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October 2024 - July 1920

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September 1, 2012, Vol 147, No. 9, Pages 792-888

Editorial

What You Hear Is What You Get

Abstract Full Text
Arch Surg. 2012;147(9):795. doi:10.1001/archsurg.2012.2168
Paper

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Brief Tool to Measure Risk-Adjusted Surgical Outcomes in Resource-Limited Hospitals

Abstract Full Text
free access
Arch Surg. 2012;147(9):798-803. doi:10.1001/archsurg.2012.699

Anderson et al report on their risk-adjusted tool used to measure surgical outcomes in resource-limited hospitals. The invited commentary by Farmer evaluates this potential tool for global comparative effectiveness.

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Risk of Advanced Papillary Thyroid Cancer in Obese Patients

Abstract Full Text
free access
Arch Surg. 2012;147(9):805-811. doi:10.1001/archsurg.2012.713

Harari and coauthors examine whether increasing body mass index is associated with more aggressive disease and adverse surgical outcomes in patients with papillary thyroid cancer.

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Radiologic Evaluation of Alternative Sites for Needle Decompression of Tension Pneumothorax

Abstract Full Text
free access
Arch Surg. 2012;147(9):813-818. doi:10.1001/archsurg.2012.751

Inaba and coauthors conducted a retrospective study on patients with chest trauma, divided into quartiles by body mass index, to compare the distance to be traversed during needle decompression between the second intercostal space and midclavicular line with the fifth intercostal space in the anterior axillary line. In a related commentary, Schreiber discusses the need for such research.

Lymph Nodes and Survival in Pancreatic Neuroendocrine Tumors

Abstract Full Text
free access
Arch Surg. 2012;147(9):820-827. doi:10.1001/archsurg.2012.1261

Krampitz and coauthors performed prospective database searches to determine whether lymph node metastases decrease survival in patients with pancreatic neuroendocrine tumors. See the invited critique by Stabile.

General Surgery Resident Remediation and Attrition: A Multi-institutional Study

Abstract Full Text
free access
Arch Surg. 2012;147(9):829-833. doi:10.1001/archsurg.2012.1676

Yaghoubian and colleagues conducted an 11-year retrospective analysis of 348 categorical general surgery residents at 6 West Coast programs to determine the rates and predictors of remediation and attrition among the residents. In an invited critique, Karen Deveney, MD, comments on the findings.

Selective Preoperative Magnetic Resonance Imaging in Women With Breast Cancer: No Reduction in the Reoperation Rate

Abstract Full Text
free access
Arch Surg. 2012;147(9):834-839. doi:10.1001/archsurg.2012.1660

To determine the effect of preoperative MR imaging on reoperation rates in women with operable breast cancer, Weber et al performed selective imaging based on breast density and histologic findings. They measured rates of reoperation and pathologically avoidable mastectomy at initial operation. See also the invited critique by Lum.

Outcomes of Open Operation for Aortoiliac Occlusive Disease After Failed Endovascular Therapy

Abstract Full Text
free access
Arch Surg. 2012;147(9):841-845. doi:10.1001/archsurg.2012.1649

Danczyk and coworkers used a retrospective cohort study to compare outcomes of primary vs secondary open operations for AIOD. See invited critique by Lee.

Analysis of Obesity-Related Outcomes and Bariatric Failure Rates With the Duodenal Switch vs Gastric Bypass for Morbid Obesity

Abstract Full Text
free access
Arch Surg. 2012;147(9):847-854. doi:10.1001/archsurg.2012.1654

In a retrospective review, Nelson et al compare the outcomes of a large cohort undergoing biliopancreatic diversion/duodenal switch vs gastric bypass. In the Invited Critique, Beekley discusses duodenal switch vs gastric bypass.

Influence of Resident Involvement on Trauma Care Outcomes

Abstract Full Text
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Arch Surg. 2012;147(9):856-862. doi:10.1001/archsurg.2012.1672

To document whether discrepancies exist in complications and outcomes at level II teaching trauma centers vs nonteaching trauma centers, Bukur and colleagues performed a retrospective review of the 2007-2008 National Trauma Data Bank. The influence of house staff presence on failure to rescue was determined. See the related invited critique by Martin.

Umbilical Hernia Repair in Patients With Signs of Portal Hypertension: Surgical Outcome and Predictors of Mortality

Abstract Full Text
free access
Arch Surg. 2012;147(9):864-869. doi:10.1001/archsurg.2012.1663

Cho and coauthors compare the outcomes of umbilical hernia repair in patients with and without signs of portal hypertension and assess the effect of emergency surgery on complication rates.

