22,598 results match your criteria Surgery[Journal]


Rate of intraoperative problems during sacroiliac screw removal: expect the unexpected.

BMC Surg 2019 Apr 15;19(1):39. Epub 2019 Apr 15.

Department of Trauma, University Hospital Zurich, Rämistrasse 100, 8091, Zurich, Switzerland.

Background: The indications for sacroiliac screw (SI) removal have been under debate. Data on complication rates of SI screw removal is missing in the current literature. The objective of this study was to compare the rate of intra- and perioperative problems and complications during SI screw removal to those with SI screw fixation. Read More

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https://bmcsurg.biomedcentral.com/articles/10.1186/s12893-01
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http://dx.doi.org/10.1186/s12893-019-0501-0DOI Listing
April 2019
1 Read

Survival after lobectomy versus sub-lobar resection in elderly with stage I NSCLC: a meta-analysis.

BMC Surg 2019 Apr 15;19(1):38. Epub 2019 Apr 15.

Department of Thoracic Surgery, First Hospital of China Medical University, 155 North Nanjing Street, Shenyang, Liaoning, China.

Background: We present a critical comparison of lobectomy and sub-lobar resection in elderly patients with early stage non-small cell lung cancer using meta-analytical techniques.

Methods: A literature search was conducted between the period of December 1997 to March 2019 to identify the comparative studies evaluating 1-, 3-, and 5-year survival rates. The pooled odds ratios (OR) and the 95% confidence intervals (95% CI) were calculated with either the fixed or random effect models, respectively. Read More

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http://dx.doi.org/10.1186/s12893-019-0500-1DOI Listing

Quality with quantity? Evaluating interprofessional faculty prebriefs and debriefs for simulation training using video.

Surgery 2019 Apr 11. Epub 2019 Apr 11.

Department of Biostatistics, LSU Health New Orleans School of Public Health, New Orleans, LA.

Background: High-fidelity simulation-based training is used increasingly for prelicensure student teams. Such sessions rely on faculty who are able to provide quality prebriefing and debriefing to foster learning among participants. We investigated how well faculty conducted prebriefing and debriefing as part of high-fidelity simulation-based training for interprofessional education. Read More

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http://dx.doi.org/10.1016/j.surg.2019.01.014DOI Listing

Predictors and outcomes of nonroutine discharge after hepatopancreatic surgery.

Surgery 2019 Apr 10. Epub 2019 Apr 10.

Division of Surgical Oncology, The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center, Columbus, OH. Electronic address:

Background: Data on predictors of nonroutine discharge among patients undergoing hepatopancreatic surgery remain poorly defined. We sought to define factors associated with nonroutine discharge to home with home health care or to a skilled nursing facility or intermediate care facility and determine the impact of discharge destination on outcomes after hepatopancreatic surgery.

Methods: The Nationwide Readmissions Database was queried for individuals who underwent hepatopancreatic surgeries 2010-2014 and were discharged home with home health care or to a skilled nursing facility/intermediate care facility. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00396060193011
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http://dx.doi.org/10.1016/j.surg.2019.02.020DOI Listing
April 2019
1 Read

The association between preoperative cardiopulmonary exercise-test variables and short-term morbidity after esophagectomy: A hospital-based cohort study.

Surgery 2019 Apr 10. Epub 2019 Apr 10.

Norfolk and Norwich University Hospital NHS Trust, Norwich, UK; Norwich Medical School, University of East Anglia, Norwich, UK.

Background: Postoperative complications after esophagectomy are thought to be associated with reduced fitness. This observational study explored the associations between aerobic fitness, as determined objectively by preoperative cardiopulmonary exercise testing (CPEX), and 30-day morbidity after esophagectomy.

Methods: We retrospectively identified 254 consecutive patients who underwent esophagectomy at a single academic teaching hospital between September 2011 and March 2017. Read More

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http://dx.doi.org/10.1016/j.surg.2019.02.001DOI Listing

Glycemic variability and mortality in patients hospitalized in general surgery wards.

