Abstract:
BACKGROUND:Laparoscopic appendectomy is the predominant method of treatment of acute appendicitis. There is insufficient evidence on the most effective management of the appendix stump. The aim of this study was to investigate the relative effectiveness and provide a treatment ranking of different options for securing the appendix stump. METHODS:Electronic databases were searched to identify randomized controlled trials comparing ligation methods of the appendix. The primary outcomes were organ/space infection and superficial operative site infection. We performed a network meta-analysis and estimated the pairwise relative treatment effects of the competing interventions using the odds ratio and its 95% confidence interval. We obtained a hierarchy of the competing interventions using rankograms and the surface under the cumulative ranking curve. RESULTS:Forty-three randomized controlled trials were eligible and provided data for >5,000 patients. Suture ligation seemed to be the most effective treatment strategy, in terms of both organ/space infection and superficial operative site infection. Statistical significance was reached for the comparisons of clip versus endoloop (odds ratio 0.56, 95% confidence interval, 0.32-0.96) for organ/space infection; and suture versus clip (odds ratio 0.20, 95% confidence interval 0.08-0.55) and clip versus endoloop (odds ratio 2.22, 95% confidence interval 1.56-3.13) for superficial operative site infection. The network was informed primarily by indirect treatment comparisons. CONCLUSION:The use of suture ligation of the appendix in laparoscopic appendectomy seems to be superior to other methods for the composite parameters of organ/space and superficial operative site infection.
journal_name
Surgeryjournal_title
Surgeryauthors
Antoniou SA,Mavridis D,Hajibandeh S,Hajibandeh S,Antoniou GA,Gorter R,Tenhagen M,Koutras C,Pointner R,Chalkiadakis GE,Granderath FA,Fragiadakis GF,Philalithis AE,Bonjer HJdoi
10.1016/j.surg.2017.07.013subject
Has Abstractpub_date
2017-11-01 00:00:00pages
994-1005issue
5eissn
0039-6060issn
1532-7361pii
S0039-6060(17)30483-Xjournal_volume
162pub_type
杂志文章,meta分析,评审相关文献
SURGERY文献大全abstract::Intraoperative angioscopy provides direct, in vivo, three-dimensional visualization of the interior of the blood vessels and grafts. We have shown previously that with the application of the basic principles of irrigation and with a dedicated irrigation pump that routine intraoperative angioscopy can be performed with...
journal_title:Surgery
pub_type: 杂志文章
doi:
更新日期:1991-03-01 00:00:00
abstract:BACKGROUND:Hemorrhage-induced activation of endothelial cell Na+/H+ -exchanger results in cellular swelling, which physically impedes capillary filling and compromises gut perfusion. We hypothesized that correction of the vascular volume deficit by conventional resuscitation does not improve capillary filling unless ce...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2007.08.007
更新日期:2007-10-01 00:00:00
abstract:BACKGROUND:Thermal ablation by radiofrequency or laser is used increasingly for the treatment of colorectal liver metastases. Recurrence after thermal ablation is common and occurs both locally and at distant sites. One possible cause of this recurrence may be a result of growth stimulation of micrometastases in the re...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2005.07.030
更新日期:2006-01-01 00:00:00
abstract:BACKGROUND:In humans with chronic pancreatitis (CP), pancreatic interstitial pressure (IP) is elevated and pancreatic blood flow (PBF) is reduced. The efficacy of surgical decompression (SD) of the pancreatic duct (ie, pancreaticojejunostomy) is believed to be due to its ability to decrease IP and pancreatic vascular r...
journal_title:Surgery
pub_type: 杂志文章
doi:
更新日期:1998-09-01 00:00:00
abstract::Thirty-ones limbs of 29 consecutive patients undergoing bypass grafts to the tibial or peroneal arteries were studied. Twenty-five limbs had ischemic rest pain with or without localized gangrene, and six had incapacitating claudication. The mean segmental pressure indices were upper thigh, 1.16 +/- 0.36; above knee, 0...
