Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract
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J. Gastrointest. Surg. · Feb 2015
Risk factors for 30-day readmissions after hepatectomy: analysis of 2444 patients from the ACS-NSQIP database.
The aim of this study was to identify risk factors associated with unplanned readmissions after hepatectomies. ⋯ Transfusion, complexity of procedure, and duration of operation were the strongest predictors of unplanned readmissions after liver resection.
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J. Gastrointest. Surg. · Feb 2015
Impact of body mass index on surgical outcomes after esophagectomy for patients with esophageal squamous cell carcinoma.
Patients with overweight reportedly have more comorbidities, including diabetes mellitus and cardiovascular disease, and longer operating times as well as more blood loss during surgery compared with those with normal weight. However, the impact of overweight on the short-term outcome after transthoracic esophagectomy for patients with esophageal squamous cell carcinoma (ESCC) remains unclear. We hypothesized that overweight has a negative impact on short-term surgical outcomes after esophagectomy for patients with ESCC. ⋯ The surgical treatment should not be denied for patients with ESCC due to overweight and underweight. However, intraoperative prevention and postoperative careful monitoring for anastomotic leakage might be required after esophagectomy for overweight patients with ESCC.
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J. Gastrointest. Surg. · Feb 2015
Surgical site infections (SSIs) after stoma reversal (SR): risk factors, implications, and protective strategies.
Stoma reversals (SRs) are commonly performed with potentially significant postoperative complications including surgical site infections (SSIs). Our aim was to determine the incidence and risk factors for SSIs in a large cohort of SR patients. ⋯ Smoking increased the risk of SR SSIs in patients by over twofold, and SR SSIs are associated with additional significant morbidities. Smoking cessation should be an important part of any SSI risk-reduction strategy.
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J. Gastrointest. Surg. · Jan 2015
Multicenter StudySurgeon volume plays a significant role in outcomes and cost following open incisional hernia repair.
Surgeon Volume Plays a Significant Role in Outcomes and Cost Following Open Incisional Hernia Repair ⋯ This study found a strong association between individual surgeon incisional hernia repair volume and hernia reoperation rates, operative efficiency, and charges. Preferential referral to high-volume surgeons may lead to improved outcomes and lower costs.
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J. Gastrointest. Surg. · Jan 2015
Laparoscopic versus open low anterior resection for rectal cancer: results from the national cancer data base.
While the use of laparoscopy has increased among patients undergoing colorectal surgery, there is ongoing debate regarding the oncologic equivalence of laparoscopy compared to open low anterior resection (LAR) for rectal cancer. ⋯ Laparoscopic LAR appears to result in equivalent short-term oncologic outcomes compared to the traditional open approach as measured via surrogate endpoints in the NCDB. While these results support the increasing use of laparoscopy in rectal surgery, further data are necessary to assess long-term outcomes.