abstract：BACKGROUND:The role of portosystemic shunt (PSS) in children with portal hypertension has changed because of acceptance of liver transplantation and endoscopic hemostasis. We report our experience with PSS, mainly the distal splenorenal shunt, to define its role in the management of variceal bleeding. STUDY DESIGN:Fro...

journal_title：Journal of the American College of Surgeons

authors： Botha JF,Campos BD,Grant WJ,Horslen SP,Sudan DL,Shaw BW Jr,Langnas AN

更新日期：2004-08-01 00:00:00

abstract：BACKGROUND:In the last decade, development of videolaparoscopic surgery allowed several operations to be performed with minimally invasive techniques, making them less invasive and painful. Neck surgery was also involved in this effort, in spite of the skepticism shown by some authors. STUDY DESIGN:Minimally invasive ...

journal_title：Journal of the American College of Surgeons

authors： Miccoli P,Berti P,Materazzi G,Minuto M,Barellini L

更新日期：2004-08-01 00:00:00

abstract：BACKGROUND:Although experts in ethics and law prescribe autonomous decision making as an essential component of informed consent to operative treatment, patients with esophageal cancer told us in a previous study that they preferred to entrust decision making to their caregivers in the context of life-threatening illne...

journal_title：Journal of the American College of Surgeons

authors： McKneally MF,Ignagni E,Martin DK,D'Cruz J

更新日期：2004-07-01 00:00:00

abstract：BACKGROUND:Academic divisions of general surgery are facing ever-increasing financial pressures. Cost-cutting is a common approach to maintaining profitability, but strategies to increase revenue should not be ignored. One specific avenue for enhanced revenue generation in general surgery is that of coding for evaluati...

journal_title：Journal of the American College of Surgeons

authors： Kuo PC,Douglas AR,Oleski D,Jacobs DO,Schroeder RA

更新日期：2004-07-01 00:00:00

abstract：BACKGROUND:The current study seeks to determine if the efficacy and safety of laparoscopic donor nephrectomy holds true when performed in patients older than 60 years of age. STUDY DESIGN:Medical records of 42 renal donors older than 60 years were reviewed compared with younger controls carefully matched for gender, r...

journal_title：Journal of the American College of Surgeons

authors： Jacobs SC,Ramey JR,Sklar GN,Bartlett ST

更新日期：2004-06-01 00:00:00

abstract：BACKGROUND:Adenosine, a metabolite of adenosine triphosphate degradation during ischemia, is reported to attenuate ischemia and reperfusion injury in several tissues. Dipyridamole is a nucleoside transport inhibitor that augments endogenous adenosine. In this study, we tested whether dipyridamole would attenuate hepati...

journal_title：Journal of the American College of Surgeons

authors： Taniguchi M,Magata S,Suzuki T,Shimamura T,Jin MB,Iida J,Furukawa H,Todo S

更新日期：2004-05-01 00:00:00

abstract：BACKGROUND:Surgical treatment of hereditary pheochromocytoma remains controversial because of the need for lifelong corticosteroid therapy and the risk of Addisonian crisis associated with bilateral total adrenalectomy. We examined our large series of patients with hereditary pheochromocytoma to evaluate postsurgical o...

journal_title：Journal of the American College of Surgeons

authors： Yip L,Lee JE,Shapiro SE,Waguespack SG,Sherman SI,Hoff AO,Gagel RF,Arens JF,Evans DB

更新日期：2004-04-01 00:00:00

abstract：BACKGROUND:The factors important in determining outcome when managing adult blunt splenic injuries continue to be debated. Whether trauma center level designation (Level I versus Level II) affects patient management has not been evaluated. STUDY DESIGN:We conducted a retrospective analysis of prospectively gathered da...

journal_title：Journal of the American College of Surgeons

authors： Harbrecht BG,Zenati MS,Ochoa JB,Townsend RN,Puyana JC,Wilson MA,Peitzman AB

更新日期：2004-02-01 00:00:00

abstract：BACKGROUND:Efforts to improve surgical outcomes have traditionally focused on improving preoperative patient selection and reducing the risk of postoperative medical complications. Strategies to optimize surgical technique have been less well studied. We sought to assess the relation between complications related to su...

