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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 | Comer detection by means of adaptively estimated curvature function显示文摘 | Bandera A Urdiales C | 2000 | Electronics Letters2000，20，1： | 1 |
| 3 | Planar Shape Indexing and Retrieval Based on Hidden Markov Modles显示文摘 | Trazegnizes C Bandera A | 2002 | PRI2002，23，20： | 1 |
| 4 | Phytoestrogen consumption and endometrial cancer risk: a population-based case- control study in New Jersey 显示文摘 | Bandera EV Williams MG Sima C | 2009 | Cancer Causes Control2009，20，7： | 1 |
| 5 | Coffee and tea consump- tion and endometrial cancer risk in a population-based study in New Jersey显示文摘 | Bandera EV Williams-King MG Sima C | 2010 | Cancer Causes Control2010，21，9： | 1 |
| 6 | New technologies for the identification of marhers for early detection of ovarian cancer 显示文摘 | Bandera CA Ye B Mok S C | 2003 | Curt Opin Obstet Gynecol2003，15，1： | 1 |
| 7 | Cerebral blood flow threshold of ischemic penumbra and infarct core in acute ischemic stroke:a systematic review显示文摘 | BANDERA E BOTTERI M MINELLI C | 2006 | Stroke2006，37，5： | 1 |
| 8 | Cerebral blood flow thresholds for cerebral ischemia in traumatic brain injury:a systematic review显示文摘 | Botteri M Bandera E Minelli C | 2008 | Crit Care Med2008，36，11： | 1 |
| 9 | 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 |
| 10 | Robotic surgery in gynecologic oncology显示文摘 | BANDERA C A MAGRINA J F | 2009 | Curr Opin Obstet Gynecol2009，21，1： | 1 |
| 11 | Phytoestrogen con-sumption and endometrial cancer risk:a population-based case-control study in New Jersey 显示文摘 | Bandera EV Williams MG Sima C | 2009 | Cancer Causes Control2009，20，7： | 1 |
| 12 | Treatment of Unicentric CastlemanDisease With Neoadjuvant Rituximab 显示文摘 | Bandera B Ainsworth C | 2010 | Chest2010，138，5： | 1 |
| 13 | Cerebral blood flow threshold of ischemic penumbra and infarct core in acute ischemic stroke : a sys- tematic review显示文摘 | Bandera E Botteri M Minelli C | 2006 | Stroke2006，37，5： | 1 |
| 14 | Cerebral blood flow thresh-old of ischemic penumbra and infarct core in acute ischemic stroke : a systematic review 显示文摘 | Bandera E Botteri M Minelli C | 2006 | Stroke2006，37，5： | 1 |
| 15 | 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 |
| 16 | Foveal automatic target recognition using a multiresolution neural network显示文摘 | Young S S Scott P D Bandera C | 1998 | IEEE Transactions on Image Processing1998，7，8： | 1 |
| 17 | Scaledependent hierarchical unsupervised segmentation of texture images显示文摘 | BANDERA A URDIALES C ARREBLOLE F | 2001 | Pattern Recognition Letters2001，22，2： | 1 |
| 18 | Treatment of unicentrie eastleman disease with neoadjuvant rituximab 显示文摘 | Bandera B Ainsworth C Shikle J | 2010 | Chest2010，138，5： | 1 |
| 19 | Survival andtoxicity of radical radiotherapy ( with or without brachy-therapy) for FIGO stage I and H cervical cancer : amono-institutional analysis 显示文摘 | Bandera L La Face B Antonioli C | 2014 | Eur J Gynaecol Oncol2014，35，2： | 1 |
| 20 | BRCA1,BRCA2,and hereditary nonpolyposis colorectal cancer gene mutations in an unselected ovarian cancer population:relationship to family history and implications for genetic testing显示文摘 | Rubin SC Blackwood MA Bandera C | 1998 | Am J Obstet Gynecol1998，178，4： | 1 |
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