解剖学和形态学
麻醉学
听力与言语-语言病理学
行为科学
心脏和心血管系统
细胞和组织工程学
临床神经病学
危重症监护医学
牙科,口腔外科和医学
皮肤病学
急诊医学
内分泌学和新陈代谢
肠胃学和肝脏学
老人病学和老年医学
卫生保健科学和服务
血液学
免疫学
传染病
综合和补充性医学
医学伦理学
医学信息学
医学实验室技术
医学,全科和内科
医学,法律
医学,研究和试验
神经系统科学
护理
营养学和饮食学
产科医学和妇科医学
肿瘤学
眼科学
整形外科学
耳鼻喉科学
病理学
儿科学
周围血管疾病
药理学和药剂学
生理学
基本医疗保健
精神病学
公共、环境和职业卫生
放射学,核医学和医学成像
康复学
生殖生物学
呼吸系统
风湿病学
运动科学
外科学
毒理学
热带医学
泌尿学和肾脏学
病毒学
老年医学
健康政策和服务
心理学,临床
abstract:BACKGROUND:Occasionally, lung transplant candidates improve to the point where they are removed from the transplant list. We sought to determine the characteristics and outcomes of lung transplant candidates who improved to delisting both before and after implementation of the lung allocation score. METHODS:Using the ...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2019.07.009
更新日期:2019-12-01 00:00:00
abstract:BACKGROUND:Conjoined twins are rare developmental anomalies. There is a paucity of literature other than case reports and small case series. The aim of this study was to examine national outcomes and identify predictors of mortality in newborn conjoined twins. METHODS:We reviewed data on newborn conjoined twins from t...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2019.06.028
更新日期:2019-11-01 00:00:00
abstract:BACKGROUND:Although a growing body of literature has focused on the impacts leadership development programs have had on the individual surgeon, little effort has been focused on understanding the impacts these programs have had on surgical culture. The purpose of this study was to explore the impacts of implementing a ...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2019.05.015
更新日期:2019-11-01 00:00:00
abstract:BACKGROUND:Certain treatments increase lymphedema risk in breast cancer survivors. The purpose of this study was to determine whether quality of life improved with preoperative teaching by a lymphedema expert. METHODS:Preoperative breast cancer patients were prospectively randomized into intervention group 1 or contro...
journal_title:Surgery
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.surg.2019.05.048
更新日期:2019-10-01 00:00:00
abstract:BACKGROUND:The management of patients with a complete clinical response after neoadjuvant therapy for rectal adenocarcinoma is controversial. Those who advocate for resection point out the inaccuracy of N-staging with current imaging modalities. The objective of this study is to determine the impact of residual nodal i...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2019.03.026
更新日期:2019-10-01 00:00:00
abstract:BACKGROUND:Difficult cephalad exposure during carotid endarterectomy in patients with high plaque (HP) may lead to increased incidence of complications after carotid endarterectomy. We report on our experience of carotid endarterectomy in patients with HP. METHODS:This is a retrospective review of 1,233 consecutive pa...
journal_title:Surgery
pub_type: 杂志文章,多中心研究
doi:10.1016/j.surg.2019.06.017
更新日期:2019-10-01 00:00:00
abstract:BACKGROUND:Osteopontin acts thru myeloid zinc finger-1 and transforming growth factor-β to drive the adoption of a cancer-associated fibroblast phenotype by local mesenchymal stem cells. Cancer-associated fibroblasts increase cancer cell stemness. METHODS:Mesenchymal stem cells were exposed to osteopontin or were cocu...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2019.05.042
更新日期:2019-10-01 00:00:00
abstract:BACKGROUND:Current standards for lymph node harvest in colorectal cancer surgery may be inadequate. Higher lymph node yield may improve survival, but the number of lymph nodes needed to optimize survival is unknown. The objective of this study was to examine the relationship between lymph node yield and overall surviva...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2019.03.027
更新日期:2019-10-01 00:00:00
abstract:BACKGROUND:Previous evaluations of the oncologic efficacy of minimally invasive approaches to total gastrectomy in gastric adenocarcinoma have been limited by sample size and duration of follow-up. METHODS:We queried the National Cancer Database to identify patients undergoing robotic and laparoscopic or open total ga...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2019.05.041
更新日期:2019-10-01 00:00:00
abstract:BACKGROUND:The long-term consequences of in-hospital complications remain largely unknown. We sought to study the effect of complications on the long-term functional outcome of trauma patients. METHODS:Patients with an Injury Severity Score ≥ 9 admitted to 3, level I trauma centers between 2015 and 2017 were contacted...
