Canadian Surgery Forum1 Outcomes of the adjustable gastric band in a publicly funded obesity program2 Simultaneous cholecystectomy and bariatric procedure is feasible and safe: systematic review and meta-analysis3 Laparoscopic gastric bypass can be performed safely in secondary health care centres with a dedicated service corridor to an affiliated tertiary health care centre4 Impact of surgeon experience on perioperative outcomes after bariatric procedures at a designated centre of excellence in Ontario5 Supporting bariatric surgeons: the rationale for an integrated psychosocial model in a bariatric surgery program6 Laparoscopic sleeve gastrectomy: outcomes in a super morbidly obese patient population7 Bariatric surgical care delivery within a multidisciplinary psychosocial model may improve patient adherence and follow-up8 The safe implementation of a multidisciplinary bariatric surgery program in the absence of a formal accreditation system at a tertiary care centre in Canada9 (CAGS Clinical Research Award) Sources of bias in nonrandomized comparative studies of surgical procedures10 (CAGS Basic Science Award) Sirolimus-eluting, hydrogel-impregnated mesh reduces intra-abdominal adhesion formation in a mouse model11 Surgeons’ reactions to adverse events in the operating room12 Individualized deliberate practice on a virtual reality simulator improves technical performance of surgical novices in the operating room13 Motivate your learners: an exploration of motivation as an intraoperative teaching technique14 Outcomes and costs of laparoscopic distal pancreatectomy. Comparison to open resection in a single centre15 Parathyroid hormone levels 1 hour after surgery as an early predictor of postthyroidectomy hypocalcemia16 Impact of an acute surgical care team on the management of general surgical emergencies: an institutional experience17 A potential therapy for ischemic gut: establishing clinical relevance18 The use of gentamicin collagen implant in stoma closure reduces local infection rates19 The prevalence of autoimmune disease in patients with esophageal achalasia20 The impact of an acute care surgery service on the outcomes and quality of delivery of care in patients with biliary tract disease21 The Canadian general surgery resident: defining current challenges for surgical leadership22 One stage abdominal wall reconstruction for complex ventral hernias23 Local recurrence of rectal cancer in Manitoba24 Image inversion and digital mirror image technology aid laparoscopic surgery task performance in the paradoxical view: a randomized controlled trial25 Frequency and reasoning for repeated CT scans in trauma patients transferred from other hospitals2627 Risk factors for incisional hernia after laparoscopic colon resection: midline versus transverse extraction site28 Should atypical spitz tumour be treated as malignant melanoma? A single institution experience of 26 patients29 Laparoscopic peritoneal dialysis catheter insertion using nitrous oxide under conscious sedation is an effective alternative of implantation30 New frontiers for the trauma surgeon: using the” resuscitation with angiography, percutaneous techniques and operative repair (RAPTOR) suite” for severely injured patients31 Outcomes following subcutaneous endoscopically assisted ligation (SEAL) in children: a retrospective cohort study32 Positive factors that influence general surgery specialty choice are robust through residency33 The implementation of an acute care emergency surgical service: What does it cost surgeons? 3435 CSTAR Interprofessional Surgery and Anesthesia School: a novel program for preclinical medical and nursing students at the University of Western Ontario36 SOAP (Surgically Orientated Anatomy Program): a student-initiated, extracurricular response to the role of anatomy teaching in the modern medical curriculum37 The feasibility of telesimulation for teaching operative nursing skills in remote regions38 Surgical site infection prevention: long-term results of a quality improvement initiative39 The hospital standardized mortality ratio: Is it missing the boat? 40 Teaching critical appraisal skills to general surgery residents: Is evidence-based reviews in surgery the answer? 41 Enablers and barriers to implementation of an enhanced recovery after surgery protocol: viewpoints of members of a perioperative multidisciplinary team42 A novel measure of recovery after abdominal surgery43 Preoperative cognitive impairment and its impact on postoperative delirium—a pilot study44 SxCx: an evidence-based index of surgical complication rates for your smartphone45 When are bowel sounds most reliable in the diagnosis of small bowel obstruction? 46 Risk factors for surgical site infections following colon surgery: a retrospective chart review47 The use of biomaterials for closure of the open abdomen after abdominal sepsis: a pilot study4849 Bone marrow transplant patients with gallstone disease: Is there a role for early cholecystectomy? 