abstract：BACKGROUND:The only possible curative treatment in gastric carcinoma is surgery, and there is still controversy surrounding the value of extended lymph node dissection. STUDY DESIGN:A retrospective cohort study was conducted in patients who underwent curative D1 or D2 resection for operable gastric carcinoma. Survival...

journal_title：Journal of the American College of Surgeons

authors： Yildirim E,Celen O,Berberoglu U

更新日期：2001-01-01 00:00:00

abstract：BACKGROUND:The technique of lymphatic mapping and sentinel lymph node (SLN) biopsy is rapidly becoming the preferred method of staging the axilla of the breast cancer patient. This report describes the impact of postinjection massage on the sensitivity of this surgical technique. STUDY DESIGN:Lymphatic mapping at the ...

journal_title：Journal of the American College of Surgeons

authors： Bass SS,Cox CE,Salud CJ,Lyman GH,McCann C,Dupont E,Berman C,Reintgen DS

更新日期：2001-01-01 00:00:00

abstract：BACKGROUND:Cardiovascular disease such as coronary artery disease is a major cause of late death after repair of abdominal aortic aneurysm (AAA). But risk factors are not well known. So, we investigated the incidence of cardiovascular events after surgery and examined the prognostic factors. STUDY DESIGN:We retrospect...

journal_title：Journal of the American College of Surgeons

authors： Onohara T,Komori K,Kume M,Ishida M,Ohta S,Takeuchi K,Matsumoto T,Sugimachi K

更新日期：2000-12-01 00:00:00

abstract：BACKGROUND:Ischemia occurring on mobilization and mesenteric division is thought to be a major factor in the etiology of anastomotic dehiscence after colorectal resection. This study assessed the ability of the new technique of scanning laser Doppler flowmetry to measure changes in human colonic perfusion during mobili...

journal_title：Journal of the American College of Surgeons

authors： Boyle NH,Manifold D,Jordan MH,Mason RC

更新日期：2000-11-01 00:00:00

abstract：BACKGROUND:It has been suggested that laparoscopic antireflux surgery has been associated with an increased incidence of postoperative paraesophageal hiatus herniation, and that this comes (at least in part) from not performing an esophageal lengthening procedure in patients with preoperative esophageal shortening. Thi...

journal_title：Journal of the American College of Surgeons

authors： Yau P,Watson DI,Jamieson GG,Myers J,Ascott N

更新日期：2000-10-01 00:00:00

abstract：BACKGROUND:Urinary-vaginal fistula is one of the most common and dreaded complications of obstetric trauma in developing countries. Management of these fistulas is complicated by the presence of substantial urethral loss and the tendency of the repair to break down. STUDY DESIGN:We retrospectively studied 46 patients ...

journal_title：Journal of the American College of Surgeons

authors： Rangnekar NP,Imdad Ali N,Kaul SA,Pathak HR

更新日期：2000-09-01 00:00:00

abstract：BACKGROUND:Intratumoral ablative therapy is being used increasingly for the treatment of primary and secondary hepatic malignancies. The interstitial point-source photon radiosurgery system (PRS) is a novel ablative technique that uses radiation therapy similar in dosimetry to interstitial brachytherapy. STUDY DESIGN:...

journal_title：Journal of the American College of Surgeons

authors： Koniaris LG,Chan DY,Magee C,Solomon SB,Anderson JH,Smith DO,De Weese T,Kavoussi LR,Choti MA

更新日期：2000-08-01 00:00:00

abstract：BACKGROUND:Minimally invasive radioguided parathyroidectomy (MIRP) combines technetium sestamibi scan, intraoperative gamma probe, methylene blue dye, and measurement of circulating parathyroid hormone (PTH) levels. STUDY DESIGN:All patients presented with biochemically proved primary hyperparathyroidism. A technetium...

