Same day discharge for benign laparoscopic hiatal surgery: a feasibility analysis View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2018-02

AUTHORS

Juan Carlos Molina, Ana María Misariu, Ioana Nicolau, Jonathan Spicer, David Mulder, Lorenzo E. Ferri, Carmen L. Mueller

ABSTRACT

BACKGROUND: Advances in minimally invasive surgery and the development of enhanced recovery pathways have favored the spread of day-surgery programs. Despite laparoscopic approaches being accepted as the standard of care for benign hiatal diseases, safety and feasibility of same day discharges for laparoscopic hiatal surgeries other than fundoplication has yet to be established. OBJECTIVE: This study aimed to assess the feasibility of same day discharge for primary and revisional laparoscopic hiatal surgeries including paraesophageal hernia repairs (PEHR), fundoplication for reflux, and Heller myotomy (±diverticulectomy). METHODS: A retrospective cohort study including all patients undergoing elective laparoscopic hiatal procedures in the division of Thoracic surgery between 2011 and 2016 at McGill University Health Centre was performed. Planned day-surgery (DAYCASE) was compared to planned inpatient (INPATIENT) cohorts with respect to operative and postoperative outcomes, length of stay, readmission, and emergency room visits. RESULTS: A total of 261 patients were identified, 161 female (62%); median age 62 (20). The case distribution was: PEHR (123; 47.1%), Heller myotomy (94;36%, 7 diverticulectomy), and fundoplication (44; 16.9%). Twenty patients had revisional procedures (7.7%). Same day discharge was planned in 98 cases (38%) and was successful in 80 (81.6%). Proportion of DAYCASE increased form 12% prior to 2013 to 67% in 2016. INPATIENTs were older (median 66 vs. 60 years), and had a higher proportion of PEHR (55 vs. 34%), p < 0.05. Both cohorts were comparable in gender proportion, ASA classification, and length of surgery. Complications, readmission, and emergency visits did not differ between the two cohorts. On multivariate analysis, female gender (OR 37, 95% CI 1.46-936, p = 0.028), surgery beginning after noon (OR 5.4, 95% CI 1.1-26.9, p = 0.038), intraoperative complications (OR 20.4 95% CI 1.5-286, p = 0.025), and postoperative complications (OR 52.1, 95% CI 4.5-602, p = 0.002) were independently associated with unplanned admission. CONCLUSIONS: Day-case surgery for complex laparoscopic hiatal procedures is feasible and can be achieved in a significant number of patients without compromising safety. More... »

PAGES

937-944

Journal

TITLE

Surgical Endoscopy

ISSUE

2

VOLUME

32

Author Affiliations

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00464-017-5769-5

DOI

http://dx.doi.org/10.1007/s00464-017-5769-5

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1091048667

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/28779258


Indexing Status Check whether this publication has been indexed by Scopus and Web Of Science using the SN Indexing Status Tool
Incoming Citations Browse incoming citations for this publication using opencitations.net

JSON-LD is the canonical representation for SciGraph data.

TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT

[
  {
    "@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json", 
    "about": [
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1103", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Clinical Sciences", 
        "type": "DefinedTerm"
      }, 
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Medical and Health Sciences", 
        "type": "DefinedTerm"
      }
    ], 
    "author": [
      {
        "affiliation": {
          "alternateName": "Montreal General Hospital", 
          "id": "https://www.grid.ac/institutes/grid.416099.3", 
          "name": [
            "Division of Thoracic and Upper GI Surgery, Montreal General Hospital, McGill University Health Center, 1650 Cedar Avenue, L8-512, H3G 1A4, Montreal, QC, Canada"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Molina", 
        "givenName": "Juan Carlos", 
        "id": "sg:person.011266355627.48", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.011266355627.48"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Montreal General Hospital", 
          "id": "https://www.grid.ac/institutes/grid.416099.3", 
          "name": [
            "Division of Thoracic and Upper GI Surgery, Montreal General Hospital, McGill University Health Center, 1650 Cedar Avenue, L8-512, H3G 1A4, Montreal, QC, Canada"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Misariu", 
        "givenName": "Ana Mar\u00eda", 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Montreal General Hospital", 
          "id": "https://www.grid.ac/institutes/grid.416099.3", 
          "name": [
            "Division of Thoracic and Upper GI Surgery, Montreal General Hospital, McGill University Health Center, 1650 Cedar Avenue, L8-512, H3G 1A4, Montreal, QC, Canada"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Nicolau", 
        "givenName": "Ioana", 
        "id": "sg:person.01244167621.50", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01244167621.50"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Montreal General Hospital", 
          "id": "https://www.grid.ac/institutes/grid.416099.3", 
          "name": [
            "Division of Thoracic and Upper GI Surgery, Montreal General Hospital, McGill University Health Center, 1650 Cedar Avenue, L8-512, H3G 1A4, Montreal, QC, Canada"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Spicer", 
        "givenName": "Jonathan", 
        "id": "sg:person.0712420560.53", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0712420560.53"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Montreal General Hospital", 
          "id": "https://www.grid.ac/institutes/grid.416099.3", 
          "name": [
            "Division of Thoracic and Upper GI Surgery, Montreal General Hospital, McGill University Health Center, 1650 Cedar Avenue, L8-512, H3G 1A4, Montreal, QC, Canada"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Mulder", 
        "givenName": "David", 
        "id": "sg:person.01056610046.91", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01056610046.91"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Montreal General Hospital", 
          "id": "https://www.grid.ac/institutes/grid.416099.3", 
          "name": [
            "Division of Thoracic and Upper GI Surgery, Montreal General Hospital, McGill University Health Center, 1650 Cedar Avenue, L8-512, H3G 1A4, Montreal, QC, Canada"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Ferri", 
        "givenName": "Lorenzo E.", 
        "id": "sg:person.01253307723.62", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01253307723.62"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Montreal General Hospital", 
          "id": "https://www.grid.ac/institutes/grid.416099.3", 
          "name": [
            "Division of Thoracic and Upper GI Surgery, Montreal General Hospital, McGill University Health Center, 1650 Cedar Avenue, L8-512, H3G 1A4, Montreal, QC, Canada"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Mueller", 
        "givenName": "Carmen L.", 
        "id": "sg:person.01264524702.70", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01264524702.70"
        ], 
        "type": "Person"
      }
    ], 
    "citation": [
      {
        "id": "sg:pub.10.1007/s00464-008-0178-4", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1001387903", 
          "https://doi.org/10.1007/s00464-008-0178-4"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00464-008-0178-4", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1001387903", 
          "https://doi.org/10.1007/s00464-008-0178-4"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.amjsurg.2006.11.021", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1002648179"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/sla.0000000000000212", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1003630939"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/sla.0000000000000212", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1003630939"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/sla.0000000000000212", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1003630939"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.soard.2008.04.008", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1004177570"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00464-005-0777-2", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1005765253", 
