Does implementing a general surgery residency program and resident involvement affect patient outcomes and increase care-associated charges?

abstract：BACKGROUND:Predicting length of stay (LOS) is difficult for trauma and emergency general surgery (TEGS) patients. Our aim was to determine the accuracy of LOS predictions by TEGS team members and the NSQIP Risk Calculator and the patient factors associated with inaccurate predictions. METHODS:LOS for 200 TEGS patients...

journal_title：American journal of surgery

authors： Stocker B,Weiss HK,Weingarten N,Engelhardt K,Engoren M,Posluszny J

更新日期：2020-09-01 00:00:00

abstract：BACKGROUND:Management of patients with thoracic empyema ranges from tube thoracostomy drainage, with or without fibrinolytics, to operative intervention, with the optimal intervention remaining uncertain. Streptococcus milleri, typically a benign bacterium colonizing the oropharynx, has recently been reported as a pote...

journal_title：American journal of surgery

authors： Ripley RT,Cothren CC,Moore EE,Long J,Johnson JL,Haenel JB

更新日期：2006-12-01 00:00:00

abstract：BACKGROUND:The increased utilization of expanded criteria kidney donors has necessitated the reevaluation of multiple donor risk factors to insure the best outcome from this valuable resource. Reports of decreased graft survival in recipients of kidneys from donors with > or =20% glomerular sclerosis (GS) have led many...

journal_title：American journal of surgery

authors： Lu AD,Desai D,Myers BD,Dafoe DC,Alfrey EJ

更新日期：2000-12-01 00:00:00

abstract：BACKGROUND:Gastrointestinal stromal tumors (GISTs), the specific kit-positive mesenchymal tumors of the gastrointestinal tract, are rarely found in the anorectum and account for only 0.1% of all colorectal tumors. The main stem of therapy remains surgical excision. The standard surgical approach for anorectal GISTs inc...

journal_title：American journal of surgery

authors： Hellan M,Maker VK

更新日期：2006-01-01 00:00:00

abstract：BACKGROUND:Several anecdotal papers suggest that laparoscopic cholecystectomy can be done safely in pregnant patients, but few patients are reported and other patients such as those who underwent laparoscopic appendectomy are often included. A larger series would help clarify the situation. METHODS:The Connecticut Lap...

journal_title：American journal of surgery

authors： Barone JE,Bears S,Chen S,Tsai J,Russell JC

更新日期：1999-03-01 00:00:00

abstract：:In a multicenter prospective, randomized study, the efficacy of a single preoperative dose of 1 g of cefotaxime for avoiding wound infections was compared with four 2-g doses of cefoxitin. In the study, 1,451 patients with infection risk factors who underwent gastroduodenal or biliary surgery were included, of whom 72...

journal_title：American journal of surgery

authors： Garcia-Rodriguez JA,Puig-LaCalle J,Arnau C,Porta M,Vallvé C

更新日期：1989-11-01 00:00:00

abstract：:Significant salvage of patients with a wide variety of cysts and benign tumors of the liver and of some patients with biliary strictures can be achieved by hepatic resection in carefully selected clinical situations with a low operative mortality rate and an acceptable postoperative complication rate. Still to be dete...

journal_title：American journal of surgery

authors： Cady B,Bonneval M,Fender HR Jr

更新日期：1979-04-01 00:00:00

abstract：:Immunologic changes after blood transfusions cannot be studied ethically in normal individuals. We therefore studied two comparable groups of patients with atherosclerotic cardiovascular disease who received similar drug treatment and experienced a similar degree of surgical trauma, except that one group received an a...

journal_title：American journal of surgery

authors： Fernandez LA,MacSween JM,You CK,Gorelick M

更新日期：1992-02-01 00:00:00

abstract：:The use of percutaneous transluminal angioplasty as the primary treatment of renovascular stenosis in adults has recently been described. Previously, only three children have been reported to have undergone transluminal angioplasty for stenosis of the renal artery and hypertension. At our hospital, transluminal angiop...

journal_title：American journal of surgery

authors： Guzzetta PC,Potter BM,Kapur S,Ruley EJ,Randolph J

更新日期：1983-05-01 00:00:00

abstract：BACKGROUND:Traditional treatment of breast abscesses involves incision and drainage, with and without ultrasound guidance. These procedures cause considerable discomfort and morbidity for the patient. This study was conducted to determine whether needle aspiration of breast abscesses without ultrasound guidance was an ...

journal_title：American journal of surgery

authors： Schwarz RJ,Shrestha R

更新日期：2001-08-01 00:00:00

abstract：:The portal-superior mesenteric vein (PV/SMV) is occasionally involved by a microscopic level of cancer invasion from pancreatic cancer even when it seems to be intact by a macroscopic inspection during surgery. Therefore, contact endoscopy, with which a high-magnification image of the methylene blue-stained PV/SMV wal...