journal_title:Surgery
pub_type: 杂志文章
doi:
更新日期:1979-09-01 00:00:00
abstract:BACKGROUND:The purpose of this study is to detail the use of advanced tissue transfer techniques to achieve primary closure of the perineal wound after proctectomy for Crohn's disease. METHODS:Between October 1984 and March 2000, we performed proctectomy with permanent intestinal stoma in 97 patients with Crohn's dise...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1067/msy.2001.117100
更新日期:2001-10-01 00:00:00
abstract:BACKGROUND:In thoracic esophageal cancer, lymph node metastases distribute widely from the neck to the abdominal area as a result of a complex periesophageal lymphatic network. The aim of the present study was to evaluate the potential clinical utility of a new method of mapping lymphatic drainage from tumors using fer...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2007.01.032
更新日期:2007-06-01 00:00:00
abstract:BACKGROUND:Glucagon-like peptide-2 induces small intestine mucosal epithelial cell proliferation and may have benefit for patients who suffer from short bowel syndrome. However, glucagon-like peptide-2 is inactivated rapidly in vivo by dipeptidyl peptidase IV. Therefore, we hypothesized that selectively inhibiting dipe...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2011.05.013
更新日期:2011-08-01 00:00:00
abstract::Eighteen patients with arteriovenous malformations (AVM's) involving the extremities, pelvis, or head are reported and their treatment is discussed. Our experience has led us to the following conclusions: (1) careful selective angiography is mandatory to delineate the vascular anatomy, extent, and major afferent vesse...
journal_title:Surgery
pub_type: 杂志文章
doi:
更新日期:1976-01-01 00:00:00
abstract:BACKGROUND:Peptide receptor radionuclide therapy is a valid therapeutic option for pancreatic neuroendocrine neoplasms. The aim of this study was to describe an initial experience with the use of peptide receptor radionuclide therapy as a neoadjuvant agent for resectable or potentially resectable pancreatic neuroendocr...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2017.11.007
更新日期:2018-04-01 00:00:00
abstract:BACKGROUND:Total parenteral nutrition is an etiologic factor in the formation of biliary sludge. We studied whether enteral nutrition is also a risk factor for sludge. METHODS:Fifty patients with a needle catheter jejunostomy (NCJ) placed during a major abdominal operation underwent preoperative and weekly postoperati...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1067/msy.1998.92011
更新日期:1998-10-01 00:00:00
abstract:BACKGROUND:Vascular complications are major complications after living donor liver transplantation (LDLT), especially in biliary atresia (BA). Early diagnosis and treatment of portal vein thrombosis (PVT) may ensure optimal graft function and good recipient survival. Our aim was to find any association between pre- and...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2010.04.018
更新日期:2011-01-01 00:00:00
abstract:BACKGROUND:This study was performed to determine whether there is a significant association between abdominal aortic aneurysms (AAAs) and malignancy and to determine the impact of malignancy on late survival in patients with AAA. METHODS:We studied 126 men undergoing AAA repair and compared them with 99 men undergoing...
journal_title:Surgery
pub_type: 杂志文章
doi:
更新日期:1998-02-01 00:00:00
abstract:BACKGROUND:A stereotype of surgeons' personality persists in the general public and among health-care professionals. Only a few studies have attempted to describe this "surgical personality" in detail. The aim of this study was to investigate the personality traits of surgeons compared with internists and to prove the ...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2010.03.001
更新日期:2010-11-01 00:00:00
abstract:BACKGROUND:The process of extrinsic reinnervation after small bowel transplantation is poorly understood. METHODS:Jejunal and ileal specimens, obtained from the dogs that underwent intestinal autotransplantation by an end-to end (E-E) or end-to-side arterial reconstruction, were analyzed at 1 (n = 7), 3 (n = 6), 6 (n ...
journal_title:Surgery
pub_type: 杂志文章
doi:
更新日期:1998-01-01 00:00:00
abstract::A patient with an uncommon cause of portal venous hypertension, pancreatitis, is depicted. The patient had an equally uncommon pattern of symptoms and signs consisting of abdominal pain and lower gastrointestinal hemorrhage caused by colonic varices. A unique treatment, with angiographic placement of an expandable int...
journal_title:Surgery
pub_type: 杂志文章
doi:
更新日期:1992-05-01 00:00:00
abstract:BACKGROUND:The prognostic significance of the leukocyte subsets in peripheral blood has not yet been investigated in hepatocellular carcinoma patients. We sought to clarify the prognostic value of preoperative peripheral blood leukocyte subset counts, especially the absolute monocyte count, in HCC patients who have und...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2005.10.009
更新日期:2006-06-01 00:00:00
abstract:BACKGROUND:Routine and radical lymph node dissection is a clinical concern for improving the surgical outcome in patients with intrahepatic cholangiocarcinoma (ICC). The therapeutic value of the procedure during hepatectomy has, however, not been evaluated. METHODS:Between January 1990 and December 2004, 104 patients ...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2008.11.010
更新日期:2009-04-01 00:00:00
abstract:BACKGROUND:Dynamic musculoplasty is increasingly being used to replace severely damaged muscle. Electrical stimulation induces a change in muscle composition from type II to type I muscle fibers. The aim of this study was to assess the optimal time to start stimulation and the beneficial effect of a vascular delay. ME...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/s0039-6060(97)90310-x
更新日期:1997-04-01 00:00:00
abstract:BACKGROUND:Sclerotherapy is usually effective in controlling acutely bleeding esophageal varices. It may not be as effective as shunt surgery for prevention of rebleeding; therefore we undertook a prospective study comparing interposition mesocaval shunt (MCS) and repeated sclerotherapy. METHODS:Forty-five patients (m...
journal_title:Surgery
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0039-6060(05)80248-x
更新日期:1995-05-01 00:00:00
abstract:BACKGROUND:Lung injury is a life-threatening complication in patients with liver dysfunction. We recently provided an experimental lung injury model in mouse with common bile duct ligation. In this study, we aimed to characterize the pathologic and biochemical features of lung tissues in common bile duct ligation mice ...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2016.12.017
更新日期:2017-06-01 00:00:00
abstract::Active-specific immunotherapy with concanavalin A or with neuraminidase-modified syngeneic tumor cells has been studied in an experimental model of colon cancer. Systemic immunotherapy with concanavalin A-modified tumor cells or with neuraminidase-modified tumor cells has resulted in up to 70 percent cure of rats rece...
journal_title:Surgery
pub_type: 杂志文章
doi:
更新日期:1976-08-01 00:00:00
abstract::The main goal of surgery for retroperitoneal fibrosis is to free the ureters from sclerotic tissue and pressure them from further extension of the disease; the omentum may be used as an efficient barrier against recurrence of fibrosis. We present 11 patients with idiopathic retroperitoneal fibrosis treated with ureter...
journal_title:Surgery
pub_type: 杂志文章
doi:
更新日期:1982-02-01 00:00:00
abstract::A quantitative directional Doppler system was used to determine blood flow in 8 mm. aortoaortic Dacron grafts in dogs. The Doppler was calibrated with frequency standards and the output was integrated for one minute intervals. With the probe held at an angle of 60 degrees to the flow axis, the average frequency of the...
journal_title:Surgery
pub_type: 杂志文章
doi:
更新日期:1976-05-01 00:00:00
abstract:BACKGROUND:We compared the effectiveness of n-butyl-2-cyanoacrylate (NBCA) and traditional suture for patch fixation in Lichtenstein tension-free herniorrhaphy for inguinal hernias. METHODS:A total of 110 patients with primary unilateral inguinal hernia were assigned randomly to either experimental or control groups. ...
journal_title:Surgery
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.surg.2011.09.031
更新日期:2012-04-01 00:00:00
abstract:BACKGROUND:The world's poorest 2 billion people, benefit from no more than about 3.5% of the world's operative procedures. The burden of surgical disease is greatest in Africa, where operations could save many lives. Previous facility-based studies have described operative procedure caseloads, but prospective studies i...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2015.03.022
更新日期:2015-07-01 00:00:00
abstract::The influence of cimetidine on blood flow to the gastric corpus and antrum of the dog was studied using the double isotope microsphere distribution technique. This H2 receptor antagonist caused no changes in blood flow to any portion of the stomach nor did it alter systemic circulatory parameters. The therapeutic effe...
journal_title:Surgery
pub_type: 杂志文章
doi:
更新日期:1978-08-01 00:00:00
abstract::The question still remains: What is best for the patient? It appears that whole organ or segmental pancreas transplantation can be carried out, giving anywhere from a 46% to an 84% 1-year pancreas survival rate. At the moment there is no clear-cut evidence that patient survival--at least in the short term--is any bett...
journal_title:Surgery
pub_type: 杂志文章,评审
doi:
更新日期:1989-12-01 00:00:00
abstract::During the recent 5 2/3 years, hepatic resection was performed on 118 patients with hepatocellular carcinoma. Ages ranged from 17 to 78 years with an average of 57 years. There were 101 males and 17 females. Underlying cirrhosis of the liver was found in 101 cases, and chronic hepatitis was found in 16 cases. Before s...
journal_title:Surgery
pub_type: 杂志文章
doi:
更新日期:1986-06-01 00:00:00
abstract:BACKGROUND:Postoperative hepatic decompensation is a serious complication of liver resection in patients undergoing hepatectomy for hepatocellular carcinoma. Liver fibrosis and clinical significant portal hypertension are well-known risk factors for hepatic decompensation. Liver stiffness measurement is a noninvasive m...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2017.06.006
更新日期:2017-10-01 00:00:00