abstract：BACKGROUND:Recent changes in the educational environment and in the content of specialty surgical education have highlighted limitations, both educational and logistic, of the current system of graduate surgical education. To address these issues, the Graduate Medical Education Committee of the American College of Surg...

journal_title：Journal of the American College of Surgeons

authors：

更新日期：1998-01-01 00:00:00

abstract：BACKGROUND:Enteric drainage (ED) of pancreas allografts is an alternative to the bladder drainage (BD) technique and eliminates unique metabolic complications seen in the BD pancreas transplant recipients. Little longterm data has been reported in ED pancreas transplants. STUDY DESIGN:Of 53 patients who underwent panc...

journal_title：Journal of the American College of Surgeons

authors： Nymann T,Shokouh-Amiri MH,Elmer DS,Stratta RJ,Gaber AO

更新日期：1997-12-01 00:00:00

abstract：BACKGROUND:This study was undertaken to report our experience with major vascular injuries in gynecologic laparoscopy in order to specify the circumstances under which they occurred, the means of diagnosis, the risk factors, and the means for prevention. STUDY DESIGN:Retrospective case review study. RESULTS:Seventeen...

journal_title：Journal of the American College of Surgeons

authors： Chapron CM,Pierre F,Lacroix S,Querleu D,Lansac J,Dubuisson JB

更新日期：1997-11-01 00:00:00

abstract：BACKGROUND:The National Veterans Affairs Surgical Risk Study was designed to collect reliable, valid data on patient risk and outcomes for major surgery in the Veterans Health Administration and to report comparative risk-adjusted postoperative mortality rates for surgical services in Veterans Health Administration. S...

journal_title：Journal of the American College of Surgeons

authors： Khuri SF,Daley J,Henderson W,Hur K,Gibbs JO,Barbour G,Demakis J,Irvin G 3rd,Stremple JF,Grover F,McDonald G,Passaro E Jr,Fabri PJ,Spencer J,Hammermeister K,Aust JB

更新日期：1997-10-01 00:00:00

abstract：BACKGROUND:Infectious morbidity after total abdominal hysterectomy includes fever (31%) and antibiotic administration (45%). Whether vaginal cuff closure reduces postoperative infectious morbidity remains unresolved. STUDY DESIGN:We reviewed the records of 172 consecutive abdominal hysterectomies for nonmalignant dise...

journal_title：Journal of the American College of Surgeons

authors： Korn AP,Grullon K,Hessol N,Lin P,Siopak J

更新日期：1997-10-01 00:00:00

abstract：BACKGROUND:The benefit of splenectomy, performed for complications of chronic lymphocytic leukemia (CLL) including autoimmune hemolytic anemia, thrombocytopenia, hypersplenism, and symptomatic splenomegaly, has not been clearly demonstrated. The objective of this study was to determine if splenectomy achieves a predict...

journal_title：Journal of the American College of Surgeons

authors： Cusack JC Jr,Seymour JF,Lerner S,Keating MJ,Pollock RE

更新日期：1997-09-01 00:00:00

abstract：BACKGROUND:Pancreas transplants are still associated with the highest surgical complication rate of all routinely performed solid organ transplants. To date, the impact of serious surgical complications in the cyclosporine era on perioperative patient morbidity, graft and patient survival, and hospital costs has not be...

journal_title：Journal of the American College of Surgeons

authors： Gruessner RW,Sutherland DE,Troppmann C,Benedetti E,Hakim N,Dunn DL,Gruessner AC

更新日期：1997-08-01 00:00:00

abstract：BACKGROUND:This study was undertaken to compare safety, outcome, and costs of laparoscopic (LS) and open splenectomy (OS) for a variety of hematologic diseases. STUDY DESIGN:The records of 137 patients who underwent splenectomy (63 LS and 74 OS) at a large private teaching hospital between March 1991 and April 1996 we...