          "https://doi.org/10.1007/s00464-005-0777-2"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00464-005-0777-2", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1005765253", 
          "https://doi.org/10.1007/s00464-005-0777-2"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1093/bja/87.1.73", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1010883749"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1046/j.1365-2168.2000.01578.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1014993698"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s13304-012-0195-7", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1019200693", 
          "https://doi.org/10.1007/s13304-012-0195-7"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.jamcollsurg.2016.03.005", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1019878536"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1089/lap.2012.0170", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1024432376"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1002/bjs.4093", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1030832528"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1002/14651858.cd006798.pub4", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1033293092"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1177/145749690609500306", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1033464081"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1177/145749690609500306", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1033464081"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.mpsur.2016.11.013", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1034376878"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1111/j.1445-2197.2005.03305.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1036381571"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1046/j.1365-2168.1998.00829.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1036414255"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1111/dote.12387", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1038797808"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00464-014-3448-3", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1038819487", 
          "https://doi.org/10.1007/s00464-014-3448-3"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.athoracsur.2011.08.066", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1041306102"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00464-016-5006-7", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1042516871", 
          "https://doi.org/10.1007/s00464-016-5006-7"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00464-016-5006-7", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1042516871", 
          "https://doi.org/10.1007/s00464-016-5006-7"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0021-7697(05)80930-5", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1042853985"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1111/j.1445-2197.1998.tb04673.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1047253577"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/sla.0b013e31817f2c1a", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1047276324"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/sla.0b013e31817f2c1a", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1047276324"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/sla.0b013e31817f2c1a", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1047276324"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.4293/108680812x13291597715907", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1048856223"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/bf02653255", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1049654241", 
          "https://doi.org/10.1007/bf02653255"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/bf02653255", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1049654241", 
          "https://doi.org/10.1007/bf02653255"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s004649900558", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1050096849", 
          "https://doi.org/10.1007/s004649900558"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s10029-005-0007-9", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1050155609", 
          "https://doi.org/10.1007/s10029-005-0007-9"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s10029-005-0007-9", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1050155609", 
          "https://doi.org/10.1007/s10029-005-0007-9"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.soard.2014.08.017", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1050996389"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1089/lap.2008.0057", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1059293294"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1089/lap.2011.0276", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1059293976"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1089/lap.2013.0187", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1059294343"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1308/rcsann.2016.0063", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1064982999"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1078968406", 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1083153833", 
        "type": "CreativeWork"
      }
    ], 
    "datePublished": "2018-02", 
    "datePublishedReg": "2018-02-01", 
    "description": "BACKGROUND: Advances in minimally invasive surgery and the development of enhanced recovery pathways have favored the spread of day-surgery programs. Despite laparoscopic approaches being accepted as the standard of care for benign hiatal diseases, safety and feasibility of same day discharges for laparoscopic hiatal surgeries other than fundoplication has yet to be established.\nOBJECTIVE: This study aimed to assess the feasibility of same day discharge for primary and revisional laparoscopic hiatal surgeries including paraesophageal hernia repairs (PEHR), fundoplication for reflux, and Heller myotomy (\u00b1diverticulectomy).\nMETHODS: A retrospective cohort study including all patients undergoing elective laparoscopic hiatal procedures in the division of Thoracic surgery between 2011 and 2016 at McGill University Health Centre was performed. Planned day-surgery (DAYCASE) was compared to planned inpatient (INPATIENT) cohorts with respect to operative and postoperative outcomes, length of stay, readmission, and emergency room visits.\nRESULTS: A total of 261 patients were identified, 161 female (62%); median age 62 (20). The case distribution was: PEHR (123; 47.1%), Heller myotomy (94;36%, 7 diverticulectomy), and fundoplication (44; 16.9%). Twenty patients had revisional procedures (7.7%). Same day discharge was planned in 98 cases (38%) and was successful in 80 (81.6%). Proportion of DAYCASE increased form 12% prior to 2013 to 67% in 2016. INPATIENTs were older (median 66 vs. 60\u00a0years), and had a higher proportion of PEHR (55 vs. 34%), p\u00a0<\u00a00.05. Both cohorts were comparable in gender proportion, ASA classification, and length of surgery. Complications, readmission, and emergency visits did not differ between the two cohorts. On multivariate analysis, female gender (OR 37, 95% CI 1.46-936, p\u00a0=\u00a00.028), surgery beginning after noon (OR 5.4, 95% CI 1.1-26.9, p\u00a0=\u00a00.038), intraoperative complications (OR 20.4 95% CI 1.5-286, p\u00a0=\u00a00.025), and postoperative complications (OR 52.1, 95% CI 4.5-602, p\u00a0=\u00a00.002) were independently associated with unplanned admission.\nCONCLUSIONS: Day-case surgery for complex laparoscopic hiatal procedures is feasible and can be achieved in a significant number of patients without compromising safety.", 
    "genre": "research_article", 
    "id": "sg:pub.10.1007/s00464-017-5769-5", 
    "inLanguage": [
      "en"
    ], 
    "isAccessibleForFree": false, 
    "isPartOf": [
      {
        "id": "sg:journal.1098220", 
        "issn": [
          "0930-2794", 
          "1432-2218"
        ], 
        "name": "Surgical Endoscopy", 
        "type": "Periodical"
      }, 
      {
        "issueNumber": "2", 
        "type": "PublicationIssue"
      }, 
      {
        "type": "PublicationVolume", 
        "volumeNumber": "32"
      }
    ], 
    "name": "Same day discharge for benign laparoscopic hiatal surgery: a feasibility analysis", 
    "pagination": "937-944", 
    "productId": [
      {
        "name": "readcube_id", 
        "type": "PropertyValue", 
        "value": [
          "52444f64e1c3edc1a6130faa0003de365b1e5d4836cda4239fac48152e217812"
        ]
      }, 
      {
        "name": "pubmed_id", 
        "type": "PropertyValue", 
        "value": [
          "28779258"
        ]
      }, 
      {
        "name": "nlm_unique_id", 
        "type": "PropertyValue", 
        "value": [
          "8806653"
        ]
      }, 
      {
        "name": "doi", 
        "type": "PropertyValue", 
        "value": [
          "10.1007/s00464-017-5769-5"
        ]
      }, 
      {
        "name": "dimensions_id", 
        "type": "PropertyValue", 
        "value": [
          "pub.1091048667"
        ]
      }
    ], 
    "sameAs": [
      "https://doi.org/10.1007/s00464-017-5769-5", 
      "https://app.dimensions.ai/details/publication/pub.1091048667"
    ], 
    "sdDataset": "articles", 
    "sdDatePublished": "2019-04-11T12:39", 
    "sdLicense": "https://scigraph.springernature.com/explorer/license/", 
    "sdPublisher": {
      "name": "Springer Nature - SN SciGraph project", 
      "type": "Organization"
    }, 
    "sdSource": "s3://com-uberresearch-data-dimensions-target-20181106-alternative/cleanup/v134/2549eaecd7973599484d7c17b260dba0a4ecb94b/merge/v9/a6c9fde33151104705d4d7ff012ea9563521a3ce/jats-lookup/v90/0000000363_0000000363/records_70043_00000002.jsonl", 
    "type": "ScholarlyArticle", 
    "url": "https://link.springer.com/10.1007%2Fs00464-017-5769-5"
  }
]
 

