CRIS Current Research Information System

Objective:To develop and validate a prediction model (STOMA score) for 1-year stoma-free survival in patients with rectal cancer (RC) with anastomotic leakage (AL).Background:AL after RC resection often results in a permanent stoma.Methods:This international retrospective cohort study (TENTACLE-Rectum) encompassed 216 participating centres and included patients who developed AL after RC surgery between 2014 and 2018. Clinically relevant predictors for 1-year stoma-free survival were included in uni and multivariable logistic regression models. The STOMA score was developed and internally validated in a cohort of patients operated between 2014 and 2017, with subsequent temporal validation in a 2018 cohort. The discriminative power and calibration of the models' performance were evaluated.Results:This study included 2499 patients with AL, 1954 in the development cohort and 545 in the validation cohort. Baseline characteristics were comparable. One-year stoma-free survival was 45.0% in the development cohort and 43.7% in the validation cohort. The following predictors were included in the STOMA score: sex, age, American Society of Anestesiologist classification, body mass index, clinical M-disease, neoadjuvant therapy, abdominal and transanal approach, primary defunctioning stoma, multivisceral resection, clinical setting in which AL was diagnosed, postoperative day of AL diagnosis, abdominal contamination, anastomotic defect circumference, bowel wall ischemia, anastomotic fistula, retraction, and reactivation leakage. The STOMA score showed good discrimination and calibration (c-index: 0.71, 95% CI: 0.66-0.76).Conclusions:The STOMA score consists of 18 clinically relevant factors and estimates the individual risk for 1-year stoma-free survival in patients with AL after RC surgery, which may improve patient counseling and give guidance when analyzing the efficacy of different treatment strategies in future studies.

Stoma-free Survival After Rectal Cancer Resection With Anastomotic Leakage: Development and Validation of a Prediction Model in a Large International Cohort / Andreas J A Bremers, Floris T Ferenschild, Stefanie de Vriendt, André D'Hoore, Gabriele Bislenghi, Jordi Farguell, Antonio M Lacy, Paula González Atienza, Charlotte S van Kessel, Yann Parc, Thibault Voron, Maxime K Collard, Jorge Sancho Muriel, Hannia Cholewa, Laura A Mattioni, Alice Frontali, Sebastiaan W Polle, Fatih Polat, Ndidi J Obihara, Bruna B Vailati, Miranda Kusters, Jurriaan B Tuynmann, Sanne J A Hazen, Alexander A J Grüter, Takahiro Amano, Hajime Fujiwara, Mario Salomon, Hernán Ruiz, Ricardo Gonzalez, Diego Estefanía, Nicolas Avellaneda, Augusto Carrie, Mateo Santillan, Diana A Pantoja Pachajoa, Matias Parodi, Manuel Gielis, Alf-Dorian Binder, Thomas Gürtler, Peter Riedl, Sarit Badiani, Christophe Berney, Matthew Morgan, Paul Hollington, Nigel da Silva, Gavin Nair, Yiu M Ho, Michael Lamparelli, Raj Kapadia, Hidde M Kroon, Nagendra N Dudi-Venkata, Jianliang Liu, Tarik Sammour, Nicolas Flamey, Paul Pattyn, Ahmed Chaoui, Louis Vansteenbrugge, Nathalie E J van den Broek, Patrick Vanclooster, Charles de Gheldere, Pieter Pletinckx, Barbara Defoort, Maxime Dewulf, Mihail Slavchev, Nikolay Belev, Boyko Atanasov, Panche Krastev, Manol Sokolov, Svilen Maslyankov, Petar Gribnev, Vasil Pavlov, Tsvetomir Ivanov, Martin Karamanliev, Emil Filipov, Pencho Tonchev, Felix Aigner, Martin Mitteregger, Caterina Allmer, Gerald Seitinger, Nicola Colucci, Nicolas Buchs, Frédéric Ris, Christian Toso, Eleftherios Gialamas, Aurélie Vuagniaux, Roland Chautems, Marc-Olivier Sauvain, Silvio Daester, Markus von Flüe, Marc-Olivier Guenin, Stephanie Taha-Mehlitz, Gabriel F Hess, Lubomír Martínek, Matej Skrovina, Maria Machackova, Vladimir Benčurik, Deniz Uluk, Johann Pratschke, Luca S Dittrich, Safak Guel-Klein, Daniel Perez, Julia-Kristin Grass, Nathaniel Melling, Simone Mueller, Lene H Iversen, Jacob D Eriksen, Gunnar Baatrup, Issam Al-Najami, Thomas Bjørsum-Meyer, Jüri Teras, Roland M Teras, Fatma A Monib, Nagm Eldin Abu Elnga Ahmed, Eithar Alkady, Ahmed K Ali, Gehan Abd Elatti Khedr, Ahmed Samir Abdelaal, Fouad M Bassyouni Ashoush, Moataz Ewedah, Eslam M Elshennawy, Mohamed Hussein, Daniel Fernández-Martínez, Luis J García-Flórez, María Fernández-Hevia, Aida Suárez-Sánchez, Izaskun Del Hoyo Aretxabala, Iria Losada Docampo, Jesús Gómez Zabala, Patricia Tejedor, Javier T Morales Bernaldo de Quirós, Ignacio Bodega Quiroga, Antonio Navarro-Sánchez, Iván Soto Darias, Cristina López Fernández, Cristina de La Cruz Cuadrado, Luis Sánchez-Guillén, Francisco López-Rodríguez-Arias, Álvaro Soler-Silva, Antonio Arroyo, Juan C Bernal-Sprekelsen, Segundo Á Gómez-Abril, Paula Gonzálvez, María T Torres, Teresa Rubio Sánchez, Francisco Blanco Antona, Juan E Sánchez Lara, José A Alcázar Montero, Daniel Fernández-Martínez, Luis J García-Flórez, María Fernández-Hevia, Aida Suárez-Sánchez, Enrique Colás-Ruiz, Marta M Tasende-Presedo, Ignacio Fernández-Hurtado, José A Cifuentes-Ródenas, Marta Castro Suárez, Manuel Losada, Miguel Hernández, Alfredo Alonso, Beatriz Diéguez, Daniel Serralta, Rita E Medina Quintana, Jose M Gil Lopez, Francisca Lima Pinto, Elena Nieto-Moreno, Alba Correa Bonito, Carlos Cerdán Santacruz, Elena Bermejo Marcos, Javier García Septiem, Aránzazu Calero-Lillo, Javier Alanez-Saavedra, Salvador Muñoz-Collado, Manuel López-Lara, María Labalde Martínez, Eduardo Ferrero Herrero, Francisco Javier García Borda, Óscar García Villar, Jorge Escartín, Juan L Blas, Rocío Ferrer, Jorge García Egea, Antonio Rodríguez-Infante, Germán Mínguez-Ruiz, Guillermo Carreño-Villarreal, Gerardo Pire-Abaitua, Jana Dziakova, Carlos Sáez-Cazallas Rodríguez, María J Pizarro Aranda, José M Muguerza Huguet, Nerea Borda-Arrizabalaga, José M Enriquez-Navascués, Garazi Elorza Echaniz, Yolanda Saralegui Ansorena, Mercedes Estaire-Gómez, Carlos Martínez-Pinedo, Alejandro Barbero-Valenzuela, Pablo Ruíz-García, Miquel Kraft, María J Gómez-Jurado, Gianluca Pellino, Eloy Espín-Basany, Eddy Cotte, Nathalie Panel, Claire-Angéline Goutard, Nicola deÁngelis, Lelde Lauka, Shafaque Shaikh, Laura Osborne, George Ramsay, Vladimir-Ion Nichita, Santosh Bhandari, Panchali Sarmah, Rob M Bethune, Heather C M Pringle, Lisa Massey, George E Fowler, Hytham K S Hamid, Belinda D de Simone, James Kynaston, Nicholas Bradley, Roxane M Stienstra, Shashank Gurjar, Tanmoy Mukherjee, Ashfaq Chandio, Safia Ahmed, Baljit Singh, Francois Runau, Sanjay Chaudhri, Oliver Siaw, Janahan Sarveswaran, Victor Miu, Daniel Ashmore, Haitham Darwich, Deepak Singh-Ranger, Nirbhaibir Singh, Mohamed Shaban, Fahed Gareb, Thalia Petropolou, Adreas Polydorou, Mit Dattani, Asma Afzal, Akshay Bavikatte, Boby Sebastian, Nicholas Ward, Amitabh Mishra, Dimitrios Manatakis, Christos Agalianos, Nikolaos Tasis, Maria-Ioanna Antonopoulou, Ioannis Karavokyros, Alexandros Charalabopoulos, Dimitrios Schizas, Efstratia Baili, Athanasios Syllaios, Lysandros Karydakis, Michail Vailas, Dimitrios Balalis, Dimitrios Korkolis, Aris Plastiras, Aliki Rompou, Sofia Xenaki, Evangelos Xynos, Emmanuel Chrysos, Maria Venianaki, Grigorios Christodoulidis, Konstantinos Perivoliotis, George Tzovaras, Ioannis Baloyiannis, Man-Fung Ho, Simon Siu-Man Ng, Tony Wing-Chung Mak, Kaori Futaba, Goran Šantak, Damir Šimleša, Jurica Osić, Goran Zukanović, Michael E Kelly, John O Larkin, Paul H McCormick, Brian J Mehigan, Tara M Connelly, Peter Neary, Jessica Ryan, Peter McCullough, Maytham A Al-Juaifari, Hayder Hammoodi, Ali Hashim Abbood, Marcello Calabrò, Andrea Muratore, Antonio La Terra, Francesca Farnesi, Carlo V Feo, Nicolò Fabbri, Antonio Pesce, Marta Fazzin, Francesco Roscio, Federico Clerici, Andrea Lucchi, Laura Vittori, Laura Agostinelli, Maria Cristina Ripoli, Daniele Sambucci, Andrea Porta, Giovanni Sinibaldi, Giacomo Crescentini, Antonella Larcinese, Emanuele Picone, Roberto Persiani, Alberto Biondi, Roberto Pezzuto, Laura Lorenzon, Gianluca Rizzo, Claudio Coco, Luca D'Agostino, Antonino Spinelli, Matteo M Sacchi, Michele Carvello, Caterina Foppa, Antonino Spinelli, Matteo M Sacchi, Michele Carvello, Caterina Foppa, Annalisa Maroli, Gian M Palini, Gianluca Garulli, Nicola Zanini, Paolo Delrio, Daniela Rega, Fabio Carbone, Alessia Aversano, Giovanni Pirozzolo, Alfonso Recordare, Lucrezia D'Alimonte, Chiara Vignotto, Carlo Corbellini, Gianluca M Sampietro, Leonardo Lorusso, Carlo A Manzo, Federico Ghignone, Giampaolo Ugolini, Isacco Montroni, Franceso Pasini, Francesco Pasini, Michele Ballabio, Pietro