journal_title：Journal of the American College of Surgeons

authors： Friedman RL,Hiatt JR,Korman JL,Facklis K,Cymerman J,Phillips EH

更新日期：1997-07-01 00:00:00

abstract：BACKGROUND:Drainage methods for the gastric conduit after esophagectomy for carcinoma have been controversial. STUDY DESIGN:In a randomized controlled trial, 92 patients with esophageal carcinoma were randomized to have pyloroplasty or pyloromyotomy as a drainage procedure for the gastric conduit used for esophageal r...

journal_title：Journal of the American College of Surgeons

authors： Law S,Cheung MC,Fok M,Chu KM,Wong J

更新日期：1997-06-01 00:00:00

abstract：BACKGROUND:Several authors have questioned the need for axillary lymph node dissection in T1a breast cancer (primary tumors 5 mm or less in diameter), although current practice typically includes routine axillary lymph node dissection. STUDY DESIGN:We retrospectively reviewed the records of 2,242 breast cancers in our...

journal_title：Journal of the American College of Surgeons

authors： Chontos AJ,Maher DP,Ratzer ER,Fenoglio ME

更新日期：1997-05-01 00:00:00

abstract：BACKGROUND:Laparoscopic operative procedures have decreased postoperative pain and the length of hospitalization. In addition, evidence supports a physiologic benefit from laparoscopic surgery. By analyzing several parameters of peritoneal macrophage function, we report a comparison of the magnitude of postoperative st...

journal_title：Journal of the American College of Surgeons

authors： Iwanaka T,Arkovitz MS,Arya G,Ziegler MM

更新日期：1997-04-01 00:00:00

abstract：BACKGROUND:We examine the technique of combining percutaneous transluminal angioplasty and secondary intravascular stent deployment with femorofemoral bypass graft in patients with bilateral aortoiliac occlusive disease. STUDY DESIGN:Retrospective review. RESULTS:During the 5-year period from June 1988 to October 199...

journal_title：Journal of the American College of Surgeons

authors： Lopez-Galarza LA,Ray LI,Rodriguez-Lopez J,Diethrich EB

更新日期：1997-03-01 00:00:00

abstract：BACKGROUND:Intraluminally placed polytetrafluoroethylene grafts are associated with enhanced graft endothelialization and diminished intimal hyperplasia when compared with interposition grafts. This study determined the role of platelet-derived growth factor in intraluminal graft healing. STUDY DESIGN:Thirty dogs unde...

journal_title：Journal of the American College of Surgeons

authors： Ombrellaro MP,Stevens SL,Schaeffer DO,Freeman MB,Sciarrotta J,Carroll R,Goldman MH

更新日期：1997-01-01 00:00:00

abstract：BACKGROUND:Biliary stricture with dilatation is a putative cause of intrahepatic bile duct stones. However, this hypothesis has never been proved. STUDY DESIGN:Fifty-six patients had operative cholangiography, underwent standard excision of a choledochal cyst, and were reviewed at follow-up clinics at a mean follow-up...

journal_title：Journal of the American College of Surgeons

authors： Uno K,Tsuchida Y,Kawarasaki H,Ohmiya H,Honna T

更新日期：1996-12-01 00:00:00

abstract：BACKGROUND:The American College of Surgeons (ACS) has collected comprehensive data about surgical residents for the past 12 years and has published an annual report, the Longitudinal Study of Surgical Residents. In 1994, the ACS and the American Medical Association (AMA) agreed to collaborate in collecting data about s...

journal_title：Journal of the American College of Surgeons

authors： Kwakwa F,Jonasson O

更新日期：1996-11-01 00:00:00

abstract：BACKGROUND:Since 1993, the American College of Surgeons has sponsored an annual 6-day course entitled the Surgeons as Educators. The course was designed to provide academic surgeons with the knowledge and skills necessary to enhance the surgical education curriculum, teaching strategies, educational program administrat...