Surgery 2019 Apr 9. Epub 2019 Apr 9.

Institute of Endocrinology, Beilinson Hospital, Petach Tikva, Israel; Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.

Background: Glucose variability is common among hospitalized patients, but the prognostic implications among patients hospitalized in surgical wards are unknown. The objective of this study was to investigate the association between glucose variability, length of stay, and mortality.

Methods: Historical prospectively collected data of patients ≥18 years of age, hospitalized in general surgery wards between January 2011 and December 2017. Read More

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http://dx.doi.org/10.1016/j.surg.2019.02.022DOI Listing

Reply to: The cystic duct syndrome is still actual.

Surgery 2019 Apr 9. Epub 2019 Apr 9.

Department of Digestive Surgery, Hôpital Nord, Aix Marseille University, France.

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http://dx.doi.org/10.1016/j.surg.2019.03.001DOI Listing

Reinforced stapler versus ultrasonic dissector for pancreatic transection and stump closure for distal pancreatectomy: A propensity matched analysis.

Surgery 2019 Apr 8. Epub 2019 Apr 8.

Unit of General and Pancreatic Surgery, University of Verona Hospital Trust, Italy.

Background: Postoperative pancreatic fistula is the primary contributor to morbidity after distal pancreatectomy. To date, no techniques used for the transection and closure of the pancreatic stump have shown clear superiority over the others. This study aimed to compare the rate of postoperative pancreatic fistula after pancreatic transection conducted with a reinforced stapler versus an ultrasonic dissector after a distal pancreatectomy. Read More

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http://dx.doi.org/10.1016/j.surg.2019.02.016DOI Listing

Intraoperative parathyroid hormone levels ≤40 pg/mL are associated with the lowest persistence rates after parathyroidectomy for primary hyperparathyroidism.

Surgery 2019 Apr 8. Epub 2019 Apr 8.

University of Michigan Medical School, Ann Arbor; Department of Surgery, University of Michigan, Ann Arbor. Electronic address:

Background: Intraoperative parathyroid hormone (IOPTH) monitoring is used to predict biochemical cure during parathyroidectomy for primary hyperparathyroidism; however, there is variability in the intraoperative parathyroid hormone criteria used by surgeons to predict normocalcemia after parathyroidectomy. This study sought to determine the intraoperative parathyroid hormone criteria correlated with the lowest rates of persistent hyperparathyroidism after parathyroidectomy for primary hyperparathyroidism.

Materials And Methods: This is a retrospective cohort study of 2,654 patients with primary hyperparathyroidism who underwent parathyroidectomy with intraoperative parathyroid hormone monitoring at a single institution from 1999 to 2014. Read More

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http://dx.doi.org/10.1016/j.surg.2019.01.024DOI Listing

Endoscopic vacuum therapy for postoperative esophageal leak.

BMC Surg 2019 Apr 11;19(1):37. Epub 2019 Apr 11.

Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul, 06351, South Korea.

Background: Anastomotic leak is the most common and serious complication following esophagectomy. Endoscopic vacuum-assisted closure (EVAC) is a promising method for treating anastomotic leak. We aimed to evaluate the efficacy of EVAC and to identify factors associated with longer treatment duration for esophageal anastomotic leak following esophagectomy for cancer. Read More

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http://dx.doi.org/10.1186/s12893-019-0497-5DOI Listing

A modified technique of single-incision laparoscopic hepaticojejunostomy for children with choledochal cysts.

BMC Surg 2019 Apr 11;19(1):36. Epub 2019 Apr 11.

Pediatrics Surgery Department, Fujian Provincial Hospital, Fuzhou, 350001, China.

Background: To present a modified laparoscopic surgical technique that works to optimize the surgical view in laparoscopic total excision of choledochal cyst in pediatric patients.

