INTRODUCTION: Splenic cysts are rare but when diagnosed surgery is the primary treatment modality. The purpose of this study is to compare patient outcomes that underwent cyst resection to those that underwent partial splenectomy.
METHODS AND PROCEDURES: The University Health System Consortium (UHC), an alliance of more than 300 academic and affiliated hospitals, was used to identify patients by International Classification of Disease 9th revision Clinical Modification codes (ICD-9CM) from Octo
Introduction: To reduce costs, CMS implemented new policies governing which patients are automatically admitted as inpatients (staying greater than “two midnights”) and which require additional justification with physician documentation to be admitted. This study examines procedures missing from the Medicare Inpatient Only (MIO) list and uses national data to evaluate its appropriateness.
Method: Non-MIO procedures were identified from the current MIO list. Utilizing relevant billing codes, pro
INTRODUCTION: Laparoscopic surgery is widely recognized as requiring superior skill and experience for optimization of patient outcomes. In the literature, surgical procedures are associated with a learning curve regarding the number of cases required for a surgeon to become proficient in these operations. Consequently, involvement of less experienced resident surgeons may impact patients directly and the healthcare system overall. This study examines basic and advanced laparoscopic procedures p
BACKGROUND: This study aims to investigate changes in trends of minimally invasive surgery (MIS) for gastric cancer in a single institution in South Korea over 11 years and to anticipate the developmental direction of MIS.
METHODS: A total of 3021 minimally invasive gastric cancer surgeries were performed from May 2003 to January 2014 in Seoul National University Bundang Hospital. Changes in the pathological features, clinical outcomes, and surgical techniques were analyzed.
RESULTS: Among 302
Introduction: The benefits of advanced laparoscopy to the patient are well-established, but the dissemination of advanced laparoscopy into mainstream surgical practice has not been well-described. We hypothesized that for common abdominal operations, laparoscopy has become more prevalent than open surgery in the United States.
Methods: We performed a cross sectional study of all 374 American hospitals participating in the National Surgical Quality Improvement Program (NSQIP) in order to evaluat