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Journal of the American College of Surgeons

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https://www.readbyqxmd.com/read/28923691/submucosal-tunneling-endoscopic-resection-vs-thoracoscopic-enucleation-for-large-submucosal-tumors-in-the-esophagus-and-the-esophagogastric-junction
#1
Tao Chen, Zong-Wu Lin, Yi-Qun Zhang, Wei-Feng Chen, Yun-Shi Zhong, Qun Wang, Li-Qing Yao, Ping-Hong Zhou, Mei-Dong Xu
BACKGROUND: Submucosal tunneling endoscopic resection (STER) is regarded as a promising method for resection of submucosal tumors (SMTs); however, little is known about a comprehensive comparison of STER and thoracoscopic enucleation (TE). The aim of this study is to compare the clinical outcomes of STER and TE for large symptomatic SMTs in the esophagus and the esophagogastric junction (EGJ), as well as to analyze the factors that affect the feasibility and safety of STER. STUDY DESIGN: We enrolled 166 patients with large symptomatic SMTs in the esophagus and the EGJ from September 2011 and March 2016 in this retrospective study...
September 15, 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/28919579/mri-and-prediction-of-pathologic-complete-response-in-the-breast-and-axilla-after-neoadjuvant-chemotherapy-for-breast-cancer-mri-and-pathologic-complete-response
#2
Joseph J Weber, Maxine S Jochelson, Anne Eaton, Emily C Zabor, Andrea V Barrio, Mary L Gemignani, Melissa Pilewskie, Kimberly J Van Zee, Monica Morrow, Mahmoud El-Tamer
BACKGROUND: In the setting where determining extent of residual disease is key for surgical planning after neoadjuvant chemotherapy (NAC), herein we evaluate reliability of MRI in predicting pathologic complete response (pCR) of the breast primary and axillary nodes following NAC. STUDY DESIGN: Patients who had MRI before and after NAC between 06/2014-08/2015 were identified in a prospective database following IRB approval. Post NAC-MRI of the breast and axillary nodes was correlated with residual disease on final pathology...
September 14, 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/28918345/meta-analysis-on-the-impact-of-the-acute-care-surgery-model-of-disease-specific-and-patient-outcomes-in-appendicitis-and-biliary-disease
#3
Patrick B Murphy, Kristin DeGirolamo, Theunis Jean Van Zyl, Laura Allen, Elliott Haut, W Robert Leeper, Ken Leslie, Neil Parry, Morad Hameed, Kelly N Vogt
BACKGROUND: The acute care surgery (ACS) model was developed to acknowledge the complexity of a traditionally fractured emergency general surgery patient population; however there are variations in the design of ACS service models. This meta-analysis analyzes the impact of implementation of different ACS models on the outcomes for appendicitis and biliary disease. STUDY DESIGN: A systematic, English-language search of major databases was conducted. From 1,827 papers, 2 independent reviewers identified 25 studies that reported on outcomes for patients with appendicitis (13) biliary disease (7) or both (5) before and after implementation of an ACS service...
September 13, 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/28916323/responding-to-crisis-surgeons-as-leaders-in-disaster-response
#4
Susan Miller Briggs
No abstract text is available yet for this article.
September 12, 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/28916322/intraductal-transanastomotic-stenting-in-duct-to-duct-biliary-reconstruction-after-living-donor-liver-transplantation-a-randomized-trial
#5
Ky Santosh Kumar, Johns Shaji Mathew, Dinesh Balakrishnan, Viju Kumar Bharathan, Binoj Sivasankara Pillai Thankamony Amma, Unnikrishnan Gopalakrishnan, Ramachandran Narayana Menon, Puneet Dhar, Sudheer Othiyil Vayoth, Sudhindran Surendran
BACKGROUND: Biliary complications continue to be the 'Achilles heel' of living donor liver transplantation (LDLT). The use of biliary stents in LDLT to reduce biliary complication is a controversial issue. We performed a randomized trial to study the impact of intraductal biliary stents on postoperative biliary complications following LDLT. STUDY DESIGN: Of the 94 LDLT's, that were performed during a period of 16 months, ABO incompatible transplants, left lobe grafts, ≥3 ducts on the graft and those requiring bilio-enteric drainage were excluded...
September 12, 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/28912030/liver-function-assessment-using-technetium-99m-galactosyl-single-photon-emission-ct-ct-fusion-imaging-a-prospective-trial
#6
Takehiro Okabayashi, Yasuo Shima, Sojiro Morita, Yasuhiro Shimada, Tatsuaki Sumiyoshi, Kenta Sui, Jun Iwata, Tatsuo Iiyama
BACKGROUND: The prediction of postoperative liver function remains a largely subjective practice based on computed tomography (CT) volumetric analysis. However, the future liver volume after a hepatectomy is not the only factor that contributes to postoperative liver function and outcomes. STUDY DESIGN: In this prospective trial, 185 consecutive patients who underwent liver surgery between 2014 and 2015 were studied. Volumetric and functional rates of remnant liver were measured using technetium-99m-galactosyl human serum albumin single photon emission computed tomography/computed tomography ((99m)Tc-GSA SPECT/CT) fusion imaging to evaluate post-hepatectomy remnant liver function...