journal_title：Journal of the American College of Surgeons

authors： DaRosa DA,Folse JR,Reznick RK,Dunnington GL,Sachdeva AK

更新日期：1996-11-01 00:00:00

abstract：BACKGROUND:Infectious and noninfectious anorectal complications may occur in patients undergoing therapy for leukemia. Controversy surrounds the treatment of this problem in immunocompromised patients. STUDY DESIGN:A retrospective review of the medical records of 83 patients with acute or chronic leukemia in whom anor...

journal_title：Journal of the American College of Surgeons

authors： North JH Jr,Weber TK,Rodriguez-Bigas MA,Meropol NJ,Petrelli NJ

更新日期：1996-10-01 00:00:00

abstract：BACKGROUND:As the use of Papanicolaou cytologic screening became widespread in the United States of America, there was a shift toward diagnosis of earlier clinical stages in patients with carcinoma of the cervix. This increase in early stage disease has also resulted in increased use of surgery as the primary treatment...

journal_title：Journal of the American College of Surgeons

authors： Shingleton HM,Jones WB,Russell A,Fremgen A,Chmiel JS,Ocwieja K,Winchester DP,Clive R

更新日期：1996-10-01 00:00:00

abstract：BACKGROUND:Controversy persists regarding digestive reconnection following subtotal gastrectomy for carcinoma. A randomized prospective trial comparing Billroth I and Billroth II procedures for mortality, digestive comfort, survival, and patterns of recurrence was conducted. STUDY DESIGN:Thirty patients underwent Bill...

journal_title：Journal of the American College of Surgeons

authors： Chareton B,Landen S,Manganas D,Meunier B,Launois B

更新日期：1996-09-01 00:00:00

abstract：BACKGROUND:The aim of this study was to evaluate the operative repair of rectoceles in a defined group of women by a technique designed to deal with the cause (failure of the rectovaginal septum) rather than the effect (rectal and vaginal wall bulging). STUDY DESIGN:Only women whose defecation was aided by vaginal dig...

journal_title：Journal of the American College of Surgeons

authors： Watson SJ,Loder PB,Halligan S,Bartram CI,Kamm MA,Phillips RK

更新日期：1996-09-01 00:00:00

abstract：BACKGROUND:We sought to determine the clinical factors and tumor characteristics associated with the reported poor prognosis in young patients with carcinoma of the colon and rectum. STUDY DESIGN:A retrospective review was performed of 186 patients younger than 40 years of age who were treated for primary colorectal a...

journal_title：Journal of the American College of Surgeons

authors： Cusack JC,Giacco GG,Cleary K,Davidson BS,Izzo F,Skibber J,Yen J,Curley SA

更新日期：1996-08-01 00:00:00

abstract：BACKGROUND:The putative relationship between pancreas divisum and clinical pancreatitis continues to be controversial. Indications for surgical or endoscopic manipulations of the accessory duct ampulla are unclear, and the relative merits of surgical sphincteroplasty, endoscopic sphincterotomy, and accessory duct stent...

journal_title：Journal of the American College of Surgeons

authors： Bradley EL 3rd,Stephan RN

更新日期：1996-07-01 00:00:00

abstract：BACKGROUND:The medical and surgical treatment of patients with Crohn's disease is directed at reducing symptoms and postponing recurrence. In the determination of high-risk groups for surgical recurrence after ileocolonic resection, the role of early endoscopic evaluation is unclear. STUDY DESIGN:We investigated the r...

journal_title：Journal of the American College of Surgeons

authors： de Jong E,van Dullemen HM,Slors JF,Dekkers P,van Deventer SJ,Tytgat GN

更新日期：1996-06-01 00:00:00

abstract：BACKGROUND:Percutaneous endoscopic gastrostomy (PEG) by the "push" technique avoids peri-catheter infection, repeated insertion of the endoscope, potential esophageal injury from the catheter, and the possible need for another endoscopy for catheter removal associated with the "pull" technique. In small infants, howeve...

