A NSQIP analysis of patient outcomes after laparoscopic and open left sided colectomies
L Dellabough1, J Duda, RN2, S Malik, DR2. 1UBC Medicine, 2Island HealthBACKGROUND: A laparoscopic surgical approach for colectomies has been correlated with better surgical and patient outcomes. This quality improvement review hopes to examine some of the supposed variables affected by a difference in surgical procedures to determine if the results are consistent with the… Continue Reading
- Topic:
- Outcomes and Quality
Application of a Simple, Affordable Quality Metric Tool to Colorectal, Upper Gastrointestinal and Hepatobiliary Surgery Patients: The HARM Score.
Justin T Brady, MD1, Bona Ko, MPH, BA1, Samuel F Hohmann, PhD2, Benjamin P Crawshaw, MD1, Jennifer A Leinicke, MD, MPHS1, Scott R Steele, MD1, Knut M Augestad, MD, PhD3, Conor P Delaney, MD, PhD, MCh4. 1University Hospitals Cleveland Medical Center, 2Vizient, 3Akershus University Hospital, 4Cleveland ClinicINTRODUCTION: Quality is the major driver for both clinical… Continue Reading
- Topic:
- Outcomes and Quality
Colonoscopy Skills Improvement (CSI) Program Decreases Sedation Usage During Colonoscopy
Bradley W Evans, MD, Matthew Goldring, BEng, Mark R Borgaonkar, MD, FRCPC, David Pace, MD, FRCSC. Memorial University of NewfoundlandIntroduction: The Canadian Association of Gastroenterology (CAG) developed the Colonoscopy Skills Improvement (CSI) program to improve colonoscopy quality across Canada. Purpose: To show that educational interventions for endoscopists can result in improved colonoscopy quality outcomes. Methods:… Continue Reading
- Topic:
- Outcomes and Quality
Common Bile Duct Exploration using Intraoperative Cholangiogram Remains a Feasible Modality for treating choledocholelithiasis
Leslie S Anewenah, MD1, Mohammed Asif, MD1, Andrea Zaw, MD1, Carissa Jeannette2, Urhum Khaliq2, Joseph Glowacki2, Shivani Shah2, Prashanth Ramachandra, MD1, Piotr Krecioch, MD1, Mohammad Khan, MD1. 1Mercy Catholic Medical Center, 2Philadelphia College of Osteopathic MedicineBackground: The widely accepted modalities for the management of choledocholelithiasis (CC) are: endoscopic retrograde cholangiopancreatography (ERCP) with cholecystectomy (Cty) and… Continue Reading
- Topic:
- Outcomes and Quality
Comparing Surgical Outcomes Following Elective Laparoscopic Inguinal Hernia Repair Across Bmi Cohorts
Tyler Hall, BA1, Lava Patel, MD1, Matt Gitelis1, Brittany Lapin, PhD1, Zeeshan Butt, PhD2, John G Linn, MD1, Stephen P Haggerty, MD, FACS1, Woody Denham, MD1, Michael Ujiki, MD, FACS1. 1NorthShore University HealthSystem, 2Northwestern University Feinberg School of MedicineObjective: Obesity has been shown to increase risk of postoperative complications following open inguinal hernia repair. Additionally,… Continue Reading
- Topic:
- Outcomes and Quality
Comparison of Laparoscope Versus da Vinci Robot on Surgical Site Infections Based on Operation Time and Operator Volume
Vladimir Coca-Soliz, MD1, Rose C Gooding, BS2, Jennifer Hubbard, MD1, Philip R Corvo, MD, MA1. 1St. Mary's Hospital, 2St. George's University School of MedicineIntroduction: Robot-assisted surgery is a rapidly advancing and evolving field. There has been substantial progress in not only the ability but the availability of robotics in passing years allowing the field to… Continue Reading
- Topic:
- Outcomes and Quality
Cost Analysis and Supply Utilization of Laparoscopic Cholecystectomy
Trishul Kapoor, MSIV1, Sean Wrenn, MD2, Wasef Abu-Jaish, MD, FACS, FASM, BS2. 1University of Vermont College of Medicine, 2University of Vermont Medical CenterIntroduction: Laparoscopic cholecystectomy is one of the most commonly performed procedures in the United States. As one of the highest volume surgeries being performed on an annual basis at our academic medical center,… Continue Reading
- Topic:
- Outcomes and Quality
Demographic and Clinical Factors associated with Suicide in Gastric Cancer in the United States