Bisagni, Francesca T Armao, Marco Longhi, Omar Ghazouani, Raffaele Galleano, Nicolò Tamini, Massimo Oldani, Luca Nespoli, Arcangelo Picciariello, Donato F Altomare, Giovanni Tomasicchio, Giuliano Lantone, Fausto Catena, Mario Giuffrida, Alfredo Annicchiarico, Gennaro Perrone, Ugo Grossi, Giulio A Santoro, Giacomo Zanus, Alessandro Iacomino, Simone Novello, Nicola Passuello, Martino Zucchella, Lucia Puca, Maurizio deGiuli, Rossella Reddavid, Stefano Scabini, Alessandra Aprile, Domenico Soriero, Emanuela Fioravanti, Matteo Rottoli, Angela Romano, Marta Tanzanu, Angela Belvedere, Nicolò M Mariani, Andrea P Ceretti, Enrico Opocher, Gaetano Gallo, Giuseppe Sammarco, Gilda de Paola, Salvatore Pucciarelli, Francesco Marchegiani, Gaya Spolverato, Gianluca Buzzi, Salomone Di Saverio, Paola Meroni, Cristiano Parise, Elisa I Bottazzoli, Pierfrancesco Lapolla, Gioia Brachini, Bruno Cirillo, Andrea Mingoli, Giuseppe Sica, Leandro Siragusa, Vittoria Bellato, Daniele Cerbo, Carlo A de Pasqual, Giovanni de Manzoni, Maria A di Cosmo, Bourhan M H Alrayes, Mahmoud W M Qandeel, Mohammad Bani Hani, Alexander Rabadi, Mohammad S El Muhtaseb, Basel Abdeen, Fahed Karmi, Justas Žilinskas, Tadas Latkauskas, Algimantas Tamelis, Ingrida Pikūnienė, Vygintas Šlenfuktas, Tomas Poskus, Marius Kryzauskas, Matas Jakubauskas, Saulius Mikalauskas, Lina Jakubauskiene, Soha Y Hassan, Amani Altrabulsi, Eman Abdulwahed, Reem Ghmagh, Abdulqudus Deeknah, Entisar Alshareea, Muhammed Elhadi, Saleh Abujamra, Ahmed A Msherghi, Osama W E Tababa, Mohammed A Majbar, Amine Souadka, Amine Benkabbou, Raouf Mohsine, Sabrillah Echiguer, Paulina Moctezuma-Velázquez, Noel Salgado-Nesme, Omar Vergara-Fernández, Juan C Sainz-Hernández, Francisco E Alvarez-Bautista, Andee D Zakaria, Zaidi Zakaria, Michael P K Wong, Razif Ismail, Aini F Ibrahim, Nik A N Abdullah, Rokayah Julaihi, Sameer Bhat, Greg O'Grady, Ian Bissett, Bas Lamme, Gijsbert D Musters, Anne M Dinaux, Brechtje A Grotenhuis, Ernst J Steller Arend G J Aalbers, Marjolein M Leeuwenburgh, Harm J T Rutten, Jacobus W A Burger, Johanne G Bloemen, Stijn H J Ketelaers, Usama Waqar, Tabish Chawla, Hareem Rauf, Pallavi Rani, Aaldert K Talsma, Lieke Scheurink, Jasper B van Praagh, Josefin Segelman, Jonas Nygren, Kajsa Anderin, Marit Tiefenthal, Beatriz de Andrés, Juan P Beltrán de Heredia, Andrea Vázquez, Tania Gómez, Parisa Golshani, Rawaz Kader, Abudi Mohamed, Marinke Westerterp, Andreas Marinelli, Quirine Niemer, Pascal G Doornebosch, Joël Shapiro, Maarten Vermaas, Eelco J R de Graaf, Hendrik L van Westreenen, Marije Zwakman, Annette D van Dalsen, Wouter J Vles, Joost Nonner, Boudewijn R Toorenvliet, Paul T J Janssen, Emiel G G Verdaasdonk, Femke J Amelung, Koen C M J Peeters Renu R Bahadoer, Fabian A Holman, Jeroen Heemskerk, Noortje Vosbeek, Jeroen W A Leijtens, Sophie B M Taverne, Bob H M Heijnen, Youssef El-Massoudi, Irene de Groot-van Veen, Christiaan Hoff, Daniela Jou-Valencia, Esther C J Consten, Thijs A Burghgraef, Ritch Geitenbeek, Lorenzo G W L Hulshof, Gerrit D Slooter, Muriël Reudink, Nicole D Bouvy, Aurelia C L Wildeboer, Sonja Verstappen, Alexander J Pennings, Berber van den Hengel, Allard G Wijma, Jael de Haan, Lindsey C F de Nes, Vera Heesink, Tom Karsten, Charlotte M Heidsma, Willem J Koemans, Jan-Willem T Dekker, Charlène J van der Zijden, Daphne Roos, Ahmet Demirkiran, Sjirk van der Burg, Steven J Oosterling, Tijs J Hoogteijling, Bastiaan Wiering, Diederik P J Smeeing, Klaas Havenga, Hamid Lutfi, Esther C J Consten, Konstantinos Tsimogiannis, Filip Sköldberg, Joakim Folkesson, Frank den Boer, Ted G van Schaik, Pieter van Gerven, Colin Sietses, Jeroen C Hol, Evert-Jan G Boerma, Davy M J Creemers, Johannes K Schultz, Tone Frivold, Rolf Riis, Hilde Gregussen, Sondre Busund, Ole H Sjo, Maria Gaard, Nina Krohn, Amanda L Ersryd, Edmund Leung, Usama Waqar, Tabish Chawla, Hareem Rauf, Pallavi Rani, Hytham Sultan, Baraa Nabil Hajjaj, Ahmed Jehad Alhisi, Ahmed A E Khader, Ana Filipa Dias Mendes, Miguel Semião, Luis Queiroz Faria, Constança Azevedo, Helena M da Costa Devesa, Sónia Fortuna Martins, Aldo M Rodrigues Jarimba, Sónia M Ribeiro Marques, Rita Marques Ferreira, António Oliveira, Cátia Ferreira, Ricardo Pereira, Valeriu M Surlin, Giorgiana M Graure, Stefan Patrascu Sandu D Ramboiu, Ionut