Simulator training for laparoscopic suturing using performance goals translates to the operating room.

abstract：BACKGROUND:A new proprietary negative pressure wound device has been developed to apply negative pressure therapy to closed wounds (closed-NPWT). We postulated that closed-NPWT management of contaminated and dirty wounds would lead to faster wound healing and no significant difference in wound complications. STUDY DES...

journal_title：Journal of the American College of Surgeons

authors： Frazee R,Manning A,Abernathy S,Isbell C,Isbell T,Kurek S,Regner J,Smith R,Papaconstantinou H

更新日期：2018-04-01 00:00:00

abstract：BACKGROUND:The role of portosystemic shunt (PSS) in children with portal hypertension has changed because of acceptance of liver transplantation and endoscopic hemostasis. We report our experience with PSS, mainly the distal splenorenal shunt, to define its role in the management of variceal bleeding. STUDY DESIGN:Fro...

journal_title：Journal of the American College of Surgeons

authors： Botha JF,Campos BD,Grant WJ,Horslen SP,Sudan DL,Shaw BW Jr,Langnas AN

更新日期：2004-08-01 00:00:00

abstract：:The management of PABC is very difficult. The incidence of PABC is low, but may be increasing because of the number of women who are becoming pregnant at a later age. More investigation is needed to understand whether the biology of PABC is different from that of breast cancer in nonpregnant women. One exciting area o...

journal_title：Journal of the American College of Surgeons

authors： Keleher AJ,Theriault RL,Gwyn KM,Hunt KK,Stelling CB,Singletary SE,Ames FC,Buchholz TA,Sahin AA,Kuerer HM

更新日期：2002-01-01 00:00:00

abstract：BACKGROUND:We sought to examine our institutional experience (1998 to 2014) with minimally invasive repairs of pectus excavatum (MIRPE). STUDY DESIGN:We conducted a retrospective review and a mailed survey (quality of life assessment). Associations with reoperation due to bar migration and recurrence after bar removal...

journal_title：Journal of the American College of Surgeons

authors： Gibreel W,Zendejas B,Joyce D,Moir CR,Zarroug AE

更新日期：2016-03-01 00:00:00

abstract：BACKGROUND:An initiative was established to improve value-based care for pancreatic surgery in a large nonprofit health system. Cost data were presented bimonthly to a hepatobiliary clinical performance group via videoconference. STUDY DESIGN:The direct costs were calculated for all patients undergoing distal pancreat...

journal_title：Journal of the American College of Surgeons

authors： Vuong B,Dehal A,Uppal A,Stern SL,Mejia J,Weerasinghe R,Kapoor V,Ong E,Hansen PD,Bilchik AJ

更新日期：2018-07-01 00:00:00

abstract：BACKGROUND:The anatomic difficulties that we have to deal with in open surgery for rectal cancer have not been overcome with the laparoscopic approach. In the search for a solution, a change of concept arose: approaching the rectum from below. The main objectives of this study were to show the potential advantages of t...

journal_title：Journal of the American College of Surgeons

authors： Lacy AM,Tasende MM,Delgado S,Fernandez-Hevia M,Jimenez M,De Lacy B,Castells A,Bravo R,Wexner SD,Heald RJ

更新日期：2015-08-01 00:00:00

abstract：BACKGROUND:Enthusiasm for radiofrequency ablation (RFA) therapy for patients with unresectable hepatocellular carcinoma (HCC) has increased. The data for recurrence after RFA for patients with HCC is not well documented. The purpose of this study was to evaluate tumor recurrence patterns after RFA in patients with unre...

journal_title：Journal of the American College of Surgeons

authors： Harrison LE,Koneru B,Baramipour P,Fisher A,Barone A,Wilson D,Dela Torre A,Cho KC,Contractor D,Korogodsky M

更新日期：2003-11-01 00:00:00

abstract：BACKGROUND:In 1991, a National Institutes of Health Consensus Panel stated that preoperative localization for primary hyperparathyroidism is not cost effective. Since then, the sestamibi scan has been applied to parathyroid disease with excellent results, even allowing unilateral exploration under local anesthesia. ST...

journal_title：Journal of the American College of Surgeons

authors： Denham DW,Norman J

更新日期：1998-03-01 00:00:00

abstract：BACKGROUND:The safety and efficacy of carotid endarterectomy (CEA) in stroke prevention has been well documented. But "high-risk" patients have traditionally been excluded from these studies and may be offered alternate therapies. We examined the safety of CEA in veterans, a medically high-risk group with multiple como...

journal_title：Journal of the American College of Surgeons

authors： Fitzgerald TN,Popp C,Federman DG,Dardik A

更新日期：2008-08-01 00:00:00

abstract：BACKGROUND:The American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) provides reliable, risk-adjusted outcomes data using standardized definitions and end points. Collection of the data is time consuming, and the surgical clinical nurse reviewers (SCNRs) can sample only a subset of all ...

