Archives of surgery (Chicago, Ill. : 1960)
-
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.
-
Randomized Controlled Trial Multicenter Study Comparative Study
Preoperative very low-calorie diet and operative outcome after laparoscopic gastric bypass: a randomized multicenter study.
A 14-day very low-calorie diet (VLCD) regimen before a laparoscopic gastric bypass procedure will improve perioperative and postoperative outcomes. ⋯ Although weight reduction with a 14-day VLCD regimen before laparoscopic gastric bypass performed in high-volume centers seems to reduce the perceived difficulty of the procedure, only minor effects on operating time, intraoperative complications, and short-term weight loss could be expected. However, the finding of reduced postoperative complication rates suggests that such a regimen should be recommended before bariatric surgery.
-
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.
-
Multicenter Study Comparative Study
Incorrect surgical procedures within and outside of the operating room: a follow-up report.
To describe incorrect surgical procedures reported from mid-2006 to 2009 from Veterans Health Administration medical centers and build on previously reported events from 2001 to mid-2006. ⋯ The rate of reported adverse events and harm decreased, while reported close calls increased. Despite improvements, we aim to achieve further gains. Current plans and actions include sharing lessons learned from root cause analyses, policy changes based on root cause analysis review, and additional focused Medical Team Training as needed.
-
Comparative Study
Career phase of board-certified general surgeons: workload composition and outcomes.
To examine surgeon career phase and its association with surgical workload composition and outcomes of surgery. ⋯ Late-career GSs perform both better and worse compared with early-career GSs, relative to their workload composition and proportional surgical volume. Factors such as training and case complexity may contribute to these career-phase differences.