abstract：BACKGROUND:The concomitant use of nonabsorbable mesh during stapled bariatric surgery has been discouraged due to potential contamination. The aim of our study was to compare and quantify the extent of bacterial load and gross contamination of the peritoneal cavity in patients undergoing laparoscopic sleeve gastrectomy...

journal_title：Journal of the American College of Surgeons

authors： Cozacov Y,Szomstein S,Safdie FM,Lo Menzo E,Rosenthal R

更新日期：2014-03-01 00:00:00

abstract：BACKGROUND:Although sarcoma histology is recognized as a prognostic factor, most studies of retroperitoneal sarcomas report results combining multiple histologies and are inadequately powered to identify prognostic factors specific to a particular histology. We reviewed our experience with retroperitoneal dedifferentia...

journal_title：Journal of the American College of Surgeons

authors： Keung EZ,Hornick JL,Bertagnolli MM,Baldini EH,Raut CP

更新日期：2014-02-01 00:00:00

abstract：BACKGROUND:Adopting a unified staging system for pancreatic neuroendocrine tumors (PNETs) has been challenging. Currently, the American Joint Committee on Cancer (AJCC) recommends use of the pancreatic adenocarcinoma staging system for PNETs. We sought to explore the prognostic usefulness of the pancreatic adenocarcino...

journal_title：Journal of the American College of Surgeons

authors： Qadan M,Ma Y,Visser BC,Kunz PL,Fisher GA,Norton JA,Poultsides GA

更新日期：2014-02-01 00:00:00

abstract：BACKGROUND:Effective teamwork in the operating room (OR) is often undermined by the "silo mentality" of the differing professions. Such thinking is formed early in one's professional experience and is fostered by undergraduate medical and nursing curricula lacking interprofessional education. We investigated the immedi...

journal_title：Journal of the American College of Surgeons

authors： Paige JT,Garbee DD,Kozmenko V,Yu Q,Kozmenko L,Yang T,Bonanno L,Swartz W

更新日期：2014-01-01 00:00:00

abstract：BACKGROUND:Many surgeons believe that primary fascial closure with mesh reinforcement should be the goal of abdominal wall reconstruction (AWR), yet others have reported acceptable outcomes when mesh is used to bridge the fascial edges. It has not been clearly shown how the outcomes for these techniques differ. We hypo...

journal_title：Journal of the American College of Surgeons

authors： Booth JH,Garvey PB,Baumann DP,Selber JC,Nguyen AT,Clemens MW,Liu J,Butler CE

更新日期：2013-12-01 00:00:00

abstract：BACKGROUND:The impact of quality measures in health care and reimbursement is growing. Ensuring the accuracy of quality measures, including any risk-stratification variables, is necessary. Surgical site infection rates, risk stratified by surgical wound classification (SWC) among other variables, are increasingly consi...

journal_title：Journal of the American College of Surgeons

authors： Levy SM,Holzmann-Pazgal G,Lally KP,Davis K,Kao LS,Tsao K

更新日期：2013-12-01 00:00:00

abstract：BACKGROUND:Recurrent hepatocellular carcinoma (RHCC) after curative resection is a major challenge for hepatic surgeons. A better understanding of the clonal origin of RHCC will help clinicians design personalized therapy and assess postoperative outcomes. The current study was performed to determine the clonal origin ...

journal_title：Journal of the American College of Surgeons

authors： Wang B,Xia CY,Lau WY,Lu XY,Dong H,Yu WL,Jin GZ,Cong WM,Wu MC

更新日期：2013-12-01 00:00:00

abstract：BACKGROUND:Given the questionable long-term durability of biologic meshes, additional prosthetic options for ventral hernia repairs (VHR) in contaminated fields are necessary. Recent evidence suggests improved bacterial resistance of reduced-weight, large-pore synthetics, giving a potential mesh alternative for repair ...

