Search

Your search keyword '"Hrycaiczuk, Alex"' showing total 12 results
Start Over Author "Hrycaiczuk, Alex"
12 results on '"Hrycaiczuk, Alex"'

7. Preoperative risk factors for conversion from laparoscopic to open cholecystectomy: a validated risk score derived from a prospective U.K. database of 8820 patients

Author

Fenwick, Stephen, Elmasry, Mohamed, Nunes, Quentin, Kennedy, David, Khan, Raja B., Khan, Muhammad A.S., Magee, Conor J., Jones, Steven M., Mason, Denise, Parappally, Ciny P., Mathur, Pawan, Saunders, Michael, Jamel, Sara, Haque, Samer U.l., Zafar, Sara, Shiwani, Muhammad H., Samuel, Nehemiah, Dar, Farooq, Jackson, Andrew, Lovett, Bryony, Dindyal, Shiva, Winter, Hannah, Rahman, Saquib, Wheatley, Kevin, Nieto, Tom, Ayaani, Soofiyah, Youssef, Haney, Nijjar, Rajwinder S., Watkin, Helen, Naumann, David, Emeshi, Sophie, Sarmah, Piyush B., Lee, Kathryn, Joji, Nikita, Heath, Jonathan, Teasdale, Rebecca L., Weerasinghe, Chamindri, Needham, Paul J., Welbourn, Hannah, Forster, Luke, Finch, David, Blazeby, Jane M., Robb, William, McNair, Angus G.K., Hrycaiczuk, Alex, Charalabopoulos, Alexandros, Kadirkamanathan, Sritharan, Tang, Cheuk-Bong, Jayanthi, Naga V.G., Noor, Nigel, Dobbins, Brian, Cockbain, Andrew J., Nilsen-Nunn, April, de Siqueira, Jonathan, Pellen, Mike, Cowley, Jonathan B., Ho, Wei-Min, Miu, Victor, White, Timothy J., Hodgkins, Kathryn A., Kinghorn, Alison, Tutton, Matthew G., Al-Abed, Yahya A., Menzies, Donald, Ahmad, Anwar, Reed, Joanna, Khan, Shabuddin, Monk, David, Vitone, Louis J., Murtaza, Ghulam, Joel, Abraham, Brennan, Stephen, Shier, David, Zhang, Catherine, Yoganathan, Thusidaran, Robinson, Steven J., McCallum, Iain J.D., Jones, Michael J., Elsayed, Mohammed, Tuck, Liz, Wayman, John, Carney, Kate, Aroori, Somaiah, Hosie, Kenneth B., Kimble, Adam, Bunting, David M., Fawole, Adeshina S., Basheer, Mohammed, Dave, Rajiv V., Sarveswaran, Janahan, Jones, Elinor, Kendal, Chris, Tilston, Michael P., Gough, Martin, Wallace, Tom, Singh, Shailendra, Downing, Justine, Mockford, Katherine A., Issa, Eyad, Shah, Nayab, Chauhan, Neal, Wilson, Timothy R., Forouzanfar, Amir, Wild, Jonathan R.L., Nofal, Emma, Bunnell, Catherine, Madbak, Khaliel, Rao, Sudhindra T.V., Devoto, Laurence, Siddiqi, Najaf, Khawaja, Zechan, Hewes, James C., Gould, Laura, Chambers, Alice, Rodriguez, Daniel U., Sen, Gourab, Robinson, Stuart, Bartlett, Francis, Rae, David M., Stevenson, Thomas E.J., Sarvananthan, Kas, Dwerryhouse, Simon J., Higgs, Simon M., Old, Oliver J., Hardy, Thomas J., Shah, Reena, Hornby, Steve T., Keogh, Ken, Frank, Lucinda, Al-Akash, Musallam, Upchurch, Emma A., Frame, Richard J., Hughes, Michael, Jelley, Clare, Weaver, Simon, Roy, Sudipta, Sillo, Toritseju O., Galanopoulos, Giorgios, Cuming, Tamzin, Cunha, Pedro, Tayeh, Salim, Kaptanis, Sarantos, Heshaishi, Mohamed, Eisawi, Abdalla, Abayomi, Michael, Ngu, Wee S., Fleming, Katie, Bajwa, Dalvir S., Chitre, Vivek, Aryal, Kamal, Ferris, Paul, Silva, Michael, Lammy, Simon, Mohamed, Sarah, Khawaja, Amir, Hussain, Adnan, Ghazanfar, Mudassar A., Bellini, Maria I., Ebdewi, Hamdi, Elshaer, Mohamed, Gravante, Gianpiero, Drake, Benjamin, Ogedegbe, Arikoge, Mukherjee, Dipankar, Arhi, Chanpreet, Giwa, Lola, Iqbal, Nusrat, Watson, Nicholas F., Aggarwal, Smeer K., Orchard, Philippa, Villatoro, Eduardo, Willson, Peter D., Mok, Kam W.J., Woodman, Thomas, Deguara, Jean, Garcea, Giuseppe, Babu, Benoy I., Dennison, Alistair R., Malde, Deep, Lloyd, David, Slavin, John P., Jones, Robert P., Ballance, Laura, Gerakopoulos, Stratos, Jambulingam, Periyathambi, Mansour, Sami, Sakai, Naomi, Acharya, Vikas, Sadat, Mohammed M., Karim, Lawen, Larkin, David, Amin, Khalid, Khan, Amarah, Law, Jennifer, Jamdar, Saurabh, Smith, Stella R., Sampat, Keerthika, O'shea, Kathryn M., Manu, Mangta, Asprou, Fotini M., Malik, Nabeela S., Chang, Jessica, Johnstone, Marianne, Lewis, Michael, Roberts, Geoffrey P., Karavadra, Babu, Photi, Evangelos, Hewes, James, Rodriguez, Dan, O'Reilly, Derek A., Rate, Anthony J., Sekhar, Hema, Henderson, Lucy T., Starmer, Benjamin Z., Coe, Peter O., Tolofari, Sotonye, Barrie, Jenifer, Bashir, Gareth, Sloane, Jake, Madanipour, Suroosh, Halkias, Constantine, Trevatt, Alexander E.J., Borowski, David W., Hornsby, Jane, Courtney, Michael J., Virupaksha, Suvi, Seymour, Keith, Robinson, Sarah, Hawkins, Helen, Bawa, Sadiq, Gallagher, Paul V., Reid, Alistair, Wood, Peter, Finch, Jonathan G., Finch, J.Guy, Parmar, Jitesh, Stirland, Euan, Gardner-Thorpe, James, Al-Muhktar, Ahmed, Peterson, Mark, Majeed, Ali, Bajwa, Farrukh M., Martin, Jack, Choy, Alfred, Tsang, Andrew, Pore, Naresh, Andrew, David R., Al-Khyatt, Waleed, Santosh Bhandari, Christopher Taylor, Chambers, Adam, Subramanium, Dhivya, Toh, Simon K.C., Carter, Nicholas C., Mercer, Stuart J., Knight, Benjamin, Vijay, Vardhini, Alagaratnam, Swethan, Sinha, Sidhartha, Khan, Shahab, El-Hasani, Shamsi S., Hussain, Abdulzahra A., Bhattacharya, Vish, Kansal, Nisheeth, Fasih, Tani, Jackson, Claire, Siddiqui, Midhat N., Chishti, Imran A., Fordham, Imogen J., Siddiqui, Zohaