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:There is not enough evidence to establish an appropriate surveillance strategy after operative resection for intraductal papillary mucinous neoplasm. METHODS:This study included 257 consecutive intraductal papillary mucinous neoplasm patients who underwent operative resection between July 1999 and March 201...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2016.04.007
更新日期:2016-08-01 00:00:00
abstract:BACKGROUND:Adequate surgical care is lacking in many low- and middle-income countries because of diverse barriers preventing patients from reaching providers. We sought to assess perceived difficulties to accessing surgical care in Nepal using the Surgeons OverSeas Assessment of Surgical Need tool. METHODS:Fifteen of ...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2016.03.012
更新日期:2016-08-01 00:00:00
abstract:BACKGROUND:In a dynamic health care system, strong leadership has never been more important for surgeons. Little is known about how to design and conduct effectively a leadership program specifically for surgeons. We sought to evaluate critically a Leadership Development Program for practicing surgeons by exploring how...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2016.03.011
更新日期:2016-08-01 00:00:00
abstract:BACKGROUND:Several studies have demonstrated that postoperative complications after pancreatectomy for pancreatic cancer adversely affect survival. The impact on survival of a pancreatic fistula according to the classification of the International Study Group for Pancreatic Surgery has not been fully evaluated. The aim...
journal_title:Surgery
pub_type: 杂志文章,多中心研究
doi:10.1016/j.surg.2016.02.032
更新日期:2016-08-01 00:00:00
abstract:BACKGROUND:Results of the conservative treatment of renal cell carcinomas arising in functional renal transplants are unknown compared to transplant nephrectomy. Only small series or case reports have been reported. METHODS:Data were collected from 32 transplantation centers nationwide on cases of de novo tumors in fu...
journal_title:Surgery
pub_type: 杂志文章,多中心研究
doi:10.1016/j.surg.2016.01.022
更新日期:2016-07-01 00:00:00
abstract:BACKGROUND:Although the price hospitals charge for operations has broad financial implications, hospital pricing is not subject to regulation. We sought to characterize national variation in hospital price markup for major cardiothoracic and gastrointestinal operations and to evaluate perioperative outcomes of hospital...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2016.03.014
更新日期:2016-07-01 00:00:00
abstract:BACKGROUND:Previous studies have reported on the association between perioperative morbidity and diminished oncologic outcomes in patients undergoing resection for colorectal or pancreatic cancer. However, the effect of anastomotic leak (AL) on the survival of patients with gastric or esophageal cancer remains unclear....
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2016.02.020
更新日期:2016-07-01 00:00:00
abstract:BACKGROUND:Obese patients can develop a large lower abdominal panniculus (worsened by significant weight loss). Patients with advanced chronic kidney disease (CKD) affected by this obesity-related sequela are not infrequently declined for kidney transplantation because of the high risk for serious wound-healing complic...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2015.12.001
更新日期:2016-06-01 00:00:00
abstract:BACKGROUND:Hospitals are increasingly focused on demonstration of high-value care for common surgical procedures. Although sociodemographic status (SDS) factors have been tied to various surgical outcomes, the impact of SDS factors on hospital value rankings has not been well explored. Our objective was to examine effe...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2015.12.009
更新日期:2016-06-01 00:00:00
abstract:BACKGROUND:The incidence of reoperation for adhesive bowel obstruction after general abdominal surgery is 2.5% and carries a considerable risk of mortality and morbidity. Adhesions account for 56% of all cases of bowel obstruction. Most epidemiologic knowledge regarding adhesive bowel obstruction is derived from data o...
journal_title:Surgery
pub_type: 临床试验,杂志文章
doi:10.1016/j.surg.2015.11.016
更新日期:2016-05-01 00:00:00
abstract:BACKGROUND:The current study was designed to determine the effects of antibody blockade of mucosal addressin cell adhesion molecule-1 (MAdCAM-1) on the proinflammatory activity of mesenteric lymph after hemorrhagic shock and resuscitation (HS/R). METHODS:Rats were subjected to HS/R with or without treatment with MAdCA...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2015.12.013
更新日期:2016-05-01 00:00:00
abstract:BACKGROUND:This study sought to determine whether a protective diverting ileostomy improves short-term outcomes in patients with rectal resection and colonic J-pouch reconstruction for low anastomoses. Criteria for the use of a proximal stoma in rectal resections with colonic J-pouch reconstruction have not been define...