journal_title：Journal of the American College of Surgeons

authors： Flynn MB,Bumpous JM,Schill K,McMasters KM

更新日期：2000-07-01 00:00:00

abstract：BACKGROUND:Field triage criteria for trauma patients results in over-triage rates of 30% to 50% to achieve under-triage rates of 10%. This large number of patients may stress trauma center resources. Elevated arterial lactate (ALAC) levels have been shown to be a marker of serious injury but the need for arterial sampl...

journal_title：Journal of the American College of Surgeons

authors： Lavery RF,Livingston DH,Tortella BJ,Sambol JT,Slomovitz BM,Siegel JH

更新日期：2000-06-01 00:00:00

abstract：BACKGROUND:The role of imaging studies before parathyroidectomy has been extensively debated and recent advances in unilateral parathyroidectomy intensify this controversy. The purpose of this study was to review the parathyroidectomy experience of a single surgeon, looking at the role of sestamibi scans and a standard...

journal_title：Journal of the American College of Surgeons

authors： Dillavou ED,Jenoff JS,Intenzo CM,Cohn HE

更新日期：2000-05-01 00:00:00

abstract：BACKGROUND:This study was undertaken to investigate the effect of growth hormone (GH) and insulin-like growth factor I (IGF-I), two well-known growth factors, on bacterial translocation, endotoxemia, enterocyte apoptosis, and intestinal and liver histology in a model of experimental obstructive jaundice in rats. STUDY...

journal_title：Journal of the American College of Surgeons

authors： Scopa CD,Koureleas S,Tsamandas AC,Spiliopoulou I,Alexandrides T,Filos KS,Vagianos CE

更新日期：2000-04-01 00:00:00

abstract：:Portal vein thrombosis was considered to be a major contraindication to liver transplantation before the introduction of vessel grafts from the recipient's area of confluence of the splenic and superior mesenteric veins, behind the neck of the pancreas, to the graft's portal vein. Refinement in surgical technique has ...

journal_title：Journal of the American College of Surgeons

authors： Azoulay D,Hargreaves GM,Castaing D,Bismuth H

更新日期：2000-04-01 00:00:00

abstract：BACKGROUND:Hemorrhage can modify the leukocyte-endothelial cell response leading to tissue injury. The selectin family of adhesion molecules and chemokines mediate the leukocyte-endothelial cell interaction, resulting in neutrophil sequestration and activation. This work studies whether a small molecule inhibitor of se...

journal_title：Journal of the American College of Surgeons

authors： Ramos-Kelly JR,Toledo-Pereyra LH,Jordan JA,Rivera-Chavez FA,Dixon RA,Ward PA

更新日期：1999-12-01 00:00:00

abstract：BACKGROUND:Although several authors have documented the safety and efficacy of laparoscopic fundoplication, it is important to determine the rate of conversions and complications of this procedure. STUDY DESIGN:We retrospectively reviewed the protocol sheets of 503 consecutive patients with gastroesophageal reflux dis...

journal_title：Journal of the American College of Surgeons

authors： Coelho JC,Wiederkehr JC,Campos AC,Andrigueto PC

更新日期：1999-10-01 00:00:00

abstract：BACKGROUND:Hepatic resection for metastatic colorectal cancer provides excellent longterm results in a substantial proportion of patients. Although various prognostic risk factors have been identified, there has been no dependable staging or prognostic scoring system for metastatic hepatic tumors. STUDY DESIGN:Various...

journal_title：Journal of the American College of Surgeons

authors： Iwatsuki S,Dvorchik I,Madariaga JR,Marsh JW,Dodson F,Bonham AC,Geller DA,Gayowski TJ,Fung JJ,Starzl TE

更新日期：1999-09-01 00:00:00

abstract：BACKGROUND:Hepatic resection and percutaneous transhepatic cholangioscopic lithotomy (PTCSL) are the two main approaches to the treatment of hepatolithiasis, but comparisons of longterm followup results have not been adequately reported. STUDY DESIGN:Of 86 patients with hepatolithiasis admitted to our institution betw...