Preoperative Imaging of Pulmonary Metastases in Patients With Melanoma: Implications for Minimally Invasive Techniques

Abstract Full Text
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Arch Surg. 2012;147(9):871-874. doi:10.1001/archsurg.2012.1667

In a retrospective review of a prospectively maintained database, Kidner and coauthors hypothesize that preoperative imaging underestimates the number of pulmonary metastatic melanomas. See the invited critique by Bold.

Commentary

Benchmarks for International Surgery

Abstract Full Text
Arch Surg. 2012;147(9):796-797. doi:10.1001/archsurg.2012.696
Invited Critique

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NSQIP Lite: A Potential Tool for Global Comparative Effectiveness Evaluations

Abstract Full Text
Arch Surg. 2012;147(9):803-804. doi:10.1001/archsurg.2012.899

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Thyroid Cancer Operations for Obese Patients: The Bad News and the Good News

Abstract Full Text
Arch Surg. 2012;147(9):811-812. doi:10.1001/archsurg.2012.911

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The Death of Another Sacred Cow: Comment on 鈥淩adiologic Evaluation of Alternative Sites for Needle Decompression of Tension Pneumothorax鈥

Abstract Full Text
Arch Surg. 2012;147(9):818-819. doi:10.1001/archsurg.2012.759

When pNETs Bust Out of Their Shells

Abstract Full Text
Arch Surg. 2012;147(9):828. doi:10.1001/archsurg.2012.1281

Remediation and Attrition: Are They Related?
Comment on 鈥淕eneral Surgery Resident Remediation and Attrition鈥

Abstract Full Text
Arch Surg. 2012;147(9):833. doi:10.1001/archsurg.2012.1685

Preoperative Breast Magnetic Resonance Imaging: A Solution Looking for a Problem: Comment on 鈥淪elective Preoperative Magnetic Resonance Imaging in Women With Breast Cancer鈥滱 Solution Looking for a Problem

Abstract Full Text
Arch Surg. 2012;147(9):839-840. doi:10.1001/archsurg.2012.1679

Could the Endo-first Strategy Really Be Better?

Abstract Full Text
Arch Surg. 2012;147(9):846. doi:10.1001/archsurg.2012.2021

Gastric Bypass: Time for a Change?

Abstract Full Text
Arch Surg. 2012;147(9):854-855. doi:10.1001/archsurg.2012.1682

Failure to Rescue From Residents?

Abstract Full Text
Arch Surg. 2012;147(9):862-863. doi:10.1001/archsurg.2012.1802

Should a Patient With Cirrhosis Have an Innie or an Outie?

Abstract Full Text
Arch Surg. 2012;147(9):869-870. doi:10.1001/archsurg.2012.2031

Is Palpation in the Operating Room the Best Method for Surgical Planning?

Abstract Full Text
Arch Surg. 2012;147(9):875. doi:10.1001/archsurg.2012.2165
Special Feature

Image of the Month鈥擰uiz Case

Abstract Full Text
free access
Arch Surg. 2012;147(9):887-887. doi:10.1001/archsurg.2011.1267a

Image of the Month鈥擰uiz Case

Abstract Full Text
free access
Arch Surg. 2012;147(9):885-885. doi:10.1001/archsurg.2011.1283a

Image of the Month鈥擠iagnosis

Abstract Full Text
free access
Arch Surg. 2012;147(9):886. doi:10.1001/archsurg.147.9.886

Image of the Month鈥擠iagnosis

Abstract Full Text
free access
Arch Surg. 2012;147(9):888. doi:10.1001/archsurg.147.9.888
Poster Session

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Detection of Colon Cancer Metastases With Fluorescence Laparoscopy in Orthotopic Nude Mouse Models

Abstract Full Text
free access
Arch Surg. 2012;147(9):876-880. doi:10.1001/archsurg.2012.704

Menen and coauthors examine the use of fluorescent laparoscopy in the detection of colon cancer metastases. See invited critique by Duh.

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Appropriate Surgical Procedure for Dominant Thyroid Nodules of the Isthmus 1 cm or Larger

Abstract Full Text
free access
Arch Surg. 2012;147(9):881-884. doi:10.1001/archsurg.2012.728

To guide the management of dominant thyroid nodules of the isthmus, Goldfarb et al studied 942 patients who had undergone surgeon-performed preoperative ultrasound and fine-needle aspiration, followed by thyroidectomy. They correlated preoperative findings and final pathologic results with malignancy vs benign thyroid disease in 28 patients having dominant thyroid nodules of the isthmus.

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