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:Postoperative hepatic decompensation is a serious complication of liver resection in patients undergoing hepatectomy for hepatocellular carcinoma. Liver fibrosis and clinical significant portal hypertension are well-known risk factors for hepatic decompensation. Liver stiffness measurement is a noninvasive m...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2017.06.006
更新日期:2017-10-01 00:00:00
abstract:BACKGROUND:Although systems of 3-dimensional image-guided surgery are a valuable adjunct across numerous procedures, differences in organ shape between that reflected in the preoperative image data and the intraoperative state can compromise the fidelity of such guidance based on the image. In this work, we assessed in...
journal_title:Surgery
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.surg.2017.04.020
更新日期:2017-09-01 00:00:00
abstract:BACKGROUND:In primary hyperparathyroidism, successful parathyroidectomy leads to improved bone mineral density in the majority of cases. Our aim was to further explore the relationship between hypercalciuria, kidney function, and bone recovery after parathyroidectomy. METHODS:Bone mineral density, estimated glomerular...
journal_title:Surgery
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.surg.2017.02.017
更新日期:2017-08-01 00:00:00
abstract:BACKGROUND:Age-related loss of muscle mass and function (sarcopenia) is linked to poor outcomes after operation and trauma. Here we evaluate computed tomography measured psoas muscle density and area using quick and simple tools available to the bedside clinician. We hypothesize these measures will predict poor outcome...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2017.03.014
更新日期:2017-08-01 00:00:00
abstract:BACKGROUND:Totally implantable venous access devices (ports) are widely used, especially for cancer chemotherapy. Although their use has been associated with upper extremity deep venous thrombosis, the risk factors of upper extremity deep venous thrombosis in patients with a port are not studied adequately. METHODS:Th...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2017.02.020
更新日期:2017-08-01 00:00:00
abstract:BACKGROUND:Impaired capacity of patients necessitates the use of surrogates to make decisions on behalf of patients. Little is known about surrogate decision-making in the surgical intensive care unit, where the decline to critical illness is often unexpected. We sought to explore surrogate experiences with decision-ma...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2017.03.011
更新日期:2017-08-01 00:00:00
abstract:BACKGROUND:Oxidative stress and inflammation are implicated in the pathogenesis of steatohepatitis. We hypothesize that Roux-en-Y gastric bypass reduces oxidative stress and inflammation in the liver of obese rats via activation of AMPK-α. METHODS:Obese Sprague-Dawley male rats underwent either sham operation or Roux-...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2017.01.012
更新日期:2017-07-01 00:00:00
abstract:BACKGROUND:Several studies have reported that the triangulating stapling method decreases the incidence of anastomotic stricture after esophagectomy, but no randomized, controlled trial has confirmed the efficacy of the triangulating stapling method for cervical esophagogastrostomy. We compared triangulating stapling a...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2017.01.013
更新日期:2017-07-01 00:00:00
abstract:BACKGROUND:The Michigan Surgical Home and Optimization Program is a structured, home-based, preoperative training program targeting physical, nutritional, and psychological guidance. The purpose of this study was to determine if participation in this program was associated with reduced hospital duration of stay and hea...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2016.12.021
更新日期:2017-06-01 00:00:00
abstract:BACKGROUND:Lung injury is a life-threatening complication in patients with liver dysfunction. We recently provided an experimental lung injury model in mouse with common bile duct ligation. In this study, we aimed to characterize the pathologic and biochemical features of lung tissues in common bile duct ligation mice ...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2016.12.017
更新日期:2017-06-01 00:00:00
abstract:BACKGROUND:Postoperative pancreatic fistula represents the most important complication after distal pancreatectomy. The aim of this study was to evaluate the use of a preoperative endoscopic injection of botulinum toxin into the sphincter of Oddi to prevent postoperative pancreatic fistula (German Clinical Trials Regis...