Download the RDF metadata as:  json-ld nt turtle xml License info

HOW TO GET THIS DATA PROGRAMMATICALLY:

JSON-LD is a popular format for linked data which is fully compatible with JSON.

curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1007/s00464-017-5769-5'

N-Triples is a line-based linked data format ideal for batch operations.

curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1007/s00464-017-5769-5'

Turtle is a human-readable linked data format.

curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1007/s00464-017-5769-5'

RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1007/s00464-017-5769-5'


 

This table displays all metadata directly associated to this object as RDF triples.

218 TRIPLES      21 PREDICATES      63 URIs      21 LITERALS      9 BLANK NODES

Subject Predicate Object
1 sg:pub.10.1007/s00464-017-5769-5 schema:about anzsrc-for:11
2 anzsrc-for:1103
3 schema:author N7cc74a101eee4befa5a6dd5988ccce76
4 schema:citation sg:pub.10.1007/bf02653255
5 sg:pub.10.1007/s00464-005-0777-2
6 sg:pub.10.1007/s00464-008-0178-4
7 sg:pub.10.1007/s00464-014-3448-3
8 sg:pub.10.1007/s00464-016-5006-7
9 sg:pub.10.1007/s004649900558
10 sg:pub.10.1007/s10029-005-0007-9
11 sg:pub.10.1007/s13304-012-0195-7
12 https://app.dimensions.ai/details/publication/pub.1078968406
13 https://app.dimensions.ai/details/publication/pub.1083153833
14 https://doi.org/10.1002/14651858.cd006798.pub4
15 https://doi.org/10.1002/bjs.4093
16 https://doi.org/10.1016/j.amjsurg.2006.11.021
17 https://doi.org/10.1016/j.athoracsur.2011.08.066
18 https://doi.org/10.1016/j.jamcollsurg.2016.03.005
19 https://doi.org/10.1016/j.mpsur.2016.11.013
20 https://doi.org/10.1016/j.soard.2008.04.008
21 https://doi.org/10.1016/j.soard.2014.08.017
22 https://doi.org/10.1016/s0021-7697(05)80930-5
23 https://doi.org/10.1046/j.1365-2168.1998.00829.x
24 https://doi.org/10.1046/j.1365-2168.2000.01578.x
25 https://doi.org/10.1089/lap.2008.0057
26 https://doi.org/10.1089/lap.2011.0276
27 https://doi.org/10.1089/lap.2012.0170
28 https://doi.org/10.1089/lap.2013.0187
29 https://doi.org/10.1093/bja/87.1.73
30 https://doi.org/10.1097/sla.0000000000000212
31 https://doi.org/10.1097/sla.0b013e31817f2c1a
32 https://doi.org/10.1111/dote.12387
33 https://doi.org/10.1111/j.1445-2197.1998.tb04673.x
34 https://doi.org/10.1111/j.1445-2197.2005.03305.x
35 https://doi.org/10.1177/145749690609500306
36 https://doi.org/10.1308/rcsann.2016.0063
37 https://doi.org/10.4293/108680812x13291597715907
38 schema:datePublished 2018-02
39 schema:datePublishedReg 2018-02-01
40 schema:description BACKGROUND: Advances in minimally invasive surgery and the development of enhanced recovery pathways have favored the spread of day-surgery programs. Despite laparoscopic approaches being accepted as the standard of care for benign hiatal diseases, safety and feasibility of same day discharges for laparoscopic hiatal surgeries other than fundoplication has yet to be established. OBJECTIVE: This study aimed to assess the feasibility of same day discharge for primary and revisional laparoscopic hiatal surgeries including paraesophageal hernia repairs (PEHR), fundoplication for reflux, and Heller myotomy (±diverticulectomy). METHODS: A retrospective cohort study including all patients undergoing elective laparoscopic hiatal procedures in the division of Thoracic surgery between 2011 and 2016 at McGill University Health Centre was performed. Planned day-surgery (DAYCASE) was compared to planned inpatient (INPATIENT) cohorts with respect to operative and postoperative outcomes, length of stay, readmission, and emergency room visits. RESULTS: A total of 261 patients were identified, 161 female (62%); median age 62 (20). The case distribution was: PEHR (123; 47.1%), Heller myotomy (94;36%, 7 diverticulectomy), and fundoplication (44; 16.9%). Twenty patients had revisional procedures (7.7%). Same day discharge was planned in 98 cases (38%) and was successful in 80 (81.6%). Proportion of DAYCASE increased form 12% prior to 2013 to 67% in 2016. INPATIENTs were older (median 66 vs. 60 years), and had a higher proportion of PEHR (55 vs. 34%), p < 0.05. Both cohorts were comparable in gender proportion, ASA classification, and length of surgery. Complications, readmission, and emergency visits did not differ between the two cohorts. On multivariate analysis, female gender (OR 37, 95% CI 1.46-936, p = 0.028), surgery beginning after noon (OR 5.4, 95% CI 1.1-26.9, p = 0.038), intraoperative complications (OR 20.4 95% CI 1.5-286, p = 0.025), and postoperative complications (OR 52.1, 95% CI 4.5-602, p = 0.002) were independently associated with unplanned admission. CONCLUSIONS: Day-case surgery for complex laparoscopic hiatal procedures is feasible and can be achieved in a significant number of patients without compromising safety.
41 schema:genre research_article
42 schema:inLanguage en
43 schema:isAccessibleForFree false
44 schema:isPartOf N46bc9562f1944a94a30701d8d2c1dd2f
45 N6943b2f435fd406db7143bd553c17150
46 sg:journal.1098220
47 schema:name Same day discharge for benign laparoscopic hiatal surgery: a feasibility analysis
48 schema:pagination 937-944
49 schema:productId N4ebefed2a32b450784266b530b7fb139
50 N7514dd032fca42a190223140de064b51
51 N791da46a58a448588058b517873219fe
52 Nd19d921b31d043438f2b5ee0fc73ec4c
53 Ndae2174da92e474ea768dca135f6607f
54 schema:sameAs https://app.dimensions.ai/details/publication/pub.1091048667
55 https://doi.org/10.1007/s00464-017-5769-5
56 schema:sdDatePublished 2019-04-11T12:39
57 schema:sdLicense https://scigraph.springernature.com/explorer/license/
58 schema:sdPublisher N05f84fbaf93a42ffb45fa9eca15cf27a
59 schema:url https://link.springer.com/10.1007%2Fs00464-017-5769-5
60 sgo:license sg:explorer/license/
61 sgo:sdDataset articles
62 rdf:type schema:ScholarlyArticle
63 N05f84fbaf93a42ffb45fa9eca15cf27a schema:name Springer Nature - SN SciGraph project
64 rdf:type schema:Organization
65 N46bc9562f1944a94a30701d8d2c1dd2f schema:volumeNumber 32
66 rdf:type schema:PublicationVolume
67 N4ebefed2a32b450784266b530b7fb139 schema:name nlm_unique_id
68 schema:value 8806653
69 rdf:type schema:PropertyValue
70 N597e7524b7884214aaa00e4bf6dd54b6 rdf:first sg:person.01253307723.62
71 rdf:rest Nb6fc31253b114ac5ac481a18d5cd88ae
72 N6943b2f435fd406db7143bd553c17150 schema:issueNumber 2
73 rdf:type schema:PublicationIssue
74 N6e6e6eec25b7440cbff4b70acc5ccb23 schema:affiliation https://www.grid.ac/institutes/grid.416099.3
75 schema:familyName Misariu
76 schema:givenName Ana María
77 rdf:type schema:Person
78 N7514dd032fca42a190223140de064b51 schema:name pubmed_id
79 schema:value 28779258
80 rdf:type schema:PropertyValue
81 N75ffae4ae3ef450da54a412d4aa100b8 rdf:first sg:person.0712420560.53
82 rdf:rest Na1de14e2e1854134a412c26d5c36779c
83 N791da46a58a448588058b517873219fe schema:name doi
84 schema:value 10.1007/s00464-017-5769-5
85 rdf:type schema:PropertyValue
86 N7cc74a101eee4befa5a6dd5988ccce76 rdf:first sg:person.011266355627.48
87 rdf:rest Nd28d77b356ab484182fc81758a34c21f
88 Na1de14e2e1854134a412c26d5c36779c rdf:first sg:person.01056610046.91
89 rdf:rest N597e7524b7884214aaa00e4bf6dd54b6
90 Nb6fc31253b114ac5ac481a18d5cd88ae rdf:first sg:person.01264524702.70
91 rdf:rest rdf:nil
92 Nd19d921b31d043438f2b5ee0fc73ec4c schema:name dimensions_id
93 schema:value pub.1091048667
94 rdf:type schema:PropertyValue
95 Nd28d77b356ab484182fc81758a34c21f rdf:first N6e6e6eec25b7440cbff4b70acc5ccb23
96 rdf:rest Nd3a246d82fbc4fceaad83a3e86dbbe6b
97 Nd3a246d82fbc4fceaad83a3e86dbbe6b rdf:first sg:person.01244167621.50
98 rdf:rest N75ffae4ae3ef450da54a412d4aa100b8
99 Ndae2174da92e474ea768dca135f6607f schema:name readcube_id
