abstract：:The American Board of Surgery was established in 1937 to certify surgeons who through training, experience, and examination meet the highest standards of surgical care. This lecture was given as the Edgar Poth lecture at the April 2015 meeting of the Southwestern Surgical Congress. Dr Poth was a surgical educator from...

journal_title：American journal of surgery

authors： Walker JP

更新日期：2015-12-01 00:00:00

abstract：:In his presidential address to the Southwestern Surgical Congress, he examines surgery as a profession from three different perspectives: his experience as a patient, a surgeon, and a photographer. He uses photography to illustrate the importance of perspective and illumination. He respectfully suggests that we should...

journal_title：American journal of surgery

authors： Stewart RM

更新日期：2015-12-01 00:00:00

abstract：BACKGROUND:Over 1 million healthcare providers have participated in the Advanced Trauma Life Support course. No studies have evaluated factors that predict course performance. This study aims to identify these predictors. METHODS:All participants taking the course at 2 centers over a 4-year period were identified. Dem...

journal_title：American journal of surgery

authors： Mobily M,Branco BC,Joseph B,Hernandez N,Catalano RD,Judkins DG,Green DJ,Kulvatunyou N,Rhee P,Tang AL

更新日期：2015-11-01 00:00:00

abstract：BACKGROUND:Standard two-dimensional (2D) specimen radiography may guide intraoperative re-excision of margins in patients undergoing breast conserving surgery. We sought to determine the impact of three-dimensional (3D) specimen imaging in further reducing positive margin rates. METHODS:A prospective study of 100 pati...

journal_title：American journal of surgery

authors： Chagpar AB,Butler M,Killelea BK,Horowitz NR,Stavris K,Lannin DR

更新日期：2015-11-01 00:00:00

abstract：BACKGROUND:Endoscopic retrograde cholangiopancreatography is a challenging procedure performed by surgeons and gastroenterologists. We employed cognitive task analysis to identify steps and decision points for this procedure. METHODS:Standardized interviews were conducted with expert gastroenterologists (7) and surgeo...

journal_title：American journal of surgery

authors： Canopy E,Evans M,Boehler M,Roberts N,Sanfey H,Mellinger J

更新日期：2015-10-01 00:00:00

abstract：BACKGROUND:Perihilar cholangiocarcinoma is usually unresectable at the time of diagnosis. Only few patients are candidates for a potential curative treatment. For those patients, prognosis is strongly related to negative resection margin and lymph node status. Thus, a certain benchmark of lymph node count is necessary ...

journal_title：American journal of surgery

authors： Kambakamba P,Linecker M,Slankamenac K,DeOliveira ML

更新日期：2015-10-01 00:00:00

abstract：BACKGROUND:This study explores assistance-seeking and reporting behaviors in surgical residents faced with stressful circumstances. METHODS:Three surgical societies distributed a multiple choice, free-text response survey to residents. RESULTS:One hundred sixty-four residents (39% male) responded; 58% of women (43% m...

journal_title：American journal of surgery

authors： Sanfey H,Fromson JA,Mellinger J,Rakinic J,Williams M,Williams B

更新日期：2015-10-01 00:00:00

abstract：BACKGROUND:Although informed consent is vital to patient-physician communication, little training is provided to surgical trainees. We hypothesized that highlighting critical aspects of informed consent would improve resident performance. METHODS:Eighty (out of 88) surgical postgraduate year 1 surgical residents were ...

journal_title：American journal of surgery

authors： Thompson BM,Sparks RA,Seavey J,Wallace MD,Irvan J,Raines AR,McClure H,Nihira MA,Lees JS

更新日期：2015-09-01 00:00:00

abstract：BACKGROUND:Our aim was to determinate the prognostic value of neutrophil-lymphocyte ratio (NLR) and platelet-lymphocyte ratio (PLR) in primary operable patients with non-small cell lung cancer (NSCLC). METHODS:Six hundred seventy-eight NSCLC patients were enrolled in this study. The prognostic significance of both mar...

