Annals of Surgery

David Rice, Andrea Rodriguez-Restrepo, Gabriel Mena, Juan Cata, Peter Thall, Denai Milton, Arlene Correa, TaCharra Woodard, Mara Antonoff, Wayne Hofstetter, Jack Roth, Boris Sepesi, Stephen Swisher, Garrett Walsh, Ara Vaporciyan, Reza Mehran
OBJECTIVE: The aim of this study was to assess the effect of an enhanced recovery after surgery (ERAS) pathway on pain and opioid use following lung resection. SUMMARY BACKGROUND DATA: A major component ERAS pathways is opioid-sparing analgesia; however, the effect on postoperative pain and opioid use in patients undergoing lung resection is unknown. METHODS: Following implementation of an ERAS pathway for lung resection, 123 consecutive patients were identified...
March 30, 2020: Annals of Surgery
Olivier Soubrane, Susumu Eguchi, Shinji Uemoto, Choon Hyuck David Kwon, Go Wakabayashi, Ho-Seong Han, Ki-Hun Kim, Roberto Ivan Troisi, Daniel Cherqui, Fernando Rotellar, François Cauchy, Akihiko Soyama, Satoshi Ogiso, Gyu-Seong Choi, Takeshi Takahara, Jai Young Cho, Hwui-Dong Cho, Aude Vanlander, Gabriella Pittau, Olivier Scatton, Fernando Pardo, Talia Baker
OBJECTIVE: Evaluating the perioperative outcomes of minimally invasive (MIV) donor hepatectomy for adult live donor liver transplants in a large multi-institutional series from both Eastern and Western centers. BACKGROUND: Laparoscopic liver resection has become standard practice for minor resections in selected patients in whom it provides reduced postoperative morbidity and faster rehabilitation. Laparoscopic approaches in living donor hepatectomy for transplantation, however, remain controversial because of safety concerns...
March 27, 2020: Annals of Surgery
Fabio Nicoli, Daniel B Saleh, Bence Baljer, Corey D Chan, Tom Beckingsale, Kanishka M Ghosh, Maniram Ragbir, Kenneth S Rankin
BACKGROUND: Complete excision of sarcomas to maximize function without compromising the oncological outcome can be challenging. The aim of this study was to investigate the feasibility and potential drawbacks of near-infrared (NIR) fluorescence imaging with indocyanine green during resection of bone and soft tissue sarcomas. METHODS: Eleven patients with high-grade sarcomas were enrolled in the study. All patients received intravenous indocyanine green (75 mg) between 16 and 24 hours before the resection...
March 27, 2020: Annals of Surgery
Wouter J Bakker, Theo J Aufenacker, Julitta S Boschman, Josephina P J Burgmans
OBJECTIVE: This meta-analysis and trial sequential analysis aims to provide an update on the available randomized controlled trials (RCTs) and recommendations on using lightweight mesh (LWM) or heavyweight mesh (HWM) in laparo-endoscopic inguinal hernia repair. BACKGROUND: LWM might reduce chronic pain through improved mesh flexibility and less fibrosis formation. However, in laparo-endoscopic repair chronic pain is already rare and LWM raise concerns of higher recurrence rates...
March 27, 2020: Annals of Surgery
Gang Xu, Fei Li, Yi-Lei Mao
No abstract text is available yet for this article.
March 27, 2020: Annals of Surgery
Alfred Adiamah, Pavel Skořepa, Arved Weimann, Dileep N Lobo
No abstract text is available yet for this article.
March 27, 2020: Annals of Surgery
Thomas W A Koedam, Boukje T Bootsma, Charlotte L Deijen, Tim van de Brug, Geert Kazemier, Miguel A Cuesta, Alois Fürst, Antonio M Lacy, Eva Haglind, Jurriaan B Tuynman, Freek Daams, Hendrik J Bonjer
OBJECTIVE: The aim of this study was to evaluate oncological outcome for patients with and without anastomotic leakage after colon or rectal cancer surgery. SUMMARY OF BACKGROUND DATA: The role of anastomotic leakage in oncological outcome after colorectal cancer surgery is still topic of debate and impact on follow-up and consideration for further treatment remains unclear. METHODS: Patients included in the international, multicenter, non-inferior, open label, randomized, controlled trials COLOR and COLOR II, comparing laparoscopic surgery for curable colon (COLOR) and rectal (COLOR II) cancer with open surgery, were analyzed...
March 27, 2020: Annals of Surgery
Patrick Nieboer, Mike Huiskes, Fokie Cnossen, Martin Stevens, Sjoerd K Bulstra, Debbie A D C Jaarsma
OBJECTIVE: To identify what strategies supervisors use to entrust autonomy during surgical procedures and to clarify the consequences of each strategy for a resident's level of autonomy. BACKGROUND: Entrusting autonomy is at the core of teaching and learning surgical procedures. The better the level of autonomy matches the learning needs of residents, the steeper their learning curves. However, entrusting too much autonomy endangers patient outcome, while entrusting too little autonomy results in expertise gaps at the end of training...