Methods: From June 2015 to June 2017, a total of 48 pediatric cases of choledochal cyst were admitted. Their age ranged from 15 month to 8 years (average 3. Read More

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http://dx.doi.org/10.1186/s12893-019-0499-3DOI Listing
April 2019
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Peripheral arterial occlusive disease operative case volume in the final years of 5+2 and 0+5 vascular training paradigms.

Surgery 2019 Apr 6. Epub 2019 Apr 6.

Albert Einstein College of Medicine, Bronx, NY; Division of Vascular Surgery, Montefiore Medical Center, Bronx, NY. Electronic address:

Background: Peripheral arterial occlusive disease constitutes a substantial portion of clinical practice in vascular surgery and, as such, trainees must graduate with proficiency in endovascular and open procedures to become capable vascular surgeons. Case volume for 0+5 integrated vascular surgery residents in the chief and junior years was compared with their 5+2 fellowship counterparts for the treatment of peripheral arterial occlusive disease.

Methods: In this retrospective review, operative volume for peripheral arterial occlusive disease cases in both vascular training paradigms was evaluated. Read More

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http://dx.doi.org/10.1016/j.surg.2019.02.021DOI Listing
April 2019
4 Reads

Laparoscopic antireflux surgery (LARS) is highly effective in the treatment of select patients with chronic cough.

Surgery 2019 Apr 4. Epub 2019 Apr 4.

Department of Surgery, Anne Arundel Medical Center, Annapolis, MD.

Background: We present the largest single-center study to date of surgical and quality-of-life outcomes among patients treated with laparoscopic antireflux surgery for reflux-associated chronic cough. Extraesophageal manifestations of chronic gastroesophageal reflux are increasingly recognized, among which chronic cough may substantially compromise patient quality of life. Although the benefits of antireflux surgery are well documented in patients with typical symptoms of gastroesophageal reflux disease, less is known about the short-term impact of antireflux surgery on associated chronic cough. Read More

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http://dx.doi.org/10.1016/j.surg.2019.01.036DOI Listing

Successful treatment of pathologic femoral shaft fracture associated with large arteriovenous malformations using a 3-dimensional external fixator and teriparatide: a case report.

BMC Surg 2019 Apr 5;19(1):35. Epub 2019 Apr 5.

Department of Orthopaedic Surgery, Graduate School of Medical Science, Kanazawa University, 13-1 Takara-machi, Kanazawa-shi, Ishikawa-ken, 920-8641, Japan.

Background: Arteriovenous malformations (AVMs) are rare congenital vascular lesions associated with early quiescence, late expansion, and, ultimately, infiltration and destruction of local soft tissue and bone. The extremities are a common location. Incidence of bony involvement by AVM has been reported as high as 31%. Read More

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http://dx.doi.org/10.1186/s12893-019-0498-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6451220PMC
April 2019
1 Read

A comparison of patient satisfaction when office-based procedures are performed by general surgery residents versus an attending surgeon.

Surgery 2019 Apr 2. Epub 2019 Apr 2.

Department of Surgery, Massachusetts General Hospital, Boston, MA. Electronic address:

Background: Patient satisfaction is an increasingly important quality metric nationwide. The impact that surgical trainees have on patient-reported satisfaction when they perform operations independently, however, has not been studied.

Methods: We conducted a prospective study at a single academic institution from October 2016 to June 2017. Read More

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http://dx.doi.org/10.1016/j.surg.2019.02.009DOI Listing

Invited Commentary: Concurrent nephrectomy and bariatric surgery for obese living kidney donors.

Surgery 2019 Mar 28. Epub 2019 Mar 28.

University of Michigan, Section of Transplant Surgery, Ann Arbor, MI. Electronic address:

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http://dx.doi.org/10.1016/j.surg.2019.02.013DOI Listing
March 2019
1 Read

Hemithyroidectomy should be the procedure of choice for nontoxic benign unilateral goiters.

Surgery 2019 Mar 28. Epub 2019 Mar 28.

Department of General Surgery, All India Institute of Medical Sciences, Patna, India. Electronic address:

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http://dx.doi.org/10.1016/j.surg.2019.02.015DOI Listing
March 2019
3.380 Impact Factor

Reconstructive operations for enteric and colonic fistulas: Low mortality and recurrence in a single-surgeon series with long follow-up.

Surgery 2019 Mar 28. Epub 2019 Mar 28.

Division of Biostatistics and Informatics, Mayo Clinic, Rochester, MN.

Background: The aim of the study was to evaluate the outcomes of 100 consecutive patients undergoing reconstructive operation for enteric and colonic fistulas. These fistulas cause dramatic morbidity and profoundly diminish quality of life. Fistula takedown has been associated with high rates of recurrence. Read More

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http://dx.doi.org/10.1016/j.surg.2019.01.020DOI Listing
March 2019
1 Read

Confounding factors on the analysis of opioid prescription after pediatric umbilical hernia repair.

Authors:
Jonathan Argo

Surgery 2019 Mar 27. Epub 2019 Mar 27.

Department of Pediatric Anesthesiology, Warren Alpert Medical School Brown University, Providence, RI. Electronic address:

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https://linkinghub.elsevier.com/retrieve/pii/S00396060193010
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http://dx.doi.org/10.1016/j.surg.2019.02.012DOI Listing
March 2019
2 Reads

Does big data solve the problems?

Authors:
Mesut Tez

Surgery 2019 Mar 26. Epub 2019 Mar 26.

Ankara Numune Training and Research Hospital, Department of Surgery, Ankara, Turkey. Electronic address:

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http://dx.doi.org/10.1016/j.surg.2019.01.035DOI Listing

Low-cost materials yield high resolution assessment of anatomic knowledge in surgical residents.

Surgery 2019 Mar 25. Epub 2019 Mar 25.

Mayo Clinic, Department of Surgery, Rochester, MN. Electronic address:

Introduction: Knowledge of anatomy is essential for surgeons. We sought to determine whether it is possible to effectively assess and differentiate the anatomic knowledge of general surgery residents, using pieces of fabric and yarn.

Methods: Postgraduate years 2, 3, and 4 general surgery residents were assessed during a simulation-based assessment known as the Surgical X-Games. Read More

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http://dx.doi.org/10.1016/j.surg.2019.01.017DOI Listing

The cystic duct syndrome is still actual.

Surgery 2019 Mar 25. Epub 2019 Mar 25.

Department of Surgery, University of Modena, Modena, Italy.

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http://dx.doi.org/10.1016/j.surg.2019.02.014DOI Listing

CRISPR-mediated gene editing for the surgeon scientist.

Surgery 2019 Mar 25. Epub 2019 Mar 25.

Price Institute of Surgical Research, The Hiram C. Polk Jr MD Department of Surgery, University of Louisville, Louisville, KY. Electronic address:

Tremendous advances have occurred in gene editing during the past 20 years with the development of a number of systems. The Clustered Regularly Interspaced Short Palindromic Repeats (CRISPR)-associated protein 9 (Cas9) system represents an exciting area of research. This review examines both the relevant studies pertaining to the history, current status, and modifications of this system, in comparison with other gene-editing systems and future applications, and limitations of the CRISPR-Cas9 gene-editing system, with a focus on applications of relevance to the surgeon scientist. Read More

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http://dx.doi.org/10.1016/j.surg.2019.01.030DOI Listing

Mental skills training limits the decay in operative technical skill under stressful conditions: Results of a multisite, randomized controlled study.

Surgery 2019 Mar 25. Epub 2019 Mar 25.

