abstract：BACKGROUND:Oxandrolone, an anabolic agent, has been administered for 1 year post burn with beneficial effects in pediatric patients. However, the long-lasting effects of this treatment have not been studied. This single-center prospective trial determined the long-term effects of 1 year of oxandrolone administration in...

journal_title：Journal of the American College of Surgeons

authors： Porro LJ,Herndon DN,Rodriguez NA,Jennings K,Klein GL,Mlcak RP,Meyer WJ,Lee JO,Suman OE,Finnerty CC

更新日期：2012-04-01 00:00:00

abstract：BACKGROUND:After surviving an episode of acute necrotizing pancreatitis (ANP), a variety of late sequelae develop and require nonoperative or operative interventions. Persistent pancreatic fistula, fluid collections, recurrent pancreatitis, sepsis, pain, and intolerance of po intake are seen. STUDY DESIGN:We have main...

journal_title：Journal of the American College of Surgeons

authors： Beck WC,Bhutani MS,Raju GS,Nealon WH

更新日期：2012-04-01 00:00:00

abstract：BACKGROUND:Ischemia-reperfusion injury (IRI) can occur during hepatic surgery and transplantation. IRI causes hepatic mitochondrial and microcirculatory impairment, resulting in acute liver dysfunction and failure. We proposed a novel strategy of regulated hepatic reperfusion (RHR) to reverse the cellular metabolic def...

journal_title：Journal of the American College of Surgeons

authors： Hong JC,Koroleff D,Xia V,Chang CM,Duarte SM,Xu J,Lassman C,Kupiec-Weglinski J,Coito AJ,Busuttil RW

更新日期：2012-04-01 00:00:00

abstract：BACKGROUND:Although the overall incidence of venous thromboembolism (VTE) after open aortic surgery is low, it is not known whether specific factors can place patients at increased risk for this complication. The goal of our study was to identify patient and procedure characteristics that are associated with increased ...

journal_title：Journal of the American College of Surgeons

authors： Scarborough JE,Cox MW,Mureebe L,Pappas TN,Shortell CK

更新日期：2012-04-01 00:00:00

abstract：BACKGROUND:Colorectal surgery may lead to infections because despite meticulous aseptic measures, extravasation of microorganisms from the colon lumen is unavoidable. STUDY DESIGN:A prospective, randomized study was performed between January 2010 and December 2010. Patient inclusion criteria were a diagnosis of colore...

journal_title：Journal of the American College of Surgeons

authors： Ruiz-Tovar J,Santos J,Arroyo A,Llavero C,Armañanzas L,López-Delgado A,Frangi A,Alcaide MJ,Candela F,Calpena R

更新日期：2012-02-01 00:00:00

abstract：BACKGROUND:Axillary nodal status is an important prognostic predictor in patients with breast cancer. This study evaluated the sensitivity and specificity of ultrasound-guided core biopsy (Ax US-CB) at detecting axillary nodal metastases in patients with primary breast cancer, thereby determining how often sentinel lym...

journal_title：Journal of the American College of Surgeons

authors： Solon JG,Power C,Al-Azawi D,Duke D,Hill AD

更新日期：2012-01-01 00:00:00

abstract：BACKGROUND:Palliative care is an important and necessary humanistic facet of ICU care. Wide variations exist in selection and implementation of palliative care decisions. Understanding patient factors associated with these decisions is crucial. STUDY DESIGN:Consecutive deaths (n = 151 patients) in a tertiary care surg...

journal_title：Journal of the American College of Surgeons

authors： Lissauer ME,Naranjo LS,Kirchoffner J,Scalea TM,Johnson SB

更新日期：2011-12-01 00:00:00

abstract：BACKGROUND:Acute appendicitis remains the most common cause of acute abdominal pain necessitating operative intervention. Although postoperative antibiotics are universally used for perforated appendicitis, no consensus exists on whether postoperative antibiotics are beneficial for preventing surgical site infections (...

journal_title：Journal of the American College of Surgeons

authors： Coakley BA,Sussman ES,Wolfson TS,Bhagavath AS,Choi JJ,Ranasinghe NE,Lynn ET,Divino CM

更新日期：2011-12-01 00:00:00

abstract：BACKGROUND:Laparoscopic liver resection is a procedure in evolution. In the last decade it has evolved from a novel procedure to a standard part of the hepatic surgeon's armamentarium. Few data exist on the development of a laparoscopic resection program. STUDY DESIGN:With IRB approval, a retrospective review of 300 c...

journal_title：Journal of the American College of Surgeons

authors： Cannon RM,Brock GN,Marvin MR,Buell JF

更新日期：2011-10-01 00:00:00

abstract：BACKGROUND:Natural orifice endoscopic full-thickness colon resection attempts to overcome the need for invasive surgery in selected colorectal indications. Because basic technical requirements have not been met so far, the aim of this study was to develop a novel technique for endolumenal colon-wedge resection addressi...

journal_title：Journal of the American College of Surgeons

authors： Rieder E,Martinec DV,Dunst CM,Swanström LL

更新日期：2011-09-01 00:00:00

abstract：BACKGROUND:The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) has become an important surgical quality program in the United States, yet few studies describe their methods for handling missing data. Our study examines the impact of missing data on predictive models for short-term...

journal_title：Journal of the American College of Surgeons

authors： Parsons HM,Henderson WG,Ziegenfuss JY,Davern M,Al-Refaie WB

更新日期：2011-09-01 00:00:00

abstract：BACKGROUND:Mirizzi syndrome (MS) is characterized by extrinsic compression of the common hepatic duct by stones impacted in the cystic duct or gallbladder neck. Open cholecystectomy (OC) has been the standard treatment; however, laparoscopy has challenged this approach. STUDY DESIGN:The objective of this study was to ...

journal_title：Journal of the American College of Surgeons

authors： Erben Y,Benavente-Chenhalls LA,Donohue JM,Que FG,Kendrick ML,Reid-Lombardo KM,Farnell MB,Nagorney DM

更新日期：2011-07-01 00:00:00

abstract：BACKGROUND:The optimal method for classifying lymph node (LN) status in breast cancer patients is unknown. We sought to determine if LN ratio (LNR) improves axillary staging. STUDY DESIGN:Kentucky Cancer Registry data (1996 to 2007) were used to compare LN categorization schemas. Overall survival (OS) was evaluated us...

journal_title：Journal of the American College of Surgeons

authors： Schiffman SC,McMasters KM,Scoggins CR,Martin RC,Chagpar AB

更新日期：2011-07-01 00:00:00

abstract：BACKGROUND:Hepatic resection of metastatic carcinoid cancer can prolong survival and control symptomatic endocrinopathy. Decompensated carcinoid heart disease (CHD) can develop in some patients with metastatic carcinoid cancers, which can preclude operation for resectable hepatic metastases. We hypothesized that outcom...

journal_title：Journal of the American College of Surgeons

authors： Lillegard JB,Fisher JE,Mckenzie TJ,Que FG,Farnell MB,Kendrick ML,Donohue JH,Reid-Lombardo K,Schaff HV,Connolly HM,Nagorney DM

更新日期：2011-07-01 00:00:00

abstract：BACKGROUND:To gain additional insight into the impact of fatigue on surgery resident proficiency, we set out to quantify its impact on behavioral and neurophysiologic measures. STUDY DESIGN:Simulations were first created using a visio-haptic joystick attached to a surgical instrument (tool) that allows realistic inter...

journal_title：Journal of the American College of Surgeons

authors： Kahol K,Smith M,Brandenberger J,Ashby A,Ferrara JJ

更新日期：2011-07-01 00:00:00

abstract：BACKGROUND:Advances in esophageal manometry have facilitated identification of variants of achalasia, suggesting they are more common than previously thought. This study assesses the frequency and clinical characteristics of patients with motility abnormalities similar to, but not meeting criteria for, classic achalasi...

