abstract：BACKGROUND:While percutaneous tracheostomy (PT) is becoming the procedure of choice for elective tracheostomy, there is little late complication data. This study compared incidence of, and factors contributing to, tracheal stenosis following PT or open tracheostomy (OT). METHODS:A 10-year review was conducted of traum...

journal_title：American journal of surgery

authors： Kettunen WW,Helmer SD,Haan JM

更新日期：2014-11-01 00:00:00

abstract：BACKGROUND:The American Association of Endocrine Surgeons initiated a fellowship match in 2007. The profile of applicants who successfully match into an endocrine surgery (ES) fellowship has not previously been characterized. METHODS:An institutional review board-approved, web-based survey was distributed to recent an...

journal_title：American journal of surgery

authors： Kulaylat AN,Kenning EM,Chesnut CH 3rd,James BC,Schubart JR,Saunders BD

更新日期：2014-10-01 00:00:00

abstract：BACKGROUND:The treatment for a contralateral breast cancer (CBC) presents a growing dilemma given the expanding number of long-term survivors. We hypothesize that there will be specific surgical treatment trends with demographic differences between the treatment groups. METHODS:The Surveillance, Epidemiology, and End ...

journal_title：American journal of surgery

authors： Arrington AK,Voci A,Reparaz L,Fry W

更新日期：2014-10-01 00:00:00

abstract：BACKGROUND:Pain is the most common symptom associated with hernias. The aim was to assess the frequency of pain and its effects on physical activity and quality of life in patients with inguinal and ventral hernias. METHODS:All patients undergoing elective inguinal or ventral hernia repair over a 16-month period were ...

journal_title：American journal of surgery

authors： Chung L,O'Dwyer PJ

更新日期：2014-09-01 00:00:00

abstract：BACKGROUND:Multifocal breast cancers (MFBCs) present a challenge to surgeons. Although its feasibility is still controversial, breast-conserving surgery (BCS) is not contraindicated for MFBCs. The investigators retrospectively evaluated the feasibility of BCS and reviewed histopathologic findings in patients with MFBC....

journal_title：American journal of surgery

authors： Kadioğlu H,Yücel S,Yildiz S,Bozkurt S,Ersoy YE,Sağlam E,Müslümanoğlu M

更新日期：2014-09-01 00:00:00

abstract：BACKGROUND:Anastomotic leakage (AL) after gastroesophageal resection for cancer is a serious complication. The aim was to evaluate mediastinal microdialysis in the detection of AL before clinical symptoms. METHODS:Sixty patients were included. Samples were collected every 4 hours in the 1st 8 postoperative days and an...

journal_title：American journal of surgery

authors： Ellebæk M,Qvist N,Fristrup C,Mortensen MB

更新日期：2014-09-01 00:00:00

abstract：BACKGROUND:Expression profiles of p21, p27, p53, Ki-67, and thymidylate synthase may be associated with response to neoadjuvant chemoradiation. The relationship between post-treatment protein expression and regional lymph node involvement has not been fully explored. METHODS:Tumor cores from 126 rectal cancer patients...

journal_title：American journal of surgery

authors： Leibold T,Hui VW,Shia J,Ruby JA,Riedel ER,Guillem JG

更新日期：2014-08-01 00:00:00

abstract：BACKGROUND:This study evaluated a simulated pages curriculum that was developed to assess communication and clinical decision making in medical students and interns. METHODS:A curriculum consisting of 14 simulated pages was administered across 5 institutions to 150 senior medical students. A 3-case subset was administ...

journal_title：American journal of surgery

authors： Frischknecht AC,Boehler ML,Schwind CJ,Brunsvold ME,Gruppen LD,Brenner MJ,Hauge LS

更新日期：2014-08-01 00:00:00

abstract：BACKGROUND:Nipple discharge occurs in 2% to 5% of women. We evaluated the effectiveness of a previously proposed treatment algorithm for these patients. METHODS:Patients with pathologic nipple discharge and a negative mammogram and subareolar ultrasound were offered follow-up from 2005 to 2011 according to the algorit...

journal_title：American journal of surgery

authors： Ashfaq A,Senior D,Pockaj BA,Wasif N,Pizzitola VJ,Giurescu ME,Gray RJ

更新日期：2014-08-01 00:00:00

abstract：BACKGROUND:Primary laparoscopic repair of unilateral inguinal hernias has not achieved widespread recognition mainly because of concerns over safety. METHODS:Prospective cohort study using the American College of Surgeons National Surgery Quality Improvement Program between 2005 and 2010. Complications in patients und...

journal_title：American journal of surgery

authors： Saleh F,Okrainec A,D'Souza N,Kwong J,Jackson TD

更新日期：2014-08-01 00:00:00

abstract：:The Carotid Revascularization Endarterectomy versus Stenting Trial (CREST) has major implications for the future of carotid revascularization and stroke prevention. The purpose of The William Hinter Harridge Lecture was to discuss the history of carotid revascularization before CREST, to delineate the emergence of car...

journal_title：American journal of surgery

authors： Weaver FA

更新日期：2014-07-01 00:00:00

abstract：BACKGROUND:Traumatic injuries during pregnancy are the leading cause of nonobstetric maternal mortality. We aimed to determine hospital charges for trauma activations during pregnancy. METHODS:We used the Illinois State Trauma Registry data from 1999 to 2003. Using STATA for bivariate and regression analyses, we compa...

journal_title：American journal of surgery

authors： Periyanayagam U,Crandall M

更新日期：2014-07-01 00:00:00

abstract：BACKGROUND:The feasibility and safety of low-pressure pneumoperitoneum in laparoscopic cholecystectomy remain unclear. METHODS:A meta-analysis of randomized controlled trials comparing low-pressure with standard-pressure pneumoperitoneum was performed. RESULTS:A total of 1,263 patients were included. Low-pressure pne...

journal_title：American journal of surgery

authors： Hua J,Gong J,Yao L,Zhou B,Song Z

更新日期：2014-07-01 00:00:00

abstract：BACKGROUND:Few studies have evaluated the role of computed tomography-guided percutaneous drainage (PD) in the management of gastrointestinal (GI) anastomotic leaks. METHODS:Ten-year review of an interventional radiology database identified patients with symptomatic GI anastomotic leaks. Clinical, laboratory, radiogra...

journal_title：American journal of surgery

authors： Felder SI,Barmparas G,Murrell Z,Fleshner P

更新日期：2014-07-01 00:00:00

abstract：BACKGROUND:Robotic assistance may offer unique advantages over conventional laparoscopy in colorectal operations. METHODS:This prospective observational study compared operative measures and postoperative outcomes between laparoscopic and robotic abdominal and pelvic resections for benign and malignant disease. RESUL...

journal_title：American journal of surgery

authors： Casillas MA Jr,Leichtle SW,Wahl WL,Lampman RM,Welch KB,Wellock T,Madden EB,Cleary RK

更新日期：2014-07-01 00:00:00

abstract：BACKGROUND:Thyroglossal duct cysts (TGDCs) are common in children but also present in adults. This study evaluates the preoperative management and postoperative outcomes in patients with a resected TGDC. METHODS:A retrospective analysis was performed on patients with a surgically treated TGDC. Clinicopathologic variab...

journal_title：American journal of surgery

authors： Bhama AR,Smith RJ,Robinson RA,Weigel RJ,Sugg SL,Howe JR,Lal G

更新日期：2014-06-01 00:00:00

abstract：BACKGROUND:Injury epidemiology fluctuates with economic activity in many countries. These relationships remain unclear in Canada. METHODS:The annual risk of admission for major injury (Injury Severity Score ≥12) to a high-volume, level-1 Canadian trauma center was compared with indicators of economic activity over a 1...

journal_title：American journal of surgery

authors： Roberts DJ,Das D,Mercado M,Vis C,Kortbeek JB,Kirkpatrick AW,Ball CG

更新日期：2014-05-01 00:00:00

abstract：BACKGROUND:The role of sentinel lymph node status (SLNS) in thick melanoma is evolving. The purpose of this study was to determine the prognostic value of SLNS in thick melanoma. METHODS:A retrospective analysis of 120 prospectively collected clinically node-negative thick melanomas over 5 years was performed. Patient...

journal_title：American journal of surgery

authors： White I,Fortino J,Curti B,Vetto J

更新日期：2014-05-01 00:00:00

abstract：BACKGROUND:Pediatric magnet ingestions are increasing. Commercial availability of rare-earth magnets poses a serious health risk. This study defines incidence, characteristics, and management of ingestions over time. METHODS:Cases were identified by searching radiology reports from June 2002 to December 2012 at a chil...

journal_title：American journal of surgery

authors： Brown JC,Otjen JP,Drugas GT

更新日期：2014-05-01 00:00:00

abstract：BACKGROUND:The effectiveness of the nonsteroidal anti-inflammatory drug ketorolac in reducing pulmonary morbidity after rib fractures remains largely unknown. METHODS:A retrospective cohort study was conducted spanning January 2003 to June 2011 assessing pneumonia within 30 days and potential adverse effects of ketoro...