journal_title：Journal of the American College of Surgeons

authors： Rizk NP,Bach PB,Schrag D,Bains MS,Turnbull AD,Karpeh M,Brennan MF,Rusch VW

更新日期：2004-01-01 00:00:00

abstract：BACKGROUND:Treatment of early gastric cancer may be an ideal application for laparoscopic surgery. But laparoscopic surgery has various limitations derived from the lack of tactile feedback and a two-dimensional display of the operative field. So, laparoscopic surgery is technically challenging and requires a more deta...

journal_title：Journal of the American College of Surgeons

authors： Lee SW,Shinohara H,Matsuki M,Okuda J,Nomura E,Mabuchi H,Nishiguchi K,Takaori K,Narabayashi I,Tanigawa N

更新日期：2003-12-01 00:00:00

abstract：BACKGROUND:Enthusiasm for radiofrequency ablation (RFA) therapy for patients with unresectable hepatocellular carcinoma (HCC) has increased. The data for recurrence after RFA for patients with HCC is not well documented. The purpose of this study was to evaluate tumor recurrence patterns after RFA in patients with unre...

journal_title：Journal of the American College of Surgeons

authors： Harrison LE,Koneru B,Baramipour P,Fisher A,Barone A,Wilson D,Dela Torre A,Cho KC,Contractor D,Korogodsky M

更新日期：2003-11-01 00:00:00

abstract：BACKGROUND:The management of dysplasia arising in Barrett's esophagus is controversial. STUDY DESIGN:Twenty patients (group 1, prompt attitude) underwent operation as soon as high-grade dysplasia (HGD) was discovered (n = 8) or just after either the presence of HGD was confirmed (n = 9) or invasive carcinoma (IC) was ...

journal_title：Journal of the American College of Surgeons

authors： Romagnoli R,Collard JM,Gutschow C,Yamusah N,Salizzoni M

更新日期：2003-09-01 00:00:00

abstract：BACKGROUND:Since 1968, there have been three published reports in the United States literature of 41, 118, and 145 consecutive patients undergoing pancreaticoduodenectomy without mortality. In all of these series, the pancreatic remnant was anastomosed to the jejunum. STUDY DESIGN:This study was designed to review 152...

journal_title：Journal of the American College of Surgeons

authors： Aranha GV,Hodul PJ,Creech S,Jacobs W

更新日期：2003-08-01 00:00:00

abstract：BACKGROUND:Cholestasis and endotoxemia have been demonstrated to cause hepatocyte apoptosis through caspase-mediated pathways. In vitro nitric oxide (NO) donors reduce hepatocyte apoptosis and caspase activation in several models. The nitric oxide donor molsidomine improves survival in an in vivo model of endotoxemia. ...

journal_title：Journal of the American College of Surgeons

authors： Brown KM,Brems JJ,Moazzam FN,Hartman GG,Gamelli RL,Ding JW

更新日期：2003-08-01 00:00:00

abstract：BACKGROUND:Although effective at detecting locally recurrent colorectal cancer, the accuracy of fluorine-18 fluorodeoxyglucose positron emission tomography (FDG-PET) for detecting rectal cancer recurrence in an irradiated pelvis has not been systematically studied. STUDY DESIGN:Records of surgically resected rectal ca...

journal_title：Journal of the American College of Surgeons

authors： Moore HG,Akhurst T,Larson SM,Minsky BD,Mazumdar M,Guillem JG

更新日期：2003-07-01 00:00:00

abstract：BACKGROUND:The changes in spermatogenesis after parathyroidectomy in patients with symptomatic secondary hyperparathyroidism have not been reported before. STUDY DESIGN:Nineteen men with symptomatic secondary hyperparathyrodism were enrolled in our study. Their ages ranged from 29 to 50 years and duration of dialysis ...

