Abstract：
:Two cases are reviewed here that highlight the utility of minimally invasive surgery (MIS) techniques in major surgery procedures involving the liver. They also demonstrate specific operative procedures once thought beyond the scope of the MIS surgeon, but they are now standard in expert hands. Improved methods for attaining hemostasis is one of the key reasons surgeons are able to accomplish these increasingly difficult procedures via minimally invasive techniques. Examples of these newer techniques include vessel coaptation via ultrasonic cavitation, and the sealing of smaller vessels via topical agents, such as thrombin and fibrin glue. Even a relatively small amount of bleeding may prompt conversion of MIS to an open procedure, with its attendant risks and inevitable increased costs. Hence, hemostatic tools and agents take on even greater importance.
journal_name
Surgeryjournal_title
Surgeryauthors
Saxton MLdoi
10.1016/j.surg.2007.08.008subject
Has Abstractpub_date
2007-10-01 00:00:00pages
S46-9issue
4 Suppleissn
0039-6060issn
1532-7361pii
S0039-6060(07)00485-0journal_volume
142pub_type
杂志文章相关文献
SURGERY文献大全abstract：BACKGROUND:Nosocomial pneumonia (NP) in injured patients is a significant clinical problem. We hypothesize that the pathogenesis of NP in injured patients involves an imbalanced cytokine response within the alveolar airspace that may inhibit effector cell function. METHODS:Proinflammatory (IL-8) and anti-inflammatory ...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1067/msy.2001.117105
更新日期：2001-10-01 00:00:00
abstract：BACKGROUND:Many breast cancer patients and survivors experience clinically significant distress, which poses a danger to both their psychologic and clinical well-being. Improved understanding of the types of distress that patients experience at the time of breast cancer diagnosis may reveal areas for intervention to im...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2020.04.051
更新日期：2020-11-01 00:00:00
abstract：BACKGROUND:Epistemic Network Analysis (ENA) is a technique for modeling and comparing the structure of connections between elements in coded data. We hypothesized that connections among team discourse elements as modeled by ENA would predict the quality of team performance in trauma simulation. METHODS:The Modified No...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2017.11.009
更新日期：2018-04-01 00:00:00
abstract：BACKGROUND:The purpose of this study was to prospectively compare the effect of laparoscopic cholecystectomy (LC) versus open cholecystectomy (OC) on postoperative pulmonary function. METHODS:Forty consecutive patients (20 in each group) who were evenly matched in terms of pulmonary risk factors were assigned to eithe...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1097/00132586-199406000-00036
更新日期：1993-08-01 00:00:00
abstract：BACKGROUND:Patients with secondary hyperparathyroidism and on dialysis are more likely to die of cardiovascular disease than the general population; and we have reported that near-total parathyroidectomy (NTPTX) reduces that mortality rate. Patients on dialysis experience an average of a 15% increase in coronary calcif...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2013.06.030
更新日期：2013-12-01 00:00:00
abstract：BACKGROUND:The hypothesis of this study was that differences exist among patients with private insurance compared with patients with Medicaid or no insurance, regarding access to the timely treatment of abdominal aortic aneurysms (AAAs) and the outcomes of AAA repair. METHODS:The study comprised 5363 patients aged les...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1067/msy.2003.214
更新日期：2003-08-01 00:00:00
abstract：:Patients with primary and recurrent carcinomas of the breast were studied by the human tumor stem cell assay to determine if (1) colonies would form from breast cancer specimens, (2) growth in the culture would equate with aggressiveness of disease, (3) the assay would yield specific information on drug responsiveness...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1983-08-01 00:00:00
abstract：BACKGROUND:An immune-enhancing diet has been used to alter eicosanoid synthesis, cytokine production, and immune function in an attempt to limit the undesired immune reactions after injury from surgery. This prospective randomized study was designed to investigate the effect of preoperative immunonutrition on operative...
journal_title：Surgery
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.surg.2013.05.040
更新日期：2014-01-01 00:00:00
abstract：:With the aim of developing guidelines for investigation and management of adrenal incidentalomas, 2066 patients with adrenal masses were analyzed from a total of 61,054 computerized tomographic (CT) scans done from 1985 through 1989. Excluding patients with previous or concurrent malignancies, adrenal tumors localized...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1991-12-01 00:00:00
abstract：BACKGROUND:Chronic pancreatitis remains a challenging inflammatory disease, causing progressive, irreversible fibrosis of the pancreatic parenchyma. Several surgical options for treatment have been established, but duodenum-preserving pancreatic head resections seem to be the most favorable option other than pancreatod...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2018.11.009
更新日期：2019-05-01 00:00:00
abstract：BACKGROUND:This study was undertaken to determine the true incidence of renal impairment after aortic surgery and its association with intraoperative fluctuations in renal artery blood flow and cardiac output. METHODS:Direct measurements of renal artery blood flow were undertaken with electromagnetic flowmetry in 19 p...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1994-01-01 00:00:00
abstract：BACKGROUND:Activated nuclear factor-kappaB (NF-kappaB) is associated reportedly with the pathogenesis of numerous malignancies. This study investigated whether a common insertion (ins)/deletion (del) polymorphism (-94 ins/del ATTG) in the NFKB1 promoter is associated with susceptibility to gastric cancer and its tumor ...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2008.11.001
更新日期：2009-03-01 00:00:00
abstract：BACKGROUND:Recent interest in cyst fluid analysis (CFA) for carbohydrate antigen 19-9 (CA 19-9) and carcinoembryonic antigen (CEA), and the introduction of laparoscopic surgery (LS) in the management of hepatic cysts have resulted in sporadic reports of elevated CA 19-9 and CEA levels in intrahepatic biliary cystadenom...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2004.06.031
更新日期：2004-10-01 00:00:00
