999 resultados para Port City


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Concurs d'idees per a l'ordenació de l'àmbit sector 'Eixample Nord' al terme municipal de Vilanova i la Geltrú

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Ancien possesseur : Argenson, Antoine-René de Voyer (1722-1787 ; marquis de Paulmy d')

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BACKGROUND: Single port access (SPA) cholecystectomy is a new concept in laparoscopic surgery. A review of existing results was performed to evaluate critically the current state of SPA with specific reference to feasibility, safety, learning curve, indications and cost-effectiveness. METHODS: All papers identified in MEDLINE until 15 February 2010 and all other relevant papers obtained from cited references were reviewed, without any language restriction. Case reports and series of fewer than three patients were excluded. RESULTS: After selection, 24 studies including 895 patients were analysed. None was randomized. Feasibility seems to be established, with a conversion rate of 2 per cent. SPA was not standardized and there was much technical variation. The learning curve could not be determined. Median follow-up time was 3 (range 0.25-12) months. The overall published complication rate was 5.4 per cent and the biliary complication rate 0.7 per cent. The rate of umbilical complications ranged from 2 to 10 per cent. CONCLUSION: SPA cholecystectomy seems feasible, but standardization, safety and the real benefits for patients need further assessment. Uncontrolled wide adoption of this approach may be responsible for a rise in biliary complications.

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Reaudit report on the City of St. Charles, Iowa for the period July 1, 2005 through June 30, 2006

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Audit report on the City of Murray, Iowa for the year ended June 30, 2009

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Compilation report on the City of Sabula, Iowa, for the six months ended December 31, 2008 and the year ended June 30, 2008

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Audit report on the City of Denison, Iowa for the year ended June 30, 2009

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Audit report on the City of Knoxville, Iowa for the year ended June 30, 2009

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Audit report on the City of Armstrong, Iowa for the year ended June 30, 2009

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Audit report on the City of Le Grand, Iowa for the year ended June 30, 2009

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Audit report on the City of Elkhart, Iowa for the year ended June 30, 2009

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Reaudit letter to the City of Ottumwa for the period July 1, 2005 through June 30, 2006, as well as certain issues applicable to the year ended June 30, 2005 and subsequent periods

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Audit report on the City of Grimes, Iowa for the year ended June 30, 2009

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Audit report on the City of Elkport, Iowa for the years ended June 30, 2006 and 2007