journal_title：Journal of the American College of Surgeons

authors： Otani K,Shimizu S,Chijiiwa K,Ogawa T,Morisaki T,Sugitani A,Yamaguchi K,Tanaka M

更新日期：1999-08-01 00:00:00

abstract：BACKGROUND:Commonly performed elective gastrointestinal surgical procedures are carried out with low morbidity and mortality in hospitals throughout the United States. Complex operative procedures on the alimentary tract are performed with a relatively low frequency and are associated with higher mortality. Volume and ...

journal_title：Journal of the American College of Surgeons

authors： Gordon TA,Bowman HM,Bass EB,Lillemoe KD,Yeo CJ,Heitmiller RF,Choti MA,Burleyson GP,Hsieh G,Cameron JL

更新日期：1999-07-01 00:00:00

abstract：BACKGROUND:The American College of Surgeons (ACS) has conducted a detailed annual survey of residents enrolled in surgical graduate medical education (GME) programs since 1982 and has regularly published the resulting data as the Longitudinal Study of Surgical Residents. This report documents surgical resident enrollme...

journal_title：Journal of the American College of Surgeons

authors： Kwakwa F,Jonasson O

更新日期：1999-06-01 00:00:00

abstract：BACKGROUND:Vulvar melanoma is a very rare form of cancer. The purpose of this study was to describe practice patterns for the management of vulvar melanoma. STUDY DESIGN:The National Cancer Data Base was reviewed from 1985 through 1994 for patient reports submitted with a diagnosis of vulvar melanoma. RESULTS:Five hu...

journal_title：Journal of the American College of Surgeons

authors： Creasman WT,Phillips JL,Menck HR

更新日期：1999-06-01 00:00:00

abstract：BACKGROUND:Splenectomy at the time of resection of esophageal, gastric, or colon cancer has been correlated with inferior longterm survival. No such effect has yet been demonstrated for pancreatic cancer. STUDY DESIGN:Patients undergoing resection of pancreatic adenocarcinoma with curative intent at Memorial Sloan-Ket...

journal_title：Journal of the American College of Surgeons

authors： Schwarz RE,Harrison LE,Conlon KC,Klimstra DS,Brennan MF

更新日期：1999-05-01 00:00:00

abstract：BACKGROUND:Laparoscopic antireflux surgery has replaced conventional operation despite the fact that currently no randomized trials have been published regarding its cost effectiveness. The objective of the present study was to compare costs and some short-term outcomes of laparoscopic and open Nissen fundoplication. ...

journal_title：Journal of the American College of Surgeons

authors： Heikkinen TJ,Haukipuro K,Koivukangas P,Sorasto A,Autio R,Södervik H,Mäkelä H,Hulkko A

更新日期：1999-04-01 00:00:00

abstract：BACKGROUND:Recurrent laryngeal nerve injury caused by esophageal cancer surgery is worrisome but often temporary; it is unclear when and how the paralysis is resolved. Hoarseness of voice from vocal cord paralysis (VCP) can have detrimental effects on postoperative patients. The aims of this study were to clarify the p...

journal_title：Journal of the American College of Surgeons

authors： Baba M,Natsugoe S,Shimada M,Nakano S,Noguchi Y,Kawachi K,Kusano C,Aikou T

更新日期：1999-03-01 00:00:00

abstract：BACKGROUND:Postoperative liver failure is a life-threatening complication after hepatic resection. Because of recent advances in liver surgery technique and a more stringent patient selection, mortality after hepatic resection has steadily decreased, but its incidence still ranges from 10% to 20%. The factors linked to...

journal_title：Journal of the American College of Surgeons

authors： Shirabe K,Shimada M,Gion T,Hasegawa H,Takenaka K,Utsunomiya T,Sugimachi K

更新日期：1999-03-01 00:00:00

abstract：BACKGROUND:Liver resection is standard therapy for selected patients with metastatic colorectal cancer. Extrahepatic metastases and inability to remove all hepatic disease usually preclude curative resection and are the most common contraindications. This study analyzes irresectability in patients considered to have re...