journal_title：American journal of surgery

authors： Yang Y,Young JB,Schermer CR,Utter GH

更新日期：2014-04-01 00:00:00

abstract：BACKGROUND:Management of the open abdomen with polyglactin 910 mesh followed by split-thickness skin grafts allows safe, early closure of abdominal wounds. This technique can be modified to manage enteroatmospheric fistulae. Staged ventral hernia is performed in a less inflamed surgical field. METHODS:A retrospective ...

journal_title：American journal of surgery

authors： Cheesborough JE,Park E,Souza JM,Dumanian GA

更新日期：2014-04-01 00:00:00

abstract：BACKGROUND:Minimally invasive techniques are now often used to treat primary hyperparathyroidism but with uncertain conformity and some controversy. Endocrine surgery fellowships (ESFPs) have recently proliferated. METHODS:The directors of the 19 ESFPs recognized by the American Association of Endocrine Surgeons were ...

journal_title：American journal of surgery

authors： Wang TS,Pasieka JL,Carty SE

更新日期：2014-04-01 00:00:00

abstract：BACKGROUND:The aim of this meta-analysis was to compare the effectiveness and complications of the laparoscopic procedure and open techniques in the treatment of recurrent inguinal hernias. METHODS:The electronic databases MEDLINE, Embase, PubMed, and Cochrane Library were used to search for randomized controlled tria...

journal_title：American journal of surgery

authors： Li J,Ji Z,Li Y

更新日期：2014-04-01 00:00:00

abstract：BACKGROUND:The aim of this study was to characterize patients readmitted following inpatient general surgery procedures. We hypothesized that a decreased length of stay would increase risk for readmission. METHODS:We utilized our institutional National Surgical Quality Improvement Project database from 2006 to 2011. T...

journal_title：American journal of surgery

authors： Kohlnhofer BM,Tevis SE,Weber SM,Kennedy GD

更新日期：2014-04-01 00:00:00

abstract：BACKGROUND:To improve surgical training standards, it is necessary to first define the elements of high-quality training and methods for measuring them. METHODS:Semistructured interviews were conducted with attending (n = 10) and resident (n = 10) general surgeons. An interview topic guide was used to elicit end users...

journal_title：American journal of surgery

authors： Singh P,Aggarwal R,Pucher PH,Duisberg AL,Arora S,Darzi A

更新日期：2014-04-01 00:00:00

abstract：BACKGROUND:This study utilizes the American College of Surgeons National Surgical Quality Improvement Program database to better understand the impact of obesity on perioperative surgical morbidity in abdominal wall reconstruction (AWR). METHODS:We reviewed the 2005 to 2010 American College of Surgeons National Surgic...

journal_title：American journal of surgery

authors： Nelson JA,Fischer JP,Cleveland EC,Wink JD,Serletti JM,Kovach SJ 3rd

更新日期：2014-04-01 00:00:00

abstract：BACKGROUND:The frequency of 90-day, postdischarge deaths and readmissions in Medicare patients undergoing elective surgical procedures has not been well studied. METHODS:The Medicare MedPar database for 2009 to 2010 was used to develop inpatient risk-adjusted, postoperative length-of-stay (RApoLOS) prediction models f...

journal_title：American journal of surgery

authors： Fry DE,Pine M,Pine G

更新日期：2014-03-01 00:00:00

abstract：BACKGROUND:To evaluate readmissions to determine predictors and patterns of readmission. METHODS:Prospective database review identified readmitted and non-readmitted patients after colorectal surgery. Variables for the index and readmission episode were examined. RESULTS:A total of 212 readmissions and 3,292 nonreadm...

journal_title：American journal of surgery

authors： Keller DS,Swendseid B,Khorgami Z,Champagne BJ,Reynolds HL Jr,Stein SL,Delaney CP

更新日期：2014-03-01 00:00:00

abstract：BACKGROUND:Michigan repealed a 35-year mandatory helmet law on April 13, 2012. We examined the early clinical impacts at a level 1 trauma center in West Michigan. METHODS:Retrospective cohort study comparing outcomes among motorcycle crash victims in a 7-month period before and after the helmet law repeal. RESULTS:On...

journal_title：American journal of surgery

authors： Chapman AJ,Titus R,Ferenchick H,Davis A,Rodriguez C

更新日期：2014-03-01 00:00:00

abstract：BACKGROUND:Laparoscopic colorectal surgery remains one of the most challenging techniques to learn. METHODS:The authors collected studies that have compared hand-assisted laparoscopic surgery (HALS) and open surgery for the treatment of colorectal disease over the past 17 years. Data of interest for HALS and open surg...