Department of Surgery, Indiana University School of Medicine, Indianapolis. Electronic address:

Background: Overwhelming stress in the operating room can lead to decay in operative performance, particularly for residents who lack experience. Mental skills training can minimize deterioration in performance during challenging situations. We hypothesized that residents trained on mental skills would outperform controls under increased stress conditions in the simulated operating room. Read More

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http://dx.doi.org/10.1016/j.surg.2019.01.011DOI Listing

Reply: Do patients with familial nonmedullary thyroid cancer present with more aggressive disease? Implications for initial surgical treatment.

Surgery 2019 Mar 22. Epub 2019 Mar 22.

Stanford University School of Medicine, CA. Electronic address:

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http://dx.doi.org/10.1016/j.surg.2019.02.003DOI Listing
March 2019
1 Read

History of surgical site infection increases the odds for a new infection after open incisional hernia repair.

Surgery 2019 Mar 22. Epub 2019 Mar 22.

Center for Abdominal Core Health, Department of General Surgery, Digestive Disease and Surgery Institute, The Cleveland Clinic Foundation, OH.

Background: It is unclear whether a history of surgical site infection is associated with developing a new infection after subsequent operations. We aim to investigate the impact of an earlier abdominal wall surgical site infection on future 30-day infectious wound complications after open incisional hernia repair with mesh.

Methods: Patients undergoing elective, clean open incisional hernia repair were identified within the Americas Hernia Society Quality Collaborative and were divided into those with and without a history of a surgical site infection. Read More

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http://dx.doi.org/10.1016/j.surg.2019.01.032DOI Listing
March 2019
1 Read

The contemporary appendectomy for acute uncomplicated appendicitis in children.

Surgery 2019 Mar 21. Epub 2019 Mar 21.

Department of Surgery, David Geffen School of Medicine at UCLA, Los Angeles, CA; Department of Surgery, Veterans Affairs Greater Los Angeles Healthcare System, CA.

Background: National, procedure-specific clinical registries are increasingly available in surgery, although data about children have lagged behind. Data related to the surgical management of appendicitis in children have become available recently and can be used to inform patient and family expectations and to identify clinical areas in need of ongoing improvement.

Methods: Cases of acute, uncomplicated appendicitis in children (<18 years of age) were extracted from the 2017 pediatric appendectomy-targeted file of the American College of Surgeons National Surgical Quality Improvement Program. Read More

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http://dx.doi.org/10.1016/j.surg.2018.12.019DOI Listing

Robotic pancreatoduodenectomy with vascular resection: Outcomes and learning curve.

Surgery 2019 Mar 21. Epub 2019 Mar 21.

University of Pittsburgh Medical Center, Division of Surgical Oncology, PA. Electronic address:

Introduction: The safety, efficacy, and learning curve for robotic pancreatoduodenecomy has been reported; however, the outcomes and learning curve of robotic pancreatoduodenecomy with vascular resections remain unknown. Our aim was to evaluate the outcomes of robotic pancreatoduodenecomy with vascular resections compared with robotic pancreatoduodenecomy without vascular resection and to identify the learning curve and benchmarks for improved performance during robotic pancreatoduodenecomy with vascular resections.

Methods: A retrospective review of consecutive patients who underwent robotic pancreatoduodenecomy with vascular resections and robotic pancreatoduodenecomy between 2011 and 2017. Read More

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http://dx.doi.org/10.1016/j.surg.2019.01.037DOI Listing
March 2019
3.380 Impact Factor

Commentary on "Incidence of total thyroidectomy and lobectomy".

Surgery 2019 Mar 20. Epub 2019 Mar 20.

Department of Medicine, Endocrine Service, Memorial Sloan Kettering Cancer Center, New York, NY.

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http://dx.doi.org/10.1016/j.surg.2019.01.028DOI Listing

Neoadjuvant chemoradiation followed by transanal local excision for T2 rectal cancer confers equivalent survival benefit as traditional transabdominal resection.

Surgery 2019 Mar 20. Epub 2019 Mar 20.