journal_title：Journal of the American College of Surgeons

authors： Carbonell AM,Criss CN,Cobb WS,Novitsky YW,Rosen MJ

更新日期：2013-12-01 00:00:00

abstract：BACKGROUND:Shared decision making requires informing patients and ensuring that treatment decisions reflect their goals. It is not clear to what extent this happens for patients considering total joint replacement (TJR) for hip or knee osteoarthritis. STUDY DESIGN:We conducted a cross-sectional mail survey of osteoart...

journal_title：Journal of the American College of Surgeons

authors： Sepucha K,Feibelmann S,Chang Y,Clay CF,Kearing SA,Tomek I,Yang T,Katz JN

更新日期：2013-10-01 00:00:00

abstract：BACKGROUND:Infants have the highest wait-list mortality of all liver transplantation candidates. Deceased-donor split-liver transplantation, a technique that provides both an adult and pediatric graft, might be the best way to decrease this disproportionate mortality. Yet concern for an increased risk to adult split re...

journal_title：Journal of the American College of Surgeons

authors： Cauley RP,Vakili K,Fullington N,Potanos K,Graham DA,Finkelstein JA,Kim HB

更新日期：2013-10-01 00:00:00

abstract：BACKGROUND:Injury is the leading cause of childhood morbidity and mortality in the US. The associated costs exceed $20 billion annually. This study examined disparities in disadvantaged populations of critically injured pediatric patients admitted to a level 1 pediatric trauma center. STUDY DESIGN:A retrospective stud...

journal_title：Journal of the American College of Surgeons

authors： Cassidy LD,Lambropoulos D,Enters J,Gourlay D,Farahzad M,Lal DR

更新日期：2013-08-01 00:00:00

abstract：BACKGROUND:The aim of our study was to evaluate the perioperative and long-term outcomes of hepatectomy based on 3-dimensional reconstruction technique for hepatolithiasis by comparing it with traditional hepatectomy. STUDY DESIGN:From December 2005 to September 2012, 56 consecutive patients underwent hepatectomy base...

journal_title：Journal of the American College of Surgeons

authors： Fang CH,Liu J,Fan YF,Yang J,Xiang N,Zeng N

更新日期：2013-08-01 00:00:00

abstract：BACKGROUND:The optimal strategy for oncologic sternectomy reconstruction has not been well characterized. We hypothesized that the major factors driving the reconstructive strategy for oncologic sternectomy include the need for skin replacement, extent of the bony sternectomy defect, and status of the internal mammary ...

journal_title：Journal of the American College of Surgeons

authors： Butterworth JA,Garvey PB,Baumann DP,Zhang H,Rice DC,Butler CE

更新日期：2013-08-01 00:00:00

abstract：BACKGROUND:Split liver transplantation is an excellent option for expansion of the donor organ pool. However, reports of increased morbidity in split liver recipients may limit use of this technique. STUDY DESIGN:This was a single center retrospective analysis investigating split liver transplantation. Between August ...

journal_title：Journal of the American College of Surgeons

authors： Doyle MB,Maynard E,Lin Y,Vachharajani N,Shenoy S,Anderson C,Earl M,Lowell JA,Chapman WC

更新日期：2013-07-01 00:00:00

abstract：BACKGROUND:Long-term adhesion-related complications and incisional hernias after abdominal surgery are common and costly. There are few data on the risk of these complications after different abdominal operations. STUDY DESIGN:We identified Medicare beneficiaries who underwent endovascular repair of an abdominal aorti...

journal_title：Journal of the American College of Surgeons

authors： Bensley RP,Schermerhorn ML,Hurks R,Sachs T,Boyd CA,O'Malley AJ,Cotterill P,Landon BE

更新日期：2013-06-01 00:00:00

abstract：BACKGROUND:Traumatic flail chest injury is a potentially life threatening condition traditionally treated with invasive mechanical ventilation to splint the chest wall. Longer-term sequelae of pain, deformity, and physical restriction are well described. This study investigated the impact of operative fixation in these...

journal_title：Journal of the American College of Surgeons

authors： Marasco SF,Davies AR,Cooper J,Varma D,Bennett V,Nevill R,Lee G,Bailey M,Fitzgerald M