journal_title:Surgery
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.surg.2016.09.005
更新日期:2017-05-01 00:00:00
abstract::Tony is a practicing frontline National Health Service surgeon and director of medical innovation at Anglia Ruskin University and has founded 4 medical-technology start-ups. He has also cofounded the £500 million Anglia Ruskin MedTech Campus, which will become one of the world's largest health innovation spaces. In 20...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2016.07.039
更新日期:2017-05-01 00:00:00
abstract:BACKGROUND:The recent development of stereoscopic images using 3-dimensional monitors is expected to improve techniques for laparoscopic operation. Several studies have reported technical advantages in using 3-dimensional monitors with regard to operative accuracy and working speed, but there are few reports that analy...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2016.08.060
更新日期:2017-05-01 00:00:00
abstract::Dr McCarthy is a fellow in cardiothoracic surgery at the University of Washington. During his general surgery training at Northwestern University, he completed a research fellowship in surgical innovation and obtained masters' degrees with a focus on health enterprise management, entrepreneurship, and innovation. ...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2016.08.035
更新日期:2017-04-01 00:00:00
abstract:BACKGROUND:As payment shifts toward bundled reimbursement, decreasing unnecessary inpatient care may provide cost savings. This study examines the association between discharge status, hospital duration of stay, and cost for colorectal operation patients without complications and uses risk factors to predict the need f...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2016.10.015
更新日期:2017-04-01 00:00:00
abstract:BACKGROUND:Pancreatectomy is associated with a high complication rate that varies between 40-60%. Although many specific complications have been extensively studied, postoperative pneumonia has received little attention. METHODS:Patients undergoing pancreaticoduodenectomy (n = 1,090) and distal pancreatectomy (n = 436...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2016.09.028
更新日期:2017-04-01 00:00:00
abstract:BACKGROUND:After sphincter-saving operation for rectal cancer, the impact of anastomotic leakage on function has been well studied. The purpose of the present work was to assess the influence of symptomatic and asymptomatic anastomotic leakage on bowel function and health-related quality of life using the Low Anterior ...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2016.09.037
更新日期:2017-04-01 00:00:00
abstract:BACKGROUND:The relationship between myopenia, nutritional status, and long-term oncologic outcomes remains poorly characterized in patients with clinically resectable pancreatic cancer. We sought to reliably quantify prognostic indicators of preoperative cachexia in a manner applicable to any clinical setting. METHODS...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2016.09.038
更新日期:2017-04-01 00:00:00
abstract:BACKGROUND:Minority-serving hospitals have greater readmission rates after operative procedures including colectomy; however, little is known about the contribution of hospital factors to readmission risk and mortality in this setting. This study evaluated the impact of hospital factors on readmissions and inpatient mo...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2016.08.041
更新日期:2017-03-01 00:00:00
abstract:BACKGROUND:With over 110,000 bariatric operations performed in the United States annually, it is important to understand the biochemical abnormalities causing endocrine dysfunction associated with these procedures. Here we compare 2 malabsorptive procedures, duodenal switch and Roux-en-Y gastric bypass, to determine th...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2016.08.046
更新日期:2017-03-01 00:00:00
abstract:BACKGROUND:Ventral incisional hernia is the most common long-term complication after an abdominal operation. Among newly diagnosed colorectal cancer patients, we screened the preoperative plasma proteome to explore predictive markers for the development of an incisional hernia. METHODS:We utilized preoperative plasma ...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2016.08.025
更新日期:2017-03-01 00:00:00
abstract:BACKGROUND:Propranolol has been shown previously to restore bone marrow function and improve anemia after lung contusion/hemorrhagic shock. We hypothesized that daily clonidine administration would inhibit central sympathetic outflow and restore bone marrow function in our rodent model of lung contusion/hemorrhagic sho...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2016.08.043
更新日期:2017-03-01 00:00:00
abstract:BACKGROUND:After portal vein ligation of 1 side of the liver, the other side regenerates at a slow rate. This slow growth may be accelerated to rapid growth by adding a transection between the 2 sides, i.e., performing portal vein ligation and parenchymal transection. We found that in patients undergoing portal vein li...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2016.05.018
更新日期:2017-03-01 00:00:00
abstract:BACKGROUND:"Take the Volume Pledge" proposes restricting pancreatectomies to hospitals that perform ≥20 per year. Our purpose was to identify those factors that characterize patients at risk for loss of access to pancreatic cancer care with enforcement of volume standards. METHODS:Using the Healthcare Cost and Utiliza...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2016.07.017
更新日期:2017-03-01 00:00:00
abstract:BACKGROUND:Although there is a large body of published data demonstrating improved outcomes for complex operations when performed by high-volume surgeons at high-volume hospitals, the literature is mixed regarding whether this same relationship applies in less complex and more common surgeries such as laparoscopic chol...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2016.08.027
更新日期:2017-03-01 00:00:00
