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Cholecystectomy may be feasible in patients with silent common duct stones
1. In patients with symptomatic gallbladder stones who were found to have asymptomatic concomitant common bile duct stones (CBDS), laparoscopic...
Surgery
Reports of high-impact surgery studies by medical professionals
Lack of sentinel-lymph node biopsy does not alter survival in early invasive breast cancer
1. In this randomized, non-inferiority trial, the omission of surgical axillary staging was noninferior to sentinel lymph node biopsy in...
Preweekend surgeries may have higher risks of complications and mortality
1. Patients who underwent surgery immediately before the weekend had an increased risk of complications, readmissions, and mortality compared with...
Hypnotic drug use may be associated with increased risk of postoperative delirium
1. Older age, hypnotic drug use, and higher intraoperative fluid load were independent risk factors associated with postoperative delirium development...
Coronary CT-angiography-guided management improves outcomes in patients with stable chest pain
1. Composite of coronary heart disease death and non-fatal myocardial infarction was less frequent in the CCTA group compared to...
Recognition of kidney allograft microvascular inflammation refines risk stratification for allograft outcomes
1. Patients with a nonrejection-related diagnosis according to the 2019 Banff classification who were reclassified as MVI, DSA-negative, and C4d-negative...
Perioperative chemotherapy improves survival in esophageal cancer
1. Among patients with resectable esophageal cancer, perioperative chemotherapy with fluorouracil, leucovorin, oxaliplatin, and docetaxel (FLOT) resulted in improved survival...
Transcatheter tricuspid-valve replacement provides mortality and quality of life benefits
1. In this randomized controlled trial, a transcatheter tricuspid-valve replacement provided a mortality benefit compared to standard medical therapy after...
Antibiotic therapy is inferior to surgery for children with uncomplicated appendicitis
1. Treatment failure was greater in the antibiotic group compared to appendicectomy group. 2. Significantly more patients in the antibiotic...
Molecular imaging non-inferior to adrenal vein sampling in detecting aldosterone-producing adrenal adenomas
1. In this prospective within-patient trial, metomidate (MTO) positron emission tomography-computed tomography was non-inferior to adrenal vein sampling in identifying...