Negoi, Cezar Ciubotaru, Bogdan Stoica, Ioan Tanase, Bogdan Stoica, Cezar Ciubotaru, Valentina M Negoita, Sabrina Florea, Florin Macau, Mihai Vasile, Victor Stefanescu, Gabriel-Mihail Dimofte, Sorinel Luncă, Cristian-Ene Roată, Ana-Maria Mușină, Tatiana Garmanova, Mikhail N Agapov, Daniil G Markaryan, Galliamov Eduard, Alexey Yanishev, Alexander Abelevich, Andrey Bazaev, Sergey V Rodimov, Victor B Filimonov, Andrey A Melnikov, Igor A Suchkov, EvgeniyS Drozdov, Dmitriy N Kostromitskiy, Olle Sjöström, Peter Matthiessen, Bayar Baban, Soran Gadan, Kaveh Dehlaghi Jadid, Maria Staffan, Jennifer M Park, Daniel Rydbeck, Marie-Louise Lydrup, Pamela Buchwald, Henrik Jutesten, Lotten Darlin, Ebba Lindqvist, Karl Nilsson, Per-Anders Larsson, Staffan Jangmalm, Jurij A Košir, Aleš Tomažič, Jan Grosek, Tajda Košir Božič, Aya Zazo, Rama Zazo, Hala Fares, Kusay Ayoub, Ammar Niazi, Ali Mansour, Ayman Abbas, Mohammad Tantoura, Alaa Hamdan, Naya Hassan, Bassam Hasan, Ahmad Saad, Amine Sebai, Anis Haddad, Houcine Maghrebi, Montasser Kacem, Ömer Yalkın, Mehmet Veysi Samsa, İbrahim Atak, Bengi Balci, Elifcan Haberal, Lütfi Dogan, Ibrahim E Gecim, Cihangir Akyol, Mehmet A Koc, Emre Sivrikoz, Deniz Piyadeoğlu, John O Larkin, Dara O Avanagh, Selman Sökmen, Tayfun Bişgin, Erşan Günenç, Melek Güzel, Sezai Leventoğlu, Osman Yüksel, Ramazan Kozan, Hüseyin Göbüt, Fevzi Cengiz, Kemal Erdinc, Nihan Coşgun Acar, Erdinc Kamer, İlker Özgür, Oguzhan Aydın, Metin Keskin, Mehmet Türker Bulut, Cemil B Kulle, Yasin Kara, Osman Sıbıç, İbrahim H Özata, Dursun Buğra, Emre Balık, Cemil B Kulle, Murat Çakır, Anas Alhardan, Elif Colak, Ahmet B CiftciEngin Aybar, Ahmet Can Sari, Semra Demirli Atici, Tayfun Kaya, Ayberk Dursun, Bulent Calik, Ömer Faruk Özkan, Hanife Şeyda Ülgür, Özgül Düzgün, John Monson, Sarah George, Kayla Woods, Fatima Al-Eryani, Rudaina Albakry, Emile Coetzee, Adam Boutall, Ayesiga Herman, Claire Warden, Naser Mugla, Tim Forgan, Imraan Mia, Anton Lambrechts. - In: ANNALS OF SURGERY. - ISSN 0003-4932. - ELETTRONICO. - 278:5(2023), pp. 772-780. [10.1097/SLA.0000000000006043]

Stoma-free Survival After Rectal Cancer Resection With Anastomotic Leakage: Development and Validation of a Prediction Model in a Large International Cohort

Giampaolo Ugolini;Matteo Rottoli;Angela Romano;Angela Belvedere;
2023

Abstract

Objective:To develop and validate a prediction model (STOMA score) for 1-year stoma-free survival in patients with rectal cancer (RC) with anastomotic leakage (AL).Background:AL after RC resection often results in a permanent stoma.Methods:This international retrospective cohort study (TENTACLE-Rectum) encompassed 216 participating centres and included patients who developed AL after RC surgery between 2014 and 2018. Clinically relevant predictors for 1-year stoma-free survival were included in uni and multivariable logistic regression models. The STOMA score was developed and internally validated in a cohort of patients operated between 2014 and 2017, with subsequent temporal validation in a 2018 cohort. The discriminative power and calibration of the models' performance were evaluated.Results:This study included 2499 patients with AL, 1954 in the development cohort and 545 in the validation cohort. Baseline characteristics were comparable. One-year stoma-free survival was 45.0% in the development cohort and 43.7% in the validation cohort. The following predictors were included in the STOMA score: sex, age, American Society of Anestesiologist classification, body mass index, clinical M-disease, neoadjuvant therapy, abdominal and transanal approach, primary defunctioning stoma, multivisceral resection, clinical setting in which AL was diagnosed, postoperative day of AL diagnosis, abdominal contamination, anastomotic defect circumference, bowel wall ischemia, anastomotic fistula, retraction, and reactivation leakage. The STOMA score showed good discrimination and calibration (c-index: 0.71, 95% CI: 0.66-0.76).Conclusions:The STOMA score consists of 18 clinically relevant factors and estimates the individual risk for 1-year stoma-free survival in patients with AL after RC surgery, which may improve patient counseling and give guidance when analyzing the efficacy of different treatment strategies in future studies.
