Can general surgeons evaluate visceral slide with transabdominal ultrasound to predict safe sites for primary laparoscopic port placement? A prospective study of sonographically naïve operators at a tertiary center.


BACKGROUND:Port placement injuries are a potentially devastating complication of laparoscopic surgery. Ultrasound assessment for visceral slide has the ability to preoperatively determine adhesion-free areas. The utility of this technique has not been studied when performed by surgeons. METHODS:Surgeons without expertise in ultrasound were taught the visceral slide technique. Patients with a history of abdominal surgery were then assessed for adhesion-free areas on the abdominal wall. Ultrasound assessments were validated against intraoperative visualization. RESULTS:Nine surgeons using the visceral slide technique assessed 145 patients for the presence of adhesions immediately before surgery. Surgeon who performed ultrasound demonstrated a sensitivity of 69.6%, specificity of 98.7%, and positive predictive value of 99.5% for detection of areas free from critical adhesions. The median time to perform the examination was 2 minutes. CONCLUSION:The visceral slide technique was easily learned, was rapid to perform, and reliably identified adhesion-free areas of the abdominal wall.


Am J Surg


Minaker S,MacPherson C,Hayashi A




Has Abstract


2015-05-01 00:00:00


804-8; discusion 808-9












  • Simplified laparoscopic parastomal hernia repair: the scroll technique.

    abstract:BACKGROUND:Laparoscopic parastomal hernia repair can be technically challenging. We herein present a simplified technique of laparoscopic parastomal hernia repair. METHODS:This technique entails fixation of the rolled mesh to the anterior abdominal wall before unfolding it, each side of the mesh is unfolded and fixed ...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Saber AA,Rao AJ,Rao CA,Elgamal MH

    更新日期:2008-09-01 00:00:00

  • Radioimmunoguided surgery in primary colorectal carcinoma: an intraoperative prognostic tool and adjuvant to traditional staging.

    abstract:BACKGROUND:The prognostic value of traditional staging classification for colorectal cancer has changed little since Dukes created the first staging scheme. Some patients with known metastatic disease are long-term survivors, while other patients with local disease die early. New intraoperative cancer detection technol...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Arnold MW,Young DC,Hitchcock CL,Schneebaum S,Martin EW Jr

    更新日期:1995-10-01 00:00:00

  • Comparison of laparoscopic versus open procedure in the treatment of recurrent inguinal hernia: a meta-analysis of the results.

    abstract:BACKGROUND:The aim of this meta-analysis was to compare the effectiveness and complications of the laparoscopic procedure and open techniques in the treatment of recurrent inguinal hernias. METHODS:The electronic databases MEDLINE, Embase, PubMed, and Cochrane Library were used to search for randomized controlled tria...

    journal_title:American journal of surgery

    pub_type: 杂志文章,meta分析,评审


    authors: Li J,Ji Z,Li Y

    更新日期:2014-04-01 00:00:00

  • Bleeding peptic ulcer. 10 years' experience.

    abstract::From 1972 to 1981, 430 patients were treated for bleeding peptic ulcer. Two hundred ten of the patients were treated surgically and 220 medically. In the surgically treated patients, mortality was high among those with posterior duodenal peptic ulcer and after gastrectomy rather than after vagotomy. Mortality after em...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Bekada H,Charikhi M,Haicheur R,Yanes Y,Mentouri B

    更新日期:1984-03-01 00:00:00

  • Anastomotic aneurysms.

    abstract::Although the incidence of anastomotic false aneurysms decreased precipitously with the cessation of usage of silk sutures for vascular anastomoses, the prevalence of these aneurysms has undoubtedly increased in keeping with an ever-increasing volume of peripheral vascular operations. Most aneurysms occur at femoral an...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Briggs RM,Jarstfer BS,Collins GJ Jr

    更新日期:1983-12-01 00:00:00

  • Primary tumor location impacts breast cancer survival.

    abstract:BACKGROUND:The prognostic significance of tumor location in breast cancer remains unclear. To better understand this relationship, we evaluated the Department of Defense tumor registry. METHODS:Patients with infiltrating ductal adenocarcinoma or lobular carcinoma over a 10-year period were identified and analyzed. RE...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Sohn VY,Arthurs ZM,Sebesta JA,Brown TA