journal_title：Journal of the American College of Surgeons

authors： Hanauer DA,Englesbe MJ,Cowan JA Jr,Campbell DA

更新日期：2009-01-01 00:00:00

abstract：BACKGROUND:The technique of lymphatic mapping and sentinel lymph node (SLN) biopsy is rapidly becoming the preferred method of staging the axilla of the breast cancer patient. This report describes the impact of postinjection massage on the sensitivity of this surgical technique. STUDY DESIGN:Lymphatic mapping at the ...

journal_title：Journal of the American College of Surgeons

authors： Bass SS,Cox CE,Salud CJ,Lyman GH,McCann C,Dupont E,Berman C,Reintgen DS

更新日期：2001-01-01 00:00:00

abstract：BACKGROUND:This study aims to describe the magnitude of hospital costs among patients undergoing elective colectomy, cholecystectomy, and pancreatectomy, determine whether these costs relate as expected to duration of care, patient case-mix severity and comorbidities, and whether risk-adjusted costs vary significantly ...

journal_title：Journal of the American College of Surgeons

authors： Stey AM,Brook RH,Needleman J,Hall BL,Zingmond DS,Lawson EH,Ko CY

更新日期：2015-02-01 00:00:00

abstract：BACKGROUND:Many surgeons believe that primary fascial closure with mesh reinforcement should be the goal of abdominal wall reconstruction (AWR), yet others have reported acceptable outcomes when mesh is used to bridge the fascial edges. It has not been clearly shown how the outcomes for these techniques differ. We hypo...

journal_title：Journal of the American College of Surgeons

authors： Booth JH,Garvey PB,Baumann DP,Selber JC,Nguyen AT,Clemens MW,Liu J,Butler CE

更新日期：2013-12-01 00:00:00

abstract：BACKGROUND:Significant confusion exists about management of blunt carotid injuries (BCI). Currently, three common treatments are being used without significant longterm followup data to demonstrate efficacy. Although heparin has been shown to reduce in-hospital stroke rates, antiplatelet therapy (aspirin and clopidogre...

journal_title：Journal of the American College of Surgeons

authors： Edwards NM,Fabian TC,Claridge JA,Timmons SD,Fischer PE,Croce MA

更新日期：2007-05-01 00:00:00

abstract：BACKGROUND:Autologous transfusion (AT) has long been considered unsafe in major oncologic operations due to a theoretic risk of spreading metastatic disease, however, few data support this assumption. STUDY DESIGN:We conducted a retrospective analysis of 147 patients who underwent partial hepatectomy for colorectal ca...

journal_title：Journal of the American College of Surgeons

authors： Kang R,Seath BE,Huang V,Barth RJ Jr

更新日期：2019-06-01 00:00:00

abstract：:The clinical outcome of 453 patients with histologically confirmed adenocarcinoma surveyed from 1980 to 1992 was evaluated. Special consideration was given to the prognostic significance of local recurrence and distant metastases as the significant contributors to postoperative morbidity and mortality. Of 453 patients...

journal_title：Journal of the American College of Surgeons

authors： Fändrich F,Schröder DW,Saliveros E

更新日期：1994-03-01 00:00:00

abstract：BACKGROUND:Day case surgery (DCS) for uncomplicated acute appendicitis (NCAA) is evaluated. The objective of this prospective, single-center, descriptive, nonrandomized, intention-to-treat cohort study was to assess the feasibility of DCS for NCAA with a critical analysis of the reasons for exclusion and treatment fail...

journal_title：Journal of the American College of Surgeons

authors： Grelpois G,Sabbagh C,Cosse C,Robert B,Chapuis-Roux E,Ntouba A,Lion T,Regimbeau JM

更新日期：2016-11-01 00:00:00

abstract：BACKGROUND:Drainage methods for the gastric conduit after esophagectomy for carcinoma have been controversial. STUDY DESIGN:In a randomized controlled trial, 92 patients with esophageal carcinoma were randomized to have pyloroplasty or pyloromyotomy as a drainage procedure for the gastric conduit used for esophageal r...

journal_title：Journal of the American College of Surgeons

authors： Law S,Cheung MC,Fok M,Chu KM,Wong J

更新日期：1997-06-01 00:00:00

abstract：BACKGROUND:Injured patients cared for in trauma centers have a lower risk of death than those cared for in nontrauma centers. However, many patients are transported to a non-trauma center after injury (undertriaged) and require transfer to trauma center care. Previous analyses of undertriage focused only on survivors t...

journal_title：Journal of the American College of Surgeons

authors： Haas B,Gomez D,Zagorski B,Stukel TA,Rubenfeld GD,Nathens AB

更新日期：2010-12-01 00:00:00

abstract：BACKGROUND:Lumbar hernias are rare defects in the posterolateral abdominal wall that may be congenital or acquired. Repairing these defects is difficult by virtue of their location and the inherent weakness of the surrounding tissues. We report a series of seven patients who had their lumbar hernias repaired laparoscop...

journal_title：Journal of the American College of Surgeons

authors： Arca MJ,Heniford BT,Pokorny R,Wilson MA,Mayes J,Gagner M

更新日期：1998-08-01 00:00:00

abstract：BACKGROUND:Commonly performed elective gastrointestinal surgical procedures are carried out with low morbidity and mortality in hospitals throughout the United States. Complex operative procedures on the alimentary tract are performed with a relatively low frequency and are associated with higher mortality. Volume and ...