journal_title：Journal of the American College of Surgeons

authors： Chou FF,Lee CH,Lee CT,Huang FJ,Hsu KL

更新日期：2003-06-01 00:00:00

abstract：BACKGROUND:Acute limb ischemia initiates a systemic inflammatory response, including pulmonary polymorphonuclear leukocyte (PMN) sequestration and acute lung injury. Lung injury is partly attributed to release by PMN's of extracellular matrix (ECM) modifying metalloproteinases (MMPs). We hypothesized that acute hindlim...

journal_title：Journal of the American College of Surgeons

authors： Plitas G,Gagne PJ,Muhs BE,Ianus IA,Shaw JP,Beudjekian M,Delgado Y,Jacobowitz G,Rockman C,Shamamian P

更新日期：2003-05-01 00:00:00

abstract：BACKGROUND:Pancreatectomy can be complicated by pancreatic anastomotic leakage, causing major morbidity. STUDY DESIGN:Our aim was to determine if vapreotide, a potent long-acting somatostatin analogue, would decrease pancreas-related complications. This prospective, multicenter, randomized, double-blind, placebo-contr...

journal_title：Journal of the American College of Surgeons

authors： Sarr MG,Pancreatic Surgery Group.

更新日期：2003-04-01 00:00:00

abstract：BACKGROUND:Recent population-based studies have demonstrated that the use of intraoperative cholangiography (IOC) during laparoscopic cholecystectomy (LC) is associated with a decrease in the rate of common bile duct (CBD) injury. The cost implications of a management strategy involving routine IOC use have not been ad...

journal_title：Journal of the American College of Surgeons

authors： Flum DR,Flowers C,Veenstra DL

更新日期：2003-03-01 00:00:00

abstract：BACKGROUND:Hereditary predisposition to colorectal cancer most often manifests itself as familial adenomatous polyposis from mutations of APC, or hereditary nonpolyposis colorectal cancer, resulting from mutations of MSH2, MLH1, MSH6, or other genes. Previously, we described a rare founder mutation MSH2*1906C > G in As...

journal_title：Journal of the American College of Surgeons

authors： Guillem JG,Rapaport BS,Kirchhoff T,Kolachana P,Nafa K,Glogowski E,Finch R,Huang H,Foulkes WD,Markowitz A,Ellis NA,Offit K

更新日期：2003-02-01 00:00:00

abstract：BACKGROUND:One of the most important criteria indicative of the longterm success of vaginal enlargement is the absence of postoperative contracture. Numerous procedures have been developed for reconstruction of an inadequate vagina. Some are technically complex techniques (myo- and fasciocutaneous flaps) with few posto...

journal_title：Journal of the American College of Surgeons

authors： Wierrani F,Grünberger W

更新日期：2003-01-01 00:00:00

abstract：BACKGROUND:The clinicopathologic characteristics and the expression of apomucin (MUC) in intrahepatic cholangiocarcinoma (ICC) with respect to gross morphology have not been comprehensively examined. STUDY DESIGN:We reviewed the clinical data of 98 patients with ICC who underwent resection at Seoul National University...

journal_title：Journal of the American College of Surgeons

authors： Suh KS,Chang SH,Lee HJ,Roh HR,Kim SH,Lee KU

更新日期：2002-12-01 00:00:00

abstract：BACKGROUND:Rests of thyroid tissue within the thyrothymic area are relatively common and might be of clinical importance. The purpose of this study is to define the incidence and anatomy of thyroid tissue located in the line of the thyrothymic ligament, referred to here as "rests." STUDY DESIGN:Prospective descriptive...

journal_title：Journal of the American College of Surgeons

authors： Sackett WR,Reeve TS,Barraclough B,Delbridge L

更新日期：2002-11-01 00:00:00

abstract：BACKGROUND:Determining the negative predictive value of benign large-core needle biopsy of nonpalpable mammographically detected breast abnormalities has been difficult because benign results generally preclude surgical excision. Longterm followup of these patients is important to ensure timely diagnosis of new abnorma...

