A Large Scale, Machine Learning Model for Predicting Postoperative Morbidity in Laparoscopic and Open Cholecystectomy
Kelsey McClure, MD, Stephanie Moyerman, PhD. St Joseph's Hospital and Medical CenterBackground: Laparoscopic cholecystectomy is one of the most common laparoscopic procedures performed today. Accurate prediction of the risks of cholecystectomy, whether open or laparoscopic, is important for informed surgical decision making, patient consent, and hospital planning. To date, large scale predictive models have been… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Outcomes and Quality
A MULTIDISCIPLINARY, OBESITY-FOCUSED APPROACH IMPROVES DIAGNOSIS OF OBESITY-RELATED ILLNESSES: A NEW PARADIGM FOR THE CARE OF PATIENTS WITH OBESITY
Roderick Olivas, Aaron Brown, MD, Racquel S Bueno, MD, Cedric S Lorenzo, MD. University of Hawaii - Department of SurgeryINTRODUCTION: Patients suffering from the burden of obesity are at significant risk for medical problems that lead to premature death and disability. We hypothesize that a multidisciplinary bariatric team will be better equipped to recognize and… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Advancement in the Quality of Operative Documentation: A Meta-Analysis and Systematic Review of Synoptic Versus Narrative Operative Reporting
Shannon Stogryn, MBBS, Jennifer Metcalfe, MD, FRCSC, Krista Hardy, MD, FRCSC, FACS, Ahmed Abou-Setta, MD, PhD, Ashley Vergis, MD, FRCSC, FACS. University of ManitobaBackground: The operative report is a vital document for the surgical patient and central to quality assessment processes for surgical care. Despite this, data suggests that traditional narrative operative reports are often… Continue Reading
Assessing the the Risk of Postoperative Small Bowel Obstruction Across Minimally Invasive Surgery Platforms in Colorectal Surgery
Shashank Sharma, MD1, Deborah S Keller, MS, MD2,3, Jessica Hyejin Oh, BS4, Alison R Althans, BS4, Emre Gorgan, MD1, Scott R Steele, MD1. 1Cleveland Clinic Foundation, 2Columbia University Medical Center, 3University College London Hospitals, NHS Foundation Trusts, 4Case Western Reserve University School of MedicineBackground: Minimally invasive surgery (MIS) has proven benefits over open colorectal surgery,… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Bariatric Efficiency at an Academic Tertiary Care Center
Clayton C Petro, MD, Wanda Lam, MD, Adel A Saleh, MD, Gi Yoon Kim, Leena Khaitan, MD, FACS. University Hospitals Cleveland Medical CenterINTRODUCTION: Operating room(OR) efficiency is the culmination of coordinated care between the staff surgeon, anesthesia team, circulating nurse, surgical tech, and surgical trainee/assistant. Bariatric cases present challenges to all team members in regards… Continue Reading
BARIATRIC SURGERY WITH ZERO PERIOPERATIVE MORTALITY IN A TEACHING INSTITUTION
Piotr Gorecki, MD, James Nguyen, MD, Kabata Krystyna, PA, Michael E Zenilman, MD. New York Presbyterian Brooklyn Methodist HospitalINTRODUCTION: Laparoscopic bariatric surgery is well accepted for the treatment of morbid obesity. The purpose of this study was to evaluate its feasibility and provide an update on improved safety of bariatric procedures performed in a teaching… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Comparing Laparoscopic vs. Open Repair in Perforated Peptic Ulcer Disease: A Retrospective, Propensity Score-Matched, Cohort Study.