journal_title：American journal of surgery

authors： Eguchi H,Ishikawa O,Ohigashi H,Takahashi H,Ohue M,Takenaka A,Tomita Y,Yano M

更新日期：2009-11-01 00:00:00

abstract：:The success of parathyroid surgery is based on accurate localization of normal and abnormal parathyroid glands, knowledge of the pathologic conditions, and meticulous dissection during removal of the abnormal glands. Although parathyroid localization is essential in cases requiring re-exploration, there is considerabl...

journal_title：American journal of surgery

authors： Shaha AR,LaRosa CA,Jaffe BM

更新日期：1993-09-01 00:00:00

abstract：OBJECTIVE:This study investigated the use of ultrasound (US) as a first-line diagnostic tool. METHODS:All women attending our breast center underwent bilateral whole-breast US in addition to all other investigations, and results were documented prospectively and preoperatively. RESULTS:Of 796 patients with breast can...

journal_title：American journal of surgery

authors： Benson SR,Blue J,Judd K,Harman JE

更新日期：2004-10-01 00:00:00

abstract：BACKGROUND:The risk of an injury of the laryngeal recurrent nerve is an important issue during any surgical procedure in the lower neck. METHODS:Based on our experience with the transcervical-subxiphoid bilateral videothoracoscopic maximal thymectomies, we developed an original technique of visualization for both of t...

journal_title：American journal of surgery

authors： Zieliński M,Kuzdzał J,Szlubowski A,Soja J

更新日期：2005-02-01 00:00:00

abstract：PURPOSE:Stoma closure has been associated with a high rate of surgical site infection (SSI) and the optimal skin closure method is still controversial. The aim of this study was to compare the short-term and long-term outcomes between the conventional linear closure (CC) and the persestring closure (PC) using propensit...

journal_title：American journal of surgery

authors： Yamamoto M,Tanaka K,Masubuchi S,Ishii M,Hamamoto H,Suzuki S,Ueda Y,Okuda J,Uchiyama K

更新日期：2018-01-01 00:00:00

abstract：:One hundred thirty-four patients suspected of having pancreas cancer successfully underwent gray scale ultrasound examination of the pancreas. The prospective ultrasound findings were correlated with the final diagnoses, laparotomy findings, and pathology findings. Fifty-four patients had pancreas cancer, confirmed by...

journal_title：American journal of surgery

authors： Mackie CR,Bowie J,Cooper MJ,Kunzmann A,Moossa AR

更新日期：1978-11-01 00:00:00

abstract：BACKGROUND:Surgery is considered the treatment of choice for postoperative biliary strictures. Recently, endoscopic stent placement has been proposed as an alternative to surgical management in selected patients. METHODS:In this retrospective study, 157 patients with postoperative biliary strictures were included. Eig...

journal_title：American journal of surgery

authors： De Palma GD,Persico G,Sottile R,Puzziello A,Iuliano G,Salvati V,Donisi M,Persico F,Mastantuono L,Persico M,Masone S

更新日期：2003-06-01 00:00:00

abstract：BACKGROUND:For locally advanced Siewert type II and III tumors we have performed total gastrectomy including resection of the distal 2/3 of the esophagus, through separate abdominal and right chest incisions (THX-ABD). The procedure involves wide lymphadenectomy in the abdomen/chest and a Roux-en-Y jejunostomy to the l...

journal_title：American journal of surgery

authors： Jeremiasen M,Walther B,Djerf P,Staël von Holstein C,Zilling T,Hermansson M,Falkenback D,Johansson J

更新日期：2019-08-01 00:00:00

abstract：BACKGROUND:Established methods for assessing surgical performance face limitations. Global rating scales and procedure-specific checklists are resource intensive and rely on expert opinions. Alternatives that use technology to track hand movements, such as magnetic and optical tracking systems, are generally expensive ...

journal_title：American journal of surgery

authors： Sonnadara R,Rittenhouse N,Khan A,Mihailidis A,Drozdzal G,Safir O,Leung SO

更新日期：2012-01-01 00:00:00

abstract：:Twenty-five patients were identified with non-pituitary, nonadrenal ACTH-secreting tumors (bronchial carcinoid, bronchial small cell carcinoma, pancreatic islet cell carcinoma, medullary thyroid carcinoma, thymic carcinoids, metastatic adenocarcinoma, and pancreatic cystadenoma). Clinical features were weakness, hyper...

journal_title：American journal of surgery

authors： Jex RK,van Heerden JA,Carpenter PC,Grant CS

更新日期：1985-02-01 00:00:00

abstract：BACKGROUND:Colorectal liver metastases with hepatic vein (HV) involvement may require combined resection of the liver and HV. However, the short- and long-term outcomes of such a procedure remain unclear. METHODS:We reviewed 16 cases of liver resection with major HV resection and reconstruction. RESULTS:The patients ...

journal_title：American journal of surgery

authors： Saiura A,Yamamoto J,Sakamoto Y,Koga R,Seki M,Kishi Y

更新日期：2011-10-01 00:00:00

abstract：BACKGROUND:Few data exist regarding melanoma metastasis to the adrenal gland. We reviewed our experience to determine the natural history of this condition and the appropriate role for surgical intervention. METHODS:A retrospective review of melanoma patients with adrenal metastasis was performed. Clinical presentatio...

journal_title：American journal of surgery

authors： Mittendorf EA,Lim SJ,Schacherer CW,Lucci A,Cormier JN,Mansfield PF,Gershenwald JE,Ross MI,Lee JE

更新日期：2008-03-01 00:00:00

abstract：BACKGROUND:Laparoscopic deroofing has been shown to produce good patient satisfaction and to have results similar to those of open surgical techniques. We evaluated the feasibility and efficacy of laparoscopic deroofing using an argon beam coagulator (ABC) in the patients with nonparasitic liver cysts. METHODS:Laparos...

journal_title：American journal of surgery

authors： Kwon AH,Matsui Y,Inui H,Imamura A,Kamiyama Y

更新日期：2003-03-01 00:00:00

abstract：:Between 1979 and 1988, we created intestinal anastomoses in 1,000 patients using a single-layer, continuous suturing technique and a polypropylene suture. The technique is easily learned, flexible in its application, and incurs less cost than most other techniques. The anastomoses involved all levels of the colon and ...

journal_title：American journal of surgery

authors： Max E,Sweeney WB,Bailey HR,Oommen SC,Butts DR,Smith KW,Zamora LF,Skakun GB

更新日期：1991-11-01 00:00:00

abstract：BACKGROUND:Surgical quality improvement (QI) is a global priority. We report the design and proof-of concept testing of a QI skills curriculum for urology residents. METHODS:'Umbrella review' of QI curricula (Phase-1); development of draft QI curriculum (Phase-2); curriculum review by Steering Committee of urologists ...

journal_title：American journal of surgery

authors： Pallari E,Khadjesari Z,Green JSA,Sevdalis N

更新日期：2019-02-01 00:00:00

abstract：:Seven patients presented with chronic pancreatitis localized upstream to a complete stenosis of the main pancreatic duct in its median part. This stenosis seemed to be secondary to the healing of a necrotic pseudocyst after either acute pancreatitis (four patients) or blunt abdominal trauma (three patients). In five p...

journal_title：American journal of surgery

authors： Laugier R,Camatte R,Sarles H

更新日期：1983-11-01 00:00:00

abstract：BACKGROUND:Standard two-dimensional (2D) specimen radiography may guide intraoperative re-excision of margins in patients undergoing breast conserving surgery. We sought to determine the impact of three-dimensional (3D) specimen imaging in further reducing positive margin rates. METHODS:A prospective study of 100 pati...

journal_title：American journal of surgery

authors： Chagpar AB,Butler M,Killelea BK,Horowitz NR,Stavris K,Lannin DR

更新日期：2015-11-01 00:00:00

abstract：BACKGROUND:Multifocal breast cancers (MFBCs) present a challenge to surgeons. Although its feasibility is still controversial, breast-conserving surgery (BCS) is not contraindicated for MFBCs. The investigators retrospectively evaluated the feasibility of BCS and reviewed histopathologic findings in patients with MFBC....

journal_title：American journal of surgery

authors： Kadioğlu H,Yücel S,Yildiz S,Bozkurt S,Ersoy YE,Sağlam E,Müslümanoğlu M

更新日期：2014-09-01 00:00:00

abstract：:The results of a pathologic study of 42 colorectal cancers have been presented. Of the 42 lesions, only 2 demonstrated intramural spread. The maximum extent of intramural spread was 2 cm. In one case, intramural spread was in the distal direction. Thirty-six percent of the lesions were in the rectum or rectosigmoid, 1...

journal_title：American journal of surgery

authors： Hughes TG,Jenevein EP,Poulos E

更新日期：1983-12-01 00:00:00

abstract：BACKGROUND:Prospective evaluation of the percutaneous tracheostomy by the guide wire dilating forceps (GWDF) technique. METHODS:In 50 selected patients percutaneous tracheostomy with fiberscopic control was performed and evaluated. RESULTS:Most percutaneous tracheostomies were performed without any adverse effect. No...

journal_title：American journal of surgery

authors： van Heerbeek N,Fikkers BG,van den Hoogen FJ,Mollen RM,Marres HA

更新日期：1999-04-01 00:00:00