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August 1, 2012, Vol 147, No. 8, Pages 688-786

Original Article

ONLINE FIRST

Obesity, Type 2 Diabetes Mellitus, and Other Comorbidities: A Prospective Cohort Study of Laparoscopic Sleeve Gastrectomy vs Medical Treatment

Abstract Full Text
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Arch Surg. 2012;147(8):694-700. doi:10.1001/archsurg.2012.222

In a prospective cohort study involving 60 morbidly obese patients with type 2 diabetes, Leonetti and coauthors compare the effect of sleeve gastrectomy vs medical therapy on type 2 diabetes mellitus and other obesity-related comorbidities. An invited critique suggests that obese diabetic patients should have access to bariatric surgery in appropriate clinical circumstances.

ONLINE FIRST

Perioperative Risk Assessment in Robotic General Surgery: Lessons Learned From 884 Cases at a Single Institution

Abstract Full Text
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Arch Surg. 2012;147(8):701-708. doi:10.1001/archsurg.2012.496

To assess factors associated with morbidity and mortality following the use of robotics in general surgery, Buchs and colleagues conducted a retrospective review of prospectively collected data from patient medical records. The review involved 884 patients who underwent a robotic procedure at the researchers鈥 institution between April 2007 and July 2010.

ONLINE FIRST

Overcoming the Challenges of Single-Incision Cholecystectomy With Robotic Single-Site Technology

Abstract Full Text
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Arch Surg. 2012;147(8):709-714. doi:10.1001/archsurg.2012.508

To analyze the preliminary experience with the new da Vinci single-site technology for cholecystectomy, Pietrabissa and colleagues conducted a prospective longitudinal observational study of 100 consecutive da Vinci single-site cholecystectomies at 5 Italian centers of robotic general surgery. Outcome measures included feasibility without conversion and the absence of major complications.

ONLINE FIRST

Predictors of Lymph Node Count in Colorectal Cancer Resections: Data From US Nationwide Prospective Cohort Studies

Abstract Full Text
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Arch Surg. 2012;147(8):715-723. doi:10.1001/archsurg.2012.353

Morikawa and coauthors used multivariate negative binomial regression of data from 2 US nationwide prospective cohort studies to identify operator-independent factors that influence the total and negative lymph node counts in colorectal cancer resection specimens.

ONLINE FIRST

Laparoscopic Colorectal Surgery: A Better Look Into the Latest Trends

Abstract Full Text
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Arch Surg. 2012;147(8):724-731. doi:10.1001/archsurg.2012.358

Kang et al evaluate trends before and after the application of the International Classification of Diseases, Ninth Revision codes for laparoscopic colorectal surgery in 2008.

Outcomes of Adult Trauma Patients Admitted to Trauma Centers in Pennsylvania, 2000-2009

Abstract Full Text
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Arch Surg. 2012;147(8):732-737. doi:10.1001/archsurg.2012.1138

Glance et al examine longitudinal trends in mortality for injured patients admitted to trauma centers.

Improving Outcomes After Gastroesophageal Cancer Resection: Can Japanese Results Be Reproduced in Western Centers?

Abstract Full Text
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Arch Surg. 2012;147(8):738-745. doi:10.1001/archsurg.2012.983

Postoperative survival rates for Japanese patients with gastroesophageal cancer exceed Western rates. Hanna and coauthors examined whether extended lymphadenectomy will improve survival rates in Western patients.

Effect of Short-term vs Prolonged Nasogastric Decompression on Major Postesophagectomy Complications: A Parallel-Group, Randomized Trial

Abstract Full Text
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Arch Surg. 2012;147(8):747-751. doi:10.1001/archsurg.2012.1008

Mistry and coauthors examine whether the early removal of nasogastric tubes adversely affects major pulmonary complications and anastomotic leak rates. See commentary by .

Microscopic Margins and Patterns of Treatment Failure in Resected Pancreatic Adenocarcinoma

Abstract Full Text
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Arch Surg. 2012;147(8):753-760. doi:10.1001/archsurg.2012.1126

To correlate microscopic margin status with survival and local control in a large cohort of patients from a high-volume pancreatic cancer center, Gnerlich and coauthors performed a retrospective database review of 285 patients who underwent pancreaticoduodenectomy for pancreatic adenocarcinoma.

A Surgical Simulation Curriculum for Senior Medical Students Based on TeamSTEPPS

Abstract Full Text
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Arch Surg. 2012;147(8):761-766. doi:10.1001/archsurg.2012.1340

To investigate whether TeamSTEPPS is helpful to medical students, Meier and coworkers integrated a module into the resident readiness elective and measured improvement of self-assessment scores, multiple-choice examination scores, and performance ratings of videotaped simulation scenarios before and after intervention. See commentary by .

Commentary

A Handy Tool to Teach Segmental Liver Anatomy to Surgical Trainees

Abstract Full Text
Arch Surg. 2012;147(8):692-693. doi:10.1001/archsurg.2012.689
Review

Evidence to Support the Use of Minimally Invasive Esophagectomy for Esophageal Cancer: A Meta-analysis

Abstract Full Text
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Arch Surg. 2012;147(8):768-776. doi:10.1001/archsurg.2012.1326

With the increase in the incidence of esophageal cancer, minimally invasive techniques have been developed. In a retrospective meta-analytic study, Dantoc and coauthors compared oncologic outcomes between open and minimally invasive esophagectomy.

Special Feature

Image of the Month鈥擰uiz Case

Abstract Full Text
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Arch Surg. 2012;147(8):781. doi:10.1001/archsurg.2011.963

Image of the Month鈥擠iagnosis

Abstract Full Text
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Arch Surg. 2012;147(8):782. doi:10.1001/archsurg.147.8.782

Image of the Month鈥擰uiz Case

Abstract Full Text
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Arch Surg. 2012;147(8):783. doi:10.1001/archsurg.2011.1276

Image of the Month鈥擠iagnosis

Abstract Full Text
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Arch Surg. 2012;147(8):784. doi:10.1001/archsurg.147.8.784
Correspondence

Alcohol Use Does Not Equal Abuse

Abstract Full Text
Arch Surg. 2012;147(8):785-786. doi:10.1001/archsurg.2012.1272

Alcohol Use Does Not Equal Abuse鈥擱eply

Abstract Full Text
Arch Surg. 2012;147(8):786. doi:10.1001/archsurg.2012.1275
Announcement

New Editorial Board Members Announcement

Abstract Full Text
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Arch Surg. 2012;147(8):767. doi:10.1001/archsurg.2012.1315

New International Advisory Board Members Announcement

Abstract Full Text
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Arch Surg. 2012;147(8):777. doi:10.1001/archsurg.2012.1320
Resident's Forum

A Novel Approach to Closure of Perineal Wounds During Abdominoperineal Resection: Use of Fibrin Sealant

Abstract Full Text
Arch Surg. 2012;147(8):778-780. doi:10.1001/archsurg.2012.980

Vaid and Nicolson report a case series of 5 patients for whom a fibrin sealant was used during perineal wound closure.

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