Archives of surgery (Chicago, Ill. : 1960)
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Imprecise dissection due to poor visualization of anatomic structures is among the major causes of biliary injuries during laparoscopic cholecystectomy. Developing new illustrational and rendering techniques represents an important part in decreasing visual deception and subsequent bile duct injuries. ⋯ Our method, raising The Thinker, is based on the remarkable similarity between the sculpture and the topographic anatomy of the gallbladder. The method can be used not only for better orientation and visualization during laparoscopic cholecystectomy but also as a tool to complement the teaching of laparoscopic biliary anatomy to surgical residents and medical students.
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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.