abstract：INTRODUCTION:The aim of this study was to assess the malignancy rate in patients with Hürthle cell metaplasia (HCM) on fine-needle aspiration biopsy (FNAB). METHODS:The pathology results of patients with benign colloid (BC) and HCM on FNAB were compared using a prospective database. RESULTS:One hundred fifty-three (6...

journal_title：American journal of surgery

authors： Hudak K,Mazeh H,Sippel RS,Chen H

更新日期：2012-03-01 00:00:00

abstract：BACKGROUND:The aim of this study was to determine whether minimally invasive radioguided parathyroidectomy (MIRP) and intraoperative parathyroid hormone-guided parathyroidectomy (ioPTH) have equivalent intermediate-term outcomes in primary hyperparathyroidism (PHPT). METHODS:A retrospective study of 244 patients who u...

journal_title：American journal of surgery

authors： Nagar S,Reid D,Czako P,Long G,Shanley C

更新日期：2012-02-01 00:00:00

abstract：BACKGROUND:The pathophysiology of adrenal insufficiency, common in surgical intensive care units, has not been fully elucidated. METHODS:Patients at risk (age > 55 years, in the surgical intensive care unit >1 week, baseline cortisol < 20 μg/dL) were enrolled. After measuring cortisol and adrenocorticotropic hormone (...

journal_title：American journal of surgery

authors： Schuster KM,Macleod JB,Fernandez JB,Kumar M,Barquist ES

更新日期：2012-02-01 00:00:00

abstract：BACKGROUND:The purpose of this study was to describe the incidence and clinical/pathologic characteristics of papillary thyroid microcarcinoma (PMC) in a community hospital setting and to evaluate the frequency and characteristics of these lesions when unsuspected preoperatively. METHODS:A total of 723 patients underw...

journal_title：American journal of surgery

authors： Dunki-Jacobs E,Grannan K,McDonough S,Engel AM

更新日期：2012-02-01 00:00:00

abstract：BACKGROUND:The aim of this study was to prospectively duplicate previous retrospective findings showing that prestorage leukoreduction blunts the detrimental effect of aging on banked packed red blood cells transfused after injury. METHODS:Over 19 months, trauma patients transfused with ≥4 U of packed red blood cells ...

journal_title：American journal of surgery

authors： Phelan HA,Eastman AL,Aldy K,Carroll EA,Nakonezny PA,Jan T,Howard JL,Chen Y,Friese RS,Minei JP

更新日期：2012-02-01 00:00:00

abstract：BACKGROUND:Established methods for assessing surgical performance face limitations. Global rating scales and procedure-specific checklists are resource intensive and rely on expert opinions. Alternatives that use technology to track hand movements, such as magnetic and optical tracking systems, are generally expensive ...

journal_title：American journal of surgery

authors： Sonnadara R,Rittenhouse N,Khan A,Mihailidis A,Drozdzal G,Safir O,Leung SO

更新日期：2012-01-01 00:00:00

abstract：:We present a patient with pseudo-Meigs syndrome (PMS) secondary to sigmoid colon cancer metastasis to the ovary with elevated serum levels of carcinoembryonic antigen, CA19-9, and CA-125 who showed a marked change in pleural effusion before and after surgery. We have to consider PMS associated with colon cancer in pat...

journal_title：American journal of surgery

authors： Saito H,Koide N,Miyagawa S

更新日期：2012-01-01 00:00:00

abstract：BACKGROUND:Teaching professionalism effectively to fully engaged residents is a significant challenge. A key question is whether the integration of professionalism into residency education leads to a change in resident culture. METHODS:The goal of this study was to assess whether professionalism has taken root in the ...

journal_title：American journal of surgery

authors： Hochberg MS,Berman RS,Kalet AL,Zabar SR,Gillespie C,Pachter HL,Surgical Professionalism and Interpersonal Communications Education Study Group.

更新日期：2012-01-01 00:00:00

abstract：BACKGROUND:Minor burns represent .96% to 1.5% of emergency department visits, yet burn center referral is common. Analysis of the Grady Memorial Hospital Burn Center examined the feasibility and savings if pediatric burns were managed locally with as-needed consultation. METHODS:Prospective data on 219 consecutive adm...

journal_title：American journal of surgery

authors： Vercruysse GA,Ingram WL,Feliciano DV

更新日期：2011-12-01 00:00:00

abstract：BACKGROUND:Postoperative pain management with a continuous preperitoneal infusion (CPI) for locoregional anesthesia has been shown to have improved postoperative outcomes. This is the first direct comparison of CPI versus epidural infusion (EPI), both in conjunction with systemic analgesia. METHODS:A retrospective rev...

journal_title：American journal of surgery

authors： Gross ME,Nelson ET,Mone MC,Hansen HJ,Sklow B,Glasgow RE,Scaife CL

更新日期：2011-12-01 00:00:00

abstract：BACKGROUND:Autotransfusable shed blood has been poorly characterized in trauma and may have similarities to whole blood with additional benefits. METHODS:This was a prospective descriptive study of adult patients from whom ≥50 mL of blood was drained within the first 4 hours after chest tube placement. Pleural and ven...

journal_title：American journal of surgery

authors： Salhanick M,Corneille M,Higgins R,Olson J,Michalek J,Harrison C,Stewart R,Dent D

更新日期：2011-12-01 00:00:00

abstract：BACKGROUND:In a time of increasing specialization, academic training institutions provide a compartmentalized learning environment that often does not reflect the broad clinical experience of general surgery practice. This study aimed to evaluate the contribution of the Veterans Affairs (VA) general surgery surgical ex...

journal_title：American journal of surgery

authors： Poteet S,Tarpley M,Tarpley JL,Pearson AS

更新日期：2011-11-01 00:00:00

abstract：BACKGROUND:We recently reported that the efficacy of nitric oxide (NO) appears to be based on both sex and hormone status. The mechanism responsible for this differential efficacy is unknown. The aim of this study was to characterize the effect of sex, hormones, and NO on the extracellular signal-regulated kinase (ERK)...

journal_title：American journal of surgery

authors： Havelka GE,Hogg ME,Martinez J,Banjeree MN,Jiang Q,Kibbe MR

更新日期：2011-11-01 00:00:00

abstract：BACKGROUND:The purpose of this study was to investigate the reliability and validity of a performance assessment of communication, professionalism, and surgical skills competencies for surgery residents. METHODS:Fourteen residents from the general surgery program of the University of Calgary were assessed in 7 surgica...

journal_title：American journal of surgery

authors： Ponton-Carss A,Hutchison C,Violato C

更新日期：2011-10-01 00:00:00

abstract：BACKGROUND:Colorectal liver metastases with hepatic vein (HV) involvement may require combined resection of the liver and HV. However, the short- and long-term outcomes of such a procedure remain unclear. METHODS:We reviewed 16 cases of liver resection with major HV resection and reconstruction. RESULTS:The patients ...

journal_title：American journal of surgery

authors： Saiura A,Yamamoto J,Sakamoto Y,Koga R,Seki M,Kishi Y

更新日期：2011-10-01 00:00:00

abstract：BACKGROUND:Accurate assessment is imperative for learning, feedback and progression. The aim of this study was to examine whether surgeons can accurately self-assess their technical and nontechnical skills compared with expert faculty members' assessments. METHODS:Twenty-five surgeons performed a laparoscopic cholecys...

journal_title：American journal of surgery

authors： Arora S,Miskovic D,Hull L,Moorthy K,Aggarwal R,Johannsson H,Gautama S,Kneebone R,Sevdalis N

更新日期：2011-10-01 00:00:00

abstract：BACKGROUND:Laparoscopic rectal cancer surgery involving rectal division with intracorporeal stapling devices is technically difficult. This study aimed to identify risk factors for anastomotic leakage associated with laparoscopic anterior resection for rectal cancer. METHODS:We studied 363 patients who underwent lapar...

journal_title：American journal of surgery

authors： Akiyoshi T,Ueno M,Fukunaga Y,Nagayama S,Fujimoto Y,Konishi T,Kuroyanagi H,Yamaguchi T

更新日期：2011-09-01 00:00:00

abstract：:Orthopedic surgery is a specialty of surgery dedicated to the prevention, diagnosis, and treatment of diseases and injuries of the musculoskeletal system in all age groups. Careers in orthopedic surgery span the spectrum from general orthopedics to those of subspecialty expertise in orthopedic trauma, hand, pediatrics...

journal_title：American journal of surgery

authors： Gehrig LM

更新日期：2011-09-01 00:00:00

abstract：BACKGROUND:Debates continue regarding optimal structures for governance and administration between medical schools and their teaching hospitals. METHODS:Structural integration (SI) for 85 academic health centers was characterized as high (single leader or fiduciary) or low (multiple leaders or fiduciaries). Functional...

journal_title：American journal of surgery

authors： Keroack MA,McConkie NR,Johnson EK,Epting GJ,Thompson IM,Sanfilippo F

更新日期：2011-08-01 00:00:00

abstract：BACKGROUND:We describe the presentation, diagnostic pathway, and management of 28 patients with benign retroperitoneal schwannomas. METHODS:A prospectively kept soft-tissue tumor database was reviewed to identify patients who presented to the Royal Marsden Hospital with retroperitoneal schwannomas. RESULTS:From 2001 ...

journal_title：American journal of surgery

authors： Strauss DC,Qureshi YA,Hayes AJ,Thomas JM

更新日期：2011-08-01 00:00:00

abstract：BACKGROUND:The use of biologic markers to aid in individualizing wound treatment may help improve outcomes. A biologic marker that has been demonstrated to be predictive of healing in both chronic and acute wounds is wound tissue bacterial level. The objective of this study was to determine whether tissue bacterial lev...

journal_title：American journal of surgery

authors： Pierpont YN,Uberti MG,Ko F,Robson MC,Smith CA,Wright TE,Payne WG

更新日期：2011-08-01 00:00:00

abstract：BACKGROUND:The clinical pulmonary infection score (CPIS) and bronchoalveolar lavage (BAL) are 2 tools that have been validated to diagnose pneumonia in critically ill patients. However, the role of the CPIS in diagnosing trauma-associated pneumonia (TAP) remains in question. METHODS:This prospective observational stud...

journal_title：American journal of surgery

authors： Patel CB,Gillespie TL,Goslar PW,Sindhwani M,Petersen SR

更新日期：2011-07-01 00:00:00

abstract：BACKGROUND:Although the immunologic benefits of laparoscopic surgery have been established, effects from hand-assisted (HA) surgery have not been investigated thoroughly. We hypothesized that the HA approach maintains the immunologic advantage of laparoscopic surgery compared with the open (O) approach. METHODS:Six O,...

journal_title：American journal of surgery

authors： Orenstein SB,Kaban GK,Litwin DE,Novitsky YW

更新日期：2011-07-01 00:00:00

abstract：BACKGROUND:Intrapleural blood detected by computed tomography scan, but not evident on plain chest radiograph, defines occult hemothorax. This study determined the role for tube thoracostomy. METHODS:Hemothorax was quantified on computed tomography by measuring the deepest lamellar fluid stripe at the most dependent p...

journal_title：American journal of surgery

authors： Mahmood I,Abdelrahman H,Al-Hassani A,Nabir S,Sebastian M,Maull K

更新日期：2011-06-01 00:00:00

abstract：BACKGROUND:Outpatient surgery is cost effective and convenient. The aim of this study was to determine the safety and feasibility of outpatient thyroidectomy. METHODS:Retrospective review was performed of all thyroidectomy patients from a tertiary care center between January 2004 and March 2010. RESULTS:One hundred f...

journal_title：American journal of surgery

authors： Hessman C,Fields J,Schuman E

更新日期：2011-05-01 00:00:00

abstract：BACKGROUND:Recent advances in computed tomographic (CT) imaging have improved the detection rate of pulmonary metastasis. The aim of this study was to test the hypothesis that the pulmonary nodule detection rate for preoperative CT imaging and intraoperative palpation are now equivalent. METHODS:A retrospective review...

journal_title：American journal of surgery

authors： Ellis MC,Hessman CJ,Weerasinghe R,Schipper PH,Vetto JT

更新日期：2011-05-01 00:00:00

abstract：OBJECTIVE:Surgeons' vigilance regarding patient condition was assessed using eye-tracking techniques during a simulated laparoscopic procedure. METHODS:Surgeons were required to perform a partial cholecystectomy in a virtual reality trainer (SurgicalSim; METI Inc, Sarasota, FL) while wearing a lightweight head-mounted...

journal_title：American journal of surgery

authors： Zheng B,Tien G,Atkins SM,Swindells C,Tanin H,Meneghetti A,Qayumi KA,Neely O,Panton M

更新日期：2011-05-01 00:00:00

abstract：BACKGROUND:Few patients with priapism require inpatient management unless they are refractory to intracavernosal therapy. Their risk factors and outcomes are poorly characterized. METHODS:This is a retrospective analysis of the Nationwide Inpatient Sample (1998-2006). Priapism patients were identified and analyzed ove...

journal_title：American journal of surgery

authors： Chrouser KL,Ajiboye OB,Oyetunji TA,Chang DC

更新日期：2011-04-01 00:00:00

abstract：BACKGROUND:Acute lung injury (ALI) and acute respiratory distress syndrome (ARDS) are sequelae of severe trauma. It is unknown if certain races are at greater risk of developing ALI/ARDS, and once established, if there are racial differences in the severity of lung injury or mortality. METHODS:Retrospective cohort stu...

journal_title：American journal of surgery

authors： Brown LM,Kallet RH,Matthay MA,Dicker RA

更新日期：2011-04-01 00:00:00

abstract：:Splenic infarction is rare in inflammatory diseases of the pancreas, although the spleen and its vessels have an intimate relation with the pancreas. Most reported cases are of focal infarction, and treatment is mostly conservative. The authors report a case of diffuse splenic infarction in a 17-year-old boy with seve...