abstract:BACKGROUND:Patients with gastroenteropancreatic neuroendocrine tumors often present with metastases. Identification of the primary tumor is important for operative management, and therefore we sought to determine our success at identifying primary tumors with diagnostic testing and operative exploration. METHODS:A cli...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2016.05.055
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:The management of low-risk micropapillary thyroid cancer <1 cm in size has come into question, because recent data have shown that nonoperative active surveillance of micropapillary thyroid cancer is a viable alternative to hemithyroidectomy. We conducted a cost-effectiveness analysis to help decide between ...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2016.06.076
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Retroperitoneal sarcomas are rare tumors that can be locally aggressive with high rates of recurrence. Given that data on survival in patients with retroperitoneal sarcomas are conflicting, we sought to use a nationwide cancer database to identify factors associated with survival in patients with retroperito...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2016.05.041
更新日期:2016-12-01 00:00:00
abstract:BACKGROUND:Biologic mesh choice in ventral hernia repair is challenging due to lack of prospective data. This study examines long-term, single-center biologic mesh outcomes. METHODS:Prospective operative outcomes data was queried for open ventral hernia repair with biologic mesh. Univariate and multivariate analysis w...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2016.07.008
更新日期:2016-12-01 00:00:00
abstract:BACKGROUND:The benefit of utilizing surgical safety checklists has been recently questioned. We evaluated our checklist performance after implementing a program that includes checklist-related good catches. METHODS:Multifaceted interventions aimed at the preincision checklist and 5 prospective audits were conducted fr...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2016.04.038
更新日期:2016-12-01 00:00:00
abstract:BACKGROUND:Barriers to trauma care for rural populations are well documented, but little is known about the magnitude of urban-rural disparities in injury mortality. This study sought to quantify differences in injury mortality comparing rural and nonrural residents with traumatic injuries. METHODS:Using data from the...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2016.06.020
更新日期:2016-12-01 00:00:00
abstract:BACKGROUND:Few studies discuss causes and outcomes of peritonitis in low-income settings. This study describes epidemiology of patients with peritonitis at a Rwandan referral hospital. Identification of risk factors associated with mortality and unplanned reoperation could improve management of peritonitis. METHODS:Da...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2016.08.036
更新日期:2016-12-01 00:00:00
abstract:BACKGROUND:Obesity is known as a risk factor for intra- and postoperative complications in pancreatic operation. However, the operative outcomes in obese patients undergoing laparoscopic distal pancreatectomy remain unclear. METHODS:A total number of 423 patients underwent laparoscopic distal pancreatectomy at Oslo Un...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2016.05.046
更新日期:2016-11-01 00:00:00
abstract:BACKGROUND:The American College of Surgeons National Surgical Quality Improvement Program is well recognized in surgical quality measurement and is used widely in research. Recent calls to make it a platform for national public reporting and pay-for-performance initiatives highlight the importance of understanding whic...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2016.04.034
更新日期:2016-11-01 00:00:00
abstract:BACKGROUND:The physiologic assessment of anal sphincters in cases of posttraumatic fecal incontinence is a fundamental step in planning operative treatment. In this study, we evaluate the correlation between size of anal sphincter defect, anal pressures, and clinical symptoms in patients with posttraumatic fecal incont...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2016.05.020
更新日期:2016-11-01 00:00:00
abstract:BACKGROUND:To determine the characteristics associated with improved accuracy or reliability of estimating operative blood loss. METHODS:Operating room personnel at a tertiary care hospital evaluated 3 operative simulations and provided estimations of blood loss. The simulations utilized precise, known volumes of porc...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2016.06.006
更新日期:2016-10-01 00:00:00
abstract:BACKGROUND:There is some concern that wedge resection of gastric gastrointestinal stromal tumors is not feasible in certain anatomic locations, such as the cardia or antrum. We sought to review our experience with treatment of gastric gastrointestinal stromal tumors with a particular focus on nonanatomic wedge resectio...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2016.06.004
更新日期:2016-10-01 00:00:00
abstract:BACKGROUND:Postoperative ileus, a transient impairment of bowel motility initiated by intestinal inflammation, is common after an abdominal operation and leads to increased hospital stays and costs. Hydrogen has potent anti-inflammatory and antioxidant properties and potential therapeutic value. Solubilized hydrogen ma...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2016.05.026
更新日期:2016-09-01 00:00:00
abstract:BACKGROUND:Although most pancreatic neuroendocrine tumors are solid, approximately 10% are cystic. Some studies have suggested that cystic pancreatic neuroendocrine tumors are associated with a more favorable prognosis. METHODS:A retrospective review of all patients with pancreatic neuroendocrine tumors who underwent ...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2016.04.005
更新日期:2016-09-01 00:00:00
abstract:BACKGROUND:Incidental detection of nonenhancing tumors during imaging studies for patients with classical hepatocellular carcinoma is not unusual. These tumors are considered to have a high potential of malignant transformation. The aim of this study was to clarify the natural history of such tumors. METHODS:In 93 pat...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2016.04.019
更新日期:2016-09-01 00:00:00