Department of Surgery, Duke University Medical Center, Durham, NC.

Background: Despite clinical guidelines classifying T2 rectal cancer as a contraindication for transanal local excision attributable to unacceptably high rates of local recurrence, it is a practice that persists clinically. Recent clinical trials have suggested that transanal local excision in addition to neoadjuvant chemoradiation is an acceptable alternative in select patients.

Methods: The 2004-2015 National Cancer Database was queried for patients with clinical stage T2N0M0 rectal adenocarcinoma who underwent surgical intervention. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00396060193007
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http://dx.doi.org/10.1016/j.surg.2019.02.005DOI Listing
March 2019
2 Reads

Changes in total thyroidectomy versus thyroid lobectomy for papillary thyroid cancer during the past 15 years.

Surgery 2019 Mar 20. Epub 2019 Mar 20.

Indiana University School of Medicine, Department of Medicine, Division of General Internal Medicine and Geriatrics, Indianapolis; Center for Health Information and Communication, US Department of Veterans Affairs, Veterans Health Administration, Health Services Research and Development Service, Richard L. Roudebush VA Medical Center, Indianapolis, IN; Regenstrief Institute, Inc, Indianapolis, IN.

Background: The incidence of papillary thyroid cancer has increased substantially during the past 15 years, which is likely related to an increased detection of small, nonlethal cancers. Studies have shown that patients may have a similar prognosis when undergoing less aggressive surgical intervention, such as thyroid lobectomy. The objective of this study is to determine whether surgical treatment patterns for papillary thyroid cancer have changed during the past 15 years. Read More

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http://dx.doi.org/10.1016/j.surg.2019.01.007DOI Listing
March 2019
1 Read

Commentary on the Medical University of Vienna and the historic legacy of Pernkopf's atlas.

Surgery 2019 Mar 19. Epub 2019 Mar 19.

UNESCO Chair on Bioethics at the Medical University of Vienna, Ethics, Collections and History of Medicine - Josephinum, Medical University of Vienna, Austria.

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http://dx.doi.org/10.1016/j.surg.2019.02.011DOI Listing

Performance variability during training on simulators is associated with skill transfer.

Surgery 2019 Mar 18. Epub 2019 Mar 18.

Indiana University Department of Surgery, Indianapolis; Carolinas Medical Center, Charlotte, NC.

Background: Expert performance is characterized by consistency. The degree of variability of performance from repetition to repetition during proficiency-based simulator training could potentially indicate acquisition of expertise. We hypothesized that learners with less variability in performance during simulator training would achieve greater performance at the end of training and improved transfer of skills to a live, anesthetized, porcine model. Read More

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http://dx.doi.org/10.1016/j.surg.2019.01.013DOI Listing
March 2019
3 Reads

Clinical factors associated with worse quality-of-life scores in United States thyroid cancer survivors.

Surgery 2019 Mar 18. Epub 2019 Mar 18.

Northwestern University Feinberg School of Medicine, Department of Surgery, Chicago, IL. Electronic address:

Introduction: Thyroid cancer survivors are a rapidly growing population in the United States. The factors that drive health-related quality of life (HRQOL) in this population have not been well characterized. We hypothesized that more aggressive treatments and greater treatment-related adverse effects would be associated with worse HRQOL scores in thyroid cancer survivors. Read More

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http://dx.doi.org/10.1016/j.surg.2019.01.034DOI Listing
March 2019
1 Read

Compliance to an enhanced recovery pathway among patients with a high frailty index after major gastrointestinal surgery results in improved 30-day outcomes.

Surgery 2019 Mar 15. Epub 2019 Mar 15.