50 Canadian general surgeons: opinion about clinical practice audit51 Telesimulation and the fundamentals of laparoscopic surgery: The Northern Ontario experience52 Obturator hernias: a Canadian centre’s experience53 Output of essential surgical services at a district hospital in rural Angola by nonphysician surgical providers54 Retrospective analysis of outcomes in patients with superficial soft tissue sarcoma treated with surgical management55 Update of the National Surgical Quality Improvement Program at our hospital: continued success in promoting data driven initiatives to improve quality of care56 Sex isn’t everything: the role of gender in early performance of a fundamental laparoscopic skill57 New dog, new tricks: trends in FLS laparoscopic simulator performance for incoming surgery residents58 Mastery versus standard proficiency targets for basic laparoscopic skill training: effect on skill transfer and retention59 Surgical Safety Checklist alone is not enough to improve appropriate antibiotic prophylaxis adherence60 Colorectal cancer screening practices in Saskatchewan: a survey of Saskatchewan family physicians61 Selective use of mesh in laparoscopic paraesophageal hernia repair: an attractive option62 Clinical variables in intestinal obstruction63 Is the use of total parenteral nutrition in patients over 80 years worth it? 64 Crisis in the general surgery work force: a qualitative exploration of career satisfiers and dissatisfiers among general surgeons65 Quality of inguinal hernia operative reports: room for improvement66 Decision-tree analysis of dialysis initiation for acute kidney injury in the intensive care unit67 Severe adult street cycling and mountain biking injuries: a comparison of the incidence, injury patterns and risk factors over 14 years68 Assesment of surgical and anesthesia capacity in post-conflict Liberia132 Inguinal hernia repair without mesh fixation134 Seeking balance: the complexity of choice-making among academic surgeons69 Cricotracheal and tracheal resection for subglottic stenosis: our institutional experience70 Can preoperative methicillin-resistant Staphylococcus aureus screening and chlorhexidine chest scrub decrease the incidence of post-resection empyema? 71 The significance of incidental intra-abdominal findings on FDG positron emission tomography performed to investigate pulmonary nodules72 Operative fixation improves survival in ventilated patients with flail chest73 New VATS palpator sensing system safely locates occult tumours in vivo74 A retrospective analysis of division versus nondivision of short gastric vessels in laparoscopic giant paraesophageal hernia repair75 Limited resection of early staged lung cancer: a retrospective review of our database comparing lobar resection and segmental and wedge resection. Pilot76 Estimating the risk of prolonged air leak after pulmonary resection using a simple scoring system77 A prospective randomized double blind controlled trial to determine if an autologous plasma derived sealant reduces postlobectomy air leaks and length of hospital stay78 A novel approach to reduce large bore chest tube days and hospital length of stay post–VATS lobectomy: a prospective comparative study79 Survival outcomes for never-smokers versus smokers with non–small cell lung cancer at the Cancer Centre of Southeastern Ontario, 1998–20098081 Endoscopic R4–R5 sympathecotomy for the treatment of focal axillary hyperhidrosis82 Reconstruction after major chest wall resection: Can rigid fixation be avoided? 83 Model for end-stage liver disease (MELD) and donor risk index as predictors of early allograft dysfunction84 Early cholecystectomy for acute cholecystitis: a population-based analysis of practice patterns in Ontario85 Comparison of laparoscopic and open liver resections in cirrhotic patients using a matched pair analysis86 The effect of portal vein embolization on tumour growth rate in primary liver tumours and liver metastases87 The role of preoperative biopsy in patients with potentially resectable periampullary malignancy88 The McGill–Brisbane scoring system preoperative clinical score is an excellent predictor of survival in patients after a pancreatico-duodenectomy for pancreatic adenocarci-noma89 Pancreatic cancer and diabetes any association? 90 Management of common bile duct stones: single stage versus 2-stage approach91 Major iatrogenic biliary injuries treated with liver transplantation92 Documentation of quality of care data for colon cancer surgery: comparison of synoptic and dictated operative reports93 A standardized mouse model of hyperthermic intraperitoneal chemotherapy (HIPEC) 94 The feasibility and implementation of a surgeon-directed quality improvement strategy in breast cancer surgery95 Is MRI telling the truth? A head-to-head comparison of the accuracy of preoperative magnetic resonance imaging for invasive ductal versus lobular carcinoma of the breast96 Strategies for developing breast cancer screening guidelines in a low-resource setting (Ile-Ife and Ilesha), Osun State, Nigeria97 Technical and early postoperative outcomes of laparoscopic gastrectomy for gastric cancer in a community-based setting98 The