更新日期：2013-05-01 00:00:00

abstract：BACKGROUND:In order to understand how current surgical residents feel about their training, a survey focused on perceptions regarding early entry into a subspecialty and the adequacy of training was sent to selected residency programs in general surgery (GS). STUDY DESIGN:A 36-item online anonymous survey was sent to ...

journal_title：Journal of the American College of Surgeons

authors： Coleman JJ,Esposito TJ,Rozycki GS,Feliciano DV

更新日期：2013-04-01 00:00:00

abstract：BACKGROUND:Stakeholders derive many benefits from cancer clinical trials, including guidance for future oncologic treatment decisions. However, whether enrollment in cancer trials also improves patient survival independently of trial outcomes remains underinvestigated. We hypothesized that cancer trial enrollment is no...

journal_title：Journal of the American College of Surgeons

authors： Chow CJ,Habermann EB,Abraham A,Zhu Y,Vickers SM,Rothenberger DA,Al-Refaie WB

更新日期：2013-04-01 00:00:00

abstract：BACKGROUND:The goal of this study was to investigate the surgical management and outcomes of patients with primary colorectal cancer (CRC) and synchronous liver metastasis (sCRLM). STUDY DESIGN:Using a multi-institutional database, we identified 1,004 patients treated for sCRLM between 1982 and 2011. Clinicopathologic...

journal_title：Journal of the American College of Surgeons

authors： Mayo SC,Pulitano C,Marques H,Lamelas J,Wolfgang CL,de Saussure W,Choti MA,Gindrat I,Aldrighetti L,Barrosso E,Mentha G,Pawlik TM

更新日期：2013-04-01 00:00:00

abstract：BACKGROUND:The incidence of thyroid cancer in patients treated operatively for thyroid disease has been historically low (<5%). Previous series have not specifically addressed cancer rates in both euthyroid and hyperthyroid patients. This study examined cancer frequency in patients referred for removal of benign thyroi...

journal_title：Journal of the American College of Surgeons

authors： Smith JJ,Chen X,Schneider DF,Broome JT,Sippel RS,Chen H,Solórzano CC

更新日期：2013-04-01 00:00:00

abstract：BACKGROUND:Hospital readmissions are gathering increasing attention as a measure of health care quality and as a cost-saving target. The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) recently began collecting data related to 30-day postoperative readmissions. Our objectives were...

journal_title：Journal of the American College of Surgeons

authors： Sellers MM,Merkow RP,Halverson A,Hinami K,Kelz RR,Bentrem DJ,Bilimoria KY

更新日期：2013-03-01 00:00:00

abstract：BACKGROUND:Voluntary resident attrition remains problematic despite recent changes in postgraduate general surgery training, including reduction of work hours. STUDY DESIGN:We conducted a prospective study of all postgraduate year (PGY)-1 and -2 trainees on the 2008 American Board of Surgery resident roster (ABS-RR) w...

journal_title：Journal of the American College of Surgeons

authors： Sullivan MC,Yeo H,Roman SA,Ciarleglio MM,Cong X,Bell RH Jr,Sosa JA

更新日期：2013-03-01 00:00:00

abstract：BACKGROUND:Pressure ulcers cause significant morbidity and mortality in the surgical intensive care unit (SICU). The purpose of this study was to determine if a dedicated team tasked with turning and repositioning all hemodynamically stable SICU patients could decrease the formation of pressure ulcers. STUDY DESIGN:A ...

journal_title：Journal of the American College of Surgeons

authors： Still MD,Cross LC,Dunlap M,Rencher R,Larkins ER,Carpenter DL,Buchman TG,Coopersmith CM

更新日期：2013-03-01 00:00:00

abstract：BACKGROUND:Incisional hernia repair is a frequent surgical procedure, but perioperative risk factors and outcomes have not been prospectively assessed in large-scale studies. The aim of this nationwide study was to analyze surgical risk factors for early and late outcomes after incisional hernia repair. STUDY DESIGN:W...