journal_title：Journal of the American College of Surgeons

authors： Jarnagin WR,Fong Y,Ky A,Schwartz LH,Paty PB,Cohen AM,Blumgart LH

更新日期：1999-01-01 00:00:00

abstract：BACKGROUND:The role of preoperative ERCP and endoscopic sphincterotomy (ES) in the diagnosis and treatment of suspected common bile duct stones (CBDS) in the laparoscopic age is controversial. The preoperative diagnosis of CBDS by ERCP and the removal of CBDS by ES are advantageous because of technical difficulties in ...

journal_title：Journal of the American College of Surgeons

authors： Golub R,Cantu R Jr,Tan M

更新日期：1998-12-01 00:00:00

abstract：:Technical modification of the DSRS by using the end-to-end splenoadrenal anastomosis allows for effective selective decompression of portal hypertension in children, can be accomplished with no perioperative mortality, and has demonstrated longterm patency and minimal morbidity. Clinical encephalopathy was seen in onl...

journal_title：Journal of the American College of Surgeons

authors： Mazariegos GV,Reyes J

更新日期：1998-12-01 00:00:00

abstract：BACKGROUND:The association of acute pancreatitis with fulminant hepatic failure (FHF) was first recognized in 1973. Since then, few studies have described the clinical profile of the FHF patient with acute pancreatitis. Identification of the distinguishing attributes of pancreatitis in combination with FHF will provide...

journal_title：Journal of the American College of Surgeons

authors： Kuo PC,Plotkin JS,Johnson LB

更新日期：1998-11-01 00:00:00

abstract：BACKGROUND:It is generally accepted that the prognosis of patients with proximal gastric cancer (PGC) is worse than that of patients with more distal gastric cancer. STUDY DESIGN:The aim of this study was to compare the clinical features and outcomes of PGC with those of middle- and distal-third gastric cancers. A tot...

journal_title：Journal of the American College of Surgeons

authors： Sakaguchi T,Watanabe A,Sawada H,Yamada Y,Tatsumi M,Fujimoto H,Emoto K,Nakano H

更新日期：1998-10-01 00:00:00

abstract：BACKGROUND:Arterial "steal" is a well-known complication following proximal arteriovenous (AV) fistula, but its manifestations comprise a wide spectrum of symptoms and there are no clear indications for those patients who need surgical repair. STUDY DESIGN:Among 180 consecutive AV fistulas of various configurations, w...

journal_title：Journal of the American College of Surgeons

authors： Lazarides MK,Staramos DN,Panagopoulos GN,Tzilalis VD,Eleftheriou GJ,Dayantas JN

更新日期：1998-10-01 00:00:00

abstract：BACKGROUND:The clinical significance of lymph node involvement along the recurrent laryngeal nerves in cancer of the thoracic esophagus is still controversial. Although these lymph nodes are anatomically located in a well-defined compartment (proximal mesoesophagus), appropriate procedures for dissecting them are not w...

journal_title：Journal of the American College of Surgeons

authors： Matsubara T,Ueda M,Nagao N,Takahashi T,Nakajima T,Nishi M

更新日期：1998-09-01 00:00:00

abstract：BACKGROUND:Lumbar hernias are rare defects in the posterolateral abdominal wall that may be congenital or acquired. Repairing these defects is difficult by virtue of their location and the inherent weakness of the surrounding tissues. We report a series of seven patients who had their lumbar hernias repaired laparoscop...

journal_title：Journal of the American College of Surgeons

authors： Arca MJ,Heniford BT,Pokorny R,Wilson MA,Mayes J,Gagner M

更新日期：1998-08-01 00:00:00

abstract：:Although his primacy was subsequently challenged by a student, it is now known that Johann Georg Wirsüng, the prosector of Padua, Italy, discovered the human pancreatic duct in 1642 during the dissection of an executed murderer. Instead of publishing his discovery, he engraved a drawing of the duct on a copper plate, ...