Department of Surgery, Johns Hopkins Health System, Baltimore, MD. Electronic address:

Background: Enhanced recovery pathways have been shown to improve clinical outcomes after surgery. Concerns exist about the feasibility of implementing enhanced recovery pathways in frail patients, who are at a greater risk for adverse postoperative outcomes. This study evaluated compliance and outcomes after enhanced recovery pathway implementation in high-risk, abdominal surgery patients. Read More

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http://dx.doi.org/10.1016/j.surg.2019.01.027DOI Listing

Surgical interns in 2018: Objective assessment suggests they are better but still lack critical knowledge and skill.

Surgery 2019 Mar 14. Epub 2019 Mar 14.

Department of Surgery, Mayo Clinic, Rochester, MN. Electronic address:

Background: The transition from fourth-year medical student to surgical intern is difficult. A lack of repetitions, experience, and knowledge is problematic. We report our experience using simulation-based technical and nontechnical skills to assess the competency of surgical interns in July and January of their intern year. Read More

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http://dx.doi.org/10.1016/j.surg.2019.01.018DOI Listing

Predictive model for microvascular invasion of hepatocellular carcinoma among candidates for either hepatic resection or liver transplantation.

Surgery 2019 Mar 13. Epub 2019 Mar 13.

Centre Hépato-Biliaire, AP-HP, Hôpital Paul Brousse, Université Paris-Sud, Inserm U 935 and U 1193, Villejuif, France.

Background: Microvascular invasion is the strongest prognostic factor of survival in patients with hepatocellular carcinoma. We therefore developed a predictive model for microvascular invasion of hepatocellular carcinoma to help guide treatment strategies in patients scheduled for either hepatic resection or liver transplantation.

Methods: Patients with hepatocellular carcinoma who underwent hepatic resection or liver transplantation from 1994 to 2016 were divided into training and validation cohorts. Read More

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http://dx.doi.org/10.1016/j.surg.2019.01.012DOI Listing
March 2019
9 Reads

Teaching practicing surgeons what not to do: An analysis of instruction fluidity during a simulation-based continuing medical education course.

Surgery 2019 Mar 12. Epub 2019 Mar 12.

University of Wisconsin-Madison, School of Medicine and Public Health, Department of Surgery.

Background: Interest is growing in simulation-based continuing medical education courses for practicing surgeons. However, little research has explored the instruction employed during these courses. This study examines instruction practices used during an annual simulation-based continuing medical education course. Read More

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http://dx.doi.org/10.1016/j.surg.2019.01.016DOI Listing

Response to: "Propensity score-matched analysis to assess the outcome of surgical procedures".

Authors:
Yi-Ming Shyr

Surgery 2019 Mar 12. Epub 2019 Mar 12.

Division of General Surgery, Department of Surgery, Taipei Veterans General Hospital, and National Yang Ming University, Taipei, Taiwan. Electronic address:

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http://dx.doi.org/10.1016/j.surg.2019.01.021DOI Listing

Reply to: Preoperative enteral access is not necessary prior to multimodality treatment of esophageal cancer.

Surgery 2019 Mar 12. Epub 2019 Mar 12.

Department of Surgery, University of Florida, College of Medicine, and Malcom Randall VA Medical Center, Gainesville, FL. Electronic address:

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http://dx.doi.org/10.1016/j.surg.2019.01.029DOI Listing

Risk factors for skip metastasis and lateral lymph node metastasis of papillary thyroid cancer.

Surgery 2019 Mar 12. Epub 2019 Mar 12.

Department of Pancreatic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Background: Lymph node metastases from papillary thyroid cancer is believed to disseminate sequentially, first to the central neck and later to the lateral neck. Skip metastases of papillary thyroid cancer, however, are defined as lateral lymph node metastasis without central lymph node metastasis. The aim of this study was to investigate the risk factors for skip metastases and lateral lymph node metastasis of papillary thyroid cancer. Read More

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http://dx.doi.org/10.1016/j.surg.2019.01.025DOI Listing
March 2019
1 Read

Sex-based differences in transfusion need after severe injury: Findings of the PROPPR study.