journal_title:Surgery
pub_type: 杂志文章,多中心研究
doi:10.1016/j.surg.2019.04.026
更新日期:2019-09-01 00:00:00
abstract:BACKGROUND:In an attempt to prevent overly aggressive treatment of low-risk thyroid cancers, the American Thyroid Association changed guideline recommendations in late 2015 to state that either hemithyroidectomy or total thyroidectomy are acceptable operations for these patients. We hypothesized that surgeons would inc...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2019.03.002
更新日期:2019-09-01 00:00:00
abstract:BACKGROUND:Certain behavioral traits and inadequate social support are known risk factors for complications after cancer surgery. Despite their importance, it is unclear whether conventional patient preoperative evaluation captures them. This study was conducted to assess concordance between documentation and patient s...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2019.04.015
更新日期:2019-08-01 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:Management of <2-cm pancreatic neuroendocrine tumors is controversial. Although often indolent, the oncologic heterogeneity of these tumors particularly related to lymph node metastases poses challenges when deciding between resection versus surveillance. METHODS:We analyzed all patients who underwent resec...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2019.03.008
更新日期:2019-07-01 00:00:00
abstract:BACKGROUND:We present the largest single-center study to date of surgical and quality-of-life outcomes among patients treated with laparoscopic antireflux surgery for reflux-associated chronic cough. Extraesophageal manifestations of chronic gastroesophageal reflux are increasingly recognized, among which chronic cough...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2019.01.036
更新日期:2019-07-01 00:00:00
abstract:BACKGROUND:Necrotizing enterocolitis is the leading case of gastrointestinal-related morbidity in premature infants. Necrotizing enterocolitis totalis is an aggressive form of necrotizing enterocolitis, which has traditionally been managed with comfort care. Recent advances in management of short bowel syndrome have re...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2019.03.005
更新日期:2019-06-01 00:00:00
abstract:BACKGROUND:Microvascular invasion is the strongest prognostic factor of survival in patients with hepatocellular carcinoma. We therefore developed a predictive model for microvascular invasion of hepatocellular carcinoma to help guide treatment strategies in patients scheduled for either hepatic resection or liver tran...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2019.01.012
更新日期:2019-06-01 00:00:00
abstract:BACKGROUND:Interest is growing in simulation-based continuing medical education courses for practicing surgeons. However, little research has explored the instruction employed during these courses. This study examines instruction practices used during an annual simulation-based continuing medical education course. MET...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2019.01.016
更新日期:2019-06-01 00:00:00
abstract:BACKGROUND:Burn-induced compartment syndrome is a severe sequela after circumferential burns of the extremities and is avoidable by immediate release of the underlying pressure under the eschar. Although the current gold standard is operative escharotomy, this procedure carries considerable morbidity. Our study evaluat...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2018.11.019
更新日期:2019-06-01 00:00:00
abstract:BACKGROUND:Malignancy is a relative contraindication in transplant candidates, given the increased neoplastic risk accompanying posttransplant immunosuppression. However, the number of patients receiving a lung transplant despite pretransplant malignancy is rising, and their outcomes remain unclear. Our purpose was to ...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2019.01.008
更新日期:2019-06-01 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:Corticosteroid use continues to rise nationally. Studies have evaluated the impact of chronic steroid use on surgical outcomes in smaller populations. This study investigated the impact of chronic steroid use on perioperative surgical outcomes in a surgical cohort of more than 5 million surgical patients, us...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2018.12.016
更新日期:2019-05-01 00:00:00
abstract:BACKGROUND:Publicly reported hospital scores are used by patients to make health care-related decisions; however, their relationship to clinical outcomes is unknown. METHODS:Through the use of the New York Statewide Planning and Research Cooperative System database, the association between two commonly used scores (He...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2018.12.006
更新日期:2019-05-01 00:00:00
abstract:BACKGROUND:Pediatric umbilical hernia repair is a common procedure that requires minimal tissue disruption. We examined variation in opioid prescription fills after repair of uncomplicated umbilical hernias to characterize the types and doses of medication used and persistent postsurgical use. METHODS:Using the Truven...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2018.10.029
更新日期:2019-04-01 00:00:00
abstract:BACKGROUND:Serum concentrations of fatty acid binding protein 4, an adipose tissue fatty acid chaperone, have been correlated with insulin resistance and cardiovascular risk factors. The objective of this study were to assess relationships among Roux-en-Y gastric bypass, intensive lifestyle modification and medical man...
journal_title:Surgery
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1016/j.surg.2018.08.007
更新日期:2019-03-01 00:00:00
abstract:BACKGROUND:Although prophylactic glucocorticoids have been used before liver resection to minimize liver dysfunction, it is unknown whether treatment with glucocorticoids will accelerates recovery from hyperbilirubinemia after liver resection. METHODS:In this open-label, randomized, controlled trial, patients with hyp...
