30,474 results match your criteria Annals of surgery[Journal]


Factors Associated With Functional Recovery Among Older Survivors of Major Surgery.

Ann Surg 2019 Feb 6. Epub 2019 Feb 6.

Section of Geriatrics, Department of Internal Medicine, Yale School of Medicine, New Haven, CT.

MINI: The potential predictors of functional recovery after major surgery in geriatric patients have not been well-studied. This prospective longitudinal study evaluated recovery of premorbid function within 6 months of major surgery, and identified factors associated with functional recovery among older persons who survive a major surgery with increased disability.

Objective: The objectives of the current study were 2-fold: first, to evaluate the incidence and time to recovery of premorbid function within 6 months of major surgery and second, to identify factors associated with functional recovery among older persons who survive a major surgery with increased disability. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SLA.0000000000003233DOI Listing
February 2019

Extracorporeal Perfusion for Salvage of Major Amputates.

Ann Surg 2019 Feb 2. Epub 2019 Feb 2.

Department of Plastic and Hand Surgery, University Hospital Regensburg, Regensburg, Germany.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SLA.0000000000003226DOI Listing
February 2019

Socioeconomic "Distressed Communities Index" Improves Surgical Risk-adjustment.

Ann Surg 2019 Feb 1. Epub 2019 Feb 1.

Department of Surgery, University of Virginia, Charlottesville, VA.

Objective: We hypothesize the Distressed Communities Index (DCI), a composite socioeconomic ranking by ZIP code, will predict risk-adjusted outcomes after surgery.

Summary Of Background Data: Socioeconomic status affects surgical outcomes; however, the American College of Surgeons National Surgery Quality Improvement Program (ACS NSQIP) database does not account for these factors.

Methods: All ACS NSQIP patients (17,228) undergoing surgery (2005 to 2015) at a large academic institution were paired with the DCI, which accounts for unemployment, education level, poverty rate, median income, business growth, and housing vacancies. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SLA.0000000000002997DOI Listing
February 2019

Comments on "Prehospital Ground Transport Rapid Sequence Intubation for Trauma and Traumatic Brain Injury Outcomes".

Authors:
Amy Goldberg

Ann Surg 2019 Mar;269(3):e31

Lewis Katz School of Medicine at Temple University, Philadelphia, PA.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SLA.0000000000003151DOI Listing

The Impact of Corporate Payments on Robotic Surgery Research: A Systematic Review.

Authors:
Mark A Talamini

Ann Surg 2019 Mar;269(3):397-398

Department of Surgery, Stony Brook Medicine, Stony Brook, NY.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SLA.0000000000003187DOI Listing

Response to the Comment on "Medial Open Transversus Abdominis Plane (MOTAP) Catheters Reduce Opioid Requirements and Improve Pain Control Following Open Liver Resection: a Multicenter, Blinded, Randomized Controlled Trial".

Ann Surg 2019 Mar;269(3):e37-e38

Sunnybrook Health Sciences Centre, Department of Surgery, University of Toronto, Toronto, ON, Canada Pain Services, EDS Program, University Health Network, Research Chair University of Toronto Centre For the Study of Pain, Department of Anesthesia, University of Toronto, Toronto, ON, Canada.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SLA.0000000000002882DOI Listing

Comment on "Medial Open Transversus Abdominis Plane (MOTAP) Catheters Reduce Opioid Requirements and Improve Pain Control Following Open Liver Resection: a Multicenter, Blinded, Randomized Controlled Trial".

Authors:
Mark C Kendall

Ann Surg 2019 Mar;269(3):e37

Department of Anesthesiology, Rhode Island Hospital, Warren Alpert Medical School of Brown University, Providence, RI.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SLA.0000000000002874DOI Listing

Response to the Comment on "Does a Combination of Laparoscopic Approach and Full Fast Track Multimodal Management Decrease Postoperative Morbidity?"

Ann Surg 2019 Mar;269(3):e36-e37

Colorectal Department, Beaujon Hospital, Clichy, France. Colorectal Department, Beaujon Hospital, Clichy, France.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SLA.0000000000002853DOI Listing

Comment on "Does a Combination of Laparoscopic Approach and Full Fast Track Multimodal Management Decrease Postoperative Morbidity?"