Surgery 2019 Mar 11. Epub 2019 Mar 11.

Department of Surgery, University of Washington, Seattle, WA.

Background: Women are underrepresented in trauma research, and aggregated results of clinical trials may mask effects that differ by sex. It is unclear whether women respond differently to severe hemorrhage compared with men. We sought to evaluate sex-based differences in outcomes after severe trauma with hemorrhage. Read More

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http://dx.doi.org/10.1016/j.surg.2018.12.023DOI Listing

Morbidity and mortality after major liver resection in patients with perihilar cholangiocarcinoma: A systematic review and meta-analysis.

Surgery 2019 Mar 11. Epub 2019 Mar 11.

Department of Surgery, Cancer Center Amsterdam, Amsterdam UMC, University of Amsterdam, the Netherlands. Electronic address:

Background: Morbidity and mortality after hepatectomy for perihilar cholangiocarcinoma are known to be high. However, reported postoperative outcomes vary, with notable differences between Western and Asian series. We aimed to determine morbidity and mortality rates after major hepatectomy in patients with perihilar cholangiocarcinoma and assess differences in outcome regarding geographic location and hospital volume. Read More

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http://dx.doi.org/10.1016/j.surg.2019.01.010DOI Listing

New dedicated blunt straight needles and sutures for uterine compression sutures: a retrospective study and literature review.

BMC Surg 2019 Mar 11;19(1):33. Epub 2019 Mar 11.

Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan.

Background: We developed a dedicated blunt straight needle with No. 2 polydioxanone sutures (2-Monodiox®) for uterine compression sutures (UCSs) and aimed to assess the outcomes and complication rates of UCSs for postpartum hemorrhage by comparing with commercially available needle and suture types.

Methods: A retrospective analysis was performed between January 2010 and February 2018. Read More

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http://dx.doi.org/10.1186/s12893-019-0495-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6417176PMC
March 2019
1 Read

Regarding: Nutritional support and therapy in pancreatic surgery: A position paper of the International Study Group on Pancreatic Surgery (ISGPS).

Surgery 2019 Mar 8. Epub 2019 Mar 8.

Section of Hepato-Pancreato-Biliary Surgery, Digestive Diseases and Surgery Institute, Cleveland Clinic, OH, USA. Electronic address:

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http://dx.doi.org/10.1016/j.surg.2019.01.004DOI Listing

Reply to: Re: Nutritional support and therapy in pancreatic surgery: A position paper of the International Study Group on Pancreatic Surgery (ISGPS).

Surgery 2019 Mar 8. Epub 2019 Mar 8.

School of Medicine and Surgery, Milano - Bicocca University, and Department of Surgery, San Gerardo Hospital, Monza, Italy.

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http://dx.doi.org/10.1016/j.surg.2019.01.022DOI Listing

Re: Does retrieval bag use during laparoscopic appendectomy reduce postoperative infection?

Surgery 2019 Mar 8. Epub 2019 Mar 8.

Department of Surgery, David Geffen School of Medicine at UCLA, Los Angeles, CA.

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http://dx.doi.org/10.1016/j.surg.2019.01.019DOI Listing

Proficiency development for graduating medical students, using skills-level-appropriate mastery learning versus traditional learning for chest tube placement: Assessing anxiety, confidence, and performance.

Surgery 2019 Mar 6. Epub 2019 Mar 6.

University of Wisconsin School of Medicine and Public Health, Madison.

Background: Mastery learning is an effective educational tool to assess basic procedural skill proficiency and may also be beneficial for more complex skills along the continuum of surgical training. In addition, anxiety and confidence have effects on cognitive and decision-making performance, both in educational and clinical settings. This study evaluates anxiety and confidence in a skills-level-appropriate mastery learning module for chest tube insertion in graduating medical students. Read More

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http://dx.doi.org/10.1016/j.surg.2019.01.015DOI Listing
March 2019
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