The effects of regionalization on cost and outcome for one general high-risk surgical procedure.

abstract：OBJECTIVE:This study provided an objective survey by an outside auditing group of a large, complete patient population undergoing laparoscopic cholecystectomies, determined the frequency of complications, especially bile duct injuries, and presented a system for classifying and comparing the severity of bile duct injur...

journal_title：Annals of surgery

authors： Wherry DC,Rob CG,Marohn MR,Rich NM

更新日期：1994-11-01 00:00:00

abstract：OBJECTIVE:To determine the proportion of registered trials published in the surgical literature, to compare, in registered trials, the primary outcomes registered with those published and to determine whether outcome-reporting bias favored significant primary outcomes. BACKGROUND:Trial protocol registration before pat...

journal_title：Annals of surgery

authors： Killeen S,Sourallous P,Hunter IA,Hartley JE,Grady HL

更新日期：2014-01-01 00:00:00

abstract：:Fifty-one adult patients were referred for surgical treatment during the time period from July 1980 to November 1985. The average age was 59 +/- 6 years (19-70 years). All patients had symptomatic ventricular tachycardia that was refractory to standard or experimental drug therapy. On the basis of patient condition, s...

journal_title：Annals of surgery

authors： Hammon JW Jr,Echt DS,Merrill WH,Primm KR,Woosley RL,Smith RF,Roden DM,Bender HW Jr

更新日期：1986-06-01 00:00:00

abstract：OBJECTIVE:To examine the first decade of experience with minimal access surgery, with particular attention to issues of training surgeons already in practice, and to provide a set of recommendations to improve technical training for surgeons in practice. SUMMARY BACKGROUND DATA:Concerns about the adequacy of training ...

journal_title：Annals of surgery

authors： Rogers DA,Elstein AS,Bordage G

更新日期：2001-02-01 00:00:00

abstract：OBJECTIVE:To determine and compare the frequency of cancer-associated genetic abnormalities in esophageal metaplasia biopsies with and without goblet cells. BACKGROUND:Barrett's esophagus is associated with increased risk of esophageal adenocarcinoma (EAC), but the appropriate histologic definition of Barrett's esopha...

journal_title：Annals of surgery

authors： Bandla S,Peters JH,Ruff D,Chen SM,Li CY,Song K,Thoms K,Litle VR,Watson T,Chapurin N,Lada M,Pennathur A,Luketich JD,Peterson D,Dulak A,Lin L,Bass A,Beer DG,Godfrey TE,Zhou Z

更新日期：2014-07-01 00:00:00

abstract：:From January 1982 to June 1986, 444 patients had localization of 500 nonpalpable mammographically suspicious lesions using the Kopans hook wire technique. Four hundred ninety-nine biopsies were performed in 443 patients. Cancer was identified in 12% of the biopsies performed for a suspicious mass or density and in 20%...

journal_title：Annals of surgery

authors： Symmonds RE Jr,Roberts JW

更新日期：1987-05-01 00:00:00

abstract：:In construction of the eosphagojejunostomy after total gastrectomy, the EEA stapled (US Surgical Corporation, Norwalk, CT) and the two-layer interrupted 3-0 Dexon anastomoses are compared concerning the radiological appearance, breaking strength, circulation, and collagen concentration. Thirty female pigs were used. A...

journal_title：Annals of surgery

authors： Walther B,Löwenhielm P,Strand SE,Ståhlberg F,Uvelius B,Oscarson J,Evander A

更新日期：1986-04-01 00:00:00

abstract：OBJECTIVE:To evaluate the effect of preoperative transarterial chemoembolization (TACE) for resectable large hepatocellular carcinoma (HCC). SUMMARY BACKGROUND DATA:Resection of HCC is potentially curative, but local recurrence is very common. There is currently no effective neoadjuvant or adjuvant therapy. METHODS:F...

journal_title：Annals of surgery

authors： Zhou WP,Lai EC,Li AJ,Fu SY,Zhou JP,Pan ZY,Lau WY,Wu MC

更新日期：2009-02-01 00:00:00

abstract：OBJECTIVE:To evaluate the outcome of artificial anal sphincter implantation for severe fecal incontinence in 37 consecutive patients operated on in a single institution from 1993 through 2001. SUMMARY BACKGROUND DATA:Implantation of an artificial anal sphincter is proposed in severe fecal incontinence when local treat...

journal_title：Annals of surgery

authors： Michot F,Costaglioli B,Leroi AM,Denis P

更新日期：2003-01-01 00:00:00

abstract：OBJECTIVE:The authors determine the reliability, validity, and usefulness of the Objective Structured Clinical Examination (OSCE) in the evaluation of surgical residents. SUMMARY BACKGROUND DATA:Interest is increasing in using the OSCE as a measurement of clinical competence and as a certification tool. However, conce...