Nathaniel Walsh, MD, Asif Talukder, MD, Andrew Jones, BS, Andrew Lawson, DO, Karen Draper, MD, Edward J Kruse, DO. Augusta UniversityBackground: Increased suicidal tendencies among cancer patients have been well documented. To date there has been no specific examination of suicide rates and clinical and demographic factors associated with suicide in patients with gastric cancer.… Continue Reading
- Topic:
- Outcomes and Quality
Demonstration of Variability in Excess Weight Loss Calculation Using Different Baseline Weights
Roshni Venugopal, MD, Karina A Newhall, MD, Julia E Segal, BS, Thadeus L Trus, MD, William S Laycock. Dartmouth-Hitchcock Medical CenterBackground: In the era of quality surveillance and measurement, reporting of clinical outcomes are not standardized. One of the most important reported measures in bariatric surgery is “Percent Excess Weight Loss” or %EWL, calculated from… Continue Reading
- Topic:
- Outcomes and Quality
Doble Internal Hernia in a Patient with History of Laparospic Roux- Y Gastric Bypass
Luis Zavala, SURGEON, Carlos Adrian Espinosa, Buenaventura Leal, SURGEON, Abel Salazar, Fernando Gurrola. CENTRO DE OBESIDAD Y DIABETESIntroduction: In the last decades, the laparoscopic roux-y gastric bypass (LRYGP), has become one of the most used bariatric procedures, thanks to its eficiency in weight lost and metabolic control. But there could be complications, such as internal… Continue Reading
- Topic:
- Outcomes and Quality
Drivers of Length of Stay after Cholecystectomy. Our Institutional Observation.
Leslie S Anewenah, MD1, Shivani Shah2, Carissa Jeannette2, Mohammad Khan, MD1, Piotr Krecioch, MD1, John Fobia, MD1, Prashanth Ramachandra, MD1, Leon Clarke, MD1. 1Mercy Catholic Medical Center, 2Philadelphia College of Osteopathic MedicineBackground and Objective: Hospitals and healthcare systems across the country are under increasing pressures to reduce costs and improve patient outcomes. One area that… Continue Reading
- Topic:
- Outcomes and Quality
Esophageal bypass surgery followed by definitive chemoradiotherapy can become an effective therapeutic strategy, improving the poor quality of life of patients with locally advanced esophageal carcinoma
Yasuaki Nakajima, MD, Kenro Kawada, Yutaka Tokairin, MD, Akihiro Hoshino, MD, Takuya Okada, MD, Masafumi Okuda, MD, Taichi Ogo, MD, Yuichiro Kume, MD, Yudai Kawamura, MD, Kazuya Yamaguchi, MD, Tatsuyuki Kawano, MD. Tokyo Medical and Dental UniversityBackground: Although locally advanced esophageal carcinoma is commonly treated by definitive chemoradiotherapy (dCRT), the prognosis is poor. Because the… Continue Reading
- Topic:
- Outcomes and Quality
Fires in the Operating Room: Does Clipping Hair Make a Difference?
Edward L Jones, MD, Douglas M Overbey, MD, Brandon C Chapman, MD, Sarah A Hilton, MD, Todd R Arcomano, MD, Teresa S Jones, MD, John T Moore, MD, Thomas N Robinson. University of ColoradoBackground: Operating room fires are rare events that remain an under-reported source of devastating complications. Surgical fires are commonly a result of… Continue Reading
- Topic:
- Outcomes and Quality
From Abstract to Publication: Factors Predictive of Gastrointestinal and Endoscopic Surgery Publication Success
Andrew C Berry, DO1, Brooks D Cash, MD2, Joel E Richter, MD3, Kandace Kichler, MD4, Bin Wang, PhD5, Madhuri Mulekar, PhD5, Ashlyn S Morse, MA6, Julia R Amundson, BS6, Sajjad Ahmad, MD1, Nikhil Agrawal, MBBS7, Dipan Uppal, MBBS7, Ankita Kapoor, MBBS7, William O Richards, MD8. 1Department of Medicine, University of South Alabama, Mobile, AL, USA,… Continue Reading
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- Outcomes and Quality
Have we reached a twilight of the Intraoperative Cholangiogram use?
Kenneth Bueltmann, MD, Marek Rudnicki, MD. Advocate Illinois Masonic Medical CenterIntroduction: Intraoperative cholangiogram (IOC) remains a source of professional disagreement. Persistent speculation and a lack of cohesive evidence still surrounds the decision to choose the procedure over other available imaging modalities. It may be hypothesized that IOC utilization may not be favored when performing laparoscopic… Continue Reading
- Topic:
- Outcomes and Quality