2023
Stoma-free Survival After Rectal Cancer Resection With Anastomotic Leakage: Development and Validation of a Prediction Model in a Large International Cohort / Andreas J A Bremers, Floris T Ferenschild, Stefanie de Vriendt, André D'Hoore, Gabriele Bislenghi, Jordi Farguell, Antonio M Lacy, Paula González Atienza, Charlotte S van Kessel, Yann Parc, Thibault Voron, Maxime K Collard, Jorge Sancho Muriel, Hannia Cholewa, Laura A Mattioni, Alice Frontali, Sebastiaan W Polle, Fatih Polat, Ndidi J Obihara, Bruna B Vailati, Miranda Kusters, Jurriaan B Tuynmann, Sanne J A Hazen, Alexander A J Grüter, Takahiro Amano, Hajime Fujiwara, Mario Salomon, Hernán Ruiz, Ricardo Gonzalez, Diego Estefanía, Nicolas Avellaneda, Augusto Carrie, Mateo Santillan, Diana A Pantoja Pachajoa, Matias Parodi, Manuel Gielis, Alf-Dorian Binder, Thomas Gürtler, Peter Riedl, Sarit Badiani, Christophe Berney, Matthew Morgan, Paul Hollington, Nigel da Silva, Gavin Nair, Yiu M Ho, Michael Lamparelli, Raj Kapadia, Hidde M Kroon, Nagendra N Dudi-Venkata, Jianliang Liu, Tarik Sammour, Nicolas Flamey, Paul Pattyn, Ahmed Chaoui, Louis Vansteenbrugge, Nathalie E J van den Broek, Patrick Vanclooster, Charles de Gheldere, Pieter Pletinckx, Barbara Defoort, Maxime Dewulf, Mihail Slavchev, Nikolay Belev, Boyko Atanasov, Panche Krastev, Manol Sokolov, Svilen Maslyankov, Petar Gribnev, Vasil Pavlov, Tsvetomir Ivanov, Martin Karamanliev, Emil Filipov, Pencho Tonchev, Felix Aigner, Martin Mitteregger, Caterina Allmer, Gerald Seitinger, Nicola Colucci, Nicolas Buchs, Frédéric Ris, Christian Toso, Eleftherios Gialamas, Aurélie Vuagniaux, Roland Chautems, Marc-Olivier Sauvain, Silvio Daester, Markus von Flüe, Marc-Olivier Guenin, Stephanie Taha-Mehlitz, Gabriel F Hess, Lubomír Martínek, Matej Skrovina, Maria Machackova, Vladimir Benčurik, Deniz Uluk, Johann Pratschke, Luca S Dittrich, Safak Guel-Klein, Daniel Perez, Julia-Kristin Grass, Nathaniel Melling, Simone Mueller, Lene H Iversen, Jacob D Eriksen, Gunnar Baatrup, Issam Al-Najami, Thomas Bjørsum-Meyer, Jüri Teras, Roland M Teras, Fatma A Monib, Nagm Eldin Abu Elnga Ahmed, Eithar Alkady, Ahmed K Ali, Gehan Abd Elatti Khedr, Ahmed Samir Abdelaal, Fouad M Bassyouni Ashoush, Moataz Ewedah, Eslam M Elshennawy, Mohamed Hussein, Daniel Fernández-Martínez, Luis J García-Flórez, María Fernández-Hevia, Aida Suárez-Sánchez, Izaskun Del Hoyo Aretxabala, Iria Losada Docampo, Jesús Gómez Zabala, Patricia Tejedor, Javier T Morales Bernaldo de Quirós, Ignacio Bodega Quiroga, Antonio Navarro-Sánchez, Iván Soto Darias, Cristina López Fernández, Cristina de La Cruz Cuadrado, Luis Sánchez-Guillén, Francisco López-Rodríguez-Arias, Álvaro Soler-Silva, Antonio Arroyo, Juan C Bernal-Sprekelsen, Segundo Á Gómez-Abril, Paula Gonzálvez, María T Torres, Teresa Rubio Sánchez, Francisco Blanco Antona, Juan E Sánchez Lara, José A Alcázar Montero, Daniel Fernández-Martínez, Luis J García-Flórez, María Fernández-Hevia, Aida Suárez-Sánchez, Enrique Colás-Ruiz, Marta M Tasende-Presedo, Ignacio Fernández-Hurtado, José A Cifuentes-Ródenas, Marta Castro Suárez, Manuel Losada, Miguel Hernández, Alfredo Alonso, Beatriz Diéguez, Daniel Serralta, Rita E Medina Quintana, Jose M Gil Lopez, Francisca Lima Pinto, Elena Nieto-Moreno, Alba Correa Bonito, Carlos Cerdán Santacruz, Elena Bermejo Marcos, Javier García Septiem, Aránzazu Calero-Lillo, Javier Alanez-Saavedra, Salvador Muñoz-Collado, Manuel López-Lara, María Labalde Martínez, Eduardo Ferrero Herrero, Francisco Javier García Borda, Óscar García Villar, Jorge Escartín, Juan L Blas, Rocío Ferrer, Jorge García Egea, Antonio Rodríguez-Infante, Germán Mínguez-Ruiz, Guillermo Carreño-Villarreal, Gerardo Pire-Abaitua, Jana Dziakova, Carlos Sáez-Cazallas Rodríguez, María J Pizarro Aranda, José M Muguerza Huguet, Nerea Borda-Arrizabalaga, José M Enriquez-Navascués, Garazi Elorza Echaniz, Yolanda Saralegui Ansorena, Mercedes Estaire-Gómez, Carlos Martínez-Pinedo, Alejandro Barbero-Valenzuela, Pablo Ruíz-García, Miquel Kraft, María J Gómez-Jurado, Gianluca Pellino, Eloy Espín-Basany, Eddy Cotte, Nathalie Panel, Claire-Angéline Goutard, Nicola deÁngelis, Lelde Lauka, Shafaque Shaikh, Laura Osborne, George Ramsay, Vladimir-Ion Nichita, Santosh Bhandari, Panchali Sarmah, Rob M Bethune, Heather C M Pringle, Lisa Massey, George E Fowler, Hytham K S Hamid, Belinda D de Simone, James Kynaston, Nicholas Bradley, Roxane M Stienstra, Shashank Gurjar, Tanmoy