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.2015.11.006
更新日期:2016-04-01 00:00:00
abstract:BACKGROUND:Late recurrence of gastric cancer is rare and there are few data on recurrence in patients who are disease free for >5 years after gastrectomy. The aim of this study was to evaluate the predictors and status of tumor recurrence among these patients. METHODS:Clinicopathologic characteristics, patterns of rec...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2015.11.002
更新日期:2016-04-01 00:00:00
abstract:BACKGROUND:Enthusiasm for neoadjuvant therapy is growing from the emerging consensus that pancreatic cancer is a systemic disease at the time of diagnosis. Those who remain in favor of upfront surgery often cite the lack of reported data to support alternative treatment sequencing. We therefore report the results of al...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2015.09.018
更新日期:2016-03-01 00:00:00
abstract:CONTEXT:The rate and the extent of bone remineralization at cancellous versus cortical sites after treatment of hyperthyroidism is unclear. Few studies have examined the effect of operative management of hyperthyroidism on recovery of bone mass. OBJECTIVE:To evaluate prospectively the bone mineral density (BMD), bone ...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2015.10.002
更新日期:2016-03-01 00:00:00
abstract:BACKGROUND:Lateral neck lymph node (LN) metastases (N1b) have been identified as independent risk factors of recurrence in patients with papillary thyroid carcinoma (PTC). OBJECTIVE:This study aimed to determine the predictive factors of recurrence in N1b PTC patients and to clarify the postoperative event patterns. ...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2015.08.033
更新日期:2016-03-01 00:00:00
abstract:BACKGROUND:To improve the therapeutic strategy for esophageal squamous cell carcinoma (ESCC), combined neoadjuvant chemotherapy (NAC) followed by operative surgical resection has been applied recently to patients at clinical stages II/III. Our study aimed to elucidate the impact of the circumferential resection margin ...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2015.06.044
更新日期:2016-02-01 00:00:00
abstract:BACKGROUND:With the large amounts of data on patient, tumor, and treatment factors available to clinicians, it has become critically important to harness this information to guide clinicians in discussing a patient's prognosis. However, no widely accepted survival calculator is available that uses national data and inc...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2015.08.006
更新日期:2016-02-01 00:00:00
abstract:OBJECTIVES:Outpatient thyroid surgery is becoming increasingly common. The aim of this study was to clarify the principles for safe outpatient thyroid surgery and review our outcomes with the use of a protocol for outpatient thyroidectomy in a large patient cohort. STUDY DESIGN:A systematic analysis of a prospectively...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2015.08.007
更新日期:2016-02-01 00:00:00
abstract:BACKGROUND:Parathyroidectomy (PTX) is the only curative treatment for tertiary hyperparathyroidism (3HPT). With the introduction of calcimimetics (cinacalcet), PTX can sometimes be delayed or avoided. The purpose of this study was to determine the current incidence of utilization of PTX in patients with posttransplant ...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2015.08.039
更新日期:2016-01-01 00:00:00
abstract:BACKGROUND:We analyzed the demographics of high-volume surgeons (HVS) for endocrine operations. METHODS:We characterized HVS by region, specialty, gender, teaching-affiliation, American Association of Endocrine Surgeons (AAES) membership, and decade they entered practice. Providers were general surgeons (GS) and otola...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2015.08.024
更新日期:2016-01-01 00:00:00
abstract:BACKGROUND:Detailed knowledge of the dimensions and shape of the main arteries of the body and how they change with age and disease is important for understanding arterial pathophysiology and improving minimally invasive devices to treat arterial diseases. Our goal was to describe and compare geometric remodeling of th...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2015.05.013
更新日期:2015-12-01 00:00:00
abstract:BACKGROUND:Colonoscopy has had a major impact on the incidence and survival of colon cancer for patients who are screened, usually beginning at the age of 50. Meanwhile, the incidence rate of colon cancer is actually increasing in the patients younger than 50 while no routine screening is implemented for this age group...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2015.07.018
更新日期:2015-12-01 00:00:00
abstract:BACKGROUND:Physiologic and psychological stress are commonly experienced by operating room (OR) personnel, yet there is little research about the stress levels in OR teams and their impact on performance. Previously published procedures to measure physiologic activation are invasive and impractical for the OR. The purp...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2015.04.009
更新日期:2015-11-01 00:00:00
abstract:INTRODUCTION:Standard resection for benign and borderline neoplasms of the pancreas is associated with a substantial risk of postoperative morbidity and long-term functional impairment, whereas enucleation leads to less morbidity and preserves healthy parenchyma as well as pancreatic function. The aim of this study was...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2014.10.008
更新日期:2015-11-01 00:00:00
abstract:BACKGROUND:The aim of this study was to assess validity of a human factors error assessment method for evaluating resident performance during a simulated operative procedure. METHODS:Seven postgraduate year 4-5 residents had 30 minutes to complete a simulated laparoscopic ventral hernia (LVH) repair on day 1 of a nati...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2015.04.010