journal_title：Journal of the American College of Surgeons

authors： Gordon TA,Bowman HM,Bass EB,Lillemoe KD,Yeo CJ,Heitmiller RF,Choti MA,Burleyson GP,Hsieh G,Cameron JL

更新日期：1999-07-01 00:00:00

abstract：BACKGROUND:The aim of this study is to investigate patient-centered quality of life (QOL) outcomes in patients undergoing laparoscopic paraesophageal hernia repair. STUDY DESIGN:We prospectively followed patients who underwent laparoscopic paraesophageal hernia repair between 2009 and 2016. The QOL outcomes were measu...

journal_title：Journal of the American College of Surgeons

authors： Hall T,Warnes N,Kuchta K,Novak S,Hedberg H,Linn JG,Haggerty S,Denham W,Joehl RJ,Ujiki M

更新日期：2018-07-01 00:00:00

abstract：BACKGROUND:Immediate breast reconstruction with autologous tissue can re-create a breast mound that closely resembles the native breast in shape and consistency. Results are limited by scarring and color differences between flap and native breast skin. This study reviews all patients undergoing complete skin-sparing ma...

journal_title：Journal of the American College of Surgeons

authors： Hidalgo DA,Borgen PJ,Petrek JA,Heerdt AH,Cody HS,Disa JJ

更新日期：1998-07-01 00:00:00

abstract：BACKGROUND:Preprocedural briefings have been adopted in many high consequence environments, but have not been widely accepted in medicine. We sought to develop, implement, and evaluate a preoperative briefing for cardiovascular surgery. STUDY DESIGN:The briefing was developed by using a combined questionnaire and semi...

journal_title：Journal of the American College of Surgeons

authors： Henrickson SE,Wadhera RK,Elbardissi AW,Wiegmann DA,Sundt TM 3rd

更新日期：2009-06-01 00:00:00

abstract：BACKGROUND:The destructive human consequences of terrorist bombing always challenge the medical system in diagnosis, decision making, and patient management. This injury is produced by multiple injury mechanisms, and departs from the conventional description of trauma complexity. Our objective was to characterize and c...

journal_title：Journal of the American College of Surgeons

authors： Kluger Y,Peleg K,Daniel-Aharonson L,Mayo A,Israeli Trauma Group.

更新日期：2004-12-01 00:00:00

abstract：BACKGROUND:Readmission rates of 9.7% to 15.5% after hepatectomy have been reported. These rates are difficult to interpret due to variability in the time interval used to monitor readmission. The aim of this study was to refine the definition of readmission after hepatectomy. STUDY DESIGN:A prospectively maintained da...

journal_title：Journal of the American College of Surgeons

authors： Brudvik KW,Mise Y,Conrad C,Zimmitti G,Aloia TA,Vauthey JN

更新日期：2015-07-01 00:00:00

abstract：BACKGROUND:Computed tomography angiography (CTA) has been increasingly used in traumatic brain injury (TBI) patients to uncover vascular lesions that might have preceded the trauma and caused the bleed. This study aims to evaluate the usefulness of head CTA in the initial care of blunt TBI patients. STUDY DESIGN:We co...

journal_title：Journal of the American College of Surgeons

authors： Naraghi L,Larentzakis A,Chang Y,Duhaime AC,Kaafarani H,Yeh DD,King DR,de Moya MA,Velmahos GC

更新日期：2015-06-01 00:00:00

abstract：BACKGROUND:Interleukin-6 (IL-6) plays a central role in the acute phase of inflammation after surgical injury. The serum concentration of IL-6 increases during an operation. The mechanisms of this increase in the serum IL-6 level, however, has not yet been fully clarified. STUDY DESIGN:To determine the possibility of ...

journal_title：Journal of the American College of Surgeons

authors： Ueo H,Inoue H,Honda M,Uchida I,Nishimura M,Arinaga S,Nakashima H,Akiyoshi T

更新日期：1994-09-01 00:00:00

abstract：BACKGROUND:Male breast cancer accounts for < 1% of breast cancers. Sentinel lymph node (SLN) operation is commonly used in the evaluation of female breast cancer patients. The purpose of this study was to determine whether SLN operation is as feasible and accurate in male patients compared with female patients. STUDY ...

journal_title：Journal of the American College of Surgeons

authors： Boughey JC,Bedrosian I,Meric-Bernstam F,Ross MI,Kuerer HM,Akins JS,Giordano SH,Babiera GV,Ames FC,Hunt KK

更新日期：2006-10-01 00:00:00

abstract：BACKGROUND:Laparoscopic operative procedures have decreased postoperative pain and the length of hospitalization. In addition, evidence supports a physiologic benefit from laparoscopic surgery. By analyzing several parameters of peritoneal macrophage function, we report a comparison of the magnitude of postoperative st...

journal_title：Journal of the American College of Surgeons

authors： Iwanaka T,Arkovitz MS,Arya G,Ziegler MM

更新日期：1997-04-01 00:00:00