March 27, 2020: Annals of Surgery
Robert E Kelly, Robert J Obermeyer, Michael J Goretsky, M Ann Kuhn, Frazier W Frantz, Margaret M McGuire, Duane S Duke, Antarius Daniel, Donald Nuss
OBJECTIVE: To review standardized Nuss correction of pectus excavatum and vacuum bell treatment over the last 10 years. SUMMARY OF BACKGROUND DATA: In 2010, we reported 21 years of the Nuss procedure in 1215 patients. METHODS: Over the last 10 years, 2008-2018, we evaluated 1885 pectus excavatum patients. Surgery was indicated for well-defined objective criteria. A consistent operation was performed by 8 surgeons in 1034 patients, median 15 years, (range 6-46); 996 were primary, and 38 redo operations...
March 27, 2020: Annals of Surgery
Mieke Heyns, Paige Knight, Anna K Steve, Justin K Yeung
OBJECTIVE: To review the efficacy and safety of a single dose of intravenous tranexamic acid (TXA) given preoperatively. SUMMARY BACKGROUND DATA: TXA is a synthetic antifibrinolytic that has been used in various surgical disciplines to reduce blood loss, blood transfusions, ecchymosis, and hematoma formation. However, there is no universal standard on the most effective dose and route of TXA administration, limiting its routine use in many centers. This study evaluates the current evidence for the efficacy and safety of a single preoperative dose of TXA on surgical blood loss in all surgical disciplines...
March 27, 2020: Annals of Surgery
Ki-Hyun Cho, Francis A Papay, Jeff Yanof, Karl West, Bahar Bassiri Gharb, Antonio Rampazzo, Brian Gastman, Graham S Schwarz
OBJECTIVE: The aim of this study was to evaluate a novel holographic craniofacial surgical planning application and its implementation throughout the planning and operative stages of facial transplantation by performing a critical analysis of comparative utility, cost, and limitations of MR and 3D printing. SUMMARY OF BACKGROUND DATA: Face transplantation is a highly complex form of craniofacial reconstruction requiring significant planning, knowledge of patient-specific spatial relationships, and time-sensitive decision making...
March 27, 2020: Annals of Surgery
Arianna Birindelli, Isacco Montroni, Lucio Taglietti
No abstract text is available yet for this article.
March 27, 2020: Annals of Surgery
Robert J S Coelen, Daan E Moes, Matthijs D M Bolmers
No abstract text is available yet for this article.
March 27, 2020: Annals of Surgery
Liqi Sun, Lisi Peng, Fei Jiang, Huiyun Zhu, Zhendong Jin
No abstract text is available yet for this article.
March 27, 2020: Annals of Surgery
Keith M Wirth, Adam C Sheka, Scott Kizy, Ryan Irey, Ashley Benner, Gretchen Sieger, Gyorgy Simon, Sisi Ma, John Lake, Constantin Aliferis, Daniel Leslie, Schelomo Marmor, Sayeed Ikramuddin
OBJECTIVE: This study sought to compare trends in the development of cirrhosis between patients with NAFLD who underwent bariatric surgery and a well-matched group of nonsurgical controls. SUMMARY OF BACKGROUND DATA: Patients with NAFLD who undergo bariatric surgery generally have improvements in liver histology. However, the long-term effect of bariatric surgery on clinically relevant liver outcomes has not been investigated. METHODS: From a large insurance database, patients with a new NAFLD diagnosis and at least 2 years of continuous enrollment before and after diagnosis were identified...
March 27, 2020: Annals of Surgery
Hannah Maple, Heather Draper, Petrut Gogalniceanu, Lisa Burnapp, Joseph Chilcot, Nizam Mamode
OF BACKGROUND DATA: Unspecified kidney donation (UKD) describes living donation of a kidney to a stranger. The practice is playing an increasingly important role within the transplant programme in the United Kingdom, where these donors are commonly used to trigger a chain of transplants; thereby amplifying the benefit derived from their donation. The initial reluctance to accept UKD was in part due to uncertainty about donor motivations and whether the practice was morally and ethically acceptable...
March 27, 2020: Annals of Surgery
Tomoaki Yoh, François Cauchy, Olivier Soubrane
: Laparoscopic surgery has become an increasingly popular alternative approach to open surgery, resulting in a paradigm shift in liver surgery. Although laparoscopic liver resection (LLR) was initially indicated for small benign and peripheral tumors, at present more than half of LLRs are performed in malignant tumors. Several studies have reported the feasibility of LLR in malignant disease and suggested various short-term benefits compared to open liver resection, including decreased blood loss and postoperative complications and a shorter hospital stay...
March 27, 2020: Annals of Surgery
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