated with failure to...

    Authors: Bruno Dillemans, Sebastiaan Van Cauwenberge, Sanjay Agrawal, Els Van Dessel and Jan-Paul Mulier

    Citation: BMC Surgery 2010 10:33

    Content type: Technical advance

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  34. Changes to the structure of medical training worldwide require doctors to decide on their career specialty at an increasingly early stage after graduation. We studied trends in career choices for surgery, and ...

    Authors: Michael J Goldacre, Louise Laxton, Ewen M Harrison, Jennifer MJ Richards, Trevor W Lambert and Rowan W Parks

    Citation: BMC Surgery 2010 10:32

    Content type: Research article

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  35. For many years there has been a debate as to which is the method of choice in treating patients with esophageal perforation. The literature consists mainly of small case series. Strategies for aiding patients ...

    Authors: Michael Hermansson, Jan Johansson, Tomas Gudbjartsson, Göran Hambreus, Per Jönsson, Ramon Lillo-Gil, Ulrika Smedh and Thomas Zilling

    Citation: BMC Surgery 2010 10:31

    Content type: Research article

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  36. Penetrating injuries of the abdomen and spinal canal that involve organic material of animal origin are extremely rare and derive from domestic and wild animal attacks or fish attacks.

    Authors: Despoina Georgiadou, George N Zografos, Dennis Vaidakis, Spiridon Avlonitis, Angeliki Katopodi, Emmanouil N Tzirakis, Panagiotis Sioutos, Charalambos Drossos, Penelope Lampropoulou and George Papastratis

    Citation: BMC Surgery 2010 10:30

    Content type: Case report

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  37. Recently, excellent results are reported on laparoscopic lavage in patients with purulent perforated diverticulitis as an alternative for sigmoidectomy and ostomy.

    Authors: Hilko A Swank, Jefrey Vermeulen, Johan F Lange, Irene M Mulder, Joost AB van der Hoeven, Laurents PS Stassen, Rogier MPH Crolla, Meindert N Sosef, Simon W Nienhuijs, Robbert JI Bosker, Maarten J Boom, Philip M Kruyt, Dingeman J Swank, Willem H Steup, Eelco JR de Graaf, Wibo F Weidema…

    Citation: BMC Surgery 2010 10:29

    Content type: Study protocol

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  38. An upper limb arteriovenous (AV) fistula is the access of choice for haemodialysis (HD). There have been few reports of saphenofemoral AV fistulas (SFAVF) over the last 10-20 years because of previous suggesti...

    Authors: João A Correa, Luiz Carlos de Abreu, Adilson C Pires, João R Breda, Yumiko R Yamazaki, Alexandre C Fioretti, Vitor E Valenti, Luiz Carlos M Vanderlei, Hugo Macedo Junior, Eduardo Colombari and Fausto Miranda Junior

    Citation: BMC Surgery 2010 10:28

    Content type: Research article

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  39. Hepatectomy is recommended as the most effective therapy for liver metastasis from colorectal cancer (CRCLM). It is crucial to elucidate the prognostic clinicopathological factors.

    Authors: Michihiro Hayashi, Yoshihiro Inoue, Koji Komeda, Tetsunosuke Shimizu, Mitsuhiro Asakuma, Fumitoshi Hirokawa, Yoshiharu Miyamoto, Junji Okuda, Atsushi Takeshita, Yuro Shibayama and Nobuhiko Tanigawa

    Citation: BMC Surgery 2010 10:27

    Content type: Research article

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  40. Hyperglycemia and insulin resistance frequently occur in critically ill and in morbidly obese (MO) patients. Both conditions are associated with altered serum levels of cytokines and adipokines. In addition, o...

    Authors: Andreas Hillenbrand, Uwe Knippschild, Manfred Weiss, Hubert Schrezenmeier, Doris Henne-Bruns, Markus Huber-Lang and Anna M Wolf

    Citation: BMC Surgery 2010 10:26

    Content type: Research article

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  41. Persisting abdominal complaints are common after an episode of diverticulitis treated conservatively. Furthermore, some patients develop frequent recurrences. These two groups of patients suffer greatly from t...

