Techniques of parathyroid exploration at North American endocrine surgery fellowship programs: what the next generation is being taught.

Abstract:

BACKGROUND:Minimally invasive techniques are now often used to treat primary hyperparathyroidism but with uncertain conformity and some controversy. Endocrine surgery fellowships (ESFPs) have recently proliferated. METHODS:The directors of the 19 ESFPs recognized by the American Association of Endocrine Surgeons were polled to identify the approaches currently taught to trainees. RESULTS:With 100% participation, all ESFPs obtain ≥1 imaging study, and 95% use ultrasound to assess for concurrent thyroid nodules that require care. For an apparent single adenoma, all ESFPs minimize dissection, use intraoperative parathyroid hormone monitoring, and, if multiglandular disease is identified, perform 4-gland exploration. Outpatient surgery (89%) and postoperative oral calcium use (68%) are common. All programs define cure as durable normocalcemia (median, 6 months). CONCLUSIONS:American Association of Endocrine Surgeons fellowship programs teach congruent management strategies that include focused dissection, intraoperative parathyroid hormone use, and intent to cure. These consistencies define a future standard for assessment of parathyroidectomy outcomes.

journal_name

Am J Surg

authors

Wang TS,Pasieka JL,Carty SE

doi

10.1016/j.amjsurg.2013.05.012

subject

Has Abstract

pub_date

2014-04-01 00:00:00

pages

527-32

issue

4

eissn

0002-9610

issn

1879-1883

pii

S0002-9610(13)00489-3

journal_volume

207

pub_type

杂志文章
  • Effectiveness of extended lymphadenectomy in noncurative gastrectomy.

    abstract:PURPOSE:We examined the efficacy of extended lymph node dissection for prolonging survival in macroscopically or histologically proven incurable gastric cancer. PATIENTS AND METHODS:We analyzed clinico-pathologic data on 119 patients with serosally invasive gastric cancer who underwent noncurative gastrectomy, with re...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/S0002-9610(99)80147-0

    authors: Baba H,Maehara Y,Inutsuka S,Takeuchi H,Oshiro T,Adachi Y,Sugimachi K

    更新日期:1995-02-01 00:00:00

  • Tumor DNA content as a prognostic indicator in squamous cell carcinoma of the head and neck region.

    abstract::Our purpose in this study was to determine whether tumor DNA content is a prognostic factor independent of other standard clinical and histologic parameters in squamous cell carcinoma (SCC) of the head and neck region. Tumor DNA content was determined in 76 patients with primary resectable SCC of the oral cavity, lary...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(88)80291-5

    authors: Kokal WA,Gardine RL,Sheibani K,Zak IW,Beatty JD,Riihimaki DU,Wagman LD,Terz JJ

    更新日期:1988-10-01 00:00:00

  • Operative treatment of congenital stenoses of the intrahepatic bile ducts in patients with choledochal cysts.

    abstract:BACKGROUND:Postoperative complications including intrahepatic calculi may develop after the complete excision of a choledochal cyst. Since congenital stenoses of the intrahepatic bile ducts are more likely the cause of intrahepatic calculi, operative procedures for intrahepatic stenoses are reported. METHODS:There wer...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(97)00013-5

    authors: Ando H,Kaneko K,Ito F,Seo T,Ito T

    更新日期:1997-06-01 00:00:00

  • The role of surgical revascularization in the management of diabetic foot wounds.

    abstract::Diabetic foot wounds affect an estimated 15% of all patients with diabetes. These wounds are typically multifactorial in origin. Neuropathy of the foot and impaired wound healing are frequently associated with peripheral arterial occlusive disease. These factors combine to contribute to the development of foot ulcers....

    journal_title:American journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1016/S0002-9610(03)00302-7

    authors: Faries PL,Teodorescu VJ,Morrissey NJ,Hollier LH,Marin ML

    更新日期:2004-05-01 00:00:00

  • Effect of preoperative irradiation on healing of low colorectal anastomoses.

    abstract::The effect of preoperative irradiation on the healing of low colorectal anastomoses was studied experimentally. In 12 dogs in whom preoperative irradiation of 4,000 rads was given before low colorectal stapled anastomosis was performed, anastomotic leakage occurred in 66 percent. More than half of the anastomotic leak...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(84)90099-0

    authors: Morgenstern L,Sanders G,Wahlstrom E,Yadegar J,Amodeo P

    更新日期:1984-02-01 00:00:00

  • Radiofrequency-assisted partial splenectomy with a new and simple device.

    abstract:BACKGROUND:Although partial splenectomy is preferable to total splenectomy for maintaining an immune response, several techniques by which splenic parenchyma were divided in partial splenectomy have been controversial. METHODS:Partial splenectomy using a new and simple device that irradiates radiofrequency combined wi...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2005.12.003

    authors: Itamoto T,Fukuda S,Tashiro H,Ohdan H,Asahara T

    更新日期:2006-08-01 00:00:00

  • Clinical and hemodynamic results of bypass to isolated tibial artery segments for ischemic ulceration of the foot.

    abstract::Patients with ischemic ulceration of the foot and no continuous tibial or inframalleolar vessels acceptable for bypass are often treated with primary amputation. We have performed autogenous vein bypass to isolated tibial artery segments (ITAS) in nine patients with ischemic foot ulcers and no other outflow options. W...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(05)81088-8

    authors: Belkin M,Welch HJ,Mackey WC,O'Donnell TF Jr

    更新日期:1992-09-01 00:00:00

  • Endocrine ablation for metastatic breast cancer: a reappraisal of hormone receptors.

    abstract::Other indicators of hormone sensitivity, besides estrogen receptor (ER) content, such as response to oophorectomy, antiestrogens, prolactin suppression, and correlation with progesterone receptors (PR), were evaluated in the hope of further improving selectivity and response of patients undergoing endocrine ablation f...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(80)90435-3

    authors: Moseley HS,Peetz ME,Keenan EJ,Awrich AE,Fletcher WS

    更新日期:1980-07-01 00:00:00

  • Novel antibody drug products.

    abstract::Recent developments in protein and genetic engineering methods have allowed the production of antibody-derived molecules that have important potential as therapeutic agents. Although monoclonal antibodies of murine origin have been used for therapeutic purposes, limitations due to anti-antibody responses and suboptima...

    journal_title:American journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1016/s0002-9610(05)80653-1

    authors: DiPiro JT,Hamilton RG,Wei JP

    更新日期:1992-07-01 00:00:00

  • Duffy antigens and cancer in a black population.

    abstract::A genetic study of hybrid Baltimore blacks in relation to the presence of cancer may be timely since the mortality rate in blacks compared with the mortality rate in whites has increased considerably. The appearance of white genes in black persons may provide some help in such a study. A positive relationship was not ...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(83)90302-1

    authors: Miller JM,Miller JM

    更新日期:1983-11-01 00:00:00

  • Granulocyte-macrophage colony-stimulating factor as infection prophylaxis in high-risk oncologic surgery.

    abstract:BACKGROUND:A method of augmenting host defenses against bacterial pathogens could result in a decrease in postoperative infections. Given its effects on leukocyte proliferation and function, it is possible that prophylactic granulocyte-macrophage colony-stimulating factor (GM-CSF) could reduce the incidence and severit...

    journal_title:American journal of surgery

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0002-9610(96)00106-7

    authors: Meropol NJ,Petrelli NJ,Lipman BJ,Rodriguez-Bigas M,Hicks W,Douglass HO Jr,Smith JL,Rasey M,Blumenson LE,Vaickus L,Hayes FA,Agosti JM

    更新日期:1996-09-01 00:00:00

  • An experience with upper-extremity vascular trauma.

    abstract::In this 6-year study of 101 limbs requiring surgical intervention for upper-extremity vascular trauma, most patients were male, young, and injured by penetrating objects. Injured vessels included 13 axillary/subclavian, 23 brachial, 40 radial, and 25 ulnar arteries. Concomitant injuries included nerve injury in 50 cas...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(05)80313-7

    authors: Cikrit DF,Dalsing MC,Bryant BJ,Lalka SG,Sawchuk AP,Schulz JE

    更新日期:1990-08-01 00:00:00

  • Simulation of blood flow in microgravity.

    abstract::Knowledge of venous, capillary, and arterial blood flow in microgravity is required to modify hemostatic techniques for control of bleeding in traumatic injuries or surgical procedures in space. To simulate human arterial, venous, and capillary bleeding, fresh whole bovine blood was injected by two operators at calcul...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(05)80368-x

    authors: McCuaig K,Lloyd CW,Gosbee J,Snyder WW

    更新日期:1992-08-01 00:00:00

  • Immunohistochemical analysis of primary breast tumors and tumor-draining lymph nodes by means of the T-cell costimulatory molecule OX-40.