100 schema:value 52444f64e1c3edc1a6130faa0003de365b1e5d4836cda4239fac48152e217812
101 rdf:type schema:PropertyValue
102 anzsrc-for:11 schema:inDefinedTermSet anzsrc-for:
103 schema:name Medical and Health Sciences
104 rdf:type schema:DefinedTerm
105 anzsrc-for:1103 schema:inDefinedTermSet anzsrc-for:
106 schema:name Clinical Sciences
107 rdf:type schema:DefinedTerm
108 sg:journal.1098220 schema:issn 0930-2794
109 1432-2218
110 schema:name Surgical Endoscopy
111 rdf:type schema:Periodical
112 sg:person.01056610046.91 schema:affiliation https://www.grid.ac/institutes/grid.416099.3
113 schema:familyName Mulder
114 schema:givenName David
115 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01056610046.91
116 rdf:type schema:Person
117 sg:person.011266355627.48 schema:affiliation https://www.grid.ac/institutes/grid.416099.3
118 schema:familyName Molina
119 schema:givenName Juan Carlos
120 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.011266355627.48
121 rdf:type schema:Person
122 sg:person.01244167621.50 schema:affiliation https://www.grid.ac/institutes/grid.416099.3
123 schema:familyName Nicolau
124 schema:givenName Ioana
125 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01244167621.50
126 rdf:type schema:Person
127 sg:person.01253307723.62 schema:affiliation https://www.grid.ac/institutes/grid.416099.3
128 schema:familyName Ferri
129 schema:givenName Lorenzo E.
130 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01253307723.62
131 rdf:type schema:Person
132 sg:person.01264524702.70 schema:affiliation https://www.grid.ac/institutes/grid.416099.3
133 schema:familyName Mueller
134 schema:givenName Carmen L.
135 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01264524702.70
136 rdf:type schema:Person
137 sg:person.0712420560.53 schema:affiliation https://www.grid.ac/institutes/grid.416099.3
138 schema:familyName Spicer
139 schema:givenName Jonathan
140 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0712420560.53
141 rdf:type schema:Person
142 sg:pub.10.1007/bf02653255 schema:sameAs https://app.dimensions.ai/details/publication/pub.1049654241
143 https://doi.org/10.1007/bf02653255
144 rdf:type schema:CreativeWork
145 sg:pub.10.1007/s00464-005-0777-2 schema:sameAs https://app.dimensions.ai/details/publication/pub.1005765253
146 https://doi.org/10.1007/s00464-005-0777-2
147 rdf:type schema:CreativeWork
148 sg:pub.10.1007/s00464-008-0178-4 schema:sameAs https://app.dimensions.ai/details/publication/pub.1001387903
149 https://doi.org/10.1007/s00464-008-0178-4
150 rdf:type schema:CreativeWork
151 sg:pub.10.1007/s00464-014-3448-3 schema:sameAs https://app.dimensions.ai/details/publication/pub.1038819487
152 https://doi.org/10.1007/s00464-014-3448-3
153 rdf:type schema:CreativeWork
154 sg:pub.10.1007/s00464-016-5006-7 schema:sameAs https://app.dimensions.ai/details/publication/pub.1042516871
155 https://doi.org/10.1007/s00464-016-5006-7
156 rdf:type schema:CreativeWork
157 sg:pub.10.1007/s004649900558 schema:sameAs https://app.dimensions.ai/details/publication/pub.1050096849
158 https://doi.org/10.1007/s004649900558
159 rdf:type schema:CreativeWork
160 sg:pub.10.1007/s10029-005-0007-9 schema:sameAs https://app.dimensions.ai/details/publication/pub.1050155609
161 https://doi.org/10.1007/s10029-005-0007-9
162 rdf:type schema:CreativeWork
163 sg:pub.10.1007/s13304-012-0195-7 schema:sameAs https://app.dimensions.ai/details/publication/pub.1019200693
164 https://doi.org/10.1007/s13304-012-0195-7
165 rdf:type schema:CreativeWork
166 https://app.dimensions.ai/details/publication/pub.1078968406 schema:CreativeWork
167 https://app.dimensions.ai/details/publication/pub.1083153833 schema:CreativeWork
168 https://doi.org/10.1002/14651858.cd006798.pub4 schema:sameAs https://app.dimensions.ai/details/publication/pub.1033293092
169 rdf:type schema:CreativeWork