Mukherjee, Ashfaq Chandio, Safia Ahmed, Baljit Singh, Francois Runau, Sanjay Chaudhri, Oliver Siaw, Janahan Sarveswaran, Victor Miu, Daniel Ashmore, Haitham Darwich, Deepak Singh-Ranger, Nirbhaibir Singh, Mohamed Shaban, Fahed Gareb, Thalia Petropolou, Adreas Polydorou, Mit Dattani, Asma Afzal, Akshay Bavikatte, Boby Sebastian, Nicholas Ward, Amitabh Mishra, Dimitrios Manatakis, Christos Agalianos, Nikolaos Tasis, Maria-Ioanna Antonopoulou, Ioannis Karavokyros, Alexandros Charalabopoulos, Dimitrios Schizas, Efstratia Baili, Athanasios Syllaios, Lysandros Karydakis, Michail Vailas, Dimitrios Balalis, Dimitrios Korkolis, Aris Plastiras, Aliki Rompou, Sofia Xenaki, Evangelos Xynos, Emmanuel Chrysos, Maria Venianaki, Grigorios Christodoulidis, Konstantinos Perivoliotis, George Tzovaras, Ioannis Baloyiannis, Man-Fung Ho, Simon Siu-Man Ng, Tony Wing-Chung Mak, Kaori Futaba, Goran Šantak, Damir Šimleša, Jurica Osić, Goran Zukanović, Michael E Kelly, John O Larkin, Paul H McCormick, Brian J Mehigan, Tara M Connelly, Peter Neary, Jessica Ryan, Peter McCullough, Maytham A Al-Juaifari, Hayder Hammoodi, Ali Hashim Abbood, Marcello Calabrò, Andrea Muratore, Antonio La Terra, Francesca Farnesi, Carlo V Feo, Nicolò Fabbri, Antonio Pesce, Marta Fazzin, Francesco Roscio, Federico Clerici, Andrea Lucchi, Laura Vittori, Laura Agostinelli, Maria Cristina Ripoli, Daniele Sambucci, Andrea Porta, Giovanni Sinibaldi, Giacomo Crescentini, Antonella Larcinese, Emanuele Picone, Roberto Persiani, Alberto Biondi, Roberto Pezzuto, Laura Lorenzon, Gianluca Rizzo, Claudio Coco, Luca D'Agostino, Antonino Spinelli, Matteo M Sacchi, Michele Carvello, Caterina Foppa, Antonino Spinelli, Matteo M Sacchi, Michele Carvello, Caterina Foppa, Annalisa Maroli, Gian M Palini, Gianluca Garulli, Nicola Zanini, Paolo Delrio, Daniela Rega, Fabio Carbone, Alessia Aversano, Giovanni Pirozzolo, Alfonso Recordare, Lucrezia D'Alimonte, Chiara Vignotto, Carlo Corbellini, Gianluca M Sampietro, Leonardo Lorusso, Carlo A Manzo, Federico Ghignone, Giampaolo Ugolini, Isacco Montroni, Franceso Pasini, Francesco Pasini, Michele Ballabio, Pietro Bisagni, Francesca T Armao, Marco Longhi, Omar Ghazouani, Raffaele Galleano, Nicolò Tamini, Massimo Oldani, Luca Nespoli, Arcangelo Picciariello, Donato F Altomare, Giovanni Tomasicchio, Giuliano Lantone, Fausto Catena, Mario Giuffrida, Alfredo Annicchiarico, Gennaro Perrone, Ugo Grossi, Giulio A Santoro, Giacomo Zanus, Alessandro Iacomino, Simone Novello, Nicola Passuello, Martino Zucchella, Lucia Puca, Maurizio deGiuli, Rossella Reddavid, Stefano Scabini, Alessandra Aprile, Domenico Soriero, Emanuela Fioravanti, Matteo Rottoli, Angela Romano, Marta Tanzanu, Angela Belvedere, Nicolò M Mariani, Andrea P Ceretti, Enrico Opocher, Gaetano Gallo, Giuseppe Sammarco, Gilda de Paola, Salvatore Pucciarelli, Francesco Marchegiani, Gaya Spolverato, Gianluca Buzzi, Salomone Di Saverio, Paola Meroni, Cristiano Parise, Elisa I Bottazzoli, Pierfrancesco Lapolla, Gioia Brachini, Bruno Cirillo, Andrea Mingoli, Giuseppe Sica, Leandro Siragusa, Vittoria Bellato, Daniele Cerbo, Carlo A de Pasqual, Giovanni de Manzoni, Maria A di Cosmo, Bourhan M H Alrayes, Mahmoud W M Qandeel, Mohammad Bani Hani, Alexander Rabadi, Mohammad S El Muhtaseb, Basel Abdeen, Fahed Karmi, Justas Žilinskas, Tadas Latkauskas, Algimantas Tamelis, Ingrida Pikūnienė, Vygintas Šlenfuktas, Tomas Poskus, Marius Kryzauskas, Matas Jakubauskas, Saulius Mikalauskas, Lina Jakubauskiene, Soha Y Hassan, Amani Altrabulsi, Eman Abdulwahed, Reem Ghmagh, Abdulqudus Deeknah, Entisar Alshareea, Muhammed Elhadi, Saleh Abujamra, Ahmed A Msherghi, Osama W E Tababa, Mohammed A Majbar, Amine Souadka, Amine Benkabbou, Raouf Mohsine, Sabrillah Echiguer, Paulina Moctezuma-Velázquez, Noel Salgado-Nesme, Omar Vergara-Fernández, Juan C Sainz-Hernández, Francisco E Alvarez-Bautista, Andee D Zakaria, Zaidi Zakaria, Michael P K Wong, Razif Ismail, Aini F Ibrahim, Nik A N Abdullah, Rokayah Julaihi, Sameer Bhat, Greg O'Grady, Ian Bissett, Bas Lamme, Gijsbert D Musters, Anne M Dinaux, Brechtje A Grotenhuis, Ernst J Steller Arend G J Aalbers, Marjolein M Leeuwenburgh, Harm J T Rutten, Jacobus W A Burger, Johanne G Bloemen, Stijn H J Ketelaers, Usama Waqar, Tabish Chawla, Hareem Rauf, Pallavi Rani, Aaldert K Talsma, Lieke Scheurink, Jasper B van Praagh, Josefin Segelman, Jonas Nygren, Kajsa Anderin, Marit Tiefenthal, Beatriz de Andrés, Juan P Beltrán