    abstract:OBJECTIVES:The OX-40 receptor (OX-40R/CD134) is expressed primarily on activated CD4(+) ("helper") T cells. We have previously reported the presence of OX-40(+) T cells in head and neck cancer and melanoma, where they appear to be restricted to tumor compartments (primary tumor infiltrating lymphocytes [TILs] and drain...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(00)00361-5

    authors: Ramstad T,Lawnicki L,Vetto J,Weinberg A

    更新日期:2000-05-01 00:00:00

  • Noninvasive predictors of patency for infrapopliteal PTFE bypasses with combined arteriovenous fistula and vein interposition technique.

    abstract:BACKGROUND:Despite recent increased indications for infrapopliteal prosthetic bypass grafts with complementary arteriovenous fistulas, objective documentation of improved perfusion to the foot is lacking. In addition, the value of post operative noninvasive testing in the prediction of bypass success remains unclear. ...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(99)80264-5

    authors: Ascer E,Pollina RM,Gennaro M,Lorensen E

    更新日期:1995-08-01 00:00:00

  • Carcinoid tumors of the ileum.

    abstract::Thirty patients with carcinoid tumors of the ileum over a recent 10-year period have been analyzed. Seventeen patients were symptomatic and 13 others were found to have tumors incidentally at autopsy or celiotomy. Patients with symptoms almost invariably had metastatic disease, yet preoperative diagnosis was rarely ac...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(83)90272-6

    authors: Peck JJ,Shields AB,Boyden AM,Dworkin LA,Nadal JW

    更新日期:1983-07-01 00:00:00

  • Postoperative external alimentary tract fistulas.

    abstract::Most series dealing with external gastrointestinal fistulas cover experience of many years and include a heterogeneous sample of fistulas. We present our experience with 117 cases of postoperative external alimentary tract fistulas treated since 1980. Only fistulas caused by anastomotic leaks and operative injury to b...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(91)91107-t

    authors: Schein M,Decker GA

    更新日期:1991-04-01 00:00:00

  • Surgeon-specific factors in the acquisition of laparoscopic surgical skills.

    abstract:BACKGROUND:Training and experience vary widely among surgeons performing laparoscopic surgery (LS). Visual perceptual demands are greater for LS than for traditional surgery, necessitating greater understanding of surgeon variables in skill acquisition and performance. METHODS:During an LS skills course incorporating ...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(01)00574-8

    authors: Risucci D,Geiss A,Gellman L,Pinard B,Rosser J

    更新日期:2001-04-01 00:00:00

  • Nitric oxide inhibits resting sphincter of Oddi activity.

    abstract::The sphincter of Oddi has basal myogenic phasic activity that is modulated by neural and hormonal pathways. Stimulatory innervation to this organ is cholinergic, whereas the inhibitory pathways are unknown. Nitric oxide (NO), generated from L-arginine, relaxes gastrointestinal smooth muscle in vitro. We, therefore, hy...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(05)80407-6

    authors: Kaufman HS,Shermak MA,May CA,Pitt HA,Lillemoe KD

    更新日期:1993-01-01 00:00:00

  • Patterns of injury in helmeted and nonhelmeted motorcyclists.

    abstract::In the present study, the incidence of severe brain injury was 600 percent higher for patients riding without a helmet and the incidence of all brain injuries was nearly twice as high in the nonhelmeted riders. All surviving patients with severe brain injury sustained residual long-term disability. The incidence of in...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(88)80151-x

    authors: Bachulis BL,Sangster W,Gorrell GW,Long WB

    更新日期:1988-05-01 00:00:00

  • Interdisciplinary cognitive task analysis: a strategy to develop a comprehensive endoscopic retrograde cholangiopancreatography protocol for use in fellowship training.

    abstract:BACKGROUND:Endoscopic retrograde cholangiopancreatography is a challenging procedure performed by surgeons and gastroenterologists. We employed cognitive task analysis to identify steps and decision points for this procedure. METHODS:Standardized interviews were conducted with expert gastroenterologists (7) and surgeo...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2015.05.006

    authors: Canopy E,Evans M,Boehler M,Roberts N,Sanfey H,Mellinger J

    更新日期:2015-10-01 00:00:00

  • T-lymphocyte levels in the peripheral blood of patients with cancer of the head and neck.

    abstract::Percentage and levels of circulating T-lymphocytes were studied in forty-six patients with squamous cell carcinoma of the head and neck before and/or after treatment and compared with control values obtained in fifty-one healthy volunteers. Mean percentages of circulating T-cells and mean T-cell levels in cancer patie...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(75)90481-x

    authors: Olkowski ZL,Wilkins SA Jr

    更新日期:1975-10-01 00:00:00

  • Surgical treatment of metastatic melanoma.

    abstract:BACKGROUND:The survival of patients with metastatic melanoma is poor. The response rates for chemotherapy and immunotherapy have been low, with no real improvement in survival. We reviewed the results of surgical resection. METHODS:We performed a retrospective review of the medical records of all patients who underwen...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/S0002-9610(98)00041-5

    authors: Fletcher WS,Pommier RF,Lum S,Wilmarth TJ

    更新日期:1998-05-01 00:00:00

  • Increased peritoneal fluid lactic acid values and progressive bowel strangulation in dogs.

    abstract::In the present study, we determined values for peritoneal fluid and blood ammonia, amylase, and lactic acid content in 11 dogs after experimental bowel strangulation. In the nine survivors of this group, we demonstrated a near linear increase in peritoneal fluid lactic acid over a 24-hour period, during which the plas...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(89)90311-5

    authors: DeLaurier GA,Cannon RM,Johnson RH Jr,Sisley JF,Baisden CR,Mansberger AR Jr

    更新日期:1989-07-01 00:00:00

  • Outcomes after transjugular intrahepatic portosystemic stent shunt: a "bridge" to nowhere.

    abstract:BACKGROUND:Transjugular intrahepatic portosystemic stent shunt (TIPS) has become the modality of choice for complicated portal decompression. This study was undertaken to determine outcomes after TIPS and the usefulness of TIPS as a "bridge" to transplantation. METHODS:Patients undergoing TIPS from 2001 to 2010 at a t...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2012.06.005

    authors: Toomey PG,Ross SB,Golkar FC,Hernandez JM,Clark WC,Luberice K,Alsina AE,Rosemurgy AS

    更新日期:2013-04-01 00:00:00

  • Recurrent cholangitis after biliary surgery.

    abstract::After a biliary-enteric anastomosis, the development of cholangitis is usually assumed to be due to obstruction of the stoma. Six patients in whom this was not the case are described. Achlorhydria, duodenal diverticula, and foreign bodies are important predisposing factors. When bacterial contamination is severe in an...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(83)90038-7

    authors: Goldman LD,Steer ML,Silen W

    更新日期:1983-04-01 00:00:00

  • Mechanisms by which proteolytic enzymes prolong the golden period of antibiotic action.

    abstract::These experimental studies provide an explanation for the therapeutic value of proteolytic enzymes as adjuncts to antibiotic treatment of contaminated wounds. After wounding, a fibrinous coagulum develops on the wound surface. This coagulum surrounds the bacteria and protects them from contact with sustemically or top...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(78)90299-4

    authors: Rodeheaver GT,Rye DG,Rust R,Marsh D,Edgerton MT,Edlich RF

    更新日期:1978-09-01 00:00:00

  • Changing etiology of iliopsoas abscess.

    abstract::Over a 5-year period, iliopsoas abscesses were found in 11 patients. Although the most common underlying condition was Crohn's disease (3 of 11 patients), 5 abscesses resulted from hematogenous spread from a distant site. Each of these five patients was elderly, severely malnourished, or had an underlying chronic dise...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(92)90043-q

    authors: Walsh TR,Reilly JR,Hanley E,Webster M,Peitzman A,Steed DL

    更新日期:1992-04-01 00:00:00

  • Influence of breast cancer margin assessment method on the rates of positive margins and residual carcinoma.

    abstract:BACKGROUND:We hypothesized that the method of breast cancer margin assessment may be associated with different rates of positive margins and residual carcinoma. METHODS:A total of 178 breast cancer specimens were divided into 2 groups (A and B) based on the margin assessment method used. Rates of positive margins, re-...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2006.06.009

    authors: Méndez JE,Lamorte WW,de Las Morenas A,Cerda S,Pistey R,King T,Kavanah M,Hirsch E,Stone MD

    更新日期:2006-10-01 00:00:00

  • Hypoalbuminemia at admission is associated with increased incidence of in-hospital complications in geriatric trauma patients.

    abstract:BACKGROUND:Elderly patients are at an increased risk of protein-energy malnutrition (PEM) which increases the risk of morbidity/mortality. We evaluated the association between hypoalbuminemia at the time of emergency department (ED) admission and in-hospital complications among geriatric trauma patients. METHODS:This ...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2015.06.013

    authors: Garwe T,Albrecht RM,Stoner JA,Mitchell S,Motghare P

    更新日期:2016-07-01 00:00:00