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:A left hepatic graft in living donor liver transplantation (LDLT) often has 2 thin and short hepatic arterial stumps, which makes hepatic artery (HA) reconstructions much more difficult to perform. Consequently, some investigators regard using a left graft as a contraindication to LDLT, whereas others report...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2009.06.028
更新日期:2010-06-01 00:00:00
abstract:BACKGROUND:In patients with esophageal cancer and a history of gastric surgery, colonic interposition is the treatment of choice. Our aim was to review our experience with this technique and to identify possible predictors of the clinical outcome. METHODS:Between 1986 and 2006, 43 patients underwent esophageal reconst...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2009.10.045
更新日期:2010-04-01 00:00:00
abstract:BACKGROUND:Anastomotic leakage represents a major complication after anterior resection of the rectum. The incidence of anastomotic leakage varies considerably among clinical studies in part owing to the lack of a standardized definition of this complication. The aim of the present article was to propose a definition a...
journal_title:Surgery
pub_type: 杂志文章,评审
doi:10.1016/j.surg.2009.10.012
更新日期:2010-03-01 00:00:00
abstract:BACKGROUND:Gross vascular invasion is a well-established prognostic indicator in hepatocellular carcinoma (HCC), but the biological significance of microscopic invasion remains unclear. METHODS:Curatively resected primary HCCs were classified retrospectively into 3 groups: HCCs without vascular invasion (V0), HCCs wit...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2009.09.037
更新日期:2010-03-01 00:00:00
abstract:BACKGROUND:Obesity and type 2 diabetes are associated with renal dysfunction, which improves after Roux-en-Y gastric bypass (RYGB). During a 12-month follow-up period, we studied prospectively the changes in glomerular and tubular functions that occurred in excessively obese diabetic and non diabetic subjects after RYG...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2009.09.017
更新日期:2010-02-01 00:00:00
abstract:BACKGROUND:Groin hernia repair occasionally leads to severe chronic pain associated with entrapped or damaged nerves. Conservative treatment is often unsuccessful. Selective neurectomy may be effective, but long-term results are scarce. The authors assessed the long-term efficacy of surgical neurectomy for chronic, pos...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2009.08.008
更新日期:2010-02-01 00:00:00
abstract:BACKGROUND:Hepatotoxicity from neoadjuvant chemotherapy before liver resection for colorectal metastases (CRLM) has been recently reported. The purpose of the present study was to evaluate the prevalence and the clinical relevance of this phenomenon. It was a retrospective study conducted at an academic secondary refer...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2009.01.004
更新日期:2010-02-01 00:00:00
abstract:BACKGROUND:Complex anal fistulas are unsuitable for fistulotomy because of the risk of fecal incontinence. The anal fistula plug (AFP) has demonstrated fistula healing without sphincter division. This study aims to evaluate the cost-effectiveness of the AFP compared to the endoanal advancement flap (EAAF) as an alterna...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2009.05.018
更新日期:2010-01-01 00:00:00
abstract:BACKGROUND:A prior study revealed a paucity of surgical research in the 5 top-rated general surgery journals for 1998. The hypothesis of the current study was that a large amount of surgical research was published in other journals. METHODS:In all, 15 research journals and 9 surgery specialty journals were reviewed fo...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2009.07.005
更新日期:2010-01-01 00:00:00
abstract:BACKGROUND:The relationship among bile duct (BD), portal vein (PV), and/or hepatic artery (HA) anatomy is controversial, but no investigation has previously compared left and right liver graft transplantation in terms of variant vasculobiliary anatomy. Therefore, in this study, we explored whether variant BD anatomy ca...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2009.06.017
更新日期:2010-01-01 00:00:00
abstract:BACKGROUND:Autophagy is a conserved response to stress that facilitates cell survival in some contexts and promotes cell death in others. We sought to characterize autophagy in papillary thyroid cancer (PTC), and to determine the effects of autophagy inhibition on chemosensitivity and radiosensitivity. METHODS:The hum...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2009.09.019
更新日期:2009-12-01 00:00:00
abstract:BACKGROUND:Our aim was to examine the outcomes of patients with tertiary hyperparathyroidism (3-HPT) who had limited resection of 1 or 2 parathyroids. METHODS:We reviewed 140 patients with 3-HPT who underwent parathyroidectomy (PTX) at a single institution. Patients were analyzed according to their operation-limited P...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2009.09.026
更新日期:2009-12-01 00:00:00
abstract:BACKGROUND:Primary hyperparathyroidism is associated with an increased cardiovascular morbidity and mortality. However, mechanisms underlying this association are currently unclear. As there is clear evidence of the independent role of aldosterone on the cardiovascular system, the aim of this study was to evaluate aldo...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2009.09.041
更新日期:2009-12-01 00:00:00