更新日期:2015-11-01 00:00:00
abstract:BACKGROUND:Liver resection (LR) for hilar cholangiocarcinoma (HCA) remains challenging because of the occurrence of unanticipated vascular and longitudinal bile duct invasion. Operative strategies to achieve negative resection margins vary, and the benefit of routine portal vein resection (PVR) is discussed controversi...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2015.04.032
更新日期:2015-11-01 00:00:00
abstract:BACKGROUND:The reconstruction of outflow is a crucial step in living donor liver transplantation. This study describes a suitable technique that uses synthetic vascular conduits in presence of multiple draining veins of right lobe of liver and the outcome of the recipients to evaluate safety of using multiple synthetic...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2015.03.018
更新日期:2015-11-01 00:00:00
abstract:BACKGROUND:Longitudinal, risk-adjusted measurement of outcomes of carotid artery (CA) surgery is necessary for the evaluation of quality performance and for the assessment of strategies of quality improvement. METHODS:Patients from quality coding hospitals who underwent CA surgery and met procedural and diagnostic cod...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2015.06.005
更新日期:2015-10-01 00:00:00
abstract:BACKGROUND:Parastomal hernia (PH) is a frequent complication of stoma formation, and recurrence after repair is common. A laparoscopic modified Sugarbaker technique (SB) may decrease the recurrence of PH compared with other methods. METHODS:A retrospective review, approved by the institutional review board, of patient...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2015.04.052
更新日期:2015-10-01 00:00:00
abstract:BACKGROUND:Women in low- and middle-income countries account for 51% of breast cancer cases globally. These patients often delay seeking care and, therefore, present with advanced disease, partly because of fear of catastrophic health care expenses. Although there have been efforts to make health care affordable in low...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2015.04.040
更新日期:2015-09-01 00:00:00
abstract:INTRODUCTION:Propranolol has been shown previously to decrease the mobilization of hematopoietic progenitor cells (HPCs) after acute injury in rodent models; however, this acute injury model does not reflect the prolonged period of critical illness after severe trauma. Using our novel lung contusion/hemorrhagic shock/c...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2015.06.031
更新日期:2015-09-01 00:00:00
abstract::Social media is a necessary component of the practice of surgery. Each surgeon must embrace the power and potential of social media and serve as a guide or content expert for patients and other health care providers to facilitate and share responsible use of the various media available. Social media facilitates rapid ...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2015.06.002
更新日期:2015-09-01 00:00:00
abstract:INTRODUCTION:A diverting stoma is often performed at the time of low anterior resection (LAR) for rectal cancer after neoadjuvant chemoradiation (nCRT) to protect the anastomosis. The aim of this study was to compare surgical outcomes in large cohorts of mid-high rectal cancer patients undergoing LAR after nCRT with an...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2015.02.026
更新日期:2015-09-01 00:00:00
abstract:BACKGROUND:This study aimed to compare the radicality for and clinical advantages of laparoscopic liver resection, which is increasingly used, and the corresponding open procedure by propensity score matching analysis. METHODS:We analyzed 260 hepatocellular carcinoma patients who underwent initial liver resection at o...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2015.02.031
更新日期:2015-09-01 00:00:00
abstract:BACKGROUND:Noncommunicable diseases, including those requiring surgical care, are increasingly straining low- and middle-income countries. Globally, 11% of all disability-adjusted life-years lost result from conditions requiring surgery; however, little is known about country-specific burden. We piloted a household-bas...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2015.05.011
更新日期:2015-09-01 00:00:00
abstract:BACKGROUND:There is currently little information regarding the impact of procedure volume on outcomes after open inguinal hernia repair in the United States. Our hypothesis was that increasing procedure volume is associated with lesser rates of reoperation and resource use. METHODS:The database of the Statewide Planni...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2015.03.058
更新日期:2015-09-01 00:00:00
abstract:INTRODUCTION:Hypothermia is a well-known risk factor for postoperative complications because it prolongs the monocyte inflammatory response. The purpose of this study was to investigate whether temperature-activated ion channels (transient receptor protein channels [TRP] A1 and V1) mediate the effects of temperature on...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2015.03.065
更新日期:2015-09-01 00:00:00
abstract:INTRODUCTION:We hypothesized that most contralateral breast cancers (CBCs) develop ≥5 years after the primary breast cancer (PBC) and that CBCs have more favorable tumor characteristics. METHODS:This is a single-institution retrospective review of 323 patients who were diagnosed with CBC from 1990 to 2014. CBCs were d...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2015.03.059
更新日期:2015-09-01 00:00:00
abstract:BACKGROUND:Despite nationwide campaigns to increase the use of helmets among pediatric cyclists, many children continue to be injured while riding without a helmet. To determine where programs and policies intended to promote helmet use should be directed, we surveyed a large national dataset to identify variables asso...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2015.02.025
更新日期:2015-08-01 00:00:00