abstract：INTRODUCTION:Systemic hyperfibrinolysis (accelerated clot degradation) and fibrinolysis shutdown (impaired clot degradation) are associated with increased mortality compared with physiologic fibrinolysis after trauma. Animal models have not reproduced these changes. We hypothesize rodents have a shutdown phenotype that...

journal_title：Surgery

authors： Moore HB,Moore EE,Lawson PJ,Gonzalez E,Fragoso M,Morton AP,Gamboni F,Chapman MP,Sauaia A,Banerjee A,Silliman CC

更新日期：2015-08-01 00:00:00

abstract：INTRODUCTION:There is a paucity of data on outcomes for lung transplant (LT) recipients requiring general surgery procedures. This study examined outcomes after cholecystectomy in LT recipients using a large database. METHODS:The National Inpatient Sample Database (2005-2010) was queried for all LT patients requiring ...

journal_title：Surgery

authors： Taghavi S,Ambur V,Jayarajan SN,Gaughan J,Toyoda Y,Dauer E,Sjoholm LO,Pathak A,Santora T,Goldberg AJ,Rappold J

更新日期：2015-08-01 00:00:00

abstract：INTRODUCTION:Hepatocyte cell transplantation can be life-saving in patients with acute liver failure (ALF); however, primary human hepatocyte transplantation is limited by the scarcity of donor hepatocytes. We investigated the effect of stem cell-derived, hepatocyte-like cells in an animal xenotransplant model of ALF. ...

journal_title：Surgery

authors： Ramanathan R,Pettinato G,Beeston JT,Lee DD,Wen X,Mangino MJ,Fisher RA

更新日期：2015-08-01 00:00:00

abstract：BACKGROUND:The world's poorest 2 billion people, benefit from no more than about 3.5% of the world's operative procedures. The burden of surgical disease is greatest in Africa, where operations could save many lives. Previous facility-based studies have described operative procedure caseloads, but prospective studies i...

journal_title：Surgery

authors： Löfgren J,Kadobera D,Forsberg BC,Mulowooza J,Wladis A,Nordin P

更新日期：2015-07-01 00:00:00

abstract：BACKGROUND:Managing postoperative electrolyte imbalances often is driven by dogma. To identify areas of improvement, we assessed the practice pattern of postoperative electrolyte management among surgeons and residents. STUDY DESIGN:An online survey was distributed among attending surgeons and surgical residents at th...

journal_title：Surgery

authors： Angarita FA,Dueck AD,Azouz SM

更新日期：2015-07-01 00:00:00

abstract：BACKGROUND:In 2009, a study from our institution used retrospective data and multivariate analysis to identify 5 quantitative variables and their cutoffs that have a positive predictive value (PPV) for common bile duct (CBD) stones in gallstone pancreatitis. They also proposed a management protocol based on the scoring...

journal_title：Surgery

authors： Sherman JL,Shi EW,Ranasinghe NE,Sivasankaran MT,Prigoff JG,Divino CM

更新日期：2015-06-01 00:00:00

abstract：BACKGROUND:Laparoscopic liver resection for liver metastases from colorectal cancer (CRLM) is performed in a relatively small number of institutions. Its operative results have been reported to be comparable with that of open laparotomy; however, information on its oncologic outcomes is scarce. This study aimed to comp...

journal_title：Surgery

authors： Hasegawa Y,Nitta H,Sasaki A,Takahara T,Itabashi H,Katagiri H,Otsuka K,Nishizuka S,Wakabayashi G

更新日期：2015-06-01 00:00:00

abstract：BACKGROUND:Operative interventions have traditionally been seen as expensive; therefore, surgery has been given low priority in global health care planning in low-income countries. A growing body of evidence indicates that surgery can also be highly cost effective in low-income settings, but our current knowledge of th...

journal_title：Surgery

authors： Löfgren J,Mulowooza J,Nordin P,Wladis A,Forsberg BC

更新日期：2015-06-01 00:00:00

abstract：BACKGROUND:Although laparoscopic distal pancreatectomy (LDP) has increasingly gained popularity, there are only a few reports mentioning application and outcomes of LDP for adenocarcinoma of the body and tail of the pancreas. The aim of our study is to demonstrate technical details of LDP employing radical en bloc proc...

journal_title：Surgery

authors： Kawaguchi Y,Fuks D,Nomi T,Levard H,Gayet B

更新日期：2015-06-01 00:00:00

abstract：BACKGROUND:The traditional tools to assess surgical capacity in low-income countries require significant amounts of time and resources, and have thus not been utilized systematically in this context. Proxy indicators have been suggested as a simpler tool to estimate surgical volume. The aim of this study was to assess ...

journal_title：Surgery

authors： Bjerring AW,Lier ME,Rød SM,Vestby PF,Melf K,Endreseth BH,Salvesen Ø,von Schreeb J,Wibe A,Kamara TB,Bolkan HA