journal_title：American journal of surgery

authors： Zhang H,Xia H,Zhang L,Zhang B,Yue D,Wang C

更新日期：2015-09-01 00:00:00

abstract：BACKGROUND:We proposed to develop a novel virtual reality (VR) team training system. The objective of this study was to determine the feasibility of creating a VR operating room to simulate a surgical crisis scenario and evaluate the simulator for construct and face validity. METHODS:We modified ICE STORM (Integrated ...

journal_title：American journal of surgery

authors： Abelson JS,Silverman E,Banfelder J,Naides A,Costa R,Dakin G

更新日期：2015-09-01 00:00:00

abstract：BACKGROUND:Work-related injuries (WRIs) represent a significant economic and logistical burden to healthcare systems. METHODS:All patients with severe WRIs (Injury Severity Score [ISS] ≥ 12) (1995 to 2013) were compared with patients with non-WRIs using standard methodology (P < .05). RESULTS:A total of 1,270 (8.5%) ...

journal_title：American journal of surgery

authors： Robertson-More C,Wells BJ,Nickerson D,Kirkpatrick AW,Ball CG

更新日期：2015-09-01 00:00:00

abstract：BACKGROUND:Pancreatic cancer is the 4th leading cause of cancer death in the United States. A screening protocol is needed to catch early-stage, resectable disease. This study suggests a protocol for high-risk individuals and assesses the cost in the context of the Affordable Care Act. METHODS:Medicare and national av...

journal_title：American journal of surgery

authors： Bruenderman E,Martin RC 2nd

更新日期：2015-09-01 00:00:00

abstract：BACKGROUND:The effect of the number of lymph nodes harvested on the long-term survival of gastric cancer according to Tumor, Node, and Metastasis (TNM) stage and tumor location remains unclear. METHODS:Patients who underwent gastrectomy for gastric cancer (1998 to 2009) were evaluated retrospectively (1,637 patients)....

journal_title：American journal of surgery

authors： Shen Z,Ye Y,Xie Q,Liang B,Jiang K,Wang S

更新日期：2015-09-01 00:00:00

abstract：BACKGROUND:Head injuries are common in the pediatric population, but when an isolated skull fracture is found, there are no guidelines for repeat imaging. This study evaluated the need for repeat head computed tomography (CT) for isolated skull fracture. METHODS:A 10-year retrospective review was conducted of patients...

journal_title：American journal of surgery

authors： Hentzen AS,Helmer SD,Nold RJ,Grundmeyer RW 3rd,Haan JM

更新日期：2015-08-01 00:00:00

abstract：BACKGROUND:Predictors of weight loss (WL) or weight regain (WR) after Roux-en-Y gastric bypass (RYGBP) are not established. The aim of this study was to analyze the usefulness of some baseline peptides (leptin, insulin, and ghrelin) as biomarkers of WL and WR in morbid obese patients after RYGBP at long term. METHODS:...

journal_title：American journal of surgery

authors： Pellitero S,Pérez-Romero N,Martínez E,Granada ML,Moreno P,Balibrea JM,Tarascó J,Lucas A,Puig-Domingo M

更新日期：2015-08-01 00:00:00

abstract：BACKGROUND:The objective of this study was to characterize variations in packed red blood cell (PRBC) transfusion practices in critically ill patients and to identify which factors influence such practices. We hypothesized that significant variation in transfusion triggers exists among acute care surgeons. METHODS:A s...

journal_title：American journal of surgery

authors： Sim V,Kao LS,Jacobson J,Frangos S,Brundage S,Wilson CT,Simon R,Glass NE,Pachter HL,Todd SR

更新日期：2015-07-01 00:00:00

abstract：BACKGROUND:Wound healing and chronic wounds are serious public health issues. While wounds heal, cellular stores of antioxidants are depleted. d-ribose-l-cysteine (DRLC) is a precursor to the antioxidant glutathione. The effect of oral supplementation with DRLC on wound healing was studied in rats. METHODS:A rodent mo...