journal_title：Journal of the American College of Surgeons

authors： Robertson FM,Crombleholme TM,Latchaw LA,Jacir NN

更新日期：1996-03-01 00:00:00

abstract：BACKGROUND:Although c-myc expression in carcinoma of the stomach has been reported to be involved in progression of the disease, little is known about the mechanism or significance of its expression. STUDY DESIGN:We measured c-myc messenger RNA (mRNA) levels by Northern blot hybridization in 51 primary gastric carcino...

journal_title：Journal of the American College of Surgeons

authors： Onoda N,Maeda K,Chung YS,Yano Y,Matsui-Yuasa I,Otani S,Sowa M

更新日期：1996-01-01 00:00:00

abstract：BACKGROUND:In the present study we evaluated gastrointestinal motility after gastrectomy of a new pylorus-preserving technique that is becoming a popular operation for early stage carcinoma of the stomach. STUDY DESIGN:Using strain-gauge force transducers we studied gastrointestinal motility in control dogs, dogs afte...

journal_title：Journal of the American College of Surgeons

authors： Shibata C,Sasaki I,Naito H,Ohtani N,Matsuno S

更新日期：1995-12-01 00:00:00

abstract：BACKGROUND:There are few studies that report on stenosis of the intrahepatic bile ducts associated with choledochal cysts. We investigated the presence and clinical significance of stenosis of the intrahepatic bile ducts associated with choledochal cysts. STUDY DESIGN:We examined intrahepatic bile ducts in patients wi...

journal_title：Journal of the American College of Surgeons

authors： Ando H,Ito T,Kaneko K,Seo T

更新日期：1995-11-01 00:00:00

abstract：BACKGROUND:The clinical management of sterile pancreatic necrosis is still a matter of debate. In this study we analyzed the clinical course and outcome of patients with sterile necrotizing pancreatitis treated surgically versus nonsurgically. STUDY DESIGN:Between May 1982 and December 1993, 249 patients with necrotiz...

journal_title：Journal of the American College of Surgeons

authors： Rau B,Pralle U,Uhl W,Schoenberg MH,Beger HG

更新日期：1995-10-01 00:00:00

abstract：BACKGROUND:The foreign body reaction caused by implanted biomaterials is not fully characterized. To evaluate the effect of an expanded polytetrafluoroethylene (ePTFE) surface on the binding of monoclonal antibodies against the intercellular adhesion molecule (ICAM-1) by adherent endothelial cells, an in vitro bioassay...

journal_title：Journal of the American College of Surgeons

authors： Margiotta MS,Benton L,Greco RS

更新日期：1995-09-01 00:00:00

abstract：BACKGROUND:The complications and long-term follow-up results of internal hemipelvectomy are not well documented. STUDY DESIGN:We reviewed 32 internal hemipelvectomies performed between 1976 and 1994. RESULTS:The pathologic diagnoses were soft tissue sarcoma in 15 cases, bone tumor in 14 cases, melanoma in two cases, ...

journal_title：Journal of the American College of Surgeons

authors： Apffelstaedt JP,Driscoll DL,Karakousis CP

更新日期：1995-07-01 00:00:00

abstract：BACKGROUND:The ability to quantitate the extent of acinar cell necrosis with contrast-enhanced computed tomography (CT) during acute pancreatitis is uncertain. STUDY DESIGN:Acute hemorrhagic necrotizing pancreatitis was induced in opossums by obstructing their biliopancreatic duct for up to seven days or by retrograde...

journal_title：Journal of the American College of Surgeons

authors： Rünzi M,Raptopoulos V,Saluja AK,Kaiser AM,Nishino H,Gerdes D,Steer ML

更新日期：1995-06-01 00:00:00

abstract：BACKGROUND:Several factors may influence the degree of carbon dioxide (CO2) absorption during laparoscopy. Hypercapnia as a result of excessive CO2 absorption may have adverse clinical effects. STUDY DESIGN:To identify factors associated with increased CO2 absorption, we retrospectively calculated the CO2 elimination ...

