Abstract：
BACKGROUND:Hepatic resection is a relatively young and complex specialized procedure. A strong relationship between volume and perioperative mortality has been reported internationally. However, there has been no multicentre study into hepatic resection in Australia. This retrospective, population-based cohort study was conducted to determine national, state and territory based volume and perioperative mortality rates (POMRs). METHODS:Australian Institute of Health and Welfare data was interrogated for the Australian Classification of Health Intervention codes for hepatic resection defined as extended hemi-hepatectomy (30421), hemi-hepatectomy (30418), segmental hepatic resection (30415) and sub-segmental hepatic resection (30414). Logistic regression analysis was performed using the de-identified data to investigate trends and differences between states/territories. Mortality rates were risk adjusted for age, gender and public or private admission. The data set included patients who underwent hepatic resection in the financial years 2005/2006 to 2012/2013. RESULTS:The overall POMR for all types of hepatic resection was 1.6% (201/12 562). There was no significant change in POMR over time. However, there was significant variation between the states and territories with two states having significantly higher POMR for major hepatic resections (regional range: 1.3-3.8%). POMRs increased with age with the highest mortality seen in the 75-79 year age group. The POMR was lower in private than in public hospitals. CONCLUSION:The results of this study confirm that the overall Australian POMR for major hepatic resection is similar to results reported internationally. National and state/territory POMR has not varied significantly over time. The significant variation between states/territories warrants further investigation.
journal_name
ANZ J Surgjournal_title
ANZ journal of surgeryauthors
Stevens CL,Babidge WJ,Maddern GJdoi
10.1111/ans.14408subject
Has Abstractpub_date
2018-10-01 00:00:00pages
1022-1027issue
10eissn
1445-1433issn
1445-2197journal_volume
88pub_type
杂志文章abstract：BACKGROUND:Flail chest is a serious injury in trauma with a significant mortality rate, and long-term pain and disability. Traditionally, management has consisted of internal pneumatic splinting, leading to prolonged periods of mechanical ventilation, and its attendant complications. The aim of this study was to assess...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2009.05104.x
更新日期：2009-11-01 00:00:00
abstract：BACKGROUND:Gastrointestinal (GI) complications after cardiac surgery are uncommon, but are associated with high morbidity and mortality as well as significant hospital resource utilization. METHODS:We analysed a prospectively collected database containing all adult cardiac surgery procedures performed from July 2001 t...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.12134
更新日期：2013-09-01 00:00:00
abstract：BACKGROUND:Although several growth factors are known to be essential for liver regeneration, the role of gastrin remains controversial. METHODS:Liver regeneration was examined in wild-type (WT) and gastrin-deficient (gastrin KO) mice at days 2 and 10 after partial (40%) hepatectomy by measurement of liver weight. Hepa...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2007.04360.x
更新日期：2008-01-01 00:00:00
abstract：BACKGROUND:Intestinal anastomotic healing is a complex procedure in which several mediators, cytokines and other substances play roles, as well as calcitonin gene-related peptide (CGRP). CGRP is capable of stimulating DNA synthesis and cell proliferation in endothelial cells by increasing vasodilatation and inflammator...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2005.03616.x
更新日期：2005-12-01 00:00:00
abstract：BACKGROUND:Patients taking warfarin are often given interim anticoagulation in the perioperative period. Institutional guidelines that use low-molecular-weight heparin (LMWH) 'bridging' while the international normalized ratio (INR) is sub-therapeutic are often based on the American College of Chest Physicians Anticoag...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.12070
更新日期：2016-03-01 00:00:00
abstract：:Clinical decision making is a core competency of surgical practice. It involves two distinct types of mental process best considered as the ends of a continuum, ranging from intuitive and subconscious to analytical and conscious. In practice, individual decisions are usually reached by a combination of each, according...
journal_title：ANZ journal of surgery
pub_type： 杂志文章,评审
doi：10.1111/ans.12180
更新日期：2013-06-01 00:00:00
abstract：BACKGROUND:Malignant blue nevus, blue nevus-associated melanoma and blue nevus-like melanoma are all terms used to describe malignant melanomas arising from, in association with, or resembling blue nevi. This review is aimed at summarizing the available literature to reduce the confusion surrounding this rare malignanc...
journal_title：ANZ journal of surgery
pub_type： 杂志文章,评审
doi：10.1111/ans.13946
更新日期：2017-05-01 00:00:00
abstract：BACKGROUND:Laparoscopic liver resection (LLR) is increasingly common worldwide but its suitability in patients with cirrhosis is not clearly defined. There are minimal data in the western literature on this topic and previous work has compared LLR to open hepatectomy rather than to LLR in non-cirrhotic patients. This s...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.15745
更新日期：2020-06-01 00:00:00
abstract：BACKGROUND:Assessing the role of laparoscopy in the management of intussusception. METHODS:A retrospective review of children aged up to 17 years who had surgery for intussusception at this institution between 1 January 2004 and 31 December 2013. RESULTS:The cohort of 44 individuals (18 females) presented at a median...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.13435
更新日期：2016-06-01 00:00:00
abstract：BACKGROUND:Pilonidal sinus is a common pathology occurring in a number of sites including the gluteal cleft between the buttocks. Surgery is the principal mode of treatment with a variety of techniques proposed to cure the disease and prevent recurrence. The rate of malignant degeneration is estimated at 0.1% in patien...
journal_title：ANZ journal of surgery
pub_type： 杂志文章,评审
doi：10.1111/ans.16446
更新日期：2020-12-28 00:00:00
abstract：BACKGROUND:Acute compartment syndrome is a well-described surgical emergency that requires immediate diagnosis and operative intervention. Vascular access-associated compartment syndrome is rarely reported in haemodialysis patients. The purpose of this article is to document evidence that catheter-related puncture, whi...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.12701
更新日期：2016-10-01 00:00:00
abstract：BACKGROUND:Published data indicate that 20-40% of patients undergo breast conservation treatment (BCT) in Asia, which is below an indicative benchmark of 50%. With an increasing body of evidence suggesting that BCT might be associated with improved survival outcomes, it is exigent to increase BCT utilization. This stud...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.15084
更新日期：2019-05-01 00:00:00
abstract：:A posterior vaginal wall prolapse, also known as a rectocele, is a common condition and is an outpouching of the posterior vaginal wall and anterior rectal wall into the lumen of the vagina.1-5 Although more common in parous women, rectoceles of over 1 cm in size have been demonstrated in over 40% of nulliparous women...
journal_title：ANZ journal of surgery
pub_type： 杂志文章,评审
doi：10.1046/j.1445-2197.2002.t01-1-02577.x
更新日期：2002-12-01 00:00:00
abstract：BACKGROUND:Surgeons are noticing increasing numbers of cholecystectomy waiting list patients presenting with complications of their gallstones. In this study, we analysed the outcome of these to ascertain natural history and outcome. METHODS:Data for 5298 waiting list patients in Western Australia, from 1999 to 2006, ...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2010.05428.x
更新日期：2010-10-01 00:00:00
abstract：BACKGROUND:Metabolic acidosis is frequently observed in perioperative patients, especially those who undergo major surgery. The aim of this study was to evaluate the factors related to post-operative metabolic acidosis and to attempt to identify the clinical effect of metabolic acidosis following major abdominal surger...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2012.06235.x
更新日期：2014-07-01 00:00:00
abstract：INTRODUCTION:Ludwig's angina (LA) is an uncommon and potentially life-threatening condition of the upper aero-digestive tract that often requires the coordinated efforts of the surgical, anesthetic and intensive care teams to optimize management. The purpose of the present study was to investigate the documented clinic...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2010.05496.x
更新日期：2011-03-01 00:00:00
abstract：BACKGROUND:The purpose of this study was to clarify the post-operative prognosis of pancreatic head cancer with pathologic portal vein (PV) or superior mesenteric vein (SMV) invasion. METHODS:From May 1995 to December 2009, preoperative, intra-operative and post-operative data from 276 patients who underwent pancreati...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.12502
更新日期：2015-04-01 00:00:00
abstract：:In his position as curator of the Cowlishaw collection of historical medical books in the Library of the College, Kenneth Russell prepared the definitive catalogue of the collection. This catalogue is comprehensive and for almost all entries there is an annotation that demonstrates his meticulous attention to detail a...
journal_title：ANZ journal of surgery
pub_type： 传,历史文章
doi：10.1046/j.1445-1433.2003.02645.x
更新日期：2003-07-01 00:00:00
abstract：BACKGROUND:Surgical decision-making tools may help surgeons achieve better outcomes by providing more personally relevant information to patients. This paper describes approaches to developing statistical tools capable of estimating the probability of morbidity and mortality after cardiovascular surgery. Our aim is to ...
journal_title：ANZ journal of surgery
pub_type： 杂志文章,评审
doi：10.1111/j.1445-2197.2010.05644.x
更新日期：2011-11-01 00:00:00
abstract：BACKGROUND:The recurrence rate following stripping of the long saphenous vein is unacceptable. Repair of the terminal valve of the long saphenous vein is a physiological alternative. The aim of the present study was to prospectively compare the long-term recurrence rates in patients having had reparative and ablative p...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1046/j.1445-2197.2003.02714.x
更新日期：2003-08-01 00:00:00
abstract：BACKGROUND:Fournier's disease is a potentially fatal, acute, gangrenous infection of the scrotum, penis or perineum associated with a synergistic bacterial infection of the subcutaneous fat and superficial fascia. METHODS:The clinical records of 70 patients treated for Fournier's gangrene were evaluated retrospectivel...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2006.03975.x
更新日期：2007-01-01 00:00:00
abstract：BACKGROUND:The central venous access port device (CVAPD) provides reliable vascular access and is used for delivery of fluids and for obtaining blood samples. However, it can carry some intra- and post-operative complications such as thrombosis, pneumothorax, catheter fracture and port malposition. This article describ...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.13338
更新日期：2016-12-01 00:00:00
abstract：BACKGROUND:Pain is a personal, subjective experience. In the postoperative period, pain may be influenced by patient, pharmacological and environmental factors. In surgery the aim is to reduce pain in this period by educating patients and using adequate analgesia. The aim of the present study was to assess the effect o...
journal_title：ANZ journal of surgery
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1046/j.1445-1433.2003.02576.x
更新日期：2003-04-01 00:00:00
abstract：INTRODUCTION:The purpose of the present paper is to provide geographically representative information on the presentation, treatment and complications of human bites of the hand in Australia. METHODS:A 5-year retrospective study was undertaken of patients treated at Royal Hobart Hospital for human bites of the hand. T...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1046/j.1440-1622.2001.02162.x
更新日期：2001-08-01 00:00:00
abstract：BACKGROUND:Use and techniques of oesophageal replacement for long gap oesophageal atresia are still evolving. Gastric tube graft interposition as an oesophageal substitute was evaluated on an animal model. METHODS:Twenty-three postweaned, 28-day-old-piglets were used as the experimental animals. Isoperistaltic gastric...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1046/j.1440-1622.2001.02023.x
更新日期：2001-01-01 00:00:00
abstract：BACKGROUND:Colonoscopy is considered the gold standard for investigation of large bowel pathology. Numerous factors influence the efficacy of bowel preparation for colonoscopy. Inadequate bowel preparation can lead to missed pathology. Timing of fasting and bowel preparation, timing of procedure and possibly patient bo...
journal_title：ANZ journal of surgery
pub_type： 杂志文章,随机对照试验
doi：10.1111/j.1445-2197.2010.05429.x
更新日期：2011-04-01 00:00:00
abstract：BACKGROUND:Intraoperative blood loss and transfusion are known determinants of mortality and morbidity of elective abdominal aortic aneurysm (AAA) repair. The present study analysed the pattern of blood loss and transfusion and evaluated the risk factors of blood loss during open repair of infrarenal AAA. METHODS:Bloo...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-1433.2004.03117.x
更新日期：2004-08-01 00:00:00
abstract：BACKGROUND:There is evidence that antibiotics can be used as primary treatment for appendicitis, however, delayed surgical treatment might still be associated with perforation. Most patients at risk of perforation have high Alvarado scores. We designed a protocol-based approach to suspected appendicitis, in which the A...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-1433.2004.02993.x
更新日期：2004-05-01 00:00:00
abstract：BACKGROUND:In 1987, a report from this unit described the changing indications for open adrenalectomy over a 15-year period. The indications for adrenalectomy had switched from it being the principal therapeutic procedure used in advanced breast cancer in the early 1970s, to being predominately performed for Cushing's ...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1046/j.1445-2197.2002.02454.x
更新日期：2002-07-01 00:00:00
abstract：BACKGROUND:Thoracic Outlet Syndrome (TOS) refers to compression of the neurovascular structures in the region between the scalene muscles and the first rib, or by anatomical abnormalities such as cervical rib, fibrous bands and other variations in the scalene musculature. METHODS:Our experience with 63 consecutive ope...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2004.03016.x
更新日期：2004-06-01 00:00:00