journal_title：American journal of surgery

authors： Saltman AE

更新日期：2015-07-01 00:00:00

abstract：BACKGROUND:Gastric stump carcinoma (GSC) has been studied after primary gastrectomy for benign disease but few studies have evaluated its correlation with gastric cancer. PATIENTS:We assessed 541 patients submitted to subtotal gastrectomy for early gastric cancer at least 15 years ago. RESULTS:GSC was diagnosed in 16...

journal_title：American journal of surgery

authors： Morgagni P,Gardini A,Marrelli D,Vittimberga G,Marchet A,de Manzoni G,Di Cosmo MA,Rossi GM,Garcea D,Roviello F,Italian Research Group for Gastric Cancer.

更新日期：2015-06-01 00:00:00

abstract：BACKGROUND:The aim of this study was to assess the impact of previous abdominal surgery (PAS) on single-port laparoscopic colectomy (SPLC). METHODS:We studied 429 consecutive patients who underwent SPLC in our department from May 2009 to December 2013. Patients were divided into 2 groups: those with PAS (PAS group) an...

journal_title：American journal of surgery

authors： Tei M,Wakasugi M,Omori T,Ueshima S,Tori M,Akamatsu H

更新日期：2015-06-01 00:00:00

abstract：BACKGROUND:The traditional theory that pulmonary emboli (PE) originate from the lower extremity has been challenged. METHODS:All autopsies performed in Los Angeles County between 2002 and 2010 where PE was the cause of death were reviewed. RESULTS:Of the 491 PE deaths identified, 36% were surgical and 64% medical. Ve...

journal_title：American journal of surgery

authors： Tadlock MD,Chouliaras K,Kennedy M,Talving P,Okoye O,Aksoy H,Karamanos E,Zheng L,Grabo DJ,Rogers C,Noguchi T,Inaba K,Demetriades D

更新日期：2015-06-01 00:00:00

abstract：BACKGROUND:Several nationwide reports show lower female participation in colon cancer screening. We therefore assessed for outcome differences in women of screening age presenting for surgical treatment of colon cancer patients. METHODS:All patients over 50 years undergoing surgery for first-onset colon cancer at Mass...

journal_title：American journal of surgery

authors： Amri R,Bordeianou LG,Sylla P,Berger DL

更新日期：2015-06-01 00:00:00

abstract：BACKGROUND:Port placement injuries are a potentially devastating complication of laparoscopic surgery. Ultrasound assessment for visceral slide has the ability to preoperatively determine adhesion-free areas. The utility of this technique has not been studied when performed by surgeons. METHODS:Surgeons without expert...

journal_title：American journal of surgery

authors： Minaker S,MacPherson C,Hayashi A

更新日期：2015-05-01 00:00:00

abstract：BACKGROUND:The purpose of this study was to analyze the influence of age on both the risk of hepatectomy and the prognosis in patients with hepatocellular carcinoma (HCC). METHODS:Patients undergoing an initial hepatectomy for HCC were classified into 2 age groups: 75 years or over (n = 113) and less than 75 years (n ...

journal_title：American journal of surgery

authors： Motoyama H,Kobayashi A,Yokoyama T,Shimizu A,Sakai H,Furusawa N,Notake T,Kitagawa N,Arai T,Yokoi K,Okubo Y,Miyagawa S

更新日期：2015-04-01 00:00:00

abstract：BACKGROUND:There are controversial data on the relationship between trauma and body mass index. We investigated this relationship in traumatic hemorrhagic shock. METHODS:The "Glue Grant" database was analyzed, stratifying patients into underweight, normal weight (NW), overweight, Class I obesity, Class II obesity, and...

journal_title：American journal of surgery

authors： Hwabejire JO,Nembhard CE,Obirieze AC,Oyetunji TA,Tran DD,Fullum TM,Siram SM,Cornwell EE 3rd,Greene WR

更新日期：2015-04-01 00:00:00

abstract：BACKGROUND:Surgery is indicated for acute uncomplicated appendicitis but the optimal timing is controversial. Recent literature is conflicting on the effect of time to intervention. METHODS:We queried the American College of Surgeons National Surgical Quality Improvement Project dataset for patients undergoing laparos...