    更新日期:2008-05-01 00:00:00

  • Photodynamic therapy with chloroaluminum sulfonated phthalocyanine in the rat window chamber.

    abstract::The efficacy of photodynamic therapy tumor destruction is dependent upon both the interruption of the tumor vasculature and the resultant production of unstable oxygen species causing cellular oxidation and death. Chloroaluminum sulfonated phthalocyanine (CASP) is a recently developed photosensitizer. In order to stud...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Stern SJ,Flock ST,Small S,Thomsen S,Jacques S

    更新日期:1990-10-01 00:00:00

  • A comparison of postoperative outcomes utilizing a continuous preperitoneal infusion versus epidural for midline laparotomy.

    abstract:BACKGROUND:Postoperative pain management with a continuous preperitoneal infusion (CPI) for locoregional anesthesia has been shown to have improved postoperative outcomes. This is the first direct comparison of CPI versus epidural infusion (EPI), both in conjunction with systemic analgesia. METHODS:A retrospective rev...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Gross ME,Nelson ET,Mone MC,Hansen HJ,Sklow B,Glasgow RE,Scaife CL

    更新日期:2011-12-01 00:00:00

  • Telemedicine and telementoring in the surgical specialties: A narrative review.

    abstract:BACKGROUND:The field of telemedicine has grown tremendously over the last decade. We present a systematic review of publications on telemedicine as it pertains to surgery, addressing six facets: 1) telerobotics, 2) telementoring, 3) teleconsulting, 4) telemedicine in post-operative follow-up, 5) tele-education, and 6) ...

    journal_title:American journal of surgery

    pub_type: 杂志文章,评审


    authors: Huang EY,Knight S,Guetter CR,Davis CH,Moller M,Slama E,Crandall M

    更新日期:2019-10-01 00:00:00

  • A prospective, randomized trial of short versus long tubes in adhesive small-bowel obstruction.

    abstract:BACKGROUND:Many cases of acute adhesive small-bowel obstruction (SBO) can be successfully treated with intestinal tube decompression. There is considerable controversy, however, regarding whether a short nasogastric tube (NGT) or a long nasointestinal tube (LT) is the best method of intestinal tube decompression. PATI...

    journal_title:American journal of surgery

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Fleshner PR,Siegman MG,Slater GI,Brolin RE,Chandler JC,Aufses AH Jr

    更新日期:1995-10-01 00:00:00

  • A role for matrix metalloproteinases and tumor host interaction in hepatocellular carcinomas.

    abstract:BACKGROUND:Hepatocellular carcinoma (HCC) occur in livers with injury-remodeling, accomplished by enzymes called matrix metalloproteinases (MMP). Metastasis involves basement membrane invasion also caused by MMP activity. Alterations in MMP expression and their endogenous inhibitor (TIMP) may factor in HCC metastasis. ...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: McKenna GJ,Chen Y,Smith RM,Meneghetti A,Ong C,McMaster R,Scudamore CH,Chung SW

    更新日期:2002-05-01 00:00:00

  • Mandibular reconstruction.

    abstract::The stainless steel 316 mesh tray with cancellous bone offers a method of mandibular reconstruction which theoretically is appealing from the viewpoint of basic osseous healing. The results in fity-two patients at twenty different institutions indicates encouraging results. Further evaluation of this method is recomme...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Salyer KE,Newsom HT,Holmes R,Hahn G

    更新日期:1977-10-01 00:00:00

  • Impact of hospital volume on quality indicators for rectal cancer surgery in British Columbia, Canada.

    abstract:BACKGROUND:The relationship between hospital volume and patient outcomes remains controversial for rectal cancer. METHODS:This is a population-based database study. Patients treated with surgery for a stage I to III rectal adenocarcinoma from 2003 to 2009 were identified. High-volume hospitals (HVH) were those centers...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: McColl RJ,McGahan CE,Cai E,Olson R,Cheung WY,Raval MJ,Phang PT,Karimuddin AA,Brown CJ