journal_title：Journal of the American College of Surgeons

authors： Helgstrand F,Rosenberg J,Kehlet H,Jorgensen LN,Bisgaard T

更新日期：2013-02-01 00:00:00

abstract：BACKGROUND:Many published accounts of clinical trials report no differences between the treatment arms, while being underpowered to find differences. This study determined how the authors of these reports interpreted their findings. STUDY DESIGN:We examined 54 reports of surgical trials chosen randomly from a database...

journal_title：Journal of the American College of Surgeons

authors： Brody BA,Ashton CM,Liu D,Xiong Y,Yao X,Wray NP

更新日期：2013-01-01 00:00:00

abstract：BACKGROUND:Consequences of extrahepatic portal vein obstruction (EHPVO) include variceal bleeding and hypersplenism due to portal hypertension, as well as metabolic abnormalities secondary to impaired portal venous circulation. The purpose of this study was to compare the effectiveness of meso-Rex bypass and portosyste...

journal_title：Journal of the American College of Surgeons

authors： Lautz TB,Keys LA,Melvin JC,Ito J,Superina RA

更新日期：2013-01-01 00:00:00

abstract：BACKGROUND:The NSQIP database enables measurement of postoperative outcomes across a spectrum of practice settings. This allows for observations about potential effects of resident participation in surgical care during training. STUDY DESIGN:We queried the NSQIP database for 6 index laparoscopic surgical procedures pe...

journal_title：Journal of the American College of Surgeons

authors： Davis SS Jr,Husain FA,Lin E,Nandipati KC,Perez S,Sweeney JF

更新日期：2013-01-01 00:00:00

abstract：BACKGROUND:Retained surgical items (RSI) continue to occur. Large RSI studies are few due to low RSI frequency in single institutions and the medicolegal implications. Consequently, RSI risks are not fully defined, with discrepancies persisting among published studies. The goals of this study were to better define risk...

journal_title：Journal of the American College of Surgeons

authors： Stawicki SP,Moffatt-Bruce SD,Ahmed HM,Anderson HL 3rd,Balija TM,Bernescu I,Chan L,Chowayou L,Cipolla J,Coyle SM,Gracias VH,Gunter OL,Marchigiani R,Martin ND,Patel J,Seamon MJ,Vagedes E,Ellison EC,Steinberg SM,Cook C

更新日期：2013-01-01 00:00:00

abstract：BACKGROUND:Reoperation in the neck can be challenging and is associated with increased complication rates and operative times. Here we analyze our methylene blue dye injection method to localize reoperative neck pathology in patients with thyroid cancer and lymph node metastases. STUDY DESIGN:We retrospectively review...

journal_title：Journal of the American College of Surgeons

authors： Harari A,Sippel RS,Goldstein R,Aziz S,Shen W,Gosnell J,Duh QY,Clark OH

更新日期：2012-10-01 00:00:00

abstract：BACKGROUND:Simulation-based training can improve technical and nontechnical skills in surgery. To date, there is no consensus on the principles for design, validation, and implementation of a simulation-based surgical training curriculum. The aim of this study was to define such principles and formulate them into an in...

journal_title：Journal of the American College of Surgeons

authors： Zevin B,Levy JS,Satava RM,Grantcharov TP

更新日期：2012-10-01 00:00:00

abstract：BACKGROUND:Type or lack of insurance may affect access to care, treatment, and outcomes. We evaluated trends for surgical management of all peripheral arterial disease (PAD) in-hospital admissions by insurer status in New York State. STUDY DESIGN:Statewide Planning and Research Cooperative System (SPARCS) data were ob...

journal_title：Journal of the American College of Surgeons

authors： O'Brien-Irr MS,Harris LM,Dosluoglu HH,Dryjski ML

更新日期：2012-09-01 00:00:00

abstract：BACKGROUND:Among surgically treated patients with colon cancer, lower long-term mortality has been demonstrated in those with 12 or more lymph nodes evaluated. We examined whether patients receiving adequate lymph node evaluation were also more likely to receive comprehensive postsurgical care, leading to lower mortali...

journal_title：Journal of the American College of Surgeons

authors： Parsons HM,Tuttle TM,Kuntz KM,Begun JW,McGovern PM,Virnig BA

更新日期：2012-09-01 00:00:00

abstract：BACKGROUND:Ablation is increasingly used to treat primary and secondary liver cancer. Ablation near portal pedicles and hepatic veins is challenging. Irreversible electroporation (IRE) is a new ablation technique that does not rely on heat and, in animals, appears to be safe and effective when applied near hepatic vein...

journal_title：Journal of the American College of Surgeons

authors： Kingham TP,Karkar AM,D'Angelica MI,Allen PJ,Dematteo RP,Getrajdman GI,Sofocleous CT,Solomon SB,Jarnagin WR,Fong Y

更新日期：2012-09-01 00:00:00

abstract：BACKGROUND:As compared with open distal pancreatectomy, laparoscopic distal pancreatectomy (LDP) is associated with lower morbidity and shorter hospital stays. Existing reports do not elucidate trends in patient selection, technique, and outcomes over time. We aimed to determine outcomes after LDP at a specialized cent...

journal_title：Journal of the American College of Surgeons

authors： Kneuertz PJ,Patel SH,Chu CK,Fisher SB,Maithel SK,Sarmiento JM,Weber SM,Staley CA,Kooby DA

更新日期：2012-08-01 00:00:00

abstract：BACKGROUND:Up to 15% to 30% of patients develop pancreatic fluid collections (PFCs) after pancreatic tail resection. Percutaneous and endoscopic methods have been used to drain these collections, though few data are available that compare outcomes of these modalities. STUDY DESIGN:From December 1998 to April 2011, we ...

journal_title：Journal of the American College of Surgeons

authors： Azeem N,Baron TH,Topazian MD,Zhong N,Fleming CJ,Kendrick ML

更新日期：2012-08-01 00:00:00

abstract：BACKGROUND:Coughing, bending, and lifting raise the pressure inside the abdomen, repetitively increasing stresses on the abdominal wall and the associated scaffold. The purpose of this study was to evaluate the effect of repetitive loading on biological scaffolds. It was hypothesized that exposure to repetitive loading...

journal_title：Journal of the American College of Surgeons

authors： Pui CL,Tang ME,Annor AH,Ebersole GC,Frisella MM,Matthews BD,Deeken CR

更新日期：2012-08-01 00:00:00

abstract：BACKGROUND:Many laparoscopic procedures are currently performed on an outpatient basis. Laparoscopic appendectomy, however, continues to require postoperative hospitalization at most institutions. A treatment protocol for outpatient laparoscopic appendectomy was developed to determine if this could be successfully perf...

journal_title：Journal of the American College of Surgeons

authors： Cash CL,Frazee RC,Abernathy SW,Childs EW,Davis ML,Hendricks JC,Smith RW

更新日期：2012-07-01 00:00:00

abstract：BACKGROUND:We sought to identify variables associated with American Board of Medical Specialties (ABMS)-member board certification and lack thereof among US medical graduates who planned at medical school graduation to become certified in surgery and entered graduate medical education in general surgery. STUDY DESIGN:...

journal_title：Journal of the American College of Surgeons

authors： Andriole DA,Jeffe DB

更新日期：2012-05-01 00:00:00

abstract：BACKGROUND:Comparison of quality outcomes generated from administrative and clinical datasets have shown inconsistencies. Understanding this is important because data designed to drive performance improvement are used for public reporting of performance. We examined administrative and clinical data and 2 clinical data ...

journal_title：Journal of the American College of Surgeons

authors： Koch CG,Li L,Hixson E,Tang A,Phillips S,Henderson JM

更新日期：2012-05-01 00:00:00

abstract：BACKGROUND:Severe secondary hyperparathyroidism, which is associated with life-threatening complications, can develop in dialysis-dependent end-stage renal disease patients. The aim of this study was to compare short- and long-term mortality in dialysis patients who underwent near-total parathyroidectomy (NTPTX) and ma...

journal_title：Journal of the American College of Surgeons

authors： Sharma J,Raggi P,Kutner N,Bailey J,Zhang R,Huang Y,Herzog CA,Weber C

更新日期：2012-04-01 00:00:00