journal_title：Journal of the American College of Surgeons

authors： Howard JM,Hess W,Traverso W

更新日期：1998-08-01 00:00:00

abstract：BACKGROUND:Immediate breast reconstruction with autologous tissue can re-create a breast mound that closely resembles the native breast in shape and consistency. Results are limited by scarring and color differences between flap and native breast skin. This study reviews all patients undergoing complete skin-sparing ma...

journal_title：Journal of the American College of Surgeons

authors： Hidalgo DA,Borgen PJ,Petrek JA,Heerdt AH,Cody HS,Disa JJ

更新日期：1998-07-01 00:00:00

abstract：BACKGROUND:Neuroendocrine tumors commonly metastasize to the liver. Although surgical resection is considered a treatment option for patients with localized metastases confined to the liver, the longterm survival benefit of liver resection has not been clearly demonstrated. We examined the survival of patients undergoi...

journal_title：Journal of the American College of Surgeons

authors： Chen H,Hardacre JM,Uzar A,Cameron JL,Choti MA

更新日期：1998-07-01 00:00:00

abstract：BACKGROUND:Ureteral injuries are uncommon, and the necessity, accuracy, and optimal use of perioperative testing remains unknown. Delays in diagnosis have also been associated with significant morbidity, including loss of renal function. STUDY DESIGN:The records of all patients (n = 20) admitted with ureteral injuries...

journal_title：Journal of the American College of Surgeons

authors： Medina D,Lavery R,Ross SE,Livingston DH

更新日期：1998-06-01 00:00:00

abstract：BACKGROUND:Operative internal drainage has been standard treatment for chronic unresolved pancreatic pseudocysts (PPs). Recently, percutaneous external drainage (PED) has become the primary mode of treatment at many medical centers. STUDY DESIGN:A retrospective chart review was performed of 96 patients with PPs who we...

journal_title：Journal of the American College of Surgeons

authors： Spivak H,Galloway JR,Amerson JR,Fink AS,Branum GD,Redvanly RD,Richardson WS,Mauren SJ,Waring JP,Hunter JG

更新日期：1998-05-01 00:00:00

abstract：BACKGROUND:Recently, several reports in the United States have demonstrated remarkable improvement in the patency of axillofemoral (AXF) bypass with an externally supported prosthesis. The purpose of this study was to review the prognoses regarding graft patency, limb salvage, and survival of patients who underwent AXF...

journal_title：Journal of the American College of Surgeons

authors： Mii S,Mori A,Sakata H,Kawazoe N

更新日期：1998-05-01 00:00:00

abstract：:In several recent conferences, the principal questions have been whether xenotransplantation technology should be encouraged and, if so, how it should be regulated. Because the prospect of successful transplantation of animal organs into humans is still remote, the rush to achieve consensus about clinical application ...

journal_title：Journal of the American College of Surgeons

authors： Starzl TE,Rao AS,Murase N,Fung J,Demetris AJ

更新日期：1998-04-01 00:00:00

abstract：BACKGROUND:Controversy exists over the relative advantages of open mesh repair compared with open stitching methods and the laparoscopic approach. STUDY DESIGN:Two thousand nine hundred six (2,906) consecutive unselected adult patients underwent 3,175 primary inguinal hernia repairs using polypropylene mesh, under loc...

journal_title：Journal of the American College of Surgeons

authors： Kark AE,Kurzer MN,Belsham PA

更新日期：1998-04-01 00:00:00

abstract：BACKGROUND:In 1991, a National Institutes of Health Consensus Panel stated that preoperative localization for primary hyperparathyroidism is not cost effective. Since then, the sestamibi scan has been applied to parathyroid disease with excellent results, even allowing unilateral exploration under local anesthesia. ST...

journal_title：Journal of the American College of Surgeons

authors： Denham DW,Norman J

更新日期：1998-03-01 00:00:00