This cohort study evaluates secular trends in the management of choledocholithiasis in the United States and compares hospital length of stay between patients with choledocholithiasis treated with endoscopic retrograde cholangiopancreatography with laparoscopic cholecystectomy vs laparoscopic common bile duct exploration with laparoscopic cholecystectomy.
A 51-year-old man presented to the emergency department with a 2-day history of progressive abdominal pain, nausea, and vomiting 6 weeks after gallbladder removal and 1 month after removal of a lost gallstone. What is your diagnosis?
This Viewpoint explores the limits of the methods used in the Surgeon Scorecard, uses laparoscopic cholecystectomy data to illustrate the inherent statistical challenges the Scorecard faces, and suggests improvements for future surgical performance assessments.
This study assesses the rates and risk factors for hospital readmissions following emergency general surgery.
A 57-year-old woman presented with symptoms consistent with mild gallstone pancreatitis and medical history of recurrent biliary colic. What is your diagnosis?
A 52-year-old woman with a history of diabetes mellitus and cigarette smoking who had a prior laparoscopic cholecystectomy was referred to our institution for severe postprandial epigastric abdominal pain that had been ongoing for several months and unintentional weight loss. What is your diagnosis?
This retrospective review found that laparoscopic cholecystectomy performed within 2 days of presentation of acute cholecystitis yielded the best outcomes and lowest costs.
This database study found that surgical training does not sufficiently emphasize the necessary exposure to technical expertise and clinical management of patients undergoing bariatric surgery.
This systematic review and meta-analysis demonstrates that subtotal cholecystectomy is an important tool for use in difficult gallbladders and achieves morbidity rates comparable to those reported for total cholecystectomy in simple cases.
This study reports that rigorous risk-adjusted surgical quality assessment can be performed solely with objective variables. By leveraging data already routinely collected for patient care, this approach allows for wider adoption of quality assessment systems in health care.
Hwa and Wren examine whether an allied health professional telephone visit could safely substitute for an in-person clinic visit. See the Invited Commentary by Ault.
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