journal_title：American journal of surgery

authors： Ding J,Xia Y,Liao GQ,Zhang ZM,Liu S,Zhang Y,Yan ZS

更新日期：2014-01-01 00:00:00

abstract：BACKGROUND:The aim of this study was to determine the incidence rate, identify the risk factors, and describe the clinical outcome of perioperative acute kidney injury (AKI) in patients undergoing noncardiac, nonvascular surgery (NCS). METHODS:A total of 1,200 adult consecutive patients undergoing NCS were prospective...

journal_title：American journal of surgery

authors： Biteker M,Dayan A,Tekkeşin Aİ,Can MM,Taycı İ,İlhan E,Şahin G

更新日期：2014-01-01 00:00:00

abstract：BACKGROUND:Preoperative imaging for early-stage cutaneous melanoma is not recommended by current guidelines. Our goal was to investigate our institutional usage and utility. METHODS:Patients with clinically node-negative cutaneous melanoma undergoing surgery with sentinel lymph node biopsy were identified retrospectiv...

journal_title：American journal of surgery

authors： Haddad D,Garvey EM,Mihalik L,Pockaj BA,Gray RJ,Wasif N

更新日期：2013-12-01 00:00:00

abstract：BACKGROUND:There is a significant incidence of unrecognized postextubation dysphagia in trauma patients. The purpose of this study was to evaluate the incidence, ascertain the risk factors, and identify patients with postextubation dysphagia who will require clinical swallow evaluation. METHODS:A prospective observati...

journal_title：American journal of surgery

authors： Kwok AM,Davis JW,Cagle KM,Sue LP,Kaups KL

更新日期：2013-12-01 00:00:00

abstract：BACKGROUND:We conducted a national survey of general surgeons to address the association between surgeon characteristics and the tendency to recommend surgery. METHODS:We used a web-based survey with 25 hypothetical clinical scenarios with clinical equipoise regarding the decision to operate. The respondent-level tend...

journal_title：American journal of surgery

authors： Wilson NP,Wilson FP,Neuman M,Epstein A,Bell R,Armstrong K,Murayama K

更新日期：2013-12-01 00:00:00

abstract：BACKGROUND:During the reproductive years, women have a 4-fold higher prevalence of gallstones than men, making gallbladder disease a critically important topic in women's health. Among age-matched women and men hospitalized for cholecystitis, gender based differences in demographics, management, and economic and clinic...

journal_title：American journal of surgery

authors： Dua A,Dua A,Desai SS,Kuy S,Sharma R,Jechow SE,McMaster J,Patel B,Kuy S

更新日期：2013-11-01 00:00:00

abstract：:Mentoring has been recognized as a critical aspect of the professional and/or personal development of the student, resident or faculty member. This career development resource discusses strategies for building effective mentoring relationships and outlines some of the challenges to contemporary mentoring. ...

journal_title：American journal of surgery

authors： Sanfey H,Hollands C,Gantt NL

更新日期：2013-11-01 00:00:00

abstract：BACKGROUND:The effect of sex on fine-needle aspiration (FNA) diagnosis of thyroid cancer remains unknown. This study determines the reliability of FNA when evaluating thyroid nodules ≥4 cm in women and men. METHODS:Prospectively collected data of 1,068 patients who underwent FNA and thyroidectomy at a tertiary medical...

journal_title：American journal of surgery

authors： Parikh PP,Allan BJ,Lew JI

更新日期：2013-11-01 00:00:00

abstract：BACKGROUND:Endoscopic retrograde cholangiopancreatography and laparoscopic common bile duct exploration are safe and efficient methods that have recently been used for the treatment of bile duct stones. The aim of this study was to compare the efficacy, safety, and surgical outcomes of the laparoscopic common bile duct...

journal_title：American journal of surgery

authors： Koc B,Karahan S,Adas G,Tutal F,Guven H,Ozsoy A

更新日期：2013-10-01 00:00:00

abstract：BACKGROUND:This study was designed to compare short-term laparoscopic total gastrectomy (LTG) with open total gastrectomy (OTG) outcomes in gastric cancer. METHODS:Seventy patients who underwent total gastrectomy via LTG or OTG were included. All cases were matched for stage, age, and sex by means of statistically gen...

journal_title：American journal of surgery

authors： Shim JH,Oh SI,Yoo HM,Jeon HM,Park CH,Song KY

更新日期：2013-09-01 00:00:00

abstract：BACKGROUND:To prevent hepatic failure after major hepatectomy, it is important to assess preoperative factors related to liver failure. METHODS:We examined 80 patients who underwent right-sided hepatectomy. Hyperbilirubinemia, uncontrolled ascites, and prolonged postoperative hospital stay were defined as liver failur...

journal_title：American journal of surgery

authors： Hirashita T,Ohta M,Iwashita Y,Iwaki K,Uchida H,Yada K,Matsumoto T,Kitano S

更新日期：2013-09-01 00:00:00