Ann Surg 2019 Mar;269(3):e35-e36

Department of General Surgery, Jiangsu Province Hospital of Traditional Chinese Medicine, Nanjing, China, Research Institute of General Surgery, Jinling Hospital, School of Medicine, Nanjing University, Nanjing, China Department of General Surgery, Jiangsu Province Hospital of Traditional Chinese Medicine, Nanjing, China, Research Institute of General Surgery, Jinling Hospital, School of Medicine, Nanjing University, Nanjing, China Section of Surgical Pathophysiology 7621, Rigshospitalet, Copenhagen, Denmark Department of General Surgery, Jiangsu Province Hospital of Traditional Chinese Medicine, Nanjing, China, Research Institute of General Surgery, Jinling Hospital, School of Medicine, Nanjing University, Nanjing, China Department of General Surgery, Jiangsu Province Hospital of Traditional Chinese Medicine, Nanjing, China, Research Institute of General Surgery, Jinling Hospital, School of Medicine, Nanjing University, Nanjing, China Research Institute of General Surgery, Jinling Hospital, School of Medicine, Nanjing University, Nanjing, China.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SLA.0000000000002848DOI Listing
March 2019
1 Read

Response to the Comment on "Prediction of Hepatocellular Carcinoma Recurrence Beyond Milan Criteria After Resection: Validation of a Clinical Risk Score in Aninternational Cohort".

Ann Surg 2019 Mar;269(3):e34-e35

Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY Department of Surgery, Washington University School of Medicine, St. Louis, MO Department of Surgery, Université de Montréal, Montreal, QC, Canada Department of Surgery, Erasmus MC, University Medical Center, Rotterdam, The Netherlands Department of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Singapore, Singapore, Division of Surgical Oncology, National Cancer Center, Singapore, Singapore Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SLA.0000000000002871DOI Listing

Comment on "Prediction of Hepatocellular Carcinoma Recurrence Beyond Milan Criteria After Resection: Validation of a Clinical Risk Score in Aninternational Cohort".

Ann Surg 2019 Mar;269(3):e34

Department of Hepatobiliary Surgery, Eastern Hepatobiliary Surgery Hospital, Second Military Medical University, Shanghai, China, Department of Clinical Medicine, Second Military Medical University, Shanghai, China Department of Hepatobiliary Surgery, Eastern Hepatobiliary Surgery Hospital, Second Military Medical University, Shanghai, China, Department of Clinical Medicine, Second Military Medical University, Shanghai, China Department of Hepatobiliary Surgery, Eastern Hepatobiliary Surgery Hospital, Second Military Medical University, Shanghai, China, Department of Surgery, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong SAR, China Department of Hepatobiliary Surgery, Eastern Hepatobiliary Surgery Hospital, Second Military Medical University, Shanghai, China.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SLA.0000000000002870DOI Listing

Comment on "ALPPS Improves Resectability Compared With Conventional Two-stage Hepatectomy in Patients With Advanced Colorectal Liver Metastasis".

Ann Surg 2019 Mar;269(3):e32

Department of General, Hepato-Biliary and Liver Transplantation Surgery, Ghent University Hospital Medical School, Ghent, Belgium, Department of Clinical Medicine and Surgery, Federico II University, Naples, Italy.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SLA.0000000000002738DOI Listing

Antibiotic Treatment and Appendectomy for Uncomplicated Acute Appendicitis in Adults and Children: A Systematic Review and Meta-analysis.

Ann Surg 2019 Jan 31. Epub 2019 Jan 31.

Cambridge Colorectal Unit, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.

MINI: The present meta-analysis demonstrates that, although limited by a lower efficacy compared to surgery, NOM with antibiotics could be considered a safe option for adults and pediatric patients with uncomplicated appendicitis, as it is successful in almost 75% of cases, and does not statistically increase the perforation rate.

Objective: The aim of this meta-analysis was to summarize the current available evidence on nonoperative management (NOM) with antibiotics for uncomplicated appendicitis, both in adults and children.

Summary Background Data: Although earlier meta-analyses demonstrated that NOM with antibiotics may be an acceptable treatment strategy for patients with uncomplicated appendicitis, evidence is limited by conflicting results. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SLA.0000000000003225DOI Listing
January 2019

Open Versus Laparoscopic Versus Robotic Versus Transanal Mesorectal Excision for Rectal Cancer: A Systematic Review and Network Meta-analysis.

Ann Surg 2019 Jan 31. Epub 2019 Jan 31.