    更新日期:2017-02-01 00:00:00

  • Emergency hernia repairs in elderly patients.

    abstract:BACKGROUND:Emergency hernia repairs comprise one of the most common procedures performed in elderly patients and also carry a high risk of mortality and morbidity. The aim of this study was to examine the factors that might have an influence on the outcome of emergency hernia repairs in elderly patients. METHODS:A rev...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Kulah B,Duzgun AP,Moran M,Kulacoglu IH,Ozmen MM,Coskun F

    更新日期:2001-11-01 00:00:00

  • Intrahepatic Glissonian approach for laparoscopic right segmental liver resections.

    abstract:BACKGROUND:Experience with laparoscopic procedures and recent advances in laparoscopic devices have created an evolving interest in the application of these techniques to liver resection. However, laparoscopic liver resection has not been widely developed and anatomical segmental liver resection is not currently perfor...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Machado MA,Makdissi FF,Galvão FH,Machado MC

    更新日期:2008-10-01 00:00:00

  • Follow-up results of surgical treatment for chronic pancreatitis. Present status in Japan.

    abstract::The results of surgical treatment for chronic pancreatitis at our clinic and in the eight leading institutions of Japan were reviewed in a total of 328 cases. Abdominal pain disappeared or was alleviated in about 90 percent of the patients who survived more than 6 months after operation. There was no significant diffe...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Sato T,Noto N,Matsuno S,Miyakawa K

    更新日期:1981-09-01 00:00:00

  • The impact of a community-wide vascular access program on the management of graft thromboses in a dialysis population of 495 patients.

    abstract:BACKGROUND:The unpredictability of prosthetic vascular access thrombosis precludes the scheduling of elective graft thrombectomy. This results in inconsistent dialysis for patients, as well as logistical challenges for dialysis clinics and surgeons, and increased cost. In an effort to solve this problem a community-wid...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Cull DL,Taylor SM,Russell HE,Langan EM,Snyder BA,Sullivan TM

    更新日期:1999-08-01 00:00:00

  • Familial visceral myopathy: the role of surgery.

    abstract::Familial visceral myopathy is a form of chronic intestinal pseudoobstruction in which fibrosis of the smooth muscle of the alimentary tract causes protean symptoms of disordered visceral motility. Based on our 8 year observation of six members of one family with familial visceral myopathy and review of the few well-do...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Shaw A,Shaffer HA,Anuras S

    更新日期:1985-07-01 00:00:00

  • Design and statistical methodology of the National Surgical Quality Improvement Program: why is it what it is?

    abstract::This article reviews the philosophy and principles of the National Surgical Quality Improvement Program (NSQIP) that the founders of the program had in mind when they developed the program; explains how the philosophy and principles led to the design and statistical methods that were chosen for the program; and review...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Henderson WG,Daley J

    更新日期:2009-11-01 00:00:00

  • Pancreaticoduodenectomy for nonperiampullary primary tumors.

    abstract:INTRODUCTION:This review was performed to evaluate the outcome of patients undergoing pancreaticoduodenectomy (PD) for isolated metastatic or locally advanced nonperiampullary tumors at a single institution over a 13-year period. METHODS:Between 1983 and 1996, patients undergoing PD for metastatic or locally advanced ...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Harrison LE,Merchant N,Cohen AM,Brennan MF

    更新日期:1997-10-01 00:00:00

  • Complete coverage of in situ aortograft by total omental pedicle flap as the most reliable treatment of aortoesophageal fistula.

    abstract::Aortoesophageal fistula secondary to a thoracic aortic aneurysm is usually a fatal disease with few survivors reported previously. We encountered 2 consecutive patients who were treated successfully with esophagectomy and in situ aorta reconstruction using cryopreserved homograft that was wrapped completely with oment...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Kitayama J,Morota T,Kaisaki S,Nakayama H,Ishigami H,Yamashita H,Ishikawa M,Shibata K,Takamoto S,Nagawa H

    更新日期:2006-07-01 00:00:00

  • Variation of surgery clerkship grades in US medical schools.

