Showing papers in "Surgery in 2011"

TL;DR: A definition and grading of severity of posthepatectomy liver failure is proposed, which can be used in future studies to allow objective and accurate comparisons of operative interventions in the field of hepatic surgery.

TL;DR: A uniform definition and severity grading of bile leakage is proposed to enable a standardized comparison of the results of different clinical trials and may facilitate an objective evaluation of diagnostic and therapeutic modalities in the field of hepatobiliary and pancreatic operative therapy.

TL;DR: Adherence to ERP achieves a reproducible improvement in the quality of care by enabling standardization of health care processes, and can and should be routinely used in care after colorectal and other major gastrointestinal procedures.

TL;DR: In a group of patients undergoing scheduled colorectal surgery, meaningful changes in functional capacity can be achieved over several weeks of prehabilitation, and patients and those who care for them, especially those with poor physical capacity, should consider aPrehabilitation regimen to enhance functional exercise capacity before colectomy.

TL;DR: A strict correlation between tumor size and malignancy in nonfunctioning pancreatic endocrine tumors was demonstrated and a nonoperative management could be advocated for tumors ≤2 cm when discovered incidentally.

TL;DR: This preliminary experience shows that robotic surgery can be used safely for liver resections with a limited conversion rate, blood loss, and postoperative morbidity.

TL;DR: These data confirm that team training improves OR performance, but continued team training is required to provide sustained improved OR culture.

TL;DR: The addition of routine CLND in cN0 papillary thyroid carcinoma is associated with lower postoperative Tg levels and reduces the need for reoperation in the central compartment.

TL;DR: Resuscitative aortic BO increases central perfusion pressures with less physiologic disturbance than thoracotomy with aortsic clamping in a model of hemorrhagic shock.

TL;DR: The AHRQ-PSI as applied to postoperative patients is a poor measure of quality performance and the ACS-NSQIP as a validated, risk-adjusted, clinically derived data methodology to compare observed to expected outcomes after a wide variety of operations is compared.

TL;DR: Intestinal malrotation can occur in patients of any age and, in contrast with traditional teaching, nearly half of these patients may present during adulthood, and an increased awareness of this entity and an understanding of its varied presentation at different ages may reduce time to diagnosis and improve patient outcome.

TL;DR: Enteric hyperoxaluria is often present in patients after the operations of RYGB and BPD-DS that utilize an element of intestinal malabsorption as a mechanism for weight loss.

TL;DR: This series represents the largest single center experience with more than 1000 DCD transplants and given the critical demand for organs, demonstrates successful kidney, pancreas, liver, and lung allografts from DCD donors.

TL;DR: A program that teaches teamwork and communication skills is one strategy that may improve communication among members of the operating room team and to assess whether a Team Training curriculum had any impact on observed communication errors.

TL;DR: A meta-analysis examines the best available phase II trials using neoadjuvant treatment for resectable and borderline/unresectable pancreatic adenocarcinoma as discussed by the authors.

TL;DR: In this article, the authors investigated the miRNA expression profiles of the pancreatic cancer cell lines CAPAN-1 and CFPAC1 and an immortalized human normal pancreatic ductal epithelial cell line (HPDE) using a high-throughput, TaqMan, qRT-PCR array analysis.

TL;DR: An initial series of single access RATS in the U.S. suggests that careful, continued investigation is necessary prior to routine implementation into clinical practice across the country.

TL;DR: This randomized controlled study indicated that the endoscopic placement of retropubic mesh was more efficient than conservative therapy for the treatment of sportsman's hernia (athletic pubalgia).

TL;DR: Early oral feeding after gastric cancer surgery is feasible and can result in shorter hospitalization and improvements in several aspects of quality of life in the early postoperative period.

TL;DR: The intensive skills course used in this study was highly effective at teaching and developing targeted surgical skills in first-year orthopedic residents and predicted that allowing residents to acquire key technical skills at the start of their training will enhance learning opportunities at later stages of training.

TL;DR: It is demonstrated that random forest can predict acute appendicitis with good accuracy and, deployed appropriately, can be an effective tool in clinical decision making.

TL;DR: Outcomes in patients with cT1T2N0 WDTC are excellent and not affected by microscopic ETE, and the extent of resection and administration of postoperative RAI in patients in this cohort does not impact survival or recurrence.

TL;DR: ICG fluorescent cholangiography could detect insufficiently closed bile ducts that could not be identified by a standard bile leak test, and may have useful potential for prevention of bile leakage after hepatic resection.

TL;DR: A real-time, intraoperative imaging device that can aid in the identification of tumor margins, guide surgical resections, map sentinel lymph nodes, and transfer acquired data wirelessly for remote analysis is developed.

TL;DR: Elective umbilical hernia repair is safe and the preferred approach in cirrhotic patients with ascites in these patients with liver cirrhosis and ascites.

TL;DR: A systematic review and meta-analysis of existing studies that compared antibiotics treatment to appendectomy in patients with uncomplicated acute appendicitis found that antibiotic therapy incurs significantly fewer complications.

TL;DR: The risk of free perforation in acute SD decreases with the number of previous episodes of SD, and the first episode thus is the most dangerous for a freePerforation.

TL;DR: TP can be performed safely with no mortality and acceptable morbidity and postoperative pancreatic insufficiency can be managed safely.

TL;DR: In selected patients, aggressive operative extirpation of neuroendocrine neoplasm hepatic metastases is effective in achieving long-term survival, and a multimodality treatment approach for progressive disease is necessary.

TL;DR: Substantive tumor regression occurs in some patients with locally advanced PC treated with this neoadjuvant protocol, offering the potential for curative resection and improvement in overall survival.