Department of Colorectal Surgery, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.

MINI: This network meta-analysis of 29 randomized controlled trials compared the open, laparoscopic, robotic, and transanal techniques for rectal cancer resection. The different techniques resulted in comparable perioperative morbidity and long-term survival. The laparoscopic and robotic approaches may improve postoperative recovery, and the open and transanal approaches may improve oncological resection. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SLA.0000000000003227DOI Listing
January 2019

Total Lesion Glycolysis Assessment Identifies a Patient Fraction With a High Cure Rate Among Esophageal Adenocarcinoma Patients Treated With Definitive Chemoradiation.

Ann Surg 2019 Jan 31. Epub 2019 Jan 31.

Department of Gastrointestinal Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX.

MINI: Low continuous total lesion glycolysis value, but not low maximum standardized uptake value, was associated with cure (odds ratio 0.70, 95% confidence interval 0.54-0. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SLA.0000000000003228DOI Listing
January 2019

Commentary to "Further to the Right: Piggyback Anastomosis on the Right Hepatic Vein Facilitates the Implantation of Small Liver Grafts (the One Vein Technique)".

Authors:
Hiroto Egawa

Ann Surg 2019 Jan 31. Epub 2019 Jan 31.

Department of Surgery, Tokyo Women's Medical University, Tokyo, Japan.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SLA.0000000000003229DOI Listing
January 2019

Long-term Comparison of Recurrence Rates Between Different Lightweight and Heavyweight Meshes in Open Anterior Mesh Inguinal Hernia Repair: A Nationwide Population-based Register Study.

Ann Surg 2019 Jan 31. Epub 2019 Jan 31.

Department of Clinical Sciences, Danderyds Hospital, Karolinska Institutet, Stockholm, Sweden.

MINI: This nationwide population-based register study with 76,495 consecutive inguinal hernia repairs, recruited from the national Swedish Hernia Register, demonstrated that repairs with regular polypropylene lightweight meshes in open anterior mesh inguinal hernia repair were not associated with an increased risk of reoperation for recurrence compared with heavyweight meshes.

Objective: To compare the reoperation rate for recurrence of different lightweight to heavyweight meshes after an open anterior mesh (OAM) inguinal hernia repair.

Summary Background Data: Lightweight meshes have shown benefits compared with heavyweight meshes in terms of accelerated recovery after surgery with less postoperative pain. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SLA.0000000000003219DOI Listing
January 2019
1 Read

Proving the Effectiveness of the Fundamentals of Robotic Surgery (FRS) Skills Curriculum: A Single-blinded, Multispecialty, Multi-institutional Randomized Control Trial.

Ann Surg 2019 Jan 31. Epub 2019 Jan 31.

Technology Enhanced Learning, ASSERT Centre, College of Medicine and Health, Brookfield Health Sciences Complex, University College Cork, Cork, Ireland.

MINI: Question: Is the Fundamentals of Robotic Surgery (FRS) proficiency-based progression curriculum effective for teaching basic robotic surgery skills?

Findings: In an international multi-institutional, multispecialty, blinded, randomized control trial, implementation of the FRS skills curriculum using various simulation platforms led to improved performance of surgical trainees on a transfer test compared with controls.Meaning: The FRS is an effective simulation-based course for training to proficiency on basic robotic surgery skills before surgeons apply those skills clinically.

Objective: To demonstrate the noninferiority of the fundamentals of robotic surgery (FRS) skills curriculum over current training paradigms and identify an ideal training platform. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SLA.0000000000003220DOI Listing
January 2019

Long-term Results of the Side-to-side Isoperistaltic Strictureplasty in Crohn Disease: 25-year Follow-up and Outcomes.

Ann Surg 2019 Jan 31. Epub 2019 Jan 31.

Department of Surgery, University of Chicago, Chicago, IL.

MINI: The side-to-side isoperistaltic strictureplasty (SSIS) is a safe and effective procedure in patients with extensive fibrostenosing Crohn disease of the small bowel. Eighty-six percent of patients maintain the original SSIS after a median follow-up of 11 years.

Objective: Review the long-term outcomes of the side-to-side isoperistaltic strictureplasty (SSIS) and its effects on bowel preservation in Crohn disease (CD). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SLA.0000000000003221DOI Listing
January 2019
2 Reads

Can Minimally Invasive Esophagectomy Replace Open Esophagectomy for Esophageal Cancer? Latest Analysis of 24,233 Esophagectomies From the Japanese National Clinical Database.