journal_title：Journal of the American College of Surgeons

authors： Acheson MB,Patton RG,Howisey RL,Lane RF,Morgan A,Rowbotham RK

更新日期：2002-10-01 00:00:00

abstract：BACKGROUND:Earlier studies of medical students on nonsurgical rotations have shown that clinical clerks usually first interact with their patients late in the clinical course. This would seem disadvantageous to the student's learning because they would have less opportunity to generate diagnoses or a management plan. ...

journal_title：Journal of the American College of Surgeons

authors： Boehler ML,Schwind CJ,Dunnington G,Rogers DA,Folse R

更新日期：2002-10-01 00:00:00

abstract：BACKGROUND:The aim of this study is to evaluate the rate and the clinical outcomes of lymph node involvement in patients treated for borderline ovarian tumor (BOT). STUDY DESIGN:Forty-two patients were treated for BOT with a procedure that included lymphadenectomy. Twenty-four patients underwent a pelvic lymphadenecto...

journal_title：Journal of the American College of Surgeons

authors： Camatte S,Morice P,Atallah D,Pautier P,Lhommé C,Haie-Meder C,Duvillard P,Castaigne D

更新日期：2002-09-01 00:00:00

abstract：BACKGROUND:Palliative surgery for advanced cancer patients involves complex decision making. Surgeons with a cancer-focused practice were surveyed to determine the extent to which palliative surgery was currently practiced, to identify ethical dilemmas and barriers they faced in performing palliative surgery, and to ev...

journal_title：Journal of the American College of Surgeons

authors： McCahill LE,Krouse RS,Chu DZ,Juarez G,Uman GC,Ferrell BR,Wagman LD

更新日期：2002-09-01 00:00:00

abstract：BACKGROUND:Dysplastic oral leukoplakia (DOL) has been the index lesion in prevention trials for upper aerodigestive tract squamous cell carcinoma (SCC). Vitamin A derivatives, including 13-cis retinoic acid (13-CRA), have been used to treat DOL and to reduce the risk of subsequent SCC. Results from a trial of 13-CRA in...

journal_title：Journal of the American College of Surgeons

authors： Beenken SW,Hockett R Jr,Grizzle W,Weiss HL,Pickens A,Perloff M,Malone WF,Bland KI

更新日期：2002-08-01 00:00:00

abstract：BACKGROUND:Technetium 99m-sestamibi imaging might be the best method to localize abnormal parathyroid glands. No studies to date have compared preoperative imaging and intraoperative gamma probe localization in patients with primary hyperparathyroidism. STUDY DESIGN:This prospective study included 20 arbitrarily selec...

journal_title：Journal of the American College of Surgeons

authors： Saaristo RA,Salmi JJ,Kööbi T,Turjanmaa V,Sand JA,Nordback IH

更新日期：2002-07-01 00:00:00

abstract：BACKGROUND:Infarction of the optic nerve posterior to the lamina cribrosa, called posterior ischemic optic neuropathy (PION), is a condition that can result in profound bilateral blindness. Cases of PION treated at this institution and those described in the literature were analyzed to identify clinical features that p...

journal_title：Journal of the American College of Surgeons

authors： Dunker S,Hsu HY,Sebag J,Sadun AA

更新日期：2002-06-01 00:00:00

abstract：BACKGROUND:Elaboration of a number of bioactive substances, including adenosine, occurs in heart failure (HF). Adenosine, through the adenosine subtype 1 (A1) receptor, can reduce renal perfusion pressure and glomerular filtration rate and increase tubular sodium reabsorption, which can affect natriuresis and aquaresis...

journal_title：Journal of the American College of Surgeons

authors： Lucas DG Jr,Hendrick JW,Sample JA,Mukherjee R,Escobar GP,Smits GJ,Crawford FA Jr,Spinale FG

更新日期：2002-05-01 00:00:00

abstract：BACKGROUND:Colonic Crohn's disease can be treated surgically by total colonic resection or by segmental colonic resection. The aim of this study was to analyze the outcomes of patients treated by segmental colectomy for colonic Crohn's disease. STUDY DESIGN:Among 413 patients undergoing operations for Crohn's disease,...

journal_title：Journal of the American College of Surgeons

authors： Martel P,Betton PO,Gallot D,Malafosse M

更新日期：2002-04-01 00:00:00

abstract：BACKGROUND:Thyroglossal duct remnants are the most common midline neck masses in childhood but can be found in adults and the elderly. Sistrunk's procedure, with dissection of the tract and removal of the hyoid bone, is accepted as the main operation of choice. STUDY DESIGN:Fifty-five patients were treated from Januar...

journal_title：Journal of the American College of Surgeons

authors： Dedivitis RA,Camargo DL,Peixoto GL,Weissman L,Guimarães AV

更新日期：2002-03-01 00:00:00

abstract：BACKGROUND:The majority of patients with gallbladder cancer (GBC) have advanced disease at the time of diagnosis and are unresectable. Longterm survival is usually seen in a subset of patients with early GBC (EGBC)-cancer confined to the mucosa (pT1a) and muscularis (pT1b). Management guidelines of EGBC are not yet def...

journal_title：Journal of the American College of Surgeons

authors： Wagholikar GD,Behari A,Krishnani N,Kumar A,Sikora SS,Saxena R,Kapoor VK

更新日期：2002-02-01 00:00:00

abstract：:The management of PABC is very difficult. The incidence of PABC is low, but may be increasing because of the number of women who are becoming pregnant at a later age. More investigation is needed to understand whether the biology of PABC is different from that of breast cancer in nonpregnant women. One exciting area o...

journal_title：Journal of the American College of Surgeons

authors： Keleher AJ,Theriault RL,Gwyn KM,Hunt KK,Stelling CB,Singletary SE,Ames FC,Buchholz TA,Sahin AA,Kuerer HM

更新日期：2002-01-01 00:00:00

abstract：BACKGROUND:The most effective treatment for traumatic injuries is to prevent them from occurring. Currently, few surgeons receive any formal training in injury' control and prevention. This study was designed to test the knowledge of injury prevention principles among practicing surgeons, in order to identify areas in ...

journal_title：Journal of the American College of Surgeons

authors： Knudson MM,Vassar MJ,Straus EM,Hammond JS,Campbell SD

更新日期：2001-08-01 00:00:00

abstract：BACKGROUND:With the general acceptance of lumpectomy, axillary staging, and radiotherapy as local treatment for infiltrating breast cancer, an appreciation is evolving for the spectrum of vascular lesions that occur in the mammary skin after this treatment. Most of these lesions develop within the prior radiation field...

journal_title：Journal of the American College of Surgeons

authors： Sener SF,Milos S,Feldman JL,Martz CH,Winchester DJ,Dieterich M,Locker GY,Khandekar JD,Brockstein B,Haid M,Michel A

更新日期：2001-07-01 00:00:00

abstract：BACKGROUND:Disposable trocars with safety shields are widely used for laparoscopic access. The aim of this study was to analyze risk factors associated with injuries resulting from their use as reported to the Food and Drug Administration. STUDY DESIGN:Manufacturers are required to report medical device-related incide...

journal_title：Journal of the American College of Surgeons

authors： Bhoyrul S,Vierra MA,Nezhat CR,Krummel TM,Way LW

更新日期：2001-06-01 00:00:00

abstract：BACKGROUND:Outpatient followup of rural trauma patients is problematic for physicians and patients. Our hypothesis was that telemedicine-based followup of trauma patients discharged to remote areas is feasible and is associated with high patient and physician satisfaction. STUDY DESIGN:We chose 11 counties in Kentucky...

journal_title：Journal of the American College of Surgeons

authors： Boulanger B,Kearney P,Ochoa J,Tsuei B,Sands F

更新日期：2001-04-01 00:00:00

abstract：BACKGROUND:The choice between breast-conserving surgery and modified radical mastectomy in the treatment of women with early stage breast cancer in the Department of Defense Healthcare System may be influenced by demographic factors. STUDY DESIGN:The Department of Defense Automated Central Tumor Registry (ACTUR) was q...

journal_title：Journal of the American College of Surgeons

authors： Kelemen JJ 3rd,Poulton T,Swartz MT,Jatoi I

更新日期：2001-03-01 00:00:00