journal_title：American journal of surgery

authors： Fair BA,Kubasiak JC,Janssen I,Myers JA,Millikan KW,Deziel DJ,Luu MB

更新日期：2015-03-01 00:00:00

abstract：BACKGROUND:Multivisceral resection is often required in the treatment of locally advanced rectal cancers. Such resections are relatively rare and oncologic outcomes, especially when sphincter preservation is performed, are not fully demonstrated. METHODS:A retrospective review was conducted of patients who underwent m...

journal_title：American journal of surgery

authors： Crawshaw BP,Augestad KM,Keller DS,Nobel T,Swendseid B,Champagne BJ,Stein SL,Delaney CP,Reynolds HL

更新日期：2015-03-01 00:00:00

abstract：BACKGROUND:We hypothesize that medical centers that prioritize altruism can also deliver superior quality care. METHODS:Data were obtained from California's Office of Statewide Health Planning and Development, Medicare Hospital Compare, and the Joint Commission US Census Bureau's American Community Survey. Outcomes we...

journal_title：American journal of surgery

authors： Chang V,Kuo PC,Wai PY

更新日期：2015-03-01 00:00:00

abstract：BACKGROUND:A gender-neutral threshold aneurysm diameter (AD) of more than 5.5 cm for surgical intervention in abdominal aortic aneurysms (AAA) ignores the fact that women have a smaller baseline AD. We hypothesized that women have a greater AD relative to body surface area (BSA) at the time of surgery and that this wor...

journal_title：American journal of surgery

authors： Matyal R,Shakil O,Hess PE,Lo R,Jainandunsing JS,Mahmood B,Hartman GS,Schermerhorn ML,Mahmood F

更新日期：2015-02-01 00:00:00

abstract：BACKGROUND:The need for mechanical ventilation (MV) after spinal cord injury (SCI) is a risk factor for prolonged critical care. The "purpose" of this study was to identify the level of cervical SCI that requires MV, thereby defining candidates for tracheostomy. METHODS:Patients with cervical SCI over a 15-year period...

journal_title：American journal of surgery

authors： Jones TS,Burlew CC,Johnson JL,Jones E,Kornblith LZ,Biffl WL,Stovall RT,Pieracci FM,Stahel PF,Moore EE

更新日期：2015-02-01 00:00:00

abstract：BACKGROUND:Merkel cell carcinoma (MCC) is a cutaneous neuroendocrine tumor that may spread via lymphatics and can therefore be staged with sentinel lymph node biopsy (SLNB). MCC is radiosensitive and chemosensitive, although the role of adjuvant therapy is still unclear. We examined the impact of different treatments o...

journal_title：American journal of surgery

authors： Tseng J,Dhungel B,Mills JK,Diggs BS,Weerasinghe R,Fortino J,Vetto JT

更新日期：2015-02-01 00:00:00

abstract：BACKGROUND:Several recent studies have suggested that Braun enteroenterostomy (BEE) during conventional pancreatoduodenectomy might decrease delayed gastric emptying (DGE). However, the advantages and disadvantages of performing BEE during pylorus-preserving pancreatoduodenectomy (PPPD) remain controversial. METHODS:T...

journal_title：American journal of surgery

authors： Watanabe Y,Ohtsuka T,Kimura H,Matsunaga T,Tamura K,Ideno N,Aso T,Miyasaka Y,Ueda J,Takahata S,Tanaka M

更新日期：2015-02-01 00:00:00

abstract：BACKGROUND:Data concerning the long-term efficacy of laparoscopic sleeve gastrectomy in the treatment of morbid obesity remain scarce. In this retrospective, the authors present 5-year follow-up of 30 patients having undergone laparoscopic sleeve gastrectomy. METHODS:Since 2004, 30 patients underwent laparoscopic slee...

journal_title：American journal of surgery

authors： Alexandrou A,Athanasiou A,Michalinos A,Felekouras E,Tsigris C,Diamantis T

