As is detailed elsewhere in this issue, enhanced recovery pathways integrate evidence-based best practices across the spectrum of perioperative care. Although interventions in the operating room and in the postoperative ward are important for improving postoperative outcomes in enhanced recovery after surgery (ERAS®) pathways, an ERAS® approach for preoperative care is equally important for ach...

STUDY DESIGN A retrospective cohort study. OBJECTIVE The aim of this study is to investigate the preoperative factors for postlaminoplasty kyphotic deformity in cervical spondylotic myelopathy (CSM) patients without preoperative kyphotic alignment focused on the cervical sagittal balance. SUMMARY OF BACKGROUND DATA After laminoplasty (LAMP), appropriate decompression may be obtained when ce...

BACKGROUND Risk scoring system for thoracic surgery patients have not been widely used, as of recently. We tried to forge a risk scoring system that predicts the risk of postoperative complications in patients undergoing major thoracic surgery. We used a prolonged ICU stay as a representative of postoperative complications and tested various possible risk factors for its relation. METHODS Dat...

A careful preoperative assessment of patients with lung cancer is essential for identifying those at high risk for morbidity and mortality related to the surgical procedure. The clinician must assess the risk associated with such treatment, decide whether the risk is prohibitive, and institute therapy to reduce such risk. Testing modalities used in the preoperative evaluation include spirometry...

Background. Epidemiological studies have reported various results relating preoperative hydronephrosis to upper tract urothelial carcinoma (UTUC). However, the clinical significance and prognostic value of preoperative hydronephrosis in UTUC remains controversial. The aim of this study was to provide a comprehensive meta-analysis of the extent of the possible association between preoperative hy...

Objectives: To identify prognostic predictors of upper tract urothelial carcinoma (UTUC) following radical nephroureterectomy (RNU), we tested the hypothesis that preoperative anemia could be a potential predictor of the prognosis of UTUC. Patients and methods: Clinical and pathological data on 686 patients with UTUC who underwent RNU at Peking University First Hospital, Beijing, China, between...

BACKGROUND AND PURPOSE Preoperative embolization of arteriovenous malformations (AVMs) is thought to improve outcome following surgical resection of these lesions. The purpose of this study was to examine the cost associated with preoperative embolization and different surgical risk categories in the surgical treatment of brain AVMs. METHODS In a review of 126 patients treated surgically for ...

PURPOSE Algorithms have been developed to predict time to biochemical failure (BF) following radical prostatectomy (RP) for patients with clinically localized prostate cancer. The purpose of this study was to validate an algorithm based on prostatectomy findings and to evaluate whether the preoperative serum prostate specific antigen (PSA) enhances the predictive ability of the algorithm. MAT...

 Abstract Background: This study sought to determine patient characteristics, process of care, and outcome as predictors of reintubation after open-heart surgery. Methods: We performed a retrospective case control study that included all patients undergoing cardiac surgery who required reintubation and an equal number of control patients not requiring reintubation. Putative risk factors were an...

conclusions high risk patients needing avr are optimal candidates for transcatheter aortic valve implantation. tavi is a valuable solution for high risk patients needing avr. obtained results are comparable to results in transthoracic avr in standard candidates for aortic valve implantation. background transcatheter aortic valve implantation (tavi) has emerged as an alternative treatment to cla...