更新日期：2015-05-01 00:00:00

abstract：BACKGROUND:This study aimed to determine the prognostic value of a novel grading system based on the histologic assessment of poorly differentiated clusters (PDCs) in the primary lesions in patients with hepatectomy for colorectal liver metastasis (CRLM). Preoperative survival predictors for CRLM are required to determ...

journal_title：Surgery

authors： Ueno H,Konishi T,Ishikawa Y,Shimazaki H,Ueno M,Aosasa S,Saiura A,Hase K,Yamamoto J

更新日期：2015-05-01 00:00:00

abstract：BACKGROUND:Papillary thyroid microcarcinomas (PTMCs), located at upper poles of the thyroid, are associated with lateral neck metastasis (LNM) according to previous reports. Controversy remains regarding the correlation between the location of PTMCs and central neck metastasis (CNM). METHODS:Medical records of 949 pat...

journal_title：Surgery

authors： Xiang D,Xie L,Xu Y,Li Z,Hong Y,Wang P

更新日期：2015-03-01 00:00:00

abstract：BACKGROUND:Prospective data on risk factors and the incidence of inguinal hernia are sparse, especially in an elderly population. The aim of this study was to determine the incidence of and risk factors for inguinal hernia. METHODS:We analyzed data from the Rotterdam Study, a prospective cohort study that observed the...

journal_title：Surgery

authors： de Goede B,Timmermans L,van Kempen BJ,van Rooij FJ,Kazemier G,Lange JF,Hofman A,Jeekel J

更新日期：2015-03-01 00:00:00

abstract：BACKGROUND:Operative injury to the body from all procedures causes a stereotypical cascade of neuroendocrine, cytokine, myeloid, and acute phase responses. This response has been examined commonly by the use of cortisol, interleukin-6 (IL-6), white cell count, and C-reactive protein (CRP). We aimed to determine which m...

journal_title：Surgery

authors： Watt DG,Horgan PG,McMillan DC

更新日期：2015-02-01 00:00:00

abstract：BACKGROUND:Salvage liver transplantation (SLT) has been proposed for recurrent hepatocellular carcinoma (HCC) after hepatectomy; however, it is unclear how the time interval to tumor recurrence from previous hepatectomy affects prognosis. METHODS:We analyzed retrospectively the outcomes of 62 patients who underwent SL...

journal_title：Surgery

authors： Hu Z,Zhou J,Li Z,Xiang J,Qian Z,Wu J,Zhang M,Zheng S

更新日期：2015-02-01 00:00:00

abstract：BACKGROUND:Anastomotic leakage after gastrointestinal operation is a complication difficult to manage because conservative therapy and/or reoperation may be unsuccessful and carry the risk of increased morbidity and mortality. The endoscopic use of tissue sealants appears to be a promising alternative to avoid operatio...

journal_title：Surgery

authors： Kotzampassi K,Eleftheriadis E

更新日期：2015-01-01 00:00:00

abstract：BACKGROUND:Acupuncture is a safe and well-tolerated treatment for pain relief. Previous studies supported the effectiveness of several acupuncture techniques for postoperative pain. The aim of this randomized, controlled trial was to evaluate the efficacy of acupuncture in reducing pain after thyroid surgery. METHODS:...

journal_title：Surgery

authors： Iacobone M,Citton M,Zanella S,Scarpa M,Pagura G,Tropea S,Galligioni H,Ceccherelli F,Feltracco P,Viel G,Nitti D

更新日期：2014-12-01 00:00:00

abstract：BACKGROUND:Hypoglycemia after resection of pheochromocytoma is a rare and poorly understood complication thought to be secondary to rebound hyperinsulinemia and increased peripheral glucose uptake. We examined the incidence of this complication and aimed to identify predisposing risk factors. METHODS:Patients who unde...

journal_title：Surgery

authors： Chen Y,Hodin RA,Pandolfi C,Ruan DT,McKenzie TJ

更新日期：2014-12-01 00:00:00

abstract：INTRODUCTION:Tertiary hyperparathyroidism (3HPTH) patients who undergo parathyroidectomy (PTX) are often managed with calcium lowering medications such as cinacalcet (Sensipar) before surgery. Here, we assess how cinacalcet treatment influences intraoperative parathyroid hormone (IOPTH) kinetics and surgical findings i...

journal_title：Surgery

authors： Somnay YR,Weinlander E,Schneider DF,Sippel RS,Chen H

更新日期：2014-12-01 00:00:00

abstract：PURPOSE:The purpose of this study was to evaluate whether ultrasonography is helpful in predicting malignancy in patients with a thyroid nodule and atypia/follicular lesion of undetermined significance (AFLUS). METHODS:All patients with a preoperative ultrasound who underwent thyroidectomy for a nodule with AFLUS comp...

