Articles: postoperative.
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Observational Study
HIV, vascular surgery and cardiovascular outcomes: a South African cohort study.
Risk factors for peri-operative cardiac morbidity are poorly described in HIV-positive patients. This prospective observational study describes cardiovascular risk factors in a cohort of vascular surgical patients of known HIV status. We recruited 225 patients with 73 (32%) being HIV-positive. ⋯ HIV-positive and -negative patients had similar outcomes in: 30-day mortality (p = 0.78); three-day postoperative troponin leak (p = 0.66); and a composite outcome of mortality and troponin release (p = 0.69). We conclude that although HIV-positive patients have fewer cardiovascular risk factors, they have similar peri-operative major adverse cardiac events to HIV-negative patients. Research should focus on why this is the case, and if alternative clinical risk predictors can be developed for HIV patients.
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Thoracic Surgery PostersSESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMPURPOSE: Video-assisted thoracic surgery (VATS) sympathectomy is the definitive therapy for primary palmar hyperhidrosis with high success rates and low recurrence. Classically, a 3-port bilateral VATS approach is utilized. We report our novel application and experience of single-port VATS sympathectomy with the VasoView® endoscopic vein harvesting devices. ⋯ The following authors have nothing to disclose: Rainbow Lau, Calvin Ng, Randolph Wong, Eugene Yeung, Micky Kwok, Innes Wan, Malcolm UnderwoodNo Product/Research Disclosure Information.
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Thoracic Surgery PostersSESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMPURPOSE: Totally minimally invasive Ivor Lewis esophagectomy(MIIE) with per-oral placement of anvil has been reported elsewhere, but MIIE with manual pursestring and per-thoracic port placement of anvil has been seldomly reported. 27 cases with the later technique were conducted in this prospective study. ⋯ The following authors have nothing to disclose: Hecheng Li, Longfei Ma, Yiliang Zhang, Yawei Zhang, Jiaqing Xiang, Haiquan ChenNo Product/Research Disclosure Information.
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Cancer Case Report Posters ISESSION TYPE: Case Report PosterPRESENTED ON: Sunday, March 23, 2014 at 01:15 PM - 02:15 PMINTRODUCTION: A solitary fibrous tumor (SFT) is a rare pleural neoplasm, and tumor-to-tumor metastases are unusual phenomena. ⋯ We present an unusual case of tumor-to-tumor metastasis involving (PET)-negative breast cancer as donor to a recipient SFT 6 years after treatment for primary breast cancer and synchronous with contralateral primary lung cancer.Reference #1: Petraki et al, International Journal of Surgical Pathology 11(2):127-135, 2003DISCLOSURE: Eric Toloza: Other: Honoraria from Intuitive Surgical Inc. for proctoring & observation site The following authors have nothing to disclose: Frank Velez-Cubian, Robert Gabordi, Prudence Smith, Shohreh Dickinson, Carla Moodie, Joseph GarrettNo Product/Research Disclosure Information.
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Late Breaking AbstractsSESSION TYPE: Slide PresentationPRESENTED ON: Saturday, March 22, 2014 at 09:00 AM - 10:00 AMPURPOSE: Venous thromboembolism (VTE) remained common following surgical resection of esophageal cancer. In this prospective randomized controlled trial (NCT01267305), we aim to compare the safety and efficacy between two anticoagulants applied in the prophylaxis of VTE following esophagectomy. ⋯ The following authors have nothing to disclose: Yaxing Shen, Ming Zhong, Lijie TanNo Product/Research Disclosure Information.