journal_title：American journal of surgery

authors： Ray S,Mridha AR,Ahammed M

更新日期：2011-03-01 00:00:00

abstract：BACKGROUND:It is unknown whether surgical residents who learn minimal-access surgery skills in an unstructured environment (ie, at home), will develop a technical skill set that rivals that of those trained in the more traditional, structured learning environment. METHODS:Seven surgery residents were provided structur...

journal_title：American journal of surgery

authors： Uccelli J,Kahol K,Ashby A,Smith M,Ferrara J

更新日期：2011-03-01 00:00:00

abstract：BACKGROUND:Elective peripheral vascular surgery provides quality outcomes that are of great benefit to patients, but have complications that result in severe morbidity and excessive costs. METHODS:We studied elective carotid endarterectomy, aortofemoral bypass/aortic aneurysm repairs, and femoral-distal bypass surgeri...

journal_title：American journal of surgery

authors： Fry DE,Pine M,Jones BL,Meimban RJ

更新日期：2011-03-01 00:00:00

abstract：BACKGROUND:The purpose of this study was to determine the indications and outcome of surgery in patients with Hashimoto's thyroiditis (HT). METHODS:All patients who underwent thyroidectomy from 1990 to 2009 with pathologically confirmed HT were identified. Patients whose principle diagnosis was HT were evaluated for s...

journal_title：American journal of surgery

authors： Wormer BA,McHenry CR

更新日期：2011-03-01 00:00:00

abstract：OBJECTIVE:To identify risk factors predictive of pulmonary embolus (PE) timing after a traumatic injury. METHODS:One hundred eight traumatic injury patients with a confirmed diagnosis of PE were classified as early PE (≤4 days, n = 54) or late PE (>4 days, n = 54). Independent predictors of early versus late PE were i...

journal_title：American journal of surgery

authors： Brakenridge SC,Toomay SM,Sheng JL,Gentilello LM,Shafi S

更新日期：2011-02-01 00:00:00

abstract：BACKGROUND:Prognosis after resection for intrahepatic cholangiocarcinoma (ICC) remains unsatisfactory. There remains no effective therapy after recurrent ICC. OBJECTIVE:The current study sought to evaluate risk factors associated with recurrent ICC and possible therapies after resection. METHOD:A review of data from ...

journal_title：American journal of surgery

authors： Saiura A,Yamamoto J,Kokudo N,Koga R,Seki M,Hiki N,Yamada K,Natori T,Yamaguchi T

更新日期：2011-02-01 00:00:00

abstract：BACKGROUND:mesh techniques are the preferable methods for repair of small ventral hernias, as a primary suture repair shows high recurrence rates. The aim of this prospective study was to compare the retromuscular sublay technique with the intraperitoneal underlay technique for primary umbilical hernias. METHODS:from ...

journal_title：American journal of surgery

authors： Berrevoet F,D'Hont F,Rogiers X,Troisi R,de Hemptinne B

更新日期：2011-01-01 00:00:00

abstract：BACKGROUND:in 2008, the Surgical Council on Resident Education selected 33 residency programs to pilot its General Surgery Resident Curriculum Website Portal. The portal aims to reduce program variability in curricula, align teaching and learning with essential content, and improve resident study and performance. METH...

journal_title：American journal of surgery

authors： Schmitz CC,Risucci D,Plass J,Jones A,Darosa DA

更新日期：2011-01-01 00:00:00

abstract：BACKGROUND:blood loss during liver resection and the need for perioperative blood transfusions have negative impact on perioperative morbidity, mortality, and long-term outcomes. METHODS:a randomized controlled trial was performed on patients undergoing liver resection comparing hemihepatic vascular inflow occlusion, ...

journal_title：American journal of surgery

authors： Fu SY,Lau WY,Li GG,Tang QH,Li AJ,Pan ZY,Huang G,Yin L,Wu MC,Lai EC,Zhou WP

更新日期：2011-01-01 00:00:00

abstract：:Multiple organ failure (MOF) emerged 30 years ago and became our research focus. Over the years, we have proposed a series of cartoons that rallied multidisciplinary translational research teams around common themes to generate "win-win" hypotheses that when tested (right or wrong) have advanced our understanding of M...

journal_title：American journal of surgery

authors： Moore FA

更新日期：2010-12-01 00:00:00

abstract：BACKGROUND:Antibiotic prophylaxis during placement of implanted central venous access ports (CVAP) has not been studied. This retrospective review compared the rate of catheter-related infections (CRIs) with and without perioperative antibiotics. METHODS:This was a single-center study that compared patients treated wi...

journal_title：American journal of surgery

authors： Scaife CL,Gross ME,Mone MC,Hansen HJ,Litz CL,Nelson ET,Anderson CJ,Wagner G,Gawlick U,Nelson EW

更新日期：2010-12-01 00:00:00