journal_title：Surgery

authors： Khoncarly SM,Tamarkin SW,McHenry CR

更新日期：2014-10-01 00:00:00

abstract：INTRODUCTION:Rapid thrombelastography (rTEG) has been advocated as a point-of-care test to manage trauma-induced coagulopathy. rTEG activated clotting time (T-ACT) results become available much sooner than other rTEG values, thus offering an attractive tool to guide blood component transfusion in a hemorrhagic shock. W...

journal_title：Surgery

authors： Moore HB,Moore EE,Chin TL,Gonzalez E,Chapman MP,Walker CB,Sauaia A,Banerjee A

更新日期：2014-09-01 00:00:00

abstract：BACKGROUND:This study reports national estimates of population characteristics and outcomes for patients with esophageal atresia with or without tracheoesophageal fistula (EA/TEF) and evaluates the relationships between hospital volume and outcomes. METHODS:Patients admitted within 30 days of life who had Internationa...

journal_title：Surgery

authors： Sulkowski JP,Cooper JN,Lopez JJ,Jadcherla Y,Cuenot A,Mattei P,Deans KJ,Minneci PC

更新日期：2014-08-01 00:00:00

abstract：BACKGROUND:An overproduction of corticosterone during severe sepsis results in increased apoptosis of immune cells, which may result in relative immunosuppression and an impaired ability to fight infections. We have previously demonstrated that administration of tubastatin A, a selective inhibitor of histone deacetylas...

journal_title：Surgery

authors： Zhao T,Li Y,Bronson RT,Liu B,Velmahos GC,Alam HB

更新日期：2014-08-01 00:00:00

abstract：BACKGROUND:Failure to achieve primary fascial closure (PFC) after damage control laparotomy is costly and carries great morbidity. We hypothesized that time from the initial laparotomy to the first take-back operation would be predictive of successful PFC. METHODS:Trauma patients managed with open abdominal techniques...

journal_title：Surgery

authors： Pommerening MJ,DuBose JJ,Zielinski MD,Phelan HA,Scalea TM,Inaba K,Velmahos GC,Whelan JF,Wade CE,Holcomb JB,Cotton BA,AAST Open Abdomen Study Group.

更新日期：2014-08-01 00:00:00

abstract：INTRODUCTION:End-stage renal disease (ESRD) is associated with poor medical outcomes. This study aimed to compare early outcomes of elective and emergency operation for diverticulitis among older adults with and without a diagnosis of ESRD. METHODS:Patients 65 years of age and older with a primary diagnosis of diverti...

journal_title：Surgery

authors： Moran-Atkin E,Stem M,Lidor AO

更新日期：2014-08-01 00:00:00

abstract：INTRODUCTION:Resident operative autonomy and case volume is associated with posttraining confidence and practice plans. Accreditation Council for Graduate Medical Education requirements for graduating general surgery residents are four liver and three pancreas cases. We sought to evaluate trends in resident experience ...

journal_title：Surgery

authors： Sachs TE,Ejaz A,Weiss M,Spolverato G,Ahuja N,Makary MA,Wolfgang CL,Hirose K,Pawlik TM

更新日期：2014-08-01 00:00:00

abstract：BACKGROUND:Common anastomotic complications after pancreatoduodenectomy (PD) are leakage from the pancreaticojejunostomy or hepaticojejunostomy. Leakage from the gastroenteric anastomosis has rarely been described. We evaluated the incidence of gastroenteric leakage after PD and described its presentation, treatment, a...

journal_title：Surgery

authors： Eshuis WJ,Tol JA,Nio CY,Busch OR,van Gulik TM,Gouma DJ

更新日期：2014-07-01 00:00:00

abstract：BACKGROUND:Estimating the risk of postoperative complications can be performed by surgeons with detailed clinical information or by patients with limited information. Our objective was to compare three estimation models: (1) the All Information Model, using variables available from the American College of Surgeons Nati...

journal_title：Surgery

authors： Dahlke AR,Merkow RP,Chung JW,Kinnier CV,Cohen ME,Sohn MW,Paruch J,Holl JL,Bilimoria KY

更新日期：2014-07-01 00:00:00

abstract：BACKGROUND:In clinically node-negative patients with differentiated thyroid cancer (DTC), indications for routine central lymph node dissection (RCLD) are the subject of intensive research, and surgeons are divided between the pros and cons of this surgery. To better define the role of neck dissection in the treatment ...

journal_title：Surgery

authors： Conzo G,Calò PG,Sinisi AA,De Bellis A,Pasquali D,Iorio S,Tartaglia E,Mauriello C,Gambardella C,Cavallo F,Medas F,Polistena A,Santini L,Avenia N

