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October 2016 - July 1920

Decade

Year

Issue

June 1, 2012, Vol 147, No. 6, Pages 494-578

Original Article

The Double Jeopardy of Blunt Thoracoabdominal Trauma

Abstract Full Text
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Arch Surg. 2012;147(6):498-504. doi:10.1001/archsurg.2011.2289

In a trauma registry and medical record review, Berg et al examine the specific injuries, need for operative intervention, and clinical outcomes of patients with blunt thoracoabdominal trauma.

Variation in Lymph Node Examination After Esophagectomy for Cancer in the United States

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Arch Surg. 2012;147(6):505-511. doi:10.1001/archsurg.2011.2215

Merkow et al evaluate the quality of lymph node examination after esophagectomy for cancer in the United States based on current treatment guidelines (≥15 nodes) and assess the association of patient, tumor, and hospital factors with the adequacy of lymph node examination. In an invited critique Hofstetter provides a commentary.

Clinical Calculator of Conditional Survival Estimates for Resected and Unresected Survivors of Pancreatic Cancer

Abstract Full Text
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Arch Surg. 2012;147(6):513-519. doi:10.1001/archsurg.2011.2281

To calculate conditional survival estimates for patients with pancreatic adenocarcinoma, Katz and colleagues constructed separate multivariate survival models adjusted for 7 clinicopathologic factors for patients who did and did not undergo radical surgical resection.

The Association of Community Health Indicators With Outcomes for Kidney Transplant Recipients in the United States

Abstract Full Text
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Arch Surg. 2012;147(6):520-526. doi:10.1001/archsurg.2011.2220

Schold and coauthors used data from adult kidney transplant recipients in the Scientific Registry of Transplant Recipients merged with data from several national databases and the CDC to evaluate the association of community health indicators with outcomes for kidney transplant recipients. In an 1, Slakey discusses implications for optimizing outcomes and safety in health care.

Fate of the Pancreatic Remnant After Resection for an Intraductal Papillary Mucinous NeoplasmA Longitudinal Level II Cohort Study

Abstract Full Text
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Arch Surg. 2012;147(6):528-534. doi:10.1001/archsurg.2011.2276

In a longitudinal level II cohort study, Moriya and Traverso determine the occurrence of new disease in the pancreatic remnant after resection for intraductal papillary mucinous neoplasms.

Surgical Training, Duty-Hour Restrictions, and Implications for Meeting the Accreditation Council for Graduate Medical Education Core CompetenciesViews of Surgical Interns Compared With Program Directors

Abstract Full Text
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Arch Surg. 2012;147(6):536-541. doi:10.1001/archsurg.2012.89

After resident duty-hour restrictions were imposed by the Accreditation Council for Graduate Medical Education (ACGME) in 2011, a representative sample of interns weas surveyed. Responses were compared with those of surgical program directors to assess the effect of the restrictions on surgical training. An invited critique by Friedell discusses loss of patient continuity and implications of shift work.

Assessing the Surgical and Obstetrics-Gynecology Workload of Medical OfficersFindings From 10 District Hospitals in Ghana

Abstract Full Text
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Arch Surg. 2012;147(6):542-548. doi:10.1001/archsurg.2012.449

To determine the proportion of patients seen by medical officers in Ghana, West Africa, with surgical or obstetric-gynecologic conditions and the time expended providing care to these patients, Mehtsun and colleagues assessed the workload at 10 district hospitals. In the related invited critique, McCord notes that the facilities for surgery exist but that skills are lacking.

Laparoscopic vs Open Gastric Bypass SurgeryDifferences in Patient Demographics, Safety, and Outcomes

Abstract Full Text
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Arch Surg. 2012;147(6):550-556. doi:10.1001/archsurg.2012.195

In a retrospective cohort study, Banka et al determine national outcome differences between laparoscopic gastric bypass and open gastric bypass.

Commentary

Duty Hours, Distant Voices, and an Alternative Future

Abstract Full Text
Arch Surg. 2012;147(6):496-497. doi:10.1001/archsurg.2012.469
Review

Laparoscopic vs Open Appendectomy in Older Patients

Abstract Full Text
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Arch Surg. 2012;147(6):557-562. doi:10.1001/archsurg.2012.568

To guide the choice of surgical approach in patients older than 60 years, Southgate et al performed a meta-analysis of individual studies comparing laparoscopic vs open appendectomy in older patients. Analyzed were 6 studies, comprising 15 852 appendectomies (4398 laparoscopic and 11 454 open procedures).

Special Feature

Image of the Month—Quiz Case

Abstract Full Text
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Arch Surg. 2012;147(6):573-573. doi:10.1001/archsurg.2011.843

Image of the Month—Diagnosis

Abstract Full Text
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Arch Surg. 2012;147(6):574-574. doi:10.1001/archsurg.147.6.574

Image of the Month—Quiz Case

Abstract Full Text
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Arch Surg. 2012;147(6):575-575. doi:10.1001/archsurg.2011.677

Image of the Month—Diagnosis

Abstract Full Text
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Arch Surg. 2012;147(6):576-576. doi:10.1001/archsurg.147.6.576
Correspondence

Prior Cholecystectomy as a Predictor of Preoperative Vitamin D Deficiency in Adults Undergoing Spine Surgery

Abstract Full Text
Arch Surg. 2012;147(6):577-578. doi:10.1001/archsurg.2012.463
Resident's Forum

Massive TransfusionAn Evidence-Based Review of Recent Developments

Abstract Full Text
Arch Surg. 2012;147(6):563-571. doi:10.1001/archsurg.2011.2212

Neal et al review recent developments in massive transfusion research, including protocol implementation, hemostatic resuscitation, tranexamic acid use, and goal directed therapy for coagulopathy.

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