Can skills coaches be used to assess resident performance in the skills laboratory?

abstract：BACKGROUND:In this study of laparoscopic splenectomy (LS), we evaluate prospectively gathered perioperative patient data and review lessons learned in the evolution of this procedure. METHODS:At 2 university medical centers between November 1993 and March 2000, there were 203 patients (122 female patients and 81 male ...

journal_title：Surgery

authors： Park AE,Birgisson G,Mastrangelo MJ,Marcaccio MJ,Witzke DB

更新日期：2000-10-01 00:00:00

abstract：BACKGROUND:Conventional parathyroidectomy involves a bilateral neck exploration with the patient under general anesthesia with a thorough search for all parathyroid tissue. The purpose of this study was to assess the efficacy and safety of unilateral neck exploration under local anesthesia in patients with asymptomatic...

journal_title：Surgery

authors： Inabnet WB,Fulla Y,Richard B,Bonnichon P,Icard P,Chapuis Y

更新日期：1999-12-01 00:00:00

abstract：:Myocardial high-energy phosphate and glucose-6-phosphate levels were determined in the in vivo pig heart model during ischemic arrest and reperfusion to determine the effectiveness of potassium cardioplegia in myocardial protection. Thirty-five pigs were divided into six experimental groups consisting of 2-hour normot...

journal_title：Surgery

authors： Engelman RM,Rousou JH,Longo F,Auvil J,Vertrees RA

更新日期：1979-07-01 00:00:00

abstract：BACKGROUND:Small bowel neuroendocrine tumors (SBNETs) present frequently with metastases, yet little is known about the molecular basis of this progression. This study sought to identify the serial differential expression of genes between normal small bowel, primary small bowel neuroendocrine tumors, and liver metastas...

journal_title：Surgery

authors： Keck KJ,Breheny P,Braun TA,Darbro B,Li G,Dillon JS,Bellizzi AM,O'Dorisio TM,Howe JR

更新日期：2018-01-01 00:00:00

abstract：:We report a patient with malignant melanoma metastatic to the supraampullar portion of the common bile duct. The unique aspects of this case include its clinical presentation masquerading as obstructive jaundice caused by a bile duct tumor and the finding of an isolated solitary recurrence metastatic to the bile duct....

journal_title：Surgery

authors： England MD,Sarr MG

更新日期：1990-05-01 00:00:00

abstract：:The results of a 5-year experience with use of intraoperative radiation therapy (IORT) in the management of locally advanced bile duct carcinoma are presented. Fifteen patients received IORT doses between 5 and 20 Gy for localized disease, which was either primary and resected with microscopic residual (2 patients), p...

journal_title：Surgery

authors： Busse PM,Stone MD,Sheldon TA,Chaffey JT,Cady B,McDermott WV,Bothe A Jr,Jenkins R,Steele G Jr

更新日期：1989-06-01 00:00:00

abstract：BACKGROUND:Telomerase reverse transcriptase promoter mutations were recently found to be associated with poorer prognosis in patients with papillary thyroid carcinoma. Correlation between telomerase reverse transcriptase messenger RNA expression and survival of patients with papillary thyroid carcinoma has not been det...

journal_title：Surgery

authors： Kwon JH,Yi JW

更新日期：2021-01-01 00:00:00

abstract：BACKGROUND AND AIMS:Congenital extrahepatic portosystemic shunt (CEPS) is a rare venous malformation in which mesenteric venous blood drains directly into the systemic circulation. It is still a matter of debate whether conservative or operative strategies should be used to treat symptomatic CEPS. The aim of this study...

journal_title：Surgery

authors： Sanada Y,Urahashi T,Ihara Y,Wakiya T,Okada N,Yamada N,Egami S,Hishikawa S,Kawano Y,Ushijima K,Otomo S,Sakamoto K,Nakata M,Yasuda Y,Mizuta K

更新日期：2012-03-01 00:00:00

abstract：:Eleven patients wtih gallstone-related acute pancreatitis underwent urgent duodenoscopy and diathermy sphincterotomy; six had stones impacted at the papilla of Vater, and the remainder had stones in the bile duct. One patient had a gallstone in the pancreatic duct. Endoscopic removal of the duct stones resulted in a p...

journal_title：Surgery

authors： Safrany L,Cotton PB

更新日期：1981-04-01 00:00:00

abstract：BACKGROUND:Endovascular approaches to aortoiliac disease are becoming increasingly frequent due to decreases in recovery time, bleeding, and discomfort. Despite this trend, little is known about the predictors of complications. This study was designed to identify risk factors for major 30-day morbidity and mortality af...

journal_title：Surgery

authors： Thomas AT,Leitman IM

更新日期：2018-08-01 00:00:00

abstract：BACKGROUND:The mortality rate for abdominal vena caval injuries remains high. We examined the experience of a level I trauma center to determine factors significant to the outcome in these injuries. METHODS:Forty-seven patients were identified in a retrospective review (1989 to 1999) of patients were identified with a...

journal_title：Surgery

authors： Hansen CJ,Bernadas C,West MA,Ney AL,Muehlstedt S,Cohen M,Rodriguez JL

更新日期：2000-10-01 00:00:00

abstract：BACKGROUND:Cathepsin D is a widely distributed lysosomal acidic endopeptidase. It is an estrogen-regulated protein that is a prognostic factor in breast cancer. The aim of this study was to measure cathepsin D concentrations in thyroid tissues and to correlate these concentrations with clinical and pathologic parameter...

journal_title：Surgery

authors： Kraimps JL,Métayé T,Millet C,Margerit D,Ingrand P,Goujon JM,Levillain P,Babin P,Begon F,Barbier J

更新日期：1995-12-01 00:00:00

abstract：BACKGROUND:The direct impact of burn injury on liver metabolism was studied in a rat liver perfusion system to remove the influence of systemic factors that modulate liver metabolism. METHODS:Seven animals received a burn injury covering 20% of the total body surface area, and seven were sham burned. The in situ liver...

journal_title：Surgery

authors： Yamaguchi Y,Yu YM,Zupke C,Yarmush DM,Berthiaume F,Tompkins RG,Yarmush ML

更新日期：1997-03-01 00:00:00

abstract：:Three cases of peripheral embolism resulting from atheromatous aortic plaques are reported. Although the majority of arterial thromboemboli are believed to have originated from mural thrombi within one of the cardiac chambers, there is reason to believe that embolism from atheromatous material within a major artery ma...

journal_title：Surgery

authors： Kwaan JH,Molen RV,Stemmer EA,Connolly JE

更新日期：1975-11-01 00:00:00

abstract：BACKGROUND:Estrogen receptor (ER)-positive breast carcinomas possess a less aggressive phenotype than ER-negative breast carcinomas. We hypothesize that a set of genes exists that is expressed only in ER-negative breast carcinomas, which account for the more malignant phenotypic characteristics of these tumors. METHOD...

journal_title：Surgery

authors： Carmeci C,Thompson DA,Kuang WW,Lightdale N,Furthmayr H,Weigel RJ

更新日期：1998-08-01 00:00:00

abstract：BACKGROUND:Emergency medical services are important to the functioning of health systems, but these services tend to be neglected in low- and middle-income countries, such as India. In recent years, several models of pre-hospital emergency medical services have emerged in India. Research on these models holds important...

journal_title：Surgery

authors： Sriram VM,Gururaj G,Hyder AA

更新日期：2017-12-01 00:00:00

abstract：:In recent years, much attention has been paid to the assessment of the quality of health care. This focus has been driven mainly by a desire to improve health care and decrease inequalities within health care systems. As well as addressing key areas such as structure, process, and outcome, which are normally taken fro...

journal_title：Surgery

authors： Chow A,Mayer EK,Darzi AW,Athanasiou T

更新日期：2009-09-01 00:00:00

abstract：:In an effort to decrease the large number of patients who develop hypothyroidism after operations for Graves' disease, an identical modification of the conventional subtotal thyroidectomy (CST) was independently designed and tested in a prospective study at two institutions. The modified subtotal thyroidectomy (MST) e...

journal_title：Surgery

authors： Bradley EI 3rd,Liechty RD

更新日期：1983-12-01 00:00:00

abstract：BACKGROUND:The surgical workforce particularly in rural regions needs novel approaches to reinforce the skills and confidence of health practitioners. Although conventional telementoring systems have proven beneficial to address this gap, the benefits of platforms of augmented reality-based telementoring in the coachin...

journal_title：Surgery

authors： Rojas-Muñoz E,Cabrera ME,Lin C,Andersen D,Popescu V,Anderson K,Zarzaur BL,Mullis B,Wachs JP

更新日期：2020-04-01 00:00:00

abstract：:In an experimental canine model of isolated and tandem arterial stenoses, noninvasive thigh and calf pressure measurements were evaluated against direct intra-arterial pressures. Under control circumstances, proximal iliac arterial stenosis, and high superficial femoral artery stenosis, the noninvasive measurements we...

journal_title：Surgery

authors： Bernstein EF,Witzel TH,Stotts JS,Fronek A

更新日期：1981-03-01 00:00:00

abstract：BACKGROUND:We have previously shown that in a randomized comparison of laparoscopic (LC) versus small incision (SC) cholecystectomy, postoperative hospital stay is comparable. This randomized prospective study compares the postoperative pain, analgesic and antiemetic consumption, perceived health, and metabolic and res...

journal_title：Surgery

authors： Squirrell DM,Majeed AW,Troy G,Peacock JE,Nicholl JP,Johnson AG

更新日期：1998-05-01 00:00:00

abstract：BACKGROUND:Identification of the genes causing inflammatory bowel disease (IBD) would enhance the understanding of and the treatment options for this disease. A hyperreactive immune response toward the intestinal flora has been implicated in the pathology of IBD. The natural resistance-associated macrophage protein (NR...

journal_title：Surgery

authors： Hofmeister A,Neibergs HL,Pokorny RM,Galandiuk S

更新日期：1997-08-01 00:00:00

abstract：BACKGROUND:Surgical residents have traditionally been evaluated by ward evaluations and multiple-choice testing; overall resident performance has seldom been objectively evaluated. We developed a comprehensive evaluation program for senior residents. The purpose of this study was to determine whether the several differ...

journal_title：Surgery

authors： Schwartz RW,Donnelly MB,Sloan DA,Johnson SB,Strodel WE

更新日期：1994-10-01 00:00:00

abstract：:The hydrogen gas clearance technique was evaluated to estimate regional hepatic blood flow. Initially, the H2 gas method was compared to the indocyanine green clearance in mini pigs. The blood flow measured by the H2 gas method (0.49 +/- 0.03 ml/min/gm) was only 39% of the calculated blood flow by the indocyanine gree...

journal_title：Surgery

authors： Gouma DJ,Coelho JC,Schlegel J,Fisher JD,Li YF,Moody FG

更新日期：1986-04-01 00:00:00

abstract：BACKGROUND:Long-term outcomes after face transplantation are rarely reported in the scientific literature. Here we present outcome data of a partial face allograft recipient 10 years after transplantation. METHODS:Medical records were reviewed for functional and psychosocial outcomes as well as complications. Histopat...

journal_title：Surgery

authors： Kollar B,Rizzo NM,Borges TJ,Haug V,Abdulrazzak O,Kauke M,Safi AF,Lian CG,Marty FM,Rutherford AE,Mitchell RN,Murphy GF,Tullius SG,Riella LV,Pomahac B

更新日期：2020-06-01 00:00:00

abstract：:Between July 1973 and September 1988, 119 patients with hepatocellular carcinoma underwent hepatic resection at Keio University Hospital, Tokyo. Hepatic resection was performed not only for patients with liver cirrhosis and obstructive jaundice but also for patients with advanced disease. Eighty (67.2%) of the 119 pat...

journal_title：Surgery

authors： Tsuzuki T,Sugioka A,Ueda M,Iida S,Kanai T,Yoshii H,Nakayasu K

更新日期：1990-05-01 00:00:00

abstract：:Teratomas were observed in 85 infants and children. Fifty-eight (68%) were girls and 27 (32%) boys. Site of origin was sacrococcygeal in 55 patients (64.8%), mediastinal in ten (11.7%), gonadal in ten (11.7%), presacral in four (4.8%), retroperitoneal in three (3.5%), and cervical in three (3.5%). Sixty-seven (78.8%) ...

journal_title：Surgery

authors： Grosfeld JL,Ballantine TV,Lowe D,Baehner RL

更新日期：1976-09-01 00:00:00

abstract：BACKGROUND:Portal vein reconstruction is a crucial factor affecting the outcome of a successful living-related liver transplantation. We describe here our experience with portal vein reconstruction in 314 cases of living-related liver transplantation with use of novel surgical modalities to enable the transplant surgeo...

journal_title：Surgery

authors： Marwan IK,Fawzy AT,Egawa H,Inomata Y,Uemoto S,Asonuma K,Kiuchi T,Hayashi M,Fujita S,Ogura Y,Tanaka K

更新日期：1999-03-01 00:00:00

abstract：:From 1951 through 1975, 72 patients with congenital intrinsic duodenal obstruction were seen at the Childrens Hospital of Los Angeles. The survival rate was 55% during the first 15 years of the study, but this has increased to 88% during the last 10 years. Factors important to this increased survival rate include: ear...

journal_title：Surgery

authors： Wesley JR,Mahour GH

更新日期：1977-11-01 00:00:00

abstract：BACKGROUND:Rib fractures are common and associated with significant pulmonary morbidity. We hypothesized that epidural analgesia would provide superior pain relief, and reduce the risk of subsequent pneumonia. METHODS:A prospective, randomized trial of epidural analgesia versus IV opioids for the management of chest w...

journal_title：Surgery

authors： Bulger EM,Edwards T,Klotz P,Jurkovich GJ

更新日期：2004-08-01 00:00:00