journal_title：Journal of the American College of Surgeons

authors： Galey KM,Wilshire CL,Niebisch S,Jones CE,Raymond DP,Litle VR,Watson TJ,Peters JH

更新日期：2011-07-01 00:00:00

abstract：BACKGROUND:The Agency for Healthcare Research and Quality (AHRQ) developed patient safety indicator (PSI) 5, "Foreign body left during procedure," to flag accidental foreign bodies in surgical and medical procedures. This study examined how well this indicator identifies true foreign body events in the Veterans Health ...

journal_title：Journal of the American College of Surgeons

authors： Chen Q,Rosen AK,Cevasco M,Shin M,Itani KM,Borzecki AM

更新日期：2011-06-01 00:00:00

abstract：BACKGROUND:Clinicians must choose a treatment strategy for patients with symptomatic cholelithiasis without knowing whether common bile duct (CBD) stones are present. The purpose of this study was to determine the most cost-effective treatment strategy for patients with symptomatic cholelithiasis and possible CBD stone...

journal_title：Journal of the American College of Surgeons

authors： Brown LM,Rogers SJ,Cello JP,Brasel KJ,Inadomi JM

更新日期：2011-06-01 00:00:00

abstract：BACKGROUND:Indices for prediction of surgical site infection (SSI) are well documented in the adult population; however, these factors have not been validated in children. STUDY DESIGN:A retrospective case-control study was performed by examining the medical records of children (0 to 18 years) who developed an SSI wit...

journal_title：Journal of the American College of Surgeons

authors： Bucher BT,Guth RM,Elward AM,Hamilton NA,Dillon PA,Warner BW,Keller MS

更新日期：2011-06-01 00:00:00

abstract：BACKGROUND:Central morbidity and mortality conferences ensure uniform content and more participants but consume work hours in commuting for programs with multiple teaching hospitals. Internet-based televideoconferencing (TVC) technology has the potential to eliminate commuting and expand participation and retain qualit...

journal_title：Journal of the American College of Surgeons

authors： Lewis CE,Relan A,Hines OJ,Tillou A,Hiatt JR

更新日期：2011-03-01 00:00:00

abstract：BACKGROUND:There has been a repeal of the universal helmet law in several states despite definitive evidence that helmets reduce mortality, traumatic brain injury, and hospital expenditures. Opponents of the universal helmet law have successfully claimed that helmets should not be required because of greater torque on ...

journal_title：Journal of the American College of Surgeons

authors： Crompton JG,Bone C,Oyetunji T,Pollack KM,Bolorunduro O,Villegas C,Stevens K,Cornwell EE 3rd,Efron DT,Haut ER,Haider AH

更新日期：2011-03-01 00:00:00

abstract：BACKGROUND:Single-site laparoscopy (SSL) attempts to further reduce the surgical impact of minimally invasive surgery. However, crossed instruments and the proximity of the endoscope to the operating instruments placed through one single site leads to inevitable instrument or trocar collision. We hypothesized that a no...

journal_title：Journal of the American College of Surgeons

authors： Rieder E,Martinec DV,Cassera MA,Goers TA,Dunst CM,Swanstrom LL

更新日期：2011-03-01 00:00:00

abstract：BACKGROUND:Although a risk score estimating postoperative mortality for patients undergoing gastric bypass exists, there is none predicting postoperative morbidity. Our objective was to develop a validated risk calculator for 30-day postoperative morbidity of bariatric surgery patients. STUDY DESIGN:We used the Americ...

journal_title：Journal of the American College of Surgeons

authors： Gupta PK,Franck C,Miller WJ,Gupta H,Forse RA

更新日期：2011-03-01 00:00:00

abstract：BACKGROUND:Development of infectious complications after high volume elective surgical procedures imposes a significant clinical burden to the United States population. This study evaluated the association of in-hospital delay of elective procedures and the subsequent impact on infectious complications after coronary a...