Ann Surg 2019 Jan 31. Epub 2019 Jan 31.

The Japanese Society of Gastroenterological Surgery, Japan.

Objective: We aimed to elucidate whether minimally invasive esophagectomy (MIE) can be safely performed by reviewing the Japanese National Clinical Database.

Summary Of Background Data: MIE is being increasingly adopted, even for advanced esophageal cancer that requires various preoperative treatments. However, the superiority of MIE's short-term outcomes compared with those of open esophagectomy (OE) has not been definitively established in general clinical practice. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SLA.0000000000003222DOI Listing
January 2019
2 Reads

Open Versus Fenestrated Endovascular Repair of Complex Abdominal Aortic Aneurysms.

Ann Surg 2019 Feb 1. Epub 2019 Feb 1.

Division of Cardiac, Thoracic, and Vascular Surgery, New York-Presbyterian/Columbia University Irving Medical Center/Columbia University Vagelos College of Physicians and Surgeons, New York, NY.

Objective: To compare outcomes of fenestrated (FEVAR) and open repairs of complex abdominal aortic aneurysms (cAAA).

Background: FEVAR has emerged as an alternative to open surgery for treating cAAA, but direct comparisons are limited.

Methods: We studied all repairs of intact or symptomatic cAAA in the Vascular Quality Initiative between 2012 and 2018, excluding chimney/snorkels and any devices implanted under Investigational Device Exemption studies. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SLA.0000000000003094DOI Listing
February 2019
2 Reads

Novel Use of Incisional Negative Pressure Wound Therapy for Management of High-risk Breast Incisions.

Ann Surg 2018 Nov 20. Epub 2018 Nov 20.

Department of Breast Surgical Oncology, Division of Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX Department of Surgery, The Ohio State University Wexner Medical Center, Columbus, OH Department of Plastic Surgery, Division of Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX Department of Plastic Surgery, Division of Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX Department of Breast Surgical Oncology, Division of Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX Department of Breast Surgical Oncology, Division of Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SLA.0000000000003135DOI Listing
November 2018

Oea Signaling Pathways and the Metabolic Benefits of Vertical Sleeve Gastrectomy.

Ann Surg 2018 Nov 20. Epub 2018 Nov 20.

University of Michigan, Ann Arbor, MI.

Objective: The aim of this study was to determine whether downstream [peroxisome proliferator-activated-receptor alpha (PPARα) and the G-protein coupled receptor, GPR119] and upstream (a fatty acid translocase, CD36) signaling targets of N-oleoylethanolamide (OEA) were necessary for weight loss, metabolic improvements, and diet preference following vertical sleeve gastrectomy (VSG).

Summary Background Data: OEA is an anorectic N-acylethanolamine produced from dietary fats within the intestinal lumen that can modulate lipid metabolism, insulin secretion, and energy expenditure by activating targets such as PPARα and GPR119.

Methods: Diet-induced obese mice, including wild-type or whole body knockout (KO) of PPARα, GPR119, and CD36, were stratified to either VSG or sham surgery before body weight, body composition, diet preference, and glucose and lipid metabolic endpoints were assessed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SLA.0000000000003093DOI Listing
November 2018

Prospective Validation of a Transcriptomic Metric in Severe Trauma.

Ann Surg 2019 Jan 24. Epub 2019 Jan 24.

Department of Surgery, University of Florida College of Medicine, Gainesville, FL.

MINI: Here, for the first time, we prospectively validate a previously discovered transcriptomic metric that predicts at 24 hours postsevere blunt trauma, long-term clinical outcomes. The metric also performed well (AUC 0.80-0. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SLA.0000000000003204DOI Listing
January 2019
3 Reads

Colorectal Surgical Site Infection Prevention Kits Prior to Elective Colectomy Improve Outcomes.

Ann Surg 2019 Jan 24. Epub 2019 Jan 24.

Colorectal Center, Massachusetts General Hospital, Boston MA.

MINI: We began a quality improvement project distributing free Surgical Site Infection Prevention Kits (SSIPK) to all patients undergoing elective colectomy. Patients who received the kit, compared to propensity matched controls who did not receive the kit, had fewer postoperative surgical site infections, lower rates of postoperative ileus, shorter hospital lengths of stay, and fewer readmissions.

Introduction: Patient compliance with preoperative mechanical and antibiotic bowel preparation, skin washes, carbohydrate loading, and avoidance of fasting are key components of successful colorectal ERAS and surgical site infection (SSI)-reduction programs. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SLA.0000000000003194DOI Listing
January 2019
1 Read

A Longitudinal Analysis of Variation in Psychological Well-being and Body Image in Patients Before and After Bariatric Surgery.

Ann Surg 2019 Jan 24. Epub 2019 Jan 24.

Department of Surgery, University of Michigan, Ann Arbor, MI.

MINI: In this multicenter, prospective cohort study we conducted a longitudinal assessment of a bariatric-specific, patient-reported outcome instrument. We assessed psychological well-being and satisfaction with body image before and after bariatric surgery, and its association with clinical outcomes.

Objective: We sought to use a bariatric-tailored patient-reported outcome (PRO) instrument to assess psychological well-being and satisfaction with body image before and after bariatric surgery, and its association with clinical outcomes. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SLA.0000000000003146DOI Listing
January 2019
1 Read

Intravenous Patient-controlled Analgesia Versus Thoracic Epidural Analgesia After Open Liver Surgery: A Prospective, Randomized, Controlled, Noninferiority Trial.

Ann Surg 2019 Jan 21. Epub 2019 Jan 21.

Department of Anesthesiology, Division of Emergencies and Critical Care, Oslo University Hospital, Oslo, Norway.

Objective: We conducted a randomized, controlled, noninferiority trial to investigate if intravenous, multimodal, patient-controlled analgesia (IV-PCA) could be noninferior to multimodal thoracic epidural analgesia (TEA) in patients undergoing open liver surgery.

Summary Background Data: The increasing use of minimally invasive techniques and fast track protocols have questioned the position of epidural analgesia as the optimal method of pain management after abdominal surgery.

Methods: Patients operated with open liver resection between February 2012 and February 2016 were randomly assigned to receive either IV-PCA enhanced with ketorolac/diclofenac (IV-PCA, n = 66) or TEA (n = 77) within an enhanced recovery after surgery protocol. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SLA.0000000000003209DOI Listing
January 2019
1 Read

Reporting National Outcomes After Esophagectomy and Gastrectomy According to the Esophageal Complications Consensus Group (ECCG).

Ann Surg 2019 Jan 19. Epub 2019 Jan 19.

Erasmus University Medical Center, Rotterdam, The Netherlands.

MINI: Reporting complications after esophagectomy and gastrectomy of patients registered in the Dutch Upper gastrointestinal Cancer Audit according to a standardized outcomes set is feasible. Data verification showed that the completeness and accuracy of data were high. Major complications (Clavien-Dindo ≥III) occurred in 29% after esophagectomy and in 19% after gastrectomy. Read More

View Article

Download full-text PDF

Source
http://Insights.ovid.com/crossref?an=00000658-900000000-9524
Publisher Site
http://dx.doi.org/10.1097/SLA.0000000000003210DOI Listing
January 2019
4 Reads

Hospital Length of Stay Reduction Over Time and Patient Readmission for Severe Adverse Events Following Surgery.

Ann Surg 2019 Jan 19. Epub 2019 Jan 19.

Health Data Center, Public Health Department, Lyon University Hospital, Lyon, France.

Objective: The aim of the study was to investigate whether patients who undergo surgery in hospitals experiencing significant length of stay (LOS) reductions over time are exposed to a higher risk of severe adverse events in the postoperative period.

Summary Background Data: Surgical care innovation has encouraged hospitals to shorten LOS under financial pressures with uncertain impact on patient outcomes.

Methods: We selected all patients who underwent elective colectomy or urgent hip fracture repair in French hospitals between 2013 and 2016. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SLA.0000000000003206DOI Listing
January 2019
2 Reads

Laser-based Techniques for Microcirculatory Assessment in Orthopedics and Trauma Surgery: Past, Present, and Future.

Ann Surg 2019 Jan 15. Epub 2019 Jan 15.

Clinic for Orthopedics and Trauma Surgery, University Hospital Bonn, Bonn, Germany.

MINI: Overview of laser-based techniques for the noninvasive cutaneous microcirculatory perfusion assessment, their technological aspects, comparative advantages, current, and future applications in the field of orthopedic and trauma surgery.This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. Read More

View Article

Download full-text PDF

Source
http://Insights.ovid.com/crossref?an=00000658-900000000-9525
Publisher Site
http://dx.doi.org/10.1097/SLA.0000000000003139DOI Listing
January 2019
3 Reads

Liver Resection for Multiple Hepatocellular Carcinomas: A Japanese Nationwide Survey.

Ann Surg 2019 Jan 16. Epub 2019 Jan 16.

Department of Gastroenterology and Hepatology, Kinki University School of Medicine, Osaka, Japan.

Objective: The aim of the study was to evaluate the survival benefits of liver resection (LR) compared with transarterial chemoembolization (TACE) for patients with multiple hepatocellular carcinomas (HCCs).

Background: Despite significant improvements in diagnostic imaging and the widespread application of screening programs, some patients with HCC continue to present with multiple tumors. The surgical indications for multiple HCCs remain controversial. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SLA.0000000000003192DOI Listing
January 2019

Response to: "Letter in Response to Soop et al".

Ann Surg 2019 Jan 16. Epub 2019 Jan 16.

Division of Endocrinology and Metabolism, University of California, San Francisco, San Francisco, CA Division of General Surgery, University of California San Francisco, San Francisco, CA Division of Endocrinology, Diabetes and Hypertension, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SLA.0000000000003189DOI Listing
January 2019
2 Reads

Commentary on "Compliance of Randomized Controlled Trials Published in General Surgical Journals With the CONSORT 2010 Statement".

Authors:
Isabelle Boutron

Ann Surg 2019 Mar;269(3):e28

University Paris Descartes, Paris, France and INSERM 1153, Paris, France and Assistance Publique Hôpitaux de Paris, Paris, France.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SLA.0000000000003158DOI Listing

Multicenter Study of Age, Frailty, and Waitlist Mortality Among Liver Transplant Candidates.

Ann Surg 2019 Jan 18. Epub 2019 Jan 18.

Department of Medicine, University of California San Francisco, San Francisco, CA.

MINI: Frailty is a state of decreased physiologic reserve and is associated with mortality while awaiting liver transplantation. Frailty and older age were independently associated with nearly a 2-fold increased risk of waitlist mortality; however, the association between frailty and waitlist mortality did not vary by candidate age. The frailty concept can be applied to the whole liver transplant population and can guide the development of prehabilitation programs targeting frailty in candidates of all ages. Read More

View Article

Download full-text PDF

Source
http://Insights.ovid.com/crossref?an=00000658-900000000-9525
Publisher Site
http://dx.doi.org/10.1097/SLA.0000000000003207DOI Listing
January 2019
4 Reads

Unique Considerations for Females Undergoing Esophagectomy.

Ann Surg 2019 Jan 18. Epub 2019 Jan 18.

Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY.

MINI: Comparison of clinicopathologic characteristics and outcomes of 1958 patients with esophageal cancer who underwent esophagectomy demonstrated that disease presentation and treatment outcomes differed between females and males. Esophageal cancer in females should be considered a unique entity as compared with the presentation and treatment of males.

Objective: To improve understanding of sex differences in clinicopathologic characteristics, treatment and outcomes between male and female patients undergoing esophagectomy for esophageal cancer. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SLA.0000000000003202DOI Listing
January 2019
2 Reads

A Preventive Program for Work-related Musculoskeletal Disorders Among Surgeons: Outcomes of a Randomized Controlled Clinical Trial.

Ann Surg 2019 Jan 18. Epub 2019 Jan 18.

Vascular and Endovascular Surgery Division, University of Padova, Padova, Italy.

MINI: This multicenter randomized study evaluates the effectiveness of a program based on ergonomics application and specific physical exercises to reduce work-related musculoskeletal disorders among surgeons. The intervention group showed a significant improvement in quality of life, low back pain, and analgesic consumption after 6 months.

Objective: To evaluate the effectiveness of a program to reduce work-related musculoskeletal disorders (WRMSD) among surgeons. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SLA.0000000000003199DOI Listing
January 2019

The Primary Aldosteronism Surgical Outcome Score for the Prediction of Clinical Outcomes After Adrenalectomy for Unilateral Primary Aldosteronism.

Ann Surg 2019 Jan 18. Epub 2019 Jan 18.

Division of Internal Medicine and Hypertension, Department of Medical Sciences, University of Turin, Turin, Italy.