abstract:BACKGROUND:Vascular endothelial growth factor-D (VEGF-D), the activating ligand for vascular endothelial growth factor receptor-3 (VEGFR-3), has been identified as an important endogenic tumor-associated lymphangiogenic factors which can promote lymphatic metastasis from primary tumor. Lymphatic metastasis, which is th...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2009.04.025
更新日期:2009-11-01 00:00:00
abstract:BACKGROUND:The incidence of soft tissue infections from antimicrobial-resistant pathogens is increasing. This study evaluated the epidemiology of operatively drained soft tissue abscesses. METHODS:This retrospective study evaluated 1,200 consecutive patients from 2002 to 2008 who underwent incision and drainage (I&D) ...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2009.06.020
更新日期:2009-10-01 00:00:00
abstract:BACKGROUND:Guidelines for the current National Comprehensive Cancer Network recommend radical cholecystectomy, including hepatic resection and portal lymph node (LN) dissection, for patients with early stage gallbladder (GB) cancer. We sought to determine the survival benefit conferred by adequate LN evaluation. METHO...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2009.06.056
更新日期:2009-10-01 00:00:00
abstract:BACKGROUND:For the past 14 years, we have been performing laparoscopic adrenalectomy via the lateral transabdominal as well as the posterior retroperitoneal approach. The aim of this study is to describe patient selection criteria for each approach with comparison of perioperative outcomes. METHODS:In patients with sm...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2009.06.057
更新日期:2009-10-01 00:00:00
abstract::In recent years, much attention has been paid to the assessment of the quality of health care. This focus has been driven mainly by a desire to improve health care and decrease inequalities within health care systems. As well as addressing key areas such as structure, process, and outcome, which are normally taken fro...
journal_title:Surgery
pub_type: 杂志文章,评审
doi:10.1016/j.surg.2009.03.019
更新日期:2009-09-01 00:00:00
abstract:BACKGROUND:The purpose of this study was to determine performance retention after initial and ongoing Fundamentals of Laparoscopic Surgery (FLS) skills training. METHODS:Surgery residents (postgraduate year [PGY] 1-5; n = 91) initially underwent proficiency-based training during a 2-month period for all 5 FLS tasks. S...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2009.05.009
更新日期:2009-08-01 00:00:00
abstract:BACKGROUND:Studies of sexual dimorphism in trauma outcomes suggest that women have a survival advantage compared to equivalently injured men. It is unknown if this gender disparity is mediated by potentially life-threatening complications. OBJECTIVE:To determine (1) if there is a sex-based differences in the odds of d...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2009.05.006
更新日期:2009-08-01 00:00:00
abstract:BACKGROUND:Combination treatments in addition to gemcitabine have failed to improve outcomes in pancreatic cancer. We tested gemcitabine in combination with the antiendothelial agent endothelial monocyte-activating polypeptide II (EMAP II). METHODS:Human pancreatic cancer cell line murine xenografts were treated with ...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2009.04.015
更新日期:2009-08-01 00:00:00
abstract:BACKGROUND:Up to 70% of children with small bowel transplantation (SBTx) experience acute cellular rejection (ACR). Allospecific CD154+ T cells predict liver ACR in children in a novel, 16-hour mixed leukocyte response (MLR) assay, but remain untested in SBTx. METHODS:The expression of CD154 was measured in 4 subsets-...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2009.04.006
更新日期:2009-08-01 00:00:00
abstract:BACKGROUND:Liver resection is the only curative treatment offering a chance of long-term survival in patients with colorectal liver metastases (CRM). Recent data indicated that liver resection in patients with tumor progression while receiving chemotherapy was associated with poor outcome. The aim of the study was to i...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2009.02.004
更新日期:2009-07-01 00:00:00
abstract:BACKGROUND:Routine central lymph node dissection (CLND) for papillary thyroid cancer (PTC) at the time of initial thyroidectomy has been advocated with a demonstrated decrease in post-ablation serum thyroglobulin compared to total thyroidectomy alone. Patients now present with central compartment metastatic disease aft...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2009.01.013
更新日期:2009-05-01 00:00:00
abstract:BACKGROUND:Routine and radical lymph node dissection is a clinical concern for improving the surgical outcome in patients with intrahepatic cholangiocarcinoma (ICC). The therapeutic value of the procedure during hepatectomy has, however, not been evaluated. METHODS:Between January 1990 and December 2004, 104 patients ...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2008.11.010
更新日期:2009-04-01 00:00:00
abstract:BACKGROUND:Activated nuclear factor-kappaB (NF-kappaB) is associated reportedly with the pathogenesis of numerous malignancies. This study investigated whether a common insertion (ins)/deletion (del) polymorphism (-94 ins/del ATTG) in the NFKB1 promoter is associated with susceptibility to gastric cancer and its tumor ...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2008.11.001
更新日期:2009-03-01 00:00:00
abstract:BACKGROUND:Major operative injury initiates immunologic changes that may result in a systemic inflammatory response, leading to organ dysfunction/sepsis. Catecholamines seem to be key mediators. The effects of beta(2) receptor blockade in vitro and in vivo before and after operative injury were studied to clarify their...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2008.09.013