use of immunohistochemistry to test endometrial cancer specimens for HNPCC-associated genetic markers: identifying patients at risk of hereditary nonpolyposis colorectal cancer99 Results of axillary dissection in a community setting: a qualitative review100 Primary breast cancer tumour and patient characteristics as predictors of adjuvant radiation therapy101 Laparoscopic gastrectomy for patients with advanced gastric cancer produces similar oncologic outcomes to open resection102 A nationwide assessment of adherence to stage-specific treatment guidelines for adenocarcinoma of the colon103 Cytoreductive surgery plus hyperthermic intraperitoneal chemotherapy with oxaliplatin for peritoneal carcinomatosis arising from colorectal cancer133 Practice referral patterns and outcomes for primary retroperitoneal sarcoma in British Columbia104 Transanal endoscopic microsurgery: outcomes in patients with rectal carcinoma105 The myth of informed consent in rectal cancer surgery: What do patients retain? 106 Short-term outcomes of laparoscopic right hemicolectomy with intracorporal v. extracorporal anastamosis107 Changing trends in laparoscopic surgery for rectal cancer in the province of Ontario108 Oncologic outcomes of laparoscopic and open colorectal cancer surgery: meta-analysis and correlation with expert opinion109 Implementation of a regional colorectal cancer communities of practice (CoP) leads to improved quality of care for rectal cancer patients110 Strictureplasty in selected Crohn disease patients results in acceptable long-term outcome111 A cost comparison of laparoscopic and open colorectal surgery in a Canadian hospital112 Specialty bias may help explain variable results of CT colonography in the literature113 Does perioperative nonsteroidal anti-inflammatory drug (NSAID) use increase the risk of anastomotic leak in elective colorectal surgery? 114 Ileocolic resection for Crohn disease: Is there a difference according to the complexity of the disease? 115 The incidence of surgical site infection in colorectal surgery116 Retrospective comparison of early complications in open versus suture closure rectal lesions excised using transanal endoscopic microsurgery117 Can mouse colonoscopy reliably evaluate colonic inflammation in mouse models of colitis? 118 Gentamicin-collagen implant in colorectal surgery and surgical site infections119120 The Juravinski Cancer Centre (JCC) Two-step Multidisciplinary Clinic (2-Step MDC) in Local Health Integration Network 4 (LHIN4): a pilot study for patients with rectal cancer121 Influence of surgeon and hospital factors on implementation of laparoscopic colon cancer surgery in British Columbia122 Extended perioperative low molecular weight heparin to improve disease-free survival following surgical resection of colon cancer: a pilot randomized controlled trial123 The impact of obesity on colorectal surgery: a survey of Canadian surgeons124 Transanal excision of rectal adenomas: close follow-up is warranted125 Prognostic indicators in the management of anastomotic leaks following colorectal surgery126 Impact of a diagnostic assessment pathway on wait times for colorectal cancer surgery127 Shared decision-making in rectal cancer surgery: a view from expert colorectal practitioners across North America128 Transanal endoscopic microsurgery: the results of 35 patients129 Canadian guidelines for the follow-up of postoperative stage II and stage III colorectal cancer patients130 Laparoscopic versus open colon surgery in a tertiary hospital: a cost-minimization study131 Quality of life (QOL) for operative and nonoperative management of diverticulitis: Abstracts of presentations to the Annual Meetings of the Canadian Association of Bariatric Physicians and Surgeons, Canadian Association of General Surgeons, Canadian Association of Thoracic Surgeons, Canadian Hepato-Pancreato-Biliary Society, Canadian Society of Surgical Oncology, Canadian Society of Colon and Rectal Surgeons, London, Ont. Sept. 15–18, 2011

作者: JC Chiu , I Apriasz , NV Christou , S Elkassem , S Sockalingam

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摘要: Laparoscopic adjustable gastric banding (LAGB) is considered to be a safe and effective method of weight loss and reduction of comorbidities. Our publicly funded program recognizes obesity as a chronic disease, providing extensive preoperative multidisciplinary assessment and long-term follow-up after selecting the most appropriate patients for LAGB. It is not known whether the current literature is representative of the outcomes that may be achieved in a Canadian, publicly funded system. Patients who attended the Weight Wise Clinic and were selected for LAGB are identified, and a retrospective analysis over a 6-year period (2005–2010) was performed. Issues captured include weight loss at 1, 2 and 3 years, complications and operational costs of ongoing care for LAGB. A total of 178 patients underwent LAGB over this period. The average preoperative body mass index is 44.2. Mean percentage total body …

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