journal_title：Journal of the American College of Surgeons

authors： Vogel TR,Dombrovskiy VY,Lowry SF

更新日期：2010-12-01 00:00:00

abstract：BACKGROUND:Injured patients cared for in trauma centers have a lower risk of death than those cared for in nontrauma centers. However, many patients are transported to a non-trauma center after injury (undertriaged) and require transfer to trauma center care. Previous analyses of undertriage focused only on survivors t...

journal_title：Journal of the American College of Surgeons

authors： Haas B,Gomez D,Zagorski B,Stukel TA,Rubenfeld GD,Nathens AB

更新日期：2010-12-01 00:00:00

abstract：BACKGROUND:Reprocessing of single-use medical instruments has been proposed as a mechanism for managing the rising costs of health care. We compared the performance of new and reprocessed laparoscopic trocars. STUDY DESIGN:New and reprocessed laparoscopic trocars were evaluated. Testing consisted of visual and microsc...

journal_title：Journal of the American College of Surgeons

authors： Mues AC,Haramis G,Casazza C,Okhunov Z,Badani KK,Landman J

更新日期：2010-12-01 00:00:00

abstract：BACKGROUND:The etiology of right lower-quadrant pain in pregnant patients is a challenge in diagnosis. We discuss the surgical issues among pregnant patients with right lower-quadrant pain and demonstrate the method to diagnosis. STUDY DESIGN:This was a prospective cohort study with enrollment during 2 years. Pregnant...

journal_title：Journal of the American College of Surgeons

authors： Butala P,Greenstein AJ,Sur MD,Mehta N,Sadot E,Divino CM

更新日期：2010-10-01 00:00:00

abstract：BACKGROUND:The persistent shortage of transplantable organs remains a critical issue around the world. The purpose of this study was to investigate outcomes, including organ procurement, in trauma patients undergoing resuscitative emergency department thoracotomy (EDT). Our hypothesis was that potential organ donor res...

journal_title：Journal of the American College of Surgeons

authors： Schnüriger B,Inaba K,Branco BC,Salim A,Russell K,Lam L,Plurad D,Demetriades D

更新日期：2010-10-01 00:00:00

abstract：BACKGROUND:The average life expectancy of Japanese individuals is the longest in the world. The mortality rate from injury is increasing among older people. There have been no detailed reports on the relationship between pre-existing medical conditions (PMCs) and mortality from trauma among elderly people in Japan. ST...

journal_title：Journal of the American College of Surgeons

authors： Shoko T,Shiraishi A,Kaji M,Otomo Y

更新日期：2010-09-01 00:00:00

abstract：BACKGROUND:Theoretical advantages of random-intercept multilevel (ML) logistic regression (LR) modeling over standard LR include separating variability due to patient-level and hospital-level predictors, shrinkage of estimates for lower-volume hospitals toward the overall mean, and fewer hospitals falsely identified as...

journal_title：Journal of the American College of Surgeons

authors： Clark DE,Hannan EL,Wu C

更新日期：2010-08-01 00:00:00

abstract：BACKGROUND:Obesity, like multiple trauma, is associated with an inflammatory condition that leads to an immunodeficient state. Obese trauma patients are thus thought to be at higher risk of infection compared to patients of normal body mass. Despite this risk, studies to date have not defined obesity as an independent ...

journal_title：Journal of the American College of Surgeons

authors： Serrano PE,Khuder SA,Fath JJ

更新日期：2010-07-01 00:00:00

abstract：BACKGROUND:Patient comprehension during surgical informed consent remains problematic. Using data from our randomized trial of methods to improve informed consent comprehension, we performed an additional analysis to define independent factors associated with improved patient understanding. STUDY DESIGN:Patients sched...

journal_title：Journal of the American College of Surgeons

authors： Fink AS,Prochazka AV,Henderson WG,Bartenfeld D,Nyirenda C,Webb A,Berger DH,Itani K,Whitehill T,Edwards J,Wilson M,Karsonovich C,Parmelee P

