Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract
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J. Gastrointest. Surg. · Nov 2013
Identification and validation of risk factors for postoperative infectious complications following hepatectomy.
Postoperative infectious complications (PICs) are associated with significant morbidity after abdominal surgery. Using multivariate analysis of data from a prospective database, our study focused on the risk factors for PICs and the prevention of these complications after hepatectomy, with the goal of improving outcomes and reducing the length of hospital stays. ⋯ The correction of modifiable risk factors among the identified factors could reduce the incidence of PICs and, as a consequence, improve patient outcomes and reduce the length of hospital stays.
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J. Gastrointest. Surg. · Nov 2013
Review Meta AnalysisThe volume effect in liver surgery--a systematic review and meta-analysis.
There is an inverse relationship between hospital and surgeon volume and mortality in many types of complex surgery. The aim of this paper is to investigate the volume effect on outcomes of liver surgery. ⋯ This study suggests a strong relationship between volume and perioperative mortality. No difference in morbidity, length of stay or survival was demonstrated.
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J. Gastrointest. Surg. · Nov 2013
Observational StudyHow long is antibiotic therapy necessary after urgent cholecystectomy for acute cholecystitis?
The objective of the study was to analyze surgical site infection (SSI) frequency with different duration antibiotic courses to establish the minimum necessary duration. ⋯ Antibiotic treatment over 4 days after early cholecystectomy provides no advantage in decreasing surgical site infection incidence.
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J. Gastrointest. Surg. · Nov 2013
Hybrid trans-thoracic esophagectomy with side-to-side stapled intra-thoracic esophagogastric anastomosis for esophageal cancer.
Esophagectomy is the primary treatment modality for non-metastatic esophageal cancer. A trans-thoracic approach is used in most centers in the United States. ⋯ Recent data suggest that a side-to-side mechanical intra-thoracic esophagogastric anastomosis is associated with a reduced rate of anastomotic leaks and strictures. This article describes the technique of trans-thoracic hybrid esophagectomy with side-to-side intra-thoracic esophagogastric anastomosis for esophageal cancer.