journal_title：Annals of surgery

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

更新日期：1995-12-01 00:00:00

abstract：OBJECTIVE:To determine the optimum excision margin and nodal management for patients with primary cutaneous melanomas 2.01- to 4.00-mm thick (T3 melanomas). BACKGROUND:Currently available evidence does not reliably define the minimum safe excision margin and best nodal management for patients with primary cutaneous T3...

journal_title：Annals of surgery

authors： Lamboo LG,Haydu LE,Scolyer RA,Quinn MJ,Saw RP,Shannon KF,Spillane AJ,Stretch JR,Bonenkamp JJ,Thompson JF

更新日期：2014-12-01 00:00:00

abstract：OBJECTIVE:To evaluate the safety and efficacy of transversus abdominis muscle release (TAR) with retrorectus synthetic mesh reinforcement in a large series of complex hernia patients. BACKGROUND:Posterior component separation via TAR during abdominal wall reconstruction (AWR) continues to gain popularity. Although our...

journal_title：Annals of surgery

authors： Novitsky YW,Fayezizadeh M,Majumder A,Neupane R,Elliott HL,Orenstein SB

更新日期：2016-08-01 00:00:00

abstract：OBJECTIVE:This study was designed to examine the differential effects of tumor necrosis factor (TNF) and nitric oxide on the acute cardiovascular changes that occur in response to endotoxemia. SUMMARY BACKGROUND DATA:Recent studies have suggested that some, if not all, of the cardiovascular effects of TNF are mediated...

journal_title：Annals of surgery

authors： Fahey TJ 3rd,Yoshioka T,Shires GT,Fantini GA

更新日期：1996-01-01 00:00:00

abstract：:The induction of donor-specific tolerance could prevent the side effects of immunosuppression while improving allograft survival. Male adult Buffalo (RT1b) rats underwent an intrathymic (IT), portal venous (PV), intrasplenic (IS), or subcutaneous (SQ) injection of 25 x 10(6) major histocompatibility complex (MHC) mism...

journal_title：Annals of surgery

authors： Goss JA,Nakafusa Y,Flye MW

更新日期：1992-10-01 00:00:00

abstract：:Primary hyperparathyroidism was studied in a well-defined geriatric population of 1129 individuals during a three-month interval. Primary hyperparathyroidism was diagnosed in 1.5%. The diagnosis was based on a morphologic and biochemic basis. From clinical material consisting of 400 patients treated surgically for pri...

journal_title：Annals of surgery

authors： Tibblin S,Pålsson N,Rydberg J

更新日期：1983-02-01 00:00:00

abstract：:The late results of brachial thrombectomy following cardiac catheterization were evaluated in 20 patients. All patients had a radial pulse present and no symptoms or signs of ischemia of the hand at the time of discharge from the hospital. Late evaluation of these 20 patients revealed 8 in whom the long-term results w...

journal_title：Annals of surgery

authors： Nicholas GG,DeMuth WE Jr

更新日期：1976-04-01 00:00:00

abstract：OBJECTIVE:To assess the role of registries in the postmarketing surveillance of surgical meshes. BACKGROUND:To date, surgical meshes are classified as group II medical devices. Class II devices do not require premarket clearance by clinical studies. Ethicon initiated a voluntary market withdrawal of Physiomesh for lap...

journal_title：Annals of surgery

authors： Köckerling F,Simon T,Hukauf M,Hellinger A,Fortelny R,Reinpold W,Bittner R

更新日期：2018-12-01 00:00:00

abstract：:Desmoid tumors are locally invasive, nonmetastasizing fibrous tumors most frequently seen in patients with familial polyposis coli (FPC). Of 325 patients with FPC treated at the Cleveland Clinic, 29 (8.9%) were found to have a total of 36 desmoid tumors. These tumors occur in young patients (mean age: 29.8 years), par...

journal_title：Annals of surgery

authors： Jones IT,Jagelman DG,Fazio VW,Lavery IC,Weakley FL,McGannon E

更新日期：1986-07-01 00:00:00

abstract：OBJECTIVE:To explore challenges and opportunities for surgery departments' academic missions as they become increasingly affiliated with expanding health systems. SUMMARY BACKGROUND DATA:Academic medicine is in the midst of unprecedented change. In addition to facing intense competition, narrower margins, and decrease...

journal_title：Annals of surgery

authors： Chhabra KR,Diaz A,Byrnes MA,Rajkumar A,Yang P,Dimick JB,Nathan H

更新日期：2020-11-12 00:00:00

abstract：OBJECTIVE:Comparative effectiveness research has mostly been focused on comparison of treatment techniques. The goal of the present study was to extend the research to physician specialty. BACKGROUND:Both surgeons and interventionalists (cardiologists and radiologists) are involved in endovascular repairs (EVAR) of ao...

journal_title：Annals of surgery

authors： McCutcheon BA,Talamini MA,Chang DC,Rose JA,Bandyk DF,Wilson SE

更新日期：2013-09-01 00:00:00

abstract：OBJECTIVE:To assess the association of 0.9% saline use versus a calcium-free physiologically balanced crystalloid solution with major morbidity and clinical resource use after abdominal surgery. BACKGROUND:0.9% saline, which results in a hyperchloremic acidosis after infusion, is frequently used to replace volume loss...