de Heredia, Andrea Vázquez, Tania Gómez, Parisa Golshani, Rawaz Kader, Abudi Mohamed, Marinke Westerterp, Andreas 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Diederik P J Smeeing, Klaas Havenga, Hamid Lutfi, Esther C J Consten, Konstantinos Tsimogiannis, Filip Sköldberg, Joakim Folkesson, Frank den Boer, Ted G van Schaik, Pieter van Gerven, Colin Sietses, Jeroen C Hol, Evert-Jan G Boerma, Davy M J Creemers, Johannes K Schultz, Tone Frivold, Rolf Riis, Hilde Gregussen, Sondre Busund, Ole H Sjo, Maria Gaard, Nina Krohn, Amanda L Ersryd, Edmund Leung, Usama Waqar, Tabish Chawla, Hareem Rauf, Pallavi Rani, Hytham Sultan, Baraa Nabil Hajjaj, Ahmed Jehad Alhisi, Ahmed A E Khader, Ana Filipa Dias Mendes, Miguel Semião, Luis Queiroz Faria, Constança Azevedo, Helena M da Costa Devesa, Sónia Fortuna Martins, Aldo M Rodrigues Jarimba, Sónia M Ribeiro Marques, Rita Marques Ferreira, António Oliveira, Cátia Ferreira, Ricardo Pereira, Valeriu M Surlin, Giorgiana M Graure, Stefan Patrascu Sandu D Ramboiu, Ionut Negoi, Cezar Ciubotaru, Bogdan Stoica, Ioan Tanase, Bogdan Stoica, Cezar Ciubotaru, Valentina M Negoita, Sabrina Florea, Florin Macau, Mihai 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Cihangir Akyol, Mehmet A Koc, Emre Sivrikoz, Deniz Piyadeoğlu, John O Larkin, Dara O Avanagh, Selman Sökmen, Tayfun Bişgin, Erşan Günenç, Melek Güzel, Sezai Leventoğlu, Osman Yüksel, Ramazan Kozan, Hüseyin Göbüt, Fevzi Cengiz, Kemal Erdinc, Nihan Coşgun Acar, Erdinc Kamer, İlker Özgür, Oguzhan Aydın, Metin Keskin, Mehmet Türker Bulut, Cemil B Kulle, Yasin Kara, Osman Sıbıç, İbrahim H Özata, Dursun Buğra, Emre Balık, Cemil B Kulle, Murat Çakır, Anas Alhardan, Elif Colak, Ahmet B CiftciEngin Aybar, Ahmet Can Sari, Semra Demirli Atici, Tayfun Kaya, Ayberk Dursun, Bulent Calik, Ömer Faruk Özkan, Hanife Şeyda Ülgür, Özgül Düzgün, John Monson, Sarah George, Kayla Woods, Fatima Al-Eryani, Rudaina Albakry, Emile Coetzee, Adam Boutall, Ayesiga Herman, Claire Warden, Naser Mugla, Tim Forgan, Imraan Mia, Anton Lambrechts. - In: ANNALS OF SURGERY. - ISSN 0003-4932. - ELETTRONICO. - 278:5(2023), pp. 772-780. 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Foppa, Annalisa Maroli, Gian M Palini, Gianluca Garulli, Nicola Zanini, Paolo Delrio, Daniela Rega, Fabio Carbone, Alessia Aversano, Giovanni Pirozzolo, Alfonso Recordare, Lucrezia D'Alimonte, Chiara Vignotto, Carlo Corbellini, Gianluca M Sampietro, Leonardo Lorusso, Carlo A Manzo, Federico Ghignone, Giampaolo Ugolini, Isacco Montroni, Franceso Pasini, Francesco Pasini, Michele Ballabio, Pietro Bisagni, Francesca T Armao, Marco Longhi, Omar Ghazouani, Raffaele Galleano, Nicolò Tamini, Massimo Oldani, Luca Nespoli, Arcangelo Picciariello, Donato F Altomare, Giovanni Tomasicchio, Giuliano Lantone, Fausto Catena, Mario Giuffrida, Alfredo Annicchiarico, Gennaro Perrone, Ugo Grossi, Giulio A Santoro, Giacomo Zanus, Alessandro Iacomino, Simone Novello, Nicola Passuello, Martino Zucchella, Lucia Puca, Maurizio deGiuli, Rossella Reddavid, Stefano Scabini, Alessandra Aprile, Domenico Soriero, Emanuela Fioravanti, Matteo Rottoli, Angela Romano, Marta Tanzanu, Angela Belvedere, Nicolò M Mariani, Andrea P Ceretti, Enrico Opocher, Gaetano Gallo, Giuseppe Sammarco, Gilda de Paola, Salvatore Pucciarelli, Francesco Marchegiani, Gaya Spolverato, Gianluca Buzzi, Salomone Di Saverio, Paola Meroni, Cristiano Parise, Elisa I Bottazzoli, Pierfrancesco Lapolla, Gioia Brachini, Bruno Cirillo, Andrea Mingoli, Giuseppe Sica, Leandro Siragusa, Vittoria Bellato, Daniele Cerbo, Carlo A de Pasqual, Giovanni de Manzoni, Maria A di Cosmo, Bourhan M H Alrayes, Mahmoud W M Qandeel, Mohammad Bani Hani, Alexander Rabadi, Mohammad S El Muhtaseb, Basel Abdeen, Fahed Karmi, Justas Žilinskas, Tadas Latkauskas, Algimantas Tamelis, Ingrida Pikūnienė, Vygintas Šlenfuktas, Tomas Poskus, Marius Kryzauskas, Matas Jakubauskas, Saulius Mikalauskas, Lina Jakubauskiene, Soha Y Hassan, Amani Altrabulsi, Eman Abdulwahed, Reem Ghmagh, Abdulqudus Deeknah, Entisar Alshareea, Muhammed Elhadi, Saleh Abujamra, Ahmed A Msherghi, Osama W E Tababa, Mohammed A Majbar, Amine Souadka, Amine Benkabbou, Raouf Mohsine, Sabrillah Echiguer, Paulina Moctezuma-Velázquez, Noel Salgado-Nesme, Omar Vergara-Fernández, Juan C Sainz-Hernández, Francisco E Alvarez-Bautista, Andee D Zakaria, Zaidi Zakaria, Michael P K Wong, Razif Ismail, Aini F Ibrahim, Nik A N Abdullah, Rokayah Julaihi, Sameer