journal_title:Surgery
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.surg.2018.09.002
更新日期:2019-03-01 00:00:00
abstract:BACKGROUND:The aim of the present study was to investigate whether the incidence of surgical site infection after pancreatoduodenectomy decreased after changing the prophylactic antibiotic to a third-generation cephalosporin in patients with unknown preoperative bile culture results after biliary drainage. METHODS:In ...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2018.09.011
更新日期:2019-03-01 00:00:00
abstract:BACKGROUND:Recent trends toward regionalization of complex surgical procedures may increase the risk for care fragmentation during readmissions. Conflicting conclusions have been reported regarding risk factors and consequences of nonindex readmissions (ie, readmission to a separate hospital than the one where surgery ...
journal_title:Surgery
pub_type: 杂志文章,meta分析
doi:10.1016/j.surg.2018.08.021
更新日期:2019-03-01 00:00:00
abstract:BACKGROUND:Resection of T4 colon cancer remains challenging compared to lower T stages. Data on the effect of neoadjuvant radiation to improve resectability and survival are lacking. The purpose of this study is to describe the use and outcomes of neoadjuvant radiation therapy in clinical T4 colon cancer. METHODS:Adul...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2018.06.015
更新日期:2019-02-01 00:00:00
abstract:BACKGROUND:The impact of the location of colorectal cancer on patient outcomes has been reported in several settings. The objective of this study was to assess the prognostic impact of the location of the primary colon cancer among patients with colorectal cancer peritoneal metastases undergoing complete cytoreductive ...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2018.07.027
更新日期:2019-02-01 00:00:00
abstract:BACKGROUND:Encapsulated follicular variant of papillary thyroid carcinoma has recently been reclassified as noninvasive follicular thyroid neoplasm with papillary-like nuclear features on the basis of its highly indolent behavior, as proposed by an international group of experienced thyroid pathologists. METHODS:All p...
journal_title:Surgery
pub_type: 杂志文章,多中心研究
doi:10.1016/j.surg.2018.04.089
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:Sudden massive release of serotonin, histamine, kallikrein, and bradykinin is postulated to cause an intraoperative carcinoid crisis. The exact roles of each of these possible agents, however, remain unknown. Optimal treatment will require an improved understanding of the pathophysiology of the carcinoid cri...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2018.04.093
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:Adrenocortical carcinoma is a rare and aggressive malignancy with poor survival. With limited treatment options and high risk of relapse, identifying improved targets and therapies for adrenocortical carcinoma is important. We hypothesized that analysis of the database of The Cancer Genome Atlas could identi...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2018.04.080
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:Patient-reported outcome measures are being used increasingly to assess disease severity and response to surgery. The purpose of this study was to create and validate a patient-reported outcome measure for symptoms of thyroid enlargement and hyperparathyroidism, 2 conditions where the presence of preoperativ...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2018.04.091
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:Venous thromboembolism, presenting as deep vein thrombosis or pulmonary embolism, can be associated with considerable morbidity after major abdominal and pelvic surgery. Perioperative thromboprophylaxis with low-molecular-weight heparin is well established, but the duration of treatment remains debated. We a...
journal_title:Surgery
pub_type: 杂志文章,meta分析
doi:10.1016/j.surg.2018.05.028
更新日期:2018-12-01 00:00:00
abstract:BACKGROUND:Traumatic injury is strongly associated with long-term mental health disorders, but the risk factors for developing these disorders are poorly understood. We report on a multi-institutional collaboration to collect long-term patient-centered outcomes after trauma, including screening for post-traumatic stres...
journal_title:Surgery
pub_type: 杂志文章,多中心研究
doi:10.1016/j.surg.2018.07.017
更新日期:2018-12-01 00:00:00
abstract:BACKGROUND:Patients with colon cancer often present with obstruction. Large series have reported obstruction among the high-risk features, yet prospective data on its specific prognostic influence are lacking. We hypothesized that obstruction is an independent risk factor for poor prognosis in patients with stage III c...
journal_title:Surgery
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.surg.2018.06.044
更新日期:2018-12-01 00:00:00
abstract::The term big data has been popularized over the past decade and is often used to refer to data sets that are too large or complex to be analyzed by traditional means. Although the term has been utilized for some time in business and engineering, the concept of big data is relatively new to medicine. The reception from...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2018.06.022
更新日期:2018-10-01 00:00:00
abstract:BACKGROUND:Despite the recommendations of the Advanced Trauma Life Support course of the American College of Surgeons, patients undergo computed tomography (CT) in local hospitals before transfer to a trauma center. The problem of repeat CTs caused by technical and protocol issues is ongoing. The objective is to measur...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2018.07.007
更新日期:2018-10-01 00:00:00
abstract:BACKGROUND:Although there exists robust literature on mortality-associated factors in burn patients, it is not known how electronic medical records affect outcomes. Using burn injury as a surgical care model of information and communication, we hypothesized that functionality and interoperability of the electronic medi...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2018.07.010
更新日期:2018-10-01 00:00:00