journal_title：Annals of surgery

authors： Shaw AD,Bagshaw SM,Goldstein SL,Scherer LA,Duan M,Schermer CR,Kellum JA

更新日期：2012-05-01 00:00:00

abstract：:Fifteen patients with Zollinger-Ellison syndrome followed at the National Institutes of Health with extensive metastatic disease had an actuarial 5-year survival of 20%. Therefore, in 1982 a prospective study to examine the effect and feasibility of removing all gross tumor in selected patients with extensive metastat...

journal_title：Annals of surgery

authors： Norton JA,Sugarbaker PH,Doppman JL,Wesley RA,Maton PN,Gardner JD,Jensen RT

更新日期：1986-04-01 00:00:00

abstract：OBJECTIVE:To study the impact of LT experience on the outcome of CLR for locally advanced hepatobiliary malignancy SUMMARY OF BACKGROUND DATA:: Despite evolution in LT knowledge and surgical techniques in the past decades, there is yet data to evaluate the significance of LT experience in performing CLR. METHODS:Posto...

journal_title：Annals of surgery

authors： Chan ACY,Chok KSH,Dai J,Tsang SHY,Cheung TT,Poon R,Fan ST,Lo CM

更新日期：2020-07-09 00:00:00

abstract：BACKGROUND:Aortic elasticity creates a cushion that protects the heart from pressure injury, and a recoil that helps perfuse the coronary arteries. TEVAR has become first-line therapy for many aortic pathologies including trauma, but stent-grafts stiffen the aorta and likely increase LV afterload. OBJECTIVE:Test the h...

journal_title：Annals of surgery

authors： Kamenskiy A,Aylward P,Desyatova A,DeVries M,Wichman C,MacTaggart J

更新日期：2020-01-03 00:00:00

abstract：OBJECTIVE:This study was designed to determine if resection of positive regional nodes in patients with breast cancer provided a group of cured patients. SUMMARY BACKGROUND DATA:Previous studies of long-term follow-up of patients with breast cancer have demonstrated that 30% of patients with positive nodes may be aliv...

journal_title：Annals of surgery

authors： Gardner B,Feldman J

更新日期：1993-09-01 00:00:00

abstract：OBJECTIVE:To study the effects of autologous platelet-rich fibrin (PRF) versus human albumin on incisional wound breaking strength and subcutaneous collagen deposition in patients undergoing laparoscopic cholecystectomy in a randomized trial. SUMMARY BACKGROUND DATA:Platelet peptidic growth factors may stimulate colla...

journal_title：Annals of surgery

authors： Danielsen PL,Agren MS,Jorgensen LN

更新日期：2010-05-01 00:00:00

abstract：:The effectiveness of enteral and parenteral feeding in supporting a satisfactory nutritional status and/or reversing protein-energy malnutrition was evaluated in 28 children, ages 1-19 (14 female) with advanced malignant disease (21 solid tumors, 7 leukemia-lymphoma). At the onset of treatment, 21 patients received in...

journal_title：Annals of surgery

authors： Rickard KA,Grosfeld JL,Kirksey A,Ballantine TV,Baehner RL

更新日期：1979-12-01 00:00:00

abstract：OBJECTIVE:To determine if 5-year surgeon cumulative and annual volumes predict improved early postoperative outcomes in patients with rectal cancer. BACKGROUND:Operative experience has been shown to effect surgical outcomes. The differential role of cumulative versus annual volume has not yet been explored for rectal ...

journal_title：Annals of surgery

authors： Yeo HL,Abelson JS,Mao J,O'Mahoney PR,Milsom JW,Sedrakyan A

更新日期：2017-01-01 00:00:00

abstract：:Release of pancreatic polypeptide (PP) after a meal is biphasic, with an early transient peak believed to be under cholinergic control, and a secondary, prolonged intestinal phase thought to be mediated by hormones. Endogenous release of PP was stimulated by intraduodenal oleate (6.8 mmol/hr) or by intravenous adminis...

journal_title：Annals of surgery

authors： Fried GM,Ogden WD,Greeley GH Jr,Thompson JC

更新日期：1984-11-01 00:00:00

abstract：OBJECTIVES:To develop and validate a classification of sleeve gastrectomy leaks able to reliably predict outcomes, from protocolized computed tomography (CT) findings and readily available variables. SUMMARY OF BACKGROUND DATA:Leaks post sleeve gastrectomy remain morbid and resource-consuming. Incidence, treatments, a...

journal_title：Annals of surgery

authors： Johari Y,Catchlove W,Tse M,Shaw K,Paul E,Chen R,Loh D,Packiyanathan A,Burton P,Nottle P,Ellis S,Brown W

更新日期：2021-01-19 00:00:00