更新日期:2009-02-01 00:00:00
abstract:BACKGROUND:Intestinal barrier failure during acute pancreatitis (AP) is associated with translocation of luminal bacteria, resulting in infectious complications. We examined the effects of multispecies probiotics on the intestinal barrier impairment in a murine model of AP. METHODS:Mice were injected with cerulein to ...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2008.09.011
更新日期:2009-02-01 00:00:00
abstract:BACKGROUND:Obstruction of the superior vena cava (SVC) secondary to malignant or benign diseases is rarely treated by surgical reconstruction. The purpose of this retrospective study is to report our experience and compare our results with previous data in the literature. METHODS:From 1993 to 2006, 24 patients underwe...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2008.08.003
更新日期:2009-01-01 00:00:00
abstract:BACKGROUND:Although portal venous tumor thrombus (PVTT) is regarded as an ominous prognostic factor in patients with hepatocellular carcinoma (HCC), the optimal treatment method for maximizing both safety and long-term outcome has not yet been discussed. We describe a surgical technique in which the venous wall is peel...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2008.09.005
更新日期:2009-01-01 00:00:00
abstract:BACKGROUND:The prognostic role of lymph node metastases in well-differentiated thyroid carcinoma remains controversial. We investigated impact of lymph node involvement on survival in patients with well-differentiated thyroid cancer. METHODS:We queried the Surveillance, Epidemiology, and End Results registry for patie...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2008.08.034
更新日期:2008-12-01 00:00:00
abstract:BACKGROUND:In the evaluation of patients with primary hyperparathyroidism (PHP), specific query for a personal or family history of MEN1 (Hx) is recommended widely, but responses are rarely positiv. We instituted a 6-question panel (6Q) to routinely screen for MEN1 preoperatively. METHODS:The clinical database entries...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2008.07.030
更新日期:2008-12-01 00:00:00
abstract:BACKGROUND:Vascular endothelial growth factor (VEGF) promotes tumor angioinvasion while VEGF-C is a potent lymphangiogenic factor. This study aims at evaluating serum VEGF (sVEGF) and sVEGF-C levels in recurrent papillary thyroid carcinoma (PTC) patients. METHODS:Serum samples were collected preoperatively from 85 pat...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2008.07.027
更新日期:2008-12-01 00:00:00
abstract:BACKGROUND:Benign thyroid cysts have been successfully treated with nonoperative sclerotherapy. Although OK-432 is a safe and effective sclerosing agent used to treat benign cystic lesions, little is known about its effectiveness in thyroid cysts. This study tested the efficacy of OK-432 sclerotherapy for thyroid cysts...
journal_title:Surgery
pub_type: 临床试验,杂志文章
doi:10.1016/j.surg.2008.06.014
更新日期:2008-11-01 00:00:00
abstract:BACKGROUND:Metastatic neuroendocrine tumors (NETs) can present with complications of gastrointestinal tract obstruction or ischemia and carcinoid syndrome (CS). The purpose of this study was to assess whether aggressive surgical intervention of metastatic NETs provides effective palliation from these symptoms. METHODS...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2008.06.008
更新日期:2008-10-01 00:00:00
abstract:BACKGROUND:Gastroparesis is characterized by delayed gastric emptying in the absence of obstruction. Common symptoms include nausea, vomiting, and abdominal pain. Severe gastroparesis can result in recurrent hospitalizations, malnutrition, and even death. Gastric electrical stimulation (GES) is a low morbidity treatmen...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2008.06.024
更新日期:2008-10-01 00:00:00
abstract:BACKGROUND:Central line-associated bloodstream infections occur commonly and are a potentially preventable source of morbidity in the critical care setting. The purpose of this study was to find a way to decrease central line-associated bloodstream infections. METHODS:Data were collected from February 1, 2005, to Apri...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2008.06.004
更新日期:2008-10-01 00:00:00
abstract:BACKGROUND:In animal models of postoperative ileus (POI), inflammation of the intestine plays an important role in the pathogenesis of POI. Changes in alpha(2)-adrenoceptors and nitrergic regulation have been proposed to be implicated. The aim of our study was to investigate the presynaptic alpha(2)-receptor-mediated c...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2008.05.011
更新日期:2008-09-01 00:00:00
abstract:BACKGROUND:Major postoperative complications are associated with a substantial increase in hospital costs. Trauma patients are known to have a higher rate of complications than the general surgery population. We used the National Surgical Quality Improvement Program (NSQIP) methodology to evaluate hospital costs, durat...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2008.05.003
更新日期:2008-08-01 00:00:00
abstract:BACKGROUND:Gender differences have been noted in acute ischemia/reperfusion injury. Estrogen and the estrogen receptors (ER) appear to play a critical role in cardiovascular gender differences, given that females have improved myocardial functional recovery associated with decreased tissue inflammation. It has been sug...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2008.03.009
更新日期:2008-08-01 00:00:00