170 https://doi.org/10.1002/bjs.4093 schema:sameAs https://app.dimensions.ai/details/publication/pub.1030832528
171 rdf:type schema:CreativeWork
172 https://doi.org/10.1016/j.amjsurg.2006.11.021 schema:sameAs https://app.dimensions.ai/details/publication/pub.1002648179
173 rdf:type schema:CreativeWork
174 https://doi.org/10.1016/j.athoracsur.2011.08.066 schema:sameAs https://app.dimensions.ai/details/publication/pub.1041306102
175 rdf:type schema:CreativeWork
176 https://doi.org/10.1016/j.jamcollsurg.2016.03.005 schema:sameAs https://app.dimensions.ai/details/publication/pub.1019878536
177 rdf:type schema:CreativeWork
178 https://doi.org/10.1016/j.mpsur.2016.11.013 schema:sameAs https://app.dimensions.ai/details/publication/pub.1034376878
179 rdf:type schema:CreativeWork
180 https://doi.org/10.1016/j.soard.2008.04.008 schema:sameAs https://app.dimensions.ai/details/publication/pub.1004177570
181 rdf:type schema:CreativeWork
182 https://doi.org/10.1016/j.soard.2014.08.017 schema:sameAs https://app.dimensions.ai/details/publication/pub.1050996389
183 rdf:type schema:CreativeWork
184 https://doi.org/10.1016/s0021-7697(05)80930-5 schema:sameAs https://app.dimensions.ai/details/publication/pub.1042853985
185 rdf:type schema:CreativeWork
186 https://doi.org/10.1046/j.1365-2168.1998.00829.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1036414255
187 rdf:type schema:CreativeWork
188 https://doi.org/10.1046/j.1365-2168.2000.01578.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1014993698
189 rdf:type schema:CreativeWork
190 https://doi.org/10.1089/lap.2008.0057 schema:sameAs https://app.dimensions.ai/details/publication/pub.1059293294
191 rdf:type schema:CreativeWork
192 https://doi.org/10.1089/lap.2011.0276 schema:sameAs https://app.dimensions.ai/details/publication/pub.1059293976
193 rdf:type schema:CreativeWork
194 https://doi.org/10.1089/lap.2012.0170 schema:sameAs https://app.dimensions.ai/details/publication/pub.1024432376
195 rdf:type schema:CreativeWork
196 https://doi.org/10.1089/lap.2013.0187 schema:sameAs https://app.dimensions.ai/details/publication/pub.1059294343
197 rdf:type schema:CreativeWork
198 https://doi.org/10.1093/bja/87.1.73 schema:sameAs https://app.dimensions.ai/details/publication/pub.1010883749
199 rdf:type schema:CreativeWork
200 https://doi.org/10.1097/sla.0000000000000212 schema:sameAs https://app.dimensions.ai/details/publication/pub.1003630939
201 rdf:type schema:CreativeWork
202 https://doi.org/10.1097/sla.0b013e31817f2c1a schema:sameAs https://app.dimensions.ai/details/publication/pub.1047276324
203 rdf:type schema:CreativeWork
204 https://doi.org/10.1111/dote.12387 schema:sameAs https://app.dimensions.ai/details/publication/pub.1038797808
205 rdf:type schema:CreativeWork
206 https://doi.org/10.1111/j.1445-2197.1998.tb04673.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1047253577
207 rdf:type schema:CreativeWork
208 https://doi.org/10.1111/j.1445-2197.2005.03305.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1036381571
209 rdf:type schema:CreativeWork
210 https://doi.org/10.1177/145749690609500306 schema:sameAs https://app.dimensions.ai/details/publication/pub.1033464081
211 rdf:type schema:CreativeWork
212 https://doi.org/10.1308/rcsann.2016.0063 schema:sameAs https://app.dimensions.ai/details/publication/pub.1064982999
213 rdf:type schema:CreativeWork
214 https://doi.org/10.4293/108680812x13291597715907 schema:sameAs https://app.dimensions.ai/details/publication/pub.1048856223
215 rdf:type schema:CreativeWork
216 https://www.grid.ac/institutes/grid.416099.3 schema:alternateName Montreal General Hospital
217 schema:name Division of Thoracic and Upper GI Surgery, Montreal General Hospital, McGill University Health Center, 1650 Cedar Avenue, L8-512, H3G 1A4, Montreal, QC, Canada
218 rdf:type schema:Organization
 




Preview window. Press ESC to close (or click here)


...