更新日期：2014-06-01 00:00:00

abstract：BACKGROUND:The escalation of care process has not been explored in surgery, despite the role of communication failures in adverse events. This study aimed to develop a conceptual framework of the influences on escalation of care in surgery allowing solutions to facilitate management of sick patients to be developed. M...

journal_title：Surgery

authors： Johnston M,Arora S,King D,Stroman L,Darzi A

更新日期：2014-06-01 00:00:00

abstract：BACKGROUND:Estimates of the number of firearm-related injuries widely vary. Although focus has been primarily on deaths, the societal cost of caring for victims of these injuries is largely unknown. Our goal was to estimate the economic impact of nonfatal, firearm-related injuries in the United States based on recent, ...

journal_title：Surgery

authors： Lee J,Quraishi SA,Bhatnagar S,Zafonte RD,Masiakos PT

更新日期：2014-05-01 00:00:00

abstract：BACKGROUND:As a measure of quality, ambulatory surgery centers have begun reporting rates of hospital transfer at discharge. This process, however, may underestimate the acute care needs of patients after care. We conducted this study to determine rates and evaluate variation in hospital transfer and hospital-based, ac...

journal_title：Surgery

authors： Fox JP,Vashi AA,Ross JS,Gross CP

更新日期：2014-05-01 00:00:00

abstract：BACKGROUND:A pathologic complete response (pCR) can be observed in up to 25% of patients after preoperative chemoradiotherapy for rectal cancer and is associated with an improved long-term prognosis. However, few data are available regarding the effect of pCR on postoperative morbidity. This study aimed to assess the i...

journal_title：Surgery

authors： Maggiori L,Bretagnol F,Aslam MI,Guedj N,Zappa M,Ferron M,Panis Y

更新日期：2014-03-01 00:00:00

abstract：PURPOSE:We have developed a novel molecular method of diagnosis using the technique of transcriptase-reverse transcriptase concerted reaction (TRC) for the detection of cancer micrometastasis. This study prospectively examined the clinical importance of the TRC diagnosis with peritoneal lavage fluids collected from gas...

journal_title：Surgery

authors： Fujiwara Y,Okada K,Hanada H,Tamura S,Kimura Y,Fujita J,Imamura H,Kishi K,Yano M,Miki H,Okada K,Takayama O,Aoki T,Mori M,Doki Y

更新日期：2014-03-01 00:00:00

abstract：BACKGROUND:Improvements in outcomes after pancreatoduodenectomy (PD) have permitted more complex resections. Complete extirpation at PD may require multivisceral resection (MVR-PD); however, descriptions of morbidity of MVR-PD are limited to small, single-institution series. METHODS:The National Surgical Quality Impro...

journal_title：Surgery

authors： Bhayani NH,Enomoto LM,James BC,Ortenzi G,Kaifi JT,Kimchi ET,Staveley-O'Carroll KF,Gusani NJ

更新日期：2014-03-01 00:00:00

abstract：BACKGROUND:We sought to compare the impact of sequential and contemporaneous revascularizations of portal vein and hepatic artery on biliary complications in patients undergoing liver transplantation. METHODS:We reviewed 184 patients who underwent liver transplantation in our center, and categorized them into differen...

journal_title：Surgery

authors： Lu D,Xu X,Wang J,Ling Q,Xie H,Zhou L,Yan S,Wang W,Zhang M,Shen Y,Zheng S

更新日期：2014-01-01 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

authors： Aida T,Furukawa K,Suzuki D,Shimizu H,Yoshidome H,Ohtsuka M,Kato A,Yoshitomi H,Miyazaki M

更新日期：2014-01-01 00:00:00

abstract：INTRODUCTION:Posthepatectomy liver failure (PHLF) is a severe complication after hepatectomy for colorectal liver metastases. This study evaluated its actual incidence and its effects on short- and long-term overall survival (OS) in a specialized center. MATERIALS AND METHODS:Between 2006 and 2008, 193 patients who un...

journal_title：Surgery

authors： Vibert E,Pittau G,Gelli M,Cunha AS,Jamot L,Faivre J,Castro Benitez C,Castaing D,Adam R

更新日期：2014-01-01 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

authors： Daniel WT,Weber C,Bailey JA,Raggi P,Sharma J

更新日期：2013-12-01 00:00:00

abstract：BACKGROUND:The electronic medical record (EMR) of a large, tertiary referral center was examined to study the prevalence of undiagnosed and unrecognized primary hyperparathyroidism (PHPT). METHODS:The EMR was queried for outpatient serum calcium >10.5 mg/dL over a 2-year period. RESULTS:Of 2.7 million patients, 54,19...

journal_title：Surgery

authors： Press DM,Siperstein AE,Berber E,Shin JJ,Metzger R,Monteiro R,Mino J,Swagel W,Mitchell JC

更新日期：2013-12-01 00:00:00