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| 1 | Improved hemostasis with major hepatic resection in the current surgical era显示文摘Background: Major hepatic resection, predominantly performed for oncologic intent, is a complex procedure with the potential for severe intraoperative hemorrhage. The current surgical era has the ability to improve hemostasis throughout the performance of major hepatic resections which decreases blood transfusions and the detrimental effects associated with transfusion. We evaluated hemostasis and outcomes in the current surgical era of performing hepatic resections. Methods: Utilizing the American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP) database all major hepatic resections performed between 2012 and 2016 were analyzed in regards to hemostasis. Hemostasis was evaluated by the need for and magnitude of blood transfusions. Additional perioperative variables (including operative time, length of hospital stay, and mortality rates) were analyzed to assess for outcomes with hemostasis. The NSQIP results were compared to previous publications involving major hepatic resections to detect improvement in hemostasis and outcomes in the current surgical era. Results: A total of 22777 major hepatic resections met the inclusion criteria for analysis in the NSQIP database. An additional 21198 cases were compiled within the selected publications for comparative analysis. The transfusion rate in the current surgical era was 13.3% versus 38.7% in the previous era ( P = 0.0001). When a transfusion was required in the current surgical era there was a two-fold reduction in the number of units transfused (1.5 U vs. 3.8 U, P = 0.0001). Statistically significant improvements in operative time and length of hospital stay were presented within the current surgical era ( P = 0.0001). When a transfusion was required there was an increased relative risk score of 7 for mortality (4.9% vs. 0.7%, P = 0.0001), however, improvement in mortality rates did not reach statistical significance across surgical eras (1.3% vs. 4.0%, P = 0.0001). Conclusions: The conduction of major hepatic resection in the current surgical era is more hemostatic. Correlated with improved hemostasis are better outcomes for both clinical and financial endpoints. These findings should encourage continued and increased performance of major hepatic resections. | Christopher W Mangieri Matthew A Strode Bradley C Bandera | 2019 | Hepatobiliary & Pancreatic Diseases International2019，18，5： | 3 |
| 2 | What Education needs? 显示文摘 | Bandera A | 1993 | Education Psychologist1993，，282： | 1 |
| 3 | Comer detection by means of adaptively estimated curvature function显示文摘 | Bandera A Urdiales C | 2000 | Electronics Letters2000，20，1： | 1 |
| 4 | Mathematical Simulation and Modeling of Steel Flow with Gas Bubbling in Trough Type Tundish显示文摘 | A Ramos Banderas | 2003 | ISIJ Intern2003，43，5： | 1 |
| 5 | Microanalysis of action and fear arousal as a function of differential levels of perceived self-efficacy 显示文摘 | BANDERA A REESE L ADAMS N E | 1982 | Journal of Personality and Social Psychology1982，43，： | 1 |
| 6 | Planar Shape Indexing and Retrieval Based on Hidden Markov Modles显示文摘 | Trazegnizes C Bandera A | 2002 | PRI2002，23，20： | 1 |
| 7 | Molecular epidemiology study of exogenous reinfection in an area with a low incidence of tuberculosis显示文摘 | Bandera A Gori A Catozzi L Degli Esposti A Marchetti G Molteni C Ferrario G Codecasa L Penati V Matteelli A Franzetti F | 2001 | J Clin Microbiol2001，39，6： | 1 |
| 8 | Mean Shift Based Clustering of Hough Domain for Fast Line Segment Detection 显示文摘 | Bandera A | 2006 | Pattern Recognition Letters2006，27，： | 1 |
| 9 | Robotic surgery in gynecologic oncology显示文摘 | BANDERA C A MAGRINA J F | 2009 | Curr Opin Obstet Gynecol2009，21，1： | 1 |
| 10 | Effect of progesterone on tackykinin concentrations in the hypothalamus and anterior pituitary of femal siberian hamsters显示文摘 | Bandera R Bartke A | 1999 | Peptides1999，20，3： | 1 |
| 11 | Does the platinum-free interval predict the incidence or severity of hyper- sensitivity reactions to carboplatin? The experience from Women and Infants' Hospital显示文摘 | SCHWARTZ JR BANDERA C BRADLEY A | 2007 | Gynecol Oncol2007，105，1： | 1 |
| 12 | Molecular epidemiology study of exogenous reinfection in an area with a low incidence of tuberculosis显示文摘 | Bandera A Gori A Catozzi L | 2001 | J Clin Microbiol2001，39，6： | 1 |
| 13 | Mathematical Simulation and Physical Modeling of Unsteady Fluid Flows in a Water Model of a Slab Mold 显示文摘 | Ramos Banderas A Sanchez-Perez R Morales R D | 2004 | Metall Mater Trans B2004，35，3： | 1 |
| 14 | CD4+T cell depletion, immune activation and increased production of regulatory T cells in the thymus of HIV-infected individuals 显示文摘 | Bandera A Ferrario G Saresella M | 2010 | PLoS One2010，24，10： | 1 |
| 15 | γ-Glutamyl transferase: a marker of nonalcoholic fatty liver disease in patients with the metabolic syndrome显示文摘 | Diana Zaineff Banderas Jorge Escobedo Evangelina Gonzalez María Gabriela Liceaga Jesus Cenobio Ramírez María Guadalupe Castro | 2012 | European Journal of Gastroenterology & Hepatology2012，，7： | 1 |
| 16 | Scaledependent hierarchical unsupervised segmentation of texture images显示文摘 | BANDERA A URDIALES C ARREBLOLE F | 2001 | Pattern Recognition Letters2001，22，2： | 1 |
| 17 | Affine image region detection and description 显示文摘 | Martin V Mar fill R and Bandera A | 2010 | Journal of Physical Agents2010，4，1： | 1 |
| 18 | Qualitative immune modulation by interleukin-2 (IL-2) adjuvant therapy in immunological non responder HIV-infected patients显示文摘 | Sabbatini F Bandera A Ferrario G | 2010 | PLoS One2010，5，11： | 1 |
| 19 | Non-parametric planar shape representation based on adaptive curvature functions 显示文摘 | Urdiales C Bandera A Sandoval F | 2002 | Pattern Recognition2002，35，1： | 1 |
| 20 | Interferon- gamma and granulocyte-macrophage colony stimulating factor therapy in three patients with pulmonary aspergillosis显示文摘 | Bandera A Trabattoni D Ferrario G | 2008 | Infection2008，36，36： | 1 |
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