MINI: Clinical remission after unilateral adrenalectomy to treat unilateral primary aldosteronism is achieved in less than half of patients. A linear discriminant model with 6 presurgical predictors of clinical remission was used to build a 25-point prediction score of postsurgical clinical outcomes. The prediction score was integrated into a user-friendly online tool which can be used in a clinical setting to differentiate patients who are likely to be clinically cured after surgery from those who will need continuous surveillance after surgery due to remnant hypertension. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SLA.0000000000003200DOI Listing
January 2019
4 Reads

Leading From the Front: An Approach to Increasing Racial and Ethnic Diversity in Surgical Training Programs.

Ann Surg 2019 Jan 18. Epub 2019 Jan 18.

Division of Plastic Surgery, Department of Surgery, University of Pennsylvania Health System, Philadelphia, PA.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SLA.0000000000003197DOI Listing
January 2019

The Quality of Surgical Care at Hospitals Associated With America's Highest-rated Medical Centers.

Ann Surg 2019 Jan 18. Epub 2019 Jan 18.

Department of Surgery, University of Michigan, Ann Arbor, MI.

MINI: It is unclear whether the quality of surgical care is enhanced as hospitals affiliate with high-quality medical centers. This cross-sectional analysis of US News Honor Roll hospitals and their affiliates found that network formation was not associated with a significant improvement in surgical quality or reduction in Medicare expenditures.

Objective: To assess whether the quality of surgical care changes as hospitals form networks with established, high-quality medical centers. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SLA.0000000000003195DOI Listing
January 2019

Main Duct Dilatation Is the Best Predictor of High-grade Dysplasia or Invasion in Intraductal Papillary Mucinous Neoplasms of the Pancreas.

Ann Surg 2019 Jan 18. Epub 2019 Jan 18.

Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD.

MINI: This retrospective analysis of 901 patients who underwent pancreatic resection for IPMN shows significant risk of malignancy associated with main duct dilatation greater than 5 mm. While previous studies and guidelines have focused on a 10 mm cutoff for criteria for resection, we provide evidence that lower levels of dilatation may warrant consideration for surgery as well.

Objective: The purpose of this study is to determine preoperative factors that are predictive of malignancy in patients undergoing pancreatic resection for intraductal papillary mucinous neoplasms (IPMN). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SLA.0000000000003174DOI Listing
January 2019

Timing But Not Patterns of Recurrence Is Different Between Node-negative and Node-positive Resected Pancreatic Cancer.

Ann Surg 2019 Jan 18. Epub 2019 Jan 18.

Department of Gastrointestinal Surgery and Pathology, Massachusetts General Hospital and Harvard Medical School, Boston, MA.

MINI: Our study explores patterns of recurrence after potentially curative resection in lymph node-positive and lymph node-negative pancreatic cancer, including both timing and site of recurrence. Although the time to recurrence and median survival were significantly longer for pN0 as compared with pN1 cancer, there was no corresponding difference in site of first recurrence or metastasis in upfront resected patients, nor in neoadjuvant-treated patients.

Objective: Our aim was to evaluate recurrence patterns of surgically resected PDAC patients with negative (pN0) or positive (pN1) lymph nodes. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SLA.0000000000003123DOI Listing
January 2019

Cutting the Gordian Knot of Living-donor Liver Transplantation for Budd-Chiari Syndrome.

Ann Surg 2019 Jan 17. Epub 2019 Jan 17.

Transplantation and Visceral Surgery Units, University Hospitals of Geneva and Ente Ospedaliero Cantonale e Università della Svizzera Italiana, Ticino, Switzerland Visceral Surgery and Transplantation Units, University Hospitals of Geneva, Switzerland Transplantation and Visceral Surgery Units, University Hospitals of Geneva, Switzerland.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SLA.0000000000003212DOI Listing
January 2019

Local Referral of High-risk Patients to High-quality Hospitals: Surgical Outcomes, Cost Savings, and Travel Burdens.

Ann Surg 2019 Jan 17. Epub 2019 Jan 17.

Department of Surgery, University of Michigan, Ann Arbor, MI.

Objective: We sought to assess the potential changes in Medicare payments and clinical outcomes of referring high-risk surgical patients to local high-quality hospitals within small geographic areas.