更新日期：2010-06-01 00:00:00

abstract：BACKGROUND:Nonelective colorectal surgery is associated with substantial patient morbidity and mortality. This study sought to describe the practice of emergency colorectal surgery in the United Kingdom during an 11-year period using the Hospital Episode Statistics (HES) database. STUDY DESIGN:All nonelective admissio...

journal_title：Journal of the American College of Surgeons

authors： Faiz O,Warusavitarne J,Bottle A,Tekkis PP,Clark SK,Darzi AW,Aylin P

更新日期：2010-04-01 00:00:00

abstract：BACKGROUND:Procedure-related complications contribute to 1-year mortality in patients with perforated ulcers. Natural orifice translumenal endoscopic surgery (NOTES) might offer a new repair approach. STUDY DESIGN:Swine were randomized to laparoscopic or NOTES repair. Laparoscopic gastrotomy creation (1 cm) was follow...

journal_title：Journal of the American College of Surgeons

authors： Moran EA,Gostout CJ,McConico AL,Bingener J

更新日期：2010-04-01 00:00:00

abstract：BACKGROUND:Poor access to adequate health care coverage is associated with poor outcomes for many chronic medical conditions. We hypothesized that insurance coverage is also associated with mortality after gunshot trauma. STUDY DESIGN:The trauma records for gunshot victims and their insurance status were reviewed at o...

journal_title：Journal of the American College of Surgeons

authors： Dozier KC,Miranda MA Jr,Kwan RO,Cureton EL,Sadjadi J,Victorino GP

更新日期：2010-03-01 00:00:00

abstract：BACKGROUND:We evaluated safety and immunogenicity observations pooled from 8 clinical trials of recombinant human thrombin (rThrombin), an active topical hemostatic agent. STUDY DESIGN:Recombinant thrombin was applied with an absorbable gelatin sponge or spray applicator during a surgical procedure (day 1). Adverse ev...

journal_title：Journal of the American College of Surgeons

authors： Ballard JL,Weaver FA,Singla NK,Chapman WC,Alexander WA

更新日期：2010-02-01 00:00:00

abstract：BACKGROUND:Blunt-clamp dissection allows for visualization of intrahepatic vessels and individual ligation of major blood or bile vessels. Recently, many instruments have been developed for "precoagulation" of liver parenchyma before sharp transection, but suffer from the possibility of injuring major blood and biliary...

journal_title：Journal of the American College of Surgeons

authors： Patrlj L,Tuorto S,Fong Y

更新日期：2010-01-01 00:00:00

abstract：BACKGROUND:Multiple reports have demonstrated pancreatic cancer patients undergoing surgery have superior outcomes at high-volume hospitals. This study noted trends in access to high-volume centers for pancreatic resection and identified gaps in improving access. STUDY DESIGN:We performed a retrospective analysis of t...

journal_title：Journal of the American College of Surgeons

authors： Chang DC,Zhang Y,Mukherjee D,Wolfgang CL,Schulick RD,Cameron JL,Ahuja N

更新日期：2009-12-01 00:00:00

abstract：BACKGROUND:Protecting future childbearing motivates young women with breast cancer to seek oocyte or embryo cryopreservation. Concerns about delays in cancer treatment may influence patients and practitioners considering these procedures. In this study, we compared timing of chemotherapy in women who underwent ovarian ...

journal_title：Journal of the American College of Surgeons

authors： Baynosa J,Westphal LM,Madrigrano A,Wapnir I

更新日期：2009-11-01 00:00:00

abstract：BACKGROUND:The Cognitive Changes and Retirement among Senior Surgeons (CCRASS) study suggested that although subjective cognitive awareness may play a role in surgeons' retirement decisions, self-perceived cognitive decline did not predict objective cognitive performance. This article summarizes results from all partic...

journal_title：Journal of the American College of Surgeons

authors： Lee HJ,Drag LL,Bieliauskas LA,Langenecker SA,Graver C,O'Neill J,Greenfield L

更新日期：2009-11-01 00:00:00