更新日期：2015-02-01 00:00:00

abstract：BACKGROUND:When learning multiple tasks, blocked or random training schedules may be used. We assessed the effects of blocked and random schedules on the acquisition and retention of laparoscopic skills. METHODS:Thirty-six laparoscopic novices were randomized to practice laparoscopic tasks using blocked, random, or no...

journal_title：American journal of surgery

authors： Rivard JD,Vergis AS,Unger BJ,Gillman LM,Hardy KM,Park J

更新日期：2015-01-01 00:00:00

abstract：BACKGROUND:This study explores the nature and the intention of attending surgeons' guiding behaviors performed in the operating room (OR) in order to build taxonomy of OR guiding behavior. METHODS:Nine attending surgeons and 8 surgical residents were invited to observe 8 prerecorded surgical cases from 4 common proced...

journal_title：American journal of surgery

authors： Chen XP,Williams RG,Sanfey HA,Smink DS

更新日期：2015-01-01 00:00:00

abstract：BACKGROUND:Surgical energy-based devices emit energy, which can interfere with other electronic devices (eg, implanted cardiac pacemakers and/or defibrillators). The purpose of this study was to quantify the amount of unintentional energy (electromagnetic interference [EMI]) transferred to an implanted cardiac defibril...

journal_title：American journal of surgery

authors： Paniccia A,Rozner M,Jones EL,Townsend NT,Varosy PD,Dunning JE,Girard G,Weyer C,Stiegmann GV,Robinson TN

更新日期：2014-12-01 00:00:00

abstract：BACKGROUND:Multimodality monitoring and goal-directed therapy may not prevent blood flow and brain oxygen (Flow/BrOx) crisis. We sought to determine the impact of these events on outcome in patients with severe traumatic brain injury (sTBI). METHODS:Twenty-four patients with sTBI were treated to maintain intracranial ...

journal_title：American journal of surgery

authors： Marini CP,Stoller C,Shah O,Policastro A,Lombardo G,Asensio JA,Hu YC,Stiefel MF

更新日期：2014-12-01 00:00:00

abstract：BACKGROUND:Venous thromboembolism is a common cause of morbidity. Guidelines recommend perioperative thromboprophylaxis, but clinicians remain cautious of bleeding after major oncologic resections. METHODS:Retrospective analysis of a single institution's prospective hepatopancreatobiliary database was performed for pa...

journal_title：American journal of surgery

authors： Doughtie CA,Priddy EE,Philips P,Martin RC,McMasters KM,Scoggins CR

更新日期：2014-12-01 00:00:00

abstract：BACKGROUND:Patients with recurrent pelvic malignancy have few treatment options, and surgery is fraught with complications. We sought to characterize the relationship between radiographic pelvic volume and postoperative complications after pelvic salvage surgery. METHODS:A retrospective chart review of all patients un...

journal_title：American journal of surgery

authors： Jones EL,Jones TS,Paniccia A,Merkow JS,Wells DM,Pearlman NW,McCarter MD

更新日期：2014-12-01 00:00:00

abstract：BACKGROUND:Malignant melanoma is an aggressive form of skin cancer with limited effective therapeutic options. Melanoma research concentrates on maximizing the effect on cancer cells with minimal toxicity to normal cells. AMP-activated protein kinase (AMPK) is an important regulator of cellular energy homeostasis and h...

journal_title：American journal of surgery

authors： Kaushik G,Kwatra D,Subramaniam D,Jensen RA,Anant S,Mammen JM

更新日期：2014-12-01 00:00:00

abstract：BACKGROUND:Several reports have indicated the benefits of the acute care surgery (ACS) model in surgical outcomes. We tried to delineate the impact of the ACS model on surgical efficiency and quality. METHODS:Before the ACS model was implemented, abdominal surgical emergencies were evaluated by an on-call nontrauma ge...

journal_title：American journal of surgery

authors： Fu CY,Huang HC,Chen RJ,Tsuo HC,Tung HJ

更新日期：2014-11-01 00:00:00