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Improvement of esophagojejunostomy technique after total gastrectomy with overlap method: reduce the difficulty of surgery and shorten operation time
Gastric cancer (GC) is one of the most malignant human cancers. Totally laparoscopic total gastrectomy (TLTG) is a difficult operation, especially...
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Predictors of technical difficulty for trainees in esophageal endoscopic submucosal dissection
BackgroundEsophageal endoscopic submucosal dissection (ESD) is technically challenging, especially for trainees, and requires a safe training system....
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Preoperative evaluation to determine the difficulty of No. 6 lymphadenectomy in laparoscopic gastrectomy
BackgroundLaparoscopic gastrectomy (LG) requires a long learning curve because of the complicated surgical procedures. Infrapyloric (No. 6) lymph...
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Gallbladder perforation: Diagnostic accuracy of new CT difficulty score in predicting complicated laparoscopic cholecystectomy
PurposeTo formulate and evaluate the diagnostic performance and utility of a new CT difficulty score in predicting difficult laparoscopic surgery in...
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The relationship between subjective difficulty in interoceptive processing and accuracy of heartbeat perception in autistic individuals
Most autistic people experience difficulties in sensory processing, including interoceptive processing. For example, they often report subjective...
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Prevalence of self-reported hearing difficulty on the Revised Hearing Handicap Inventory and associated factors
BackgroundHearing loss is common in aging adults and is an important public health concern. Self-reported measures of hearing difficulty are often...
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Polygenic Risk Score-Based Association Analysis Identifies Genetic Comorbidities Associated with Age-Related Hearing Difficulty in Two Independent Samples
PurposeAge-related hearing loss is the most common form of permanent hearing loss that is associated with various health traits, including...
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Identifying the preoperative factors predicting the surgical difficulty of robotic distal pancreatectomy
BackgroundFew studies have evaluated the preoperative factors predicting the surgical difficulty of robotic distal pancreatectomy (RDP). This study...
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The difficulty grade of laparoscopic hepatectomy for hepatocellular carcinoma correlates with long-term outcomes
The tremendous development of laparoscopic hepatectomy helps to relieve the difficulties encountered during open hepatectomy. Therefore, a difficulty...
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Psychometric properties of the caregiving difficulty scale in mothers of children with cerebral palsy
BackgroundThe Caregiving Difficulty Scale is used to measure the burden of caregiving experienced by mothers of children with cerebral palsy. This...
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Difficulty of Video-Assisted Thoracoscopic Surgery Segmentectomy: Proposal for a New Classification
BackgroundSegmentectomy has classically been distinguished as “simple” or “complex” based on the number of intersegmental planes (ISPs) dissected....
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The relationship between the esophageal endoscopic submucosal dissection technical difficulty and its intraoperative process
BackgroundEstimating the esophageal endoscopic submucosal dissection (ESD) technical difficulty is important to reduce complications. Endoscopic...
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Can the parkland grading scale predict the difficulty of laparoscopic cholecystectomy? A new approach to validation
BackgroundThe Parkland Grading Scale (PGS) is an intraoperative grading scale to stratify gallbladder disease severity during laparoscopic...
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Development and validation of machine learning models and nomograms for predicting the surgical difficulty of laparoscopic resection in rectal cancer
BackgroundThe objective of this study is to develop and validate a machine learning (ML) prediction model for the assessment of laparoscopic total...
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Impact of Tumor Size on the Difficulty of Laparoscopic Major Hepatectomies: An International Multicenter Study
IntroductionAlthough tumor size (TS) is known to affect surgical outcomes in laparoscopic liver resection (LLR), its impact on laparoscopic major...
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Predictors of the difficulty of transcervical subcarinal lymph node dissection for esophageal cancer
BackgroundTransmediastinal radical esophagectomy (TME) is a new minimally invasive approach without thoracotomy. However, the transcervical...
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Increased difficulty and complications of delayed laparoscopic cholecystectomy following percutaneous transhepatic gallbladder drainage in acute cholecystitis: a retrospective study
BackgroundPercutaneous transhepatic gallbladder drainage (PTGBD) is a relatively less invasive alternative treatment to cholecystostomy. However, the...
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Factors Associated with Difficulty Maintaining Insufflation of the Colon During Endoscopy
BackgroundInsufflation of the colon allows for adequate visualization of the mucosal tissue and advancement of the endoscope during colonoscopy. Most...
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A prediction model and nomogram for technical difficulty of peroral endoscopic myotomy
Background and aimsPeroral endoscopic myotomy (POEM) is a promising endoscopic technique for achalasia. We aimed to establish a regression model and...
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A proposed difficulty grading system for laparoscopic bile duct exploration: benefits to clinical practice, training and research
BackgroundA gap remains between the mounting evidence for single session management of bile duct stones and the adoption of this approach....
