Archives of surgery (Chicago, Ill. : 1960)
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Randomized Controlled Trial Comparative Study
Transfusion criteria for fresh frozen plasma in liver resection: a 3 + 3 cohort expansion study.
To establish transfusion criteria for use of fresh frozen plasma (FFP) in liver resection. ⋯ In liver resection, FFP transfusion is not necessary in patients with serum albumin levels higher than 2.4 g/dL on postoperative day 2.
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Multicenter Study Comparative Study
Surgical site infections in colon surgery: the patient, the procedure, the hospital, and the surgeon.
To determine the role of the surgeon in the occurrence of surgical site infection (SSI) following colon surgery, with respect to his or her adherence to guidelines and his or her experience. ⋯ For reasons beyond adherence to guidelines or experience, the surgeon may constitute an independent risk factor for SSI after colon surgery.
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Comparative Study
Differential association of race with treatment and outcomes in Medicare patients undergoing diverticulitis surgery.
Observed racial disparities in diverticulitis surgery have been attributed to differences in health insurance status and medical comorbidity. ⋯ Blacks underwent urgent/emergency surgery more often than did whites. Blacks demonstrated significantly increased mortality risk after controlling for age, sex, and comorbidities. These findings suggest that observed racial disparities encompass more than just insurance status and medical comorbidity. Mechanisms leading to worse outcomes for blacks must be elucidated.
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Review Meta Analysis
Safety of laparoscopic vs open bariatric surgery: a systematic review and meta-analysis.
To perform a systematic review and meta-analysis evaluating the risk of reoperation, wound infection, incisional hernia, anastomotic leak, and all-cause mortality associated with laparoscopic vs open bariatric surgery at a minimum of 12 months' follow-up. ⋯ Laparoscopic surgery may be a safer treatment than open surgery for patients requiring bariatric surgery.
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Comparative Study
Predicting the risk of perioperative mortality in patients undergoing pancreaticoduodenectomy: a novel scoring system.
To develop and validate a risk score to predict the 30- and 90-day mortality after a pancreaticoduodenectomy or total pancreatectomy on the basis of preoperative risk factors in a high-volume program. ⋯ The risk scores accurately predicted 30- and 90-day mortality after pancreatectomy. They may help identify and counsel high-risk patients, support and calculate net benefits of therapeutic decisions, and control for selection bias in observational studies as propensity scores.