journal_title：Journal of the American College of Surgeons

authors： Wolf JS Jr,Clayman RV,Monk TG,McClennan BL,McDougall EM

更新日期：1995-05-01 00:00:00

abstract：BACKGROUND:Peripheral ports represent a new option for central venous access that have a low complication rate while providing long duration. This study provides five years of evaluation of this device. STUDY DESIGN:All patients had follow-up evaluation concurrently, with detailed information collected for the first 7...

journal_title：Journal of the American College of Surgeons

authors： Schuman E,Ragsdale J

更新日期：1995-04-01 00:00:00

abstract：BACKGROUND:The prognosis for patients with locally advanced carcinoma of the breast remains poor. This study examines the pathologic evidence of response of the mammary tumor and axillary nodes after preoperative chemotherapy. We sought to determine if there was a relationship between the histologic response and clinic...

journal_title：Journal of the American College of Surgeons

authors： Sataloff DM,Mason BA,Prestipino AJ,Seinige UL,Lieber CP,Baloch Z

更新日期：1995-03-01 00:00:00

abstract：BACKGROUND:Wedge or other nonanatomic hepatic resections, performed in an attempt to spare functional parenchyma, often are not accomplished with clear resection margins and may be complicated by hemorrhage from the depth of the resection. STUDY DESIGN:The current study describes a technique of cryoassisted hepatic re...

journal_title：Journal of the American College of Surgeons

authors： Polk W,Fong Y,Karpeh M,Blumgart LH

更新日期：1995-02-01 00:00:00

abstract：BACKGROUND:Primary hyperparathyroidism (HPT) occurs more frequently in persons who have been exposed to low-dose therapeutic radiation. Little information is available concerning whether or not the clinical, metabolic, and pathologic manifestations, as well as outcome, differ in these patients when compared with patien...

journal_title：Journal of the American College of Surgeons

authors： Tezelman S,Rodriguez JM,Shen W,Siperstein AE,Duh QY,Clark OH

更新日期：1995-01-01 00:00:00

abstract：BACKGROUND:In hepatic resection, it is important to control intrahepatic blood flow to minimize blood loss. Intermittent and selective vascular occlusion, if possible, are advisable. STUDY DESIGN:For this purpose, we created the double balloon catheter, which when introduced into a lobar or a smaller branch of the int...

journal_title：Journal of the American College of Surgeons

authors： Goseki N,Kato S,Takamatsu S,Dobashi Y,Hara Y,Teramoto K,Nakamura H,Endo M,Shimojyu K

更新日期：1994-12-01 00:00:00

abstract：BACKGROUND:In the western literature, controversy exists regarding the operative management of carcinoma of the stomach. Still debated are the extent of gastric resection, the role of splenectomy, and the significance of lymphadenectomy. STUDY DESIGN:We performed a retrospective study of 646 consecutive patients who u...

journal_title：Journal of the American College of Surgeons

authors： Stipa S,Di Giorgio A,Ferri M,Botti C

更新日期：1994-11-01 00:00:00

abstract：BACKGROUND:After the successful evolution of hepatic transplantation during the last decade, small bowel and multivisceral transplantation remains the sole elusive achievement for the next era of transplant surgeons. Until recently, and for the last thirty years, the results of the sporadic attempts of intestinal trans...

journal_title：Journal of the American College of Surgeons

authors： Abu-Elmagd K,Todo S,Tzakis A,Reyes J,Nour B,Furukawa H,Fung JJ,Demetris A,Starzl TE

更新日期：1994-10-01 00:00:00

abstract：BACKGROUND:The hazards of operative treatment for variceal hemorrhage and intractable ascites in patients with cirrhosis are well known. Much less information is available on the morbidity and mortality in these patients after abdominal operations not directly related to the sequelae of portal hypertension. STUDY DESI...

journal_title：Journal of the American College of Surgeons

authors： Wong R,Rappaport W,Witte C,Hunter G,Jaffe P,Hall K,Witzke D

更新日期：1994-10-01 00:00:00