Bhat, Greg O'Grady, Ian Bissett, Bas Lamme, Gijsbert D Musters, Anne M Dinaux, Brechtje A Grotenhuis, Ernst J Steller Arend G J Aalbers, Marjolein M Leeuwenburgh, Harm J T Rutten, Jacobus W A Burger, Johanne G Bloemen, Stijn H J Ketelaers, Usama Waqar, Tabish Chawla, Hareem Rauf, Pallavi Rani, Aaldert K Talsma, Lieke Scheurink, Jasper B van Praagh, Josefin Segelman, Jonas Nygren, Kajsa Anderin, Marit Tiefenthal, Beatriz de Andrés, Juan P Beltrán de Heredia, Andrea Vázquez, Tania Gómez, Parisa Golshani, Rawaz Kader, Abudi Mohamed, Marinke Westerterp, Andreas Marinelli, Quirine Niemer, Pascal G Doornebosch, Joël Shapiro, Maarten Vermaas, Eelco J R de Graaf, Hendrik L van Westreenen, Marije Zwakman, Annette D van Dalsen, Wouter J Vles, Joost Nonner, Boudewijn R Toorenvliet, Paul T J Janssen, Emiel G G Verdaasdonk, Femke J Amelung, Koen C M J Peeters Renu R Bahadoer, Fabian A Holman, Jeroen Heemskerk, Noortje Vosbeek, Jeroen W A Leijtens, Sophie B M Taverne, Bob H M Heijnen, Youssef El-Massoudi, Irene de Groot-van Veen, Christiaan Hoff, Daniela Jou-Valencia, Esther C J Consten, Thijs A Burghgraef, Ritch Geitenbeek, Lorenzo G W L Hulshof, Gerrit D Slooter, Muriël Reudink, Nicole D Bouvy, Aurelia C L Wildeboer, Sonja Verstappen, Alexander J Pennings, Berber van den Hengel, Allard G Wijma, Jael de Haan, Lindsey C F de Nes, Vera Heesink, Tom Karsten, Charlotte M Heidsma, Willem J Koemans, Jan-Willem T Dekker, Charlène J van der Zijden, Daphne Roos, Ahmet Demirkiran, Sjirk van der Burg, Steven J Oosterling, Tijs J Hoogteijling, Bastiaan Wiering, Diederik P J Smeeing, Klaas Havenga, Hamid Lutfi, Esther C J Consten, Konstantinos Tsimogiannis, Filip Sköldberg, Joakim Folkesson, Frank den Boer, Ted G van Schaik, Pieter van Gerven, Colin Sietses, Jeroen C Hol, Evert-Jan G Boerma, Davy M J Creemers, Johannes K Schultz, Tone Frivold, Rolf Riis, Hilde Gregussen, Sondre Busund, Ole H Sjo, Maria Gaard, Nina Krohn, Amanda L Ersryd, Edmund Leung, Usama Waqar, Tabish Chawla, Hareem Rauf, Pallavi Rani, Hytham Sultan, Baraa Nabil Hajjaj, Ahmed Jehad Alhisi, Ahmed A E Khader, Ana Filipa Dias Mendes, Miguel Semião, Luis Queiroz Faria, Constança Azevedo, Helena M da Costa Devesa, Sónia Fortuna Martins, Aldo M Rodrigues Jarimba, Sónia M Ribeiro Marques, Rita Marques Ferreira, António Oliveira, Cátia Ferreira, Ricardo Pereira, Valeriu M Surlin, Giorgiana M Graure, Stefan Patrascu Sandu D Ramboiu, Ionut Negoi, Cezar Ciubotaru, Bogdan Stoica, Ioan Tanase, Bogdan Stoica, Cezar Ciubotaru, Valentina M Negoita, Sabrina Florea, Florin Macau, Mihai Vasile, Victor Stefanescu, Gabriel-Mihail Dimofte, Sorinel Luncă, Cristian-Ene Roată, Ana-Maria Mușină, Tatiana Garmanova, Mikhail N Agapov, Daniil G Markaryan, Galliamov Eduard, Alexey Yanishev, Alexander Abelevich, Andrey Bazaev, Sergey V Rodimov, Victor B Filimonov, Andrey A Melnikov, Igor A Suchkov, EvgeniyS Drozdov, Dmitriy N Kostromitskiy, Olle Sjöström, Peter Matthiessen, Bayar Baban, Soran Gadan, Kaveh Dehlaghi Jadid, Maria Staffan, Jennifer M Park, Daniel Rydbeck, Marie-Louise Lydrup, Pamela Buchwald, Henrik Jutesten, Lotten Darlin, Ebba Lindqvist, Karl Nilsson, Per-Anders Larsson, Staffan Jangmalm, Jurij A Košir, Aleš Tomažič, Jan Grosek, Tajda Košir Božič, Aya Zazo, Rama Zazo, Hala Fares, Kusay Ayoub, Ammar Niazi, Ali Mansour, Ayman Abbas, Mohammad Tantoura, Alaa Hamdan, Naya Hassan, Bassam Hasan, Ahmad Saad, Amine Sebai, Anis Haddad, Houcine Maghrebi, Montasser Kacem, Ömer Yalkın, Mehmet Veysi Samsa, İbrahim Atak, Bengi Balci, Elifcan Haberal, Lütfi Dogan, Ibrahim E Gecim, Cihangir Akyol, Mehmet A Koc, Emre Sivrikoz, Deniz Piyadeoğlu, John O Larkin, Dara O Avanagh, Selman Sökmen, Tayfun Bişgin, Erşan Günenç, Melek Güzel, Sezai Leventoğlu, Osman Yüksel, Ramazan Kozan, Hüseyin Göbüt, Fevzi Cengiz, Kemal Erdinc, Nihan Coşgun Acar, Erdinc Kamer, İlker Özgür, Oguzhan Aydın, Metin Keskin, Mehmet Türker Bulut, Cemil B Kulle, Yasin Kara, Osman Sıbıç, İbrahim H Özata, Dursun Buğra, Emre Balık, Cemil B Kulle, Murat Çakır, Anas Alhardan, Elif Colak, Ahmet B CiftciEngin Aybar, Ahmet Can Sari, Semra Demirli Atici, Tayfun Kaya, Ayberk Dursun, Bulent Calik, Ömer Faruk Özkan, Hanife Şeyda Ülgür, Özgül Düzgün, John Monson, Sarah George, Kayla Woods, Fatima Al-Eryani, Rudaina Albakry, Emile Coetzee, Adam Boutall, Ayesiga Herman, Claire Warden, Naser Mugla, Tim Forgan, Imraan Mia, Anton Lambrechts
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