    abstract:BACKGROUND:Despite efforts at standardization, evaluation and reporting of clerkships remains highly variable. This study reviews the current spectrum of surgical clerkship grading. METHODS:Data were reviewed for every medical school from which an application was received to a single surgery residency program in 2017 ...

    journal_title:American journal of surgery

    pub_type: 杂志文章,多中心研究


    authors: Brownstein MR,Shen MR,Strassle PD,Meyers MO

    更新日期:2019-02-01 00:00:00

  • Ovarian teratomas in children. A thirty-three year experience.

    abstract::During the thirty-three years from 1941 through 1973, forty-two children with ovarian teratomas were seen. The most common complaint was that of abdominal pain and the most common physical finding was palpable lower abdominal mass. Thirty-seven patients had ovarian teratomas with nature tissues only. Of these, two pat...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Mahour GH,Wooley MM,Landing BH

    更新日期:1976-11-01 00:00:00

  • The impact of advanced practice providers on the surgical resident experience: Agree to disagree?

    abstract:BACKGROUND:We examined and compared APP versus surgical resident perceptions of the role of APPs in surgical subspecialty teams. METHODS:Residents/first year surgical critical care fellows and inpatient service-specific APPs responded to a survey that examined perceptions about the APP-resident/fellow relationship. St...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Eaton B,Hessler L,O'Meara L,Herrera A,Tesoriero R,Diaz J,Bruns B

    更新日期:2019-06-01 00:00:00

  • Predicting the unpredictable: comparing readmitted versus non-readmitted colorectal surgery patients.

    abstract:BACKGROUND:To evaluate readmissions to determine predictors and patterns of readmission. METHODS:Prospective database review identified readmitted and non-readmitted patients after colorectal surgery. Variables for the index and readmission episode were examined. RESULTS:A total of 212 readmissions and 3,292 nonreadm...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Keller DS,Swendseid B,Khorgami Z,Champagne BJ,Reynolds HL Jr,Stein SL,Delaney CP

    更新日期:2014-03-01 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


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

    更新日期:1984-02-01 00:00:00

  • Clinical images. Primary non-Hodgkin's lymphoma of the sigmoid colon in a child.

    abstract::Primary non-Hodgkin's lymphomas of the gastrointestinal tract are rare in children, and few of these lymphomas are located in the sigmoid colon. The preoperative diagnosis rate is low. Complete resection is indicated if it can be done safely. Combination chemotherapy after resection is indicated. ...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Zhang KR,Jia HM

    更新日期:2009-01-01 00:00:00

  • Effectiveness of reoperation after late failure of femoropopliteal reconstruction.

    abstract::Eighty-two femoropopliteal reconstructions were performed on sixty-six consecutive patients. Of seventeen late failures, thirteen were secondarily reconstructed. Clinical and angiographic studies demonstrated the reasons for failure in all patients except one. Seven patients were improved and six unimproved by reopera...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Painton JF,Avellone JC,Plecha FR

    更新日期:1978-02-01 00:00:00

  • A systematic review of clinically available gene expression profiling assays for stage II colorectal cancer: initial steps toward genetic staging.

    abstract:BACKGROUND:In recent years, increasingly accessible and novel genetic technologies have spurred keen interest in the application of cancer genetics in predicting prognosis and response to treatment. In particular, investigators have eagerly sought to establish and validate genetic signatures that might improve the iden...

    journal_title:American journal of surgery

    pub_type: 杂志文章,评审


    authors: Lopez NE,Weiss AC,Robles J,Fanta P,Ramamoorthy SL

    更新日期:2016-10-01 00:00:00

  • The natural history of pancreatic pseudocysts: a unified concept of management.

    abstract::Between 1971 and 1976, ninety-three patients with a clinical diagnosis of pseudocyst confirmed by ultrasonography were identified from a group of 923 patients admitted for pancreatic disease. Uncertainties in diagnosis and/or rapid progression of underlying pancreatitis led to urgent laparotomy and drainage in eleven ...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Bradley EL,Clements JL Jr,Gonzalez AC

    更新日期:1979-01-01 00:00:00