Annals of surgery
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Randomized Controlled Trial
Inguinal Vascular Surgical Wound Protection by Incisional Negative Pressure Wound Therapy: A Randomized Controlled Trial-INVIPS Trial.
A randomized controlled trial (RCT) was undertaken to determine the effect of negative pressure wound therapy (NPWT) on closed incisions after inguinal vascular surgery regarding surgical site infections (SSIs) and other wound complications. ⋯ NPWT on closed inguinal vascular surgical incisions in elective patients reduces the incidence of SSI.
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Multicenter Study
Textbook Outcome: Nationwide Analysis of a Novel Quality Measure in Pancreatic Surgery.
Textbook outcome (TO) is a multidimensional measure for quality assurance, reflecting the "ideal" surgical outcome. ⋯ TO is a novel quality measure in pancreatic surgery. TO varies considerably between pancreatic centers, demonstrating the potential benefit of quality assurance programs.
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Multicenter Study
Propensity Score-Matched Analysis Comparing Minimally Invasive Ivor Lewis Versus Minimally Invasive Mckeown Esophagectomy.
Totally minimally invasive esophagectomy (TMIE) is increasingly used in treatment of patients with esophageal carcinoma. However, it is currently unknown if McKeown TMIE or Ivor Lewis TMIE should be preferred for patients in whom both procedures are oncologically feasible. ⋯ Ivor Lewis TMIE is associated with a lower incidence of anastomotic leakage, 90-day mortality and other postoperative morbidity compared to McKeown TMIE in patients in whom both procedures are oncologically feasible.
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To characterize intraoperative errors, events, and distractions, and measure technical skills of surgeons in minimally invasive surgery practice. ⋯ During elective laparoscopic operations, frequent intraoperative errors and events, variation in surgeons' technical skills, and a high amount of environmental distractions were identified using the OR Black Box.