Summary Background Data: Previous studies have documented a benefit in referring high-risk patients to high-quality hospitals on a national basis, suggesting selective referral as a mechanism to improve the value of surgical care. Practically, referral of patients should be done within small geographic regions; however, the benefit of local selective referral has not been studied. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SLA.0000000000003208DOI Listing
January 2019

Comparison of Outcomes After Partial Versus Complete Mesh Excision.

Ann Surg 2019 Jan 17. Epub 2019 Jan 17.

Division of Gastrointestinal and Minimally Invasive Surgery, Department of Surgery, Carolinas Medical Center, Charlotte, NC.

Objective: Evaluate outcomes of patients undergoing mesh explantation following partial mesh excision (PME) and complete mesh excision (CME).

Background: Ventral hernia repair (VHR) with mesh remains one of the most commonly performed procedures worldwide. Management of previously placed mesh during reexploration remains unclear. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SLA.0000000000003198DOI Listing
January 2019

Practice Patterns and Perioperative Outcomes of Laparoscopic Pancreaticoduodenectomy in China: A Retrospective Multicenter Analysis of 1029 Patients.

Ann Surg 2019 Jan 17. Epub 2019 Jan 17.

Department of Biliary-Pancreatic Surgery, Affiliated Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.

Objective: The aim of the study was to analyze the outcomes of patients who have undergone laparoscopic pancreaticoduodenectomy (LPD) in China.

Summary Background Data: LPD is being increasingly used worldwide, but an extensive, detailed, systematic, multicenter analysis of the procedure has not been performed.

Methods: We retrospectively reviewed 1029 consecutive patients who had undergone LPD between January 2010 and August 2016 in China. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SLA.0000000000003190DOI Listing
January 2019
2 Reads
8.327 Impact Factor

Fluorescence Imaging of Nerves During Surgery.

Ann Surg 2019 Jan 10. Epub 2019 Jan 10.

Department of Otolaryngology, University of Alabama, Birmingham, AL.

MINI: Fluorescence-based nerve enhancement has advanced rapidly with potential for continued utilization and progression in translational research, though the ideal agent remains elusive. This review details the agents for fluorescence-guided nerve imaging in both preclinical and clinical use to identify factors important in selecting nerve-specific fluorescent agents for surgical procedures.

Objective: This review details the agents for fluorescence-guided nerve imaging in both preclinical and clinical use to identify factors important in selecting nerve-specific fluorescent agents for surgical procedures. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SLA.0000000000003130DOI Listing
January 2019
1 Read

Multi-institution Evaluation of Adherence to Comprehensive Postoperative VTE Chemoprophylaxis.

Ann Surg 2019 Jan 8. Epub 2019 Jan 8.

Illinois Surgical Quality Improvement Collaborative (ISQIC), Chicago, IL.

Objectives: The aims of this study were to: (1) measure the rate of failure to provide defect-free postoperative venous thromboembolism (VTE) chemoprophylaxis, (2) identify reasons for failure to provide defect-free VTE chemoprophylaxis, and (3) examine patient- and hospital-level factors associated with failure.

Summary Background Data: Current VTE quality measures are inadequate. VTE outcome measures are invalidated for interhospital comparison by surveillance bias. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SLA.0000000000003124DOI Listing
January 2019
1 Read

Histopathologic Predictors of Survival and Recurrence in Resected Ampullary Adenocarcinoma: International Multicenter Cohort Study.

Ann Surg 2019 Jan 7. Epub 2019 Jan 7.

Department of Surgery, University Hospital of Southampton NHS Foundation Trust, Southampton, UK.

Objective: The aim of the study was to define histopathologic characteristics that independently predict overall survival (OS) and disease-free survival (DFS), in patients who underwent resection of an ampullary adenocarcinoma with curative intent.

Summary Background Data: A broad range of survival rates have been described for adenocarcinoma of the ampulla of Vater, presumably due to morphological heterogeneity which is a result of the different epitheliums ampullary adenocarcinoma can arise from (intestinal or pancreaticobiliary). Large series with homogenous patient selection are scarce. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SLA.0000000000003177DOI Listing
January 2019
1 Read
8.327 Impact Factor

Surgical Research in Patients: Ideal Time for an IDEAL Checklist.

Ann Surg 2019 Feb;269(2):208-210

Department of Surgery and Transplantation, University Hospital Zurich, Zurich, Switzerland.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SLA.0000000000003140DOI Listing
February 2019
2 Reads