Victor Vakayil, MD, MS, Brent Bauman, MD, Reema Mallick, MD, Sayeed Ikramuddin, MD, MHA, James Harmon, MD, PhD, FACS. University of MinnesotaIntroduction: Perforated peptic ulcer disease (PPUD) is the second most common cause for an abdominal perforation requiring surgical intervention. Laparoscopic surgery(LS) or an open surgical approach(OS) is utilized to repair the bowel, however, there… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Outcomes and Quality
COMPARISION OF PERIOPERATIVE AND SURVIVAL OUTCOMES OF LAPAROSCOPIC VERSUS OPEN GASTRECTOMY AFTER PREOPERATIVE CHEMOTHERAPY:A PROPENSITY SCORE-MATCHED ANALYSIS
Lin Chen, Hongqing Xi, Kecheng Zhang, Jiyang Li, Yunhe Gao, Wenquan Liang, Jianxin Cui, Bo Wei. Chinese People's Liberation Army General HospitalINTRODUCTION: Comparisons of laparoscopy-assisted gastrectomy (LAG) and open gastrectomy (OG) in the setting of neoadjuvant chemotherapy (NACT) are lacking. The present study was performed to investigate the short-term and long-term outcomes of LAG versus… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
DEVELOPMENT OF A CONCEPTUAL FRAMEWORK OF RECOVERY AFTER ABDOMINAL SURGERY: PRELIMINARY RESULTS
Roshni Alam1, Joel Montanez2, Susan Law2, Lawrence Lee1, Nancy Mayo3, Liane Feldman1, Julio Fiore Jr1. 1Department of Surgery, McGill University, 2St Mary's Research Centre, 3School of Physical and Occupational Therapy, McGill UniversityINTRODUCTION: Patient-reported outcome measures (PROMs) are central to determining the value of interventions that aim to improve surgical recovery. However, the evidence underpinning the… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Outcomes and Quality
Does Concomitant Placement of a Feeding Jejunostomy Tube During Esophagectomy Affect Quality Outcomes?
Landon Guntman, MD, Adil Ayub, MD, Sadiq Rehmani, MD, Faiz Bhora, MD, FACS, Wissam Raad, MD, FACS. Icahn School of Medicine at Mount SinaiBackground: Placement of a feeding jejunostomy tube (FJ) is often performed during esophagectomy. Few studies, however, have sought to determine whether concomitant placement affects postoperative outcomes of esophagectomy. Materials and methods: The… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
ECONOMIC IMPACT OF EMERGENCY DEPARTMENT USE FOLLOWING BARIATRIC SURGERY
Margaret E Smith, MD, Aaron Bonham, MSc, Amir Ghaferi, MD, MS. University of MichiganINTRODUCTION: Postoperative readmissions following bariatric surgery have declined over recent years; however, a concurrent reduction in postoperative emergency department (ED) visits has not occurred. The most common reasons for ED encounters include abdominal pain, dehydration and nausea. A large proportion of these… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Outcomes and Quality
Effect of Educational Intervention on Adenoma Detection Rate (ADR) for Colonoscopy in St. John’s, NL
Bradley Evans, MD, J Brodie, M Meng, M Borgaonkar, MD, FRCPC, D Pace, MD, FRCSC, M Goldring, D Boone, MD, FRCSC, J McGrath, MD, FRCPC. Memorial University of NewfoundlandThe Canadian Association of Gastroenterology (CAG) has implemented the Colonoscopy Skills Improvement (CSI) program across Canada with a goal of improving colonoscopy quality. The programs' efficacy has… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Effects of Dexamethasone on Post-Operative Urinary Retention in Laparoscopic Inguinal Hernia Repair
Merritt Denham, BS, Kara Donovan, BS, Nicole Wetoska, Kristine Kuchta, MS, JoAnn Carbray, BS, John G Linn, MD, Woody Denham, MD, Stephen P Haggerty, MD, FACS, Michael Ujiki, MD, FACS. NorthShore University Health SystemIntroduction: Post-operative urinary retention (POUR) is a complication of Laparoscopic Inguinal Hernia Repair (LIHR). Previous research has examined predictive perioperative factors of… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Outcomes and Quality
Examining the role of Preoperative Ineffective Esophageal Motility in Laparoscopic Fundoplication Outcomes
Tyler Hall, Natalie Warnes, Kristine Kuchta, Herbert Hedberg, MD, John G Linn, MD, Stephen P Haggerty, MD, Woody Denham, MD, Michael Ujiki, MD. NorthShore University HealthSystemIntroduction: Patients suffering from gastroesophageal reflux disease (GERD) may elect to undergo antireflux surgery (ARS). Our aim was to compare postoperative quality of life outcomes between patients who did and… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Implementing anti-bleeding policy in laparoscopic sleeve gastrectomy
Gideon Sroka, MD, Daria Milevski, MD, Husam Mady, MD, Ibrahim Matter, MD. Bnai-Zion Medical CenterIntroduction: blood pressure control during stomach resection and suture reinforcement of the stapler line have been shown in a randomized trial to minimize hemorrhagic complications in laparoscopic sleeve gastrectomy (LSG). The purpose of this study is to evaluate patient outcome after… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality