Showing papers in "Surgery in 2005"

TL;DR: In this article, an international panel of pancreatic surgeons, working in well-known, high-volume centers, reviewed the literature on the topic and worked together to develop a simple, objective, reliable, and easy-to-apply definition of postoperative pancreatic fistula, graded primarily on clinical impact.

TL;DR: The potential impact of this program on the specialty is highlighted, particularly at a time when regulatory organizations are clamoring to set performance standards for hospitals and surgeons, and both employer and consumer groups are calling for transparency in the comparative public reporting of processes and outcomes of surgical care.

TL;DR: Both the decrement in quality of life and similar studies showing no survival difference make PD/ELND unattractive for further prospective investigation.

TL;DR: The National Trauma Data Bank (NTDB, v. 3.0 American College of Surgeons, Chicago, IL) was queried for patients sustaining 1 or more rib fractures.

TL;DR: LPR is feasible and safe in selected patients with presumed benign and distal pancreatic tumors and the management of the pancreatic stump remains a challenge.

TL;DR: Morbidity of bilateral CND is significant, and its systematic implementation in the absence on gross nodal involvement requires reassessment.

TL;DR: Almost all patients undergoing necrosectomy developed significant early or late complications or both, and Multiorgan failure and postoperative hemorrhage were independent predictors of mortality.

TL;DR: Postoperatively, the RLN recovered in most of the patients without documented nerve damage during the operation, and operations for thyroid cancer, Graves' disease, and recurrent goiter demonstrated significantly higher RLNP rates.

TL;DR: iPTH testing improves cure rates in patients undergoing minimally invasive parathyroidectomy for 1 degrees HPT and is strongly advocate the routine use of iPTH testing in patients who undergo minimally invaders parathyroidsectomy.

TL;DR: Laroscopic resection of ACC is associated with a high risk of peritoneal carcinomatosis and remains the standard of care for patients presenting with an adrenal cortical tumor for which ACC is in the differential diagnosis.

TL;DR: Hepatic resection for HCC with major vascular invasion is associated with median survival exceeding historical survival in patients not treated surgically, and patients with HCC and major vascular invade who derive long-term benefit from resection have no or minimal underlying fibrosis.

TL;DR: Although residents do not retain all acquired skills (more so for VR than for VT) according to simulator assessment, proficiency-based training on simulators results in durable skills.

TL;DR: Surgical treatment of NP by necrosectomy and closed lavage carries an overall mortality of 25%.

TL;DR: The OPRS complements traditional evaluations by providing objective assessment of operative decision-making and technical skills and is useful in tracking resident development throughout postgraduate training and offers a structured means of certifying operative skills.

TL;DR: Concerns that angiographic embolization is unable to provide definitive hemostasis in both acute and chronic pancreatitis are unfounded are unfounded.

TL;DR: NCRT followed by surgery is associated with a small, non-statistically significant improvement in overall survival, and whether this benefit is sufficient to warrant the considerable expense and risks associated with NCRT should be the subject of future larger randomized trials.

TL;DR: Laroscopic repair is effective for the vast majority of patients with primary or recurrent ventral hernias and results in hernia recurrence rates of less than 10%, with high patient satisfaction scores.

TL;DR: For properly selected patients, LADG can be a curative and minimally invasive treatment for early gastric cancer.

TL;DR: Univariate analysis showed that a body mass index >25 kg/m 2 was the only risk factor for intra-abdominal complication and DP is associated with an intra-ABdominal morbidity rate of 20%, which is increased for patients with a body Mass Index >25kg/ m 2.

TL;DR: MMP-12 deficiency attenuates aneurysm growth, possibly by decreasing macrophage recruitment, by demonstrating that infiltrating macrophages in the aorta of MMP- 12 −/− mice were significantly less than WT controls.

TL;DR: The utility of continuous intraoperative neurophysiology testing of RLNs was evaluated prospectively in 100 patients undergoing 103 thyroid or parathyroid operations, involving 185 RLNs, finding that INT aids the anatomic identification of the RLN only when a positive EMG response occurs.

TL;DR: The beneficial effects of PBA were associated with a greater than 45% reduction in apoptosis, decreased ER-mediated apoptosis characterized by significant reduction in caspase-12 activation, and reduced levels of both phosphorylated eIF2alpha and CHOP.

TL;DR: High-grade injuries requiring operative management because of hemodynamic instability or concomitant injuries continue to have significantly higher mortality, but selective management of liver injuries presented a low liver-related mortality rate.

TL;DR: It is shown that trainees vary considerably in their propensity to commit errors, which indicates that the surgical training in component skills for laparoscopic surgery should be flexible and individualized.

TL;DR: SND by VATS is technically feasible and safe, and seems acceptable for clinical stage I lung cancer, and the number of dissected nodes was similar between the 2 groups.

TL;DR: The use of HS in thyroidectomies requires less operative time than does electrocoagulation and there were no episodes of persistent nerve palsy or hypoparathyroidism in either group.

TL;DR: It is of importance to secure a negative radial margin, although it may be less beneficial to obtain a negative hm, and surgeons should make efforts to obtain negative radial margins and to avoid blood transfusion.

TL;DR: Through the use of cDNA arrays, adrenocortical adenomas and carcinomas appear to be clearly distinguishable on the basis of their specific molecular signature.

TL;DR: Failure of the traditional surgical mask to prevent microbial shedding is likely associated with an increased risk of perioperative contamination of biomedical implants, especially in procedures lasting longer than 90 minutes.

TL;DR: Though significant advances have been achieved in terms of health care by these therapeutic options, many limitations and unsolved issues remain.