abstract：BACKGROUND:Very late activation-2 (VLA-2) is an integrin receptor for laminin that consists of an alpha 2- and a beta 1-subunit. In human breast cancer, down-regulation of VLA-2 expression is related to positive nodal status. The functional significance of altered integrin expression in individual patients has never be...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/s0039-6060(05)80330-7
更新日期：1995-08-01 00:00:00
abstract：:This study evaluated two changes in fluorometric assessment of fluorescein dye delivery: (1) monitoring the proportional, rather than the absolute, increase above the preinjection background reading at each site to obviate the effect of skin color and (2) employing gradual means of dye administration to facilitate mon...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1990-07-01 00:00:00
abstract：:Surgical trauma induces immunosuppression that may adversely influence survival. This study examined the effect of laparotomy on two different macrophage populations, peritoneal macrophages (PM phi) and Kupffer cells. Female, 6- to 8-week old, CFW/C3H-HeN mice (n = 160) were randomly allocated to one of three study gr...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1992-06-01 00:00:00
abstract：BACKGROUND:The purpose of this study was to determine whether nitric oxide regulates insulin secretion in the isolated perfused human pancreas. METHODS:Single-pass perfusion was performed in four pancreata with a modified Krebs medium. Sequential 10-minute infusions (separated by 10-minute basal periods) of (1) 25 nmo...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/s0039-6060(96)80305-9
更新日期：1996-08-01 00:00:00
abstract：:A dominant belief throughout the last half of the 1970s was that operative rates in the United States continued to show steady increases. This strongly suggested that an excessive number of operations were being performed. Unsubstantiated statements regarding surgical rates have been accepted at face value, and little...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1981-02-01 00:00:00
abstract：INTRODUCTION:Computed tomography (CT) has become an essential tool in the assessment of the stable trauma patient. Intravenous (i.v.) contrast is commonly relied upon to provide superior image quality, particularly for solid-organ injury. However, a substantial proportion of injured patients have contraindications to i...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2012.07.016
更新日期：2012-10-01 00:00:00
abstract：BACKGROUND:This study compares the effects of carbon dioxide pneumoperitoneum versus laparotomy on cellular-mediated immune response in a murine model. METHODS:Sixty-eight female C3H/He mice were sensitized to keyhole limpet hemocyanin (KLH) and to a mouse mammary carcinoma cell line (MC2) before surgery. Animals were...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1067/msy.2000.101152
更新日期：2000-01-01 00:00:00
abstract：BACKGROUND:Management of critically ill patients is a challenge in low resource settings where there is a paucity of trained staff, infrastructure, resources, and drugs. We aimed to study the characteristics of surgical patients admitted in intensive care unit in a limited resource setting and determine factors associa...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2019.04.010
更新日期：2019-08-01 00:00:00
abstract：BACKGROUND:Prophylactic central neck dissection (PCND) for papillary thyroid carcinoma (PTC) is controversial. We compared 3 different approaches to the management of central compartment nodes in patients with clinically unifocal and N0 PTC. METHODS:A total of 186 patients were prospectively assigned to one of the fol...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2012.08.053
更新日期：2012-12-01 00:00:00
abstract：PURPOSE:Enhancer of zeste homologue 2 (EZH2), a component of the chromatin modification protein complex, is upregulated in pancreatic ductal adenocarcinoma (PDAC), whereas loss of p53 and its downstream target, p21(waf1/cip1), is also observed frequently. We sought to investigate the role of the p53-p21(waf1/cip1) path...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2013.06.041
更新日期：2013-10-01 00:00:00
abstract：:Lymphocytes from melanoma patients more frequently inhibited the growth of human melanoma cells in the hamster cheek pouch than did lymphocytes from normal donors. Growth inhibition was accomplished with a much lower ratio of target cells to lymphocytes than in in vitro assays. The hamster cheek pouch assay can be use...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1977-03-01 00:00:00
abstract：HYPOTHESIS:If (1) 3-hydroxy-3-methylglutaryl-coenzyme reductase inhibitors (statins) block the rate-limiting step in cholesterol synthesis and promote the expression of low-density lipoprotein receptors, (2) "Gram-negative sepsis" results from an abundant systemic response to bacterial lipopolysaccharide (endotoxin), (...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2005.08.029
更新日期：2006-03-01 00:00:00
abstract：:To determine the relative value of carotid phonoangiography (CPA), oculoplethysmography-Kartchner (OPG-K), and Doppler ultrasonic arteriography (UA), 90 vessels undergoing carotid endarterectomy were prospectively examined. By analyzing the data on receiver operator characteristic curves, the dynamic relationship betw...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1980-01-01 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
pub_type： 杂志文章
doi：10.1016/j.surg.2017.07.031
更新日期：2018-01-01 00:00:00
abstract：BACKGROUND:The purpose of this study was to determine performance retention after initial and ongoing Fundamentals of Laparoscopic Surgery (FLS) skills training. METHODS:Surgery residents (postgraduate year [PGY] 1-5; n = 91) initially underwent proficiency-based training during a 2-month period for all 5 FLS tasks. S...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2009.05.009
更新日期：2009-08-01 00:00:00
abstract：:Recently, serum was shown to contain a factor that increased expression of the complement receptor CR3 on neutrophil membranes. This factor was localized to platelet granules and was released during coagulation. This study was undertaken to identify this factor in platelet granules. Platelet supernatants containing gr...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1988-08-01 00:00:00
abstract：:We identified 106 patients who had undergone complete resection of isolated colorectal hepatic metastases. Nine of these patients subsequently underwent repeat liver resections for isolated hepatic recurrences. The median follow-up for these patients was 21 months. One postoperative death was related to the second hep...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1990-01-01 00:00:00