    Authors: Bryan JM van de Wall, Werner A Draaisma, Esther CJ Consten, Yolanda van der Graaf, Marten H Otten, G Ardine de Wit, Henk F van Stel, Michael F Gerhards, Marinus J Wiezer, Huib A Cense, Hein BAC Stockmann, Jeroen WA Leijtens, David DE Zimmerman, Eric Belgers, Bart A van Wagensveld, Eric DJA Sonneveld…

    Citation: BMC Surgery 2010 10:25

    Content type: Study protocol

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  43. Conservative treatment of uncomplicated or mild diverticulitis usually includes antibiotic therapy. It is, however, uncertain whether patients with acute diverticulitis indeed benefit from antibiotics. In most...

    Authors: Çağdaş Ünlü, Niels de Korte, Lidewine Daniels, Esther CJ Consten, Miguel A Cuesta, Michael F Gerhards, Anna AW van Geloven, Edwin S van der Zaag, Joost AB van der Hoeven, Rutger Klicks, Huib A Cense, Rudi MH Roumen, Quirijn AJ Eijsbouts, Johan F Lange, Paul Fockens, Corianne AJM de Borgie…

    Citation: BMC Surgery 2010 10:23

    Content type: Study protocol

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  44. Development of abdominal compartment syndrome (ACS) in patients with severe acute pancreatitis (SAP) has a strong impact on the course of disease. Number of patients with this complication increases during the...

    Authors: Dejan V Radenkovic, Djordje Bajec, Nenad Ivancevic, Vesna Bumbasirevic, Natasa Milic, Vasilije Jeremic, Pavle Gregoric, Aleksanadar Karamarkovic, Borivoje Karadzic, Darko Mirkovic, Dragoljub Bilanovic, Radoslav Scepanovic and Vladimir Cijan

    Citation: BMC Surgery 2010 10:22

    Content type: Study protocol

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  45. Randomised controlled trials with a long term follow-up (3 to 10 years) have demonstrated that mesh repair is superior to suture closure of incisional hernia with lower recurrence rates (5 to 20% versus 20 to ...

    Authors: Christoph Seiler, Petra Baumann, Peter Kienle, Andreas Kuthe, Jens Kuhlgatz, Rainer Engemann, Moritz v Frankenberg and Hanns-Peter Knaebel

    Citation: BMC Surgery 2010 10:21

    Content type: Study protocol

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  46. Postoperative adhesions occur when fibrous strands of internal scar tissue bind anatomical structures to one another. The most common cause of intra-abdominal adhesions is previous intra-abdominal surgical int...

    Authors: Reinhold Lang, Petra Baumann, Karl-Walter Jauch, Claudia Schmoor, Christine Weis, Erich Odermatt and Hanns-Peter Knaebel

    Citation: BMC Surgery 2010 10:20

    Content type: Study protocol

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  47. Colonic intussusception is a rare congenital abnormality, mostly manifesting before the age of two with abdominal pain and acute intestinal obstruction with or without bleeding. In adults it may occur idiopath...

    Authors: Carolin Reiser-Erkan, Mert Erkan, Erika Ulbrich, Jörg Nährig and Jörg Kleeff

    Citation: BMC Surgery 2010 10:19

    Content type: Case report

    Published on:

  48. The present developments in colon surgery are characterized by two innovations: the introduction of the laparoscopic operation technique and fast recovery programs such as the Enhanced Recovery After Surgery (...

    Authors: Jurrian C Reurings, Willem R Spanjersberg, Henk JM Oostvogel, Erik Buskens, John Maring, Flip Kruijt, Camiel Rosman, Peter van Duivendijk, Cees HC Dejong and Cees JHM van Laarhoven

    Citation: BMC Surgery 2010 10:18

    Content type: Study protocol

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  49. Few patients with lung metastases from colorectal cancer (CRC) are candidates for surgical therapy with a curative intent, and it is currently impossible to identify those who may benefit the most from thoraco...

    Authors: Ulrich Landes, John Robert, Thomas Perneger, Gilles Mentha, Vincent Ott, Philippe Morel and Pascal Gervaz

    Citation: BMC Surgery 2010 10:17

    Content type: Research article

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  50. Incidence of liver hydatid cyst (LHC) rupture ranged 15%-40% of all cases and most of them concern the bile duct tree. Patients with biliocystic communication (BCC) had specific clinic and therapeutic aspect. ...

    Authors: Hadj Omar El Malki, Yasser El Mejdoubi, Amine Souadka, Raouf Mohsine, Lahcen Ifrine, Redouane Abouqal and Abdelkader Belkouchi

    Citation: BMC Surgery 2010 10:16

    Content type: Research article

    Published on:

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