September 11, 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/28912029/inclusion-of-highest-glasgow-coma-scale-motor-score-in-mortality-risk-adjustment-for-benchmarking-of-trauma-center-performance
#7
David Gomez, James P Byrne, Aziz S Alali, Wei Xiong, Chris Hoeft, Melanie Neal, Harris Subacius, Avery B Nathens
BACKGROUND: The Glasgow Coma Scale (GCS) score is the most widely utilized measure of traumatic brain injury (TBI) severity. Currently, the arrival GCS motor score (mGCS) is used in risk-adjustment models for external benchmarking of mortality. However, there is evidence that the highest mGCS in the first 24 hours after injury might be a better predictor of death. Our objective was to evaluate the impact of including highest mGCS on the performance of risk-adjustment models and subsequent external benchmarking results...
September 11, 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/28888692/canadian-study-of-health-and-aging-clinical-frailty-scale-does-it-predict-adverse-outcomes-among-geriatric-trauma-patients
#8
Annie Cheung, Barbara Haas, Thom J Ringer, Amanda McFarlan, Camilla L Wong
BACKGROUND: The Canadian Study of Health and Aging Clinical Frailty Scale (CFS) and the laboratory Frailty Index (FI-lab) are validated tools based on clinical and laboratory data, respectively. Their utility as predictors of geriatric trauma outcomes is unknown. Our primary objective was to determine whether pre-admission CFS is associated with adverse discharge destination. Secondary objectives were to evaluate the relationships between CFS and in-hospital complications and between admission FI-lab and discharge destination...
September 6, 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/28882684/concerns-of-quality-and-safety-in-public-domain-surgical-education-videos-an-assessment-of-the-critical-view-of-safety-in-frequently-used-laparoscopic-cholecystectomy-videos
#9
Shanley B Deal, Adnan A Alseidi
BACKGROUND: Online videos are one of the most common resources for case preparation. Using crowd sourcing, we evaluated the relationship between operative quality and viewing characteristics of online laparoscopic cholecystectomy (LC) videos. METHODS: 160 online videos of LC were edited to ≤60 seconds. Crowd workers (CW) rated videos using GOALS, the critical view of safety (CVS) criteria and assigned overall Pass/Fail ratings if CVS was achieved; linear mixed effects models derived average ratings...
September 4, 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/28882683/structured-operative-autonomy-an-institutional-approach-to-enhancing-surgical-resident-education-without-impacting-patient-outcomes
#10
Brandon M Wojcik, Zhi Ven Fong, Madhukar S Patel, David C Chang, Dustin R Long, Haytham Ma Kaafarani, Emil Petrusa, John T Mullen, Keith D Lillemoe, Roy Phitayakorn
BACKGROUND: Though barriers to granting surgical residents autonomy in the operating room are well described, few have proposed practical strategies to overcome them. Our department adopted a multidisciplinary approach to develop a rotation that aimed to grant chief residents structured operative autonomy. In this study, we assess the feasibility of implementation, impact on patient safety and educational benefit to residents following the program's pilot year. STUDY DESIGN: During a one-month rotation, chief residents began cases alone using their own operative block time...
September 4, 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/28882682/management-of-the-pressure-injury-patient-with-osteomyelitis-an-algorithm
#11
REVIEW
Peter J Nicksic, Sarah E Sasor, Sunil S Tholpady, William A Wooden, Luke G Gutwein
No abstract text is available yet for this article.
September 4, 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/28903075/hidden-bias-in-cost-analysis-research-what-is-the-prevalence-of-underreporting-cost-perspective-in-the-general-surgical-literature
#12
Madeleine M Blank, Marianna Papageorge, Lilian Chen, Daniel Driscoll, Roger Graham, Abhishek Chatterjee
No abstract text is available yet for this article.
August 31, 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/28838869/evolution-of-laparoscopic-liver-surgery-from-innovation-to-implementation-to-mastery-perioperative-and-oncologic-outcomes-of-2-238-patients-from-4-european-specialized-centers
#13
Giammauro Berardi, Stijn Van Cleven, Åsmund Avdem Fretland, Leonid Barkhatov, Mark Halls, Federica Cipriani, Luca Aldrighetti, Mohammed Abu Hilal, Bjørn Edwin, Roberto I Troisi
BACKGROUND: First seen as an innovation for select patients, laparoscopic liver resection (LLR) has evolved since its introduction, resulting in worldwide use. Despite this, it is still limited mainly to referral centers. The aim of this study was to evaluate a large cohort undergoing LLR from 2000 to 2015, focusing on the technical approaches, perioperative and oncologic outcomes, and evolution of practice over time. STUDY DESIGN: The demographics and indications, intraoperative, perioperative, and oncologic outcomes of 2,238 patients were evaluated...
August 31, 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/28838868/online-surgeon-ratings-and-outcomes-in-hernia-surgery-an-americas-hernia-society-quality-collaborative-analysis
#14
Ivy N Haskins, David M Krpata, Michael J Rosen, Arielle J Perez, Luciano Tastaldi, Robert S Butler, Steven Rosenblatt, Ajita S Prabhu
BACKGROUND: Online surgeon ratings are viewed as a measure of physician quality by some consumers. Nevertheless, the correlation between online surgeon ratings and surgeon quality metrics remains unknown. The purpose of this study was to investigate the association between online surgeon ratings and hernia-specific quality metrics. STUDY DESIGN: The Americas Hernia Society Quality Collaborative (AHSQC) is recognized by the Centers for Medicaid and Medicare as a Quality Clinical Data Registry (QCDR) that reports risk-adjusted quality metrics for hernia surgeons...
August 31, 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/28865737/vascular-trauma-revisited
#15
David V Feliciano
No abstract text is available yet for this article.
August 30, 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/28865685/association-between-compliance-with-triage-directions-from-an-organized-state-trauma-system-and-trauma-outcomes
#16
Benjamin Martinez, John T Owings, Christopher Hector, Paige Hargrove, Shoichiro Tanaka, Margaret Moore, Patrick Greiffenstein, Joseph Giaimo, Shahrzad Talebinejad, John P Hunt
BACKGROUND: The Louisiana Emergency Response Network (LERN), a statewide trauma system, has a single communication center with real-time data on hospital capacity across the state. With these data, scene information, and a standardized triage protocol, prehospital providers are directed to the most appropriate hospital. The purpose of our study was to compare outcomes between those patients who complied with the LERN communication center direction and those who did not. STUDY DESIGN: Trauma patients directed by LERN from the field in 2014 were included...
August 26, 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/28843832/magnetic-compression-anastomosis-magnamosis-first-in-human-trial
#17
Claire E Graves, Catherine Co, Ryan S Hsi, Dillon Kwiat, Jill Imamura-Ching, Michael R Harrison, Marshall L Stoller
BACKGROUND: Magnetic compression anastomosis (magnamosis) uses a pair of self-centering magnetic Harrison Rings to create an intestinal anastomosis without sutures or staples. We report the first-in-human case series using this unique device. STUDY DESIGN: We conducted a prospective, single-center, first-in-human pilot trial to evaluate the feasibility and safety of creating an intestinal anastomosis using the Magnamosis device. Adult patients requiring any intestinal anastomosis to restore bowel continuity were eligible for inclusion...
August 23, 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/28838870/effect-of-surgeon-and-hospital-volume-on-emergency-general-surgery-outcomes
#18
Ambar Mehta, David T Efron, Joseph K Canner, Linda Dultz, Tim Xu, Christian Jones, Elliott R Haut, Robert Sd Higgins, Joseph V Sakran
BACKGROUND: Emergency general surgeries (EGS) contribute to half of all surgical mortality nationwide, are associated with a 50% complication rate, and have a 15% readmission rate within 30-days. We assessed associations between surgeon and hospital EGS-volume with these outcomes. STUDY DESIGN: Using Maryland's Health Services Cost Review Commission database, we identified non-trauma EGS procedures performed by general surgeons among patients 20-years or older, who were admitted urgently or emergently, from 7/2012-9/2014...
August 21, 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/28919125/multi-institution-analysis-of-infection-control-practices-identifies-the-subset-associated-with-best-surgical-site-infection-performance-a-texas-alliance-for-surgical-quality-collaborative-project
#19
Catherine H Davis, Lillian S Kao, Jason B Fleming, Thomas A Aloia
BACKGROUND: In an effort to reduce surgical site infection (SSI) rates, a large number of infection control practices (ICPs), including operating room attire policies, have been recommended. However, few have proven benefits and many are costly, time-consuming, and detrimental to provider morale. The goal of this multi-institution study was to determine which ICPs are associated with lower postoperative SSI rates. STUDY DESIGN: Twenty American College of Surgeons NSQIP and Texas Alliance for Surgical Quality-affiliated hospitals completed this Quality Improvement Assessment Board-approved study...
August 16, 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/28818700/vascularized-jejunal-mesenteric-lymph-node-transfer-a-novel-surgical-treatment-for-extremity-lymphedema
#20
Michelle Coriddi, Corrine Wee, Joseph Meyerson, Daniel Eiferman, Roman Skoracki
BACKGROUND: Vascularized lymph node transfer (VLNT) is a surgical treatment for lymphedema. Multiple donor sites have been described and each has significant disadvantages. We propose the jejunal mesentery as a novel donor site for VLNT. METHODS: Cadaveric anatomic study analyzing jejunal lymph nodes (LNs) and description of outcomes from the first patients who received jejunal mesenteric VLNT for treatment of lymphedema. RESULTS: In 5 cadavers, the average number of total LNs and peripheral LNs were identified in the proximal, middle and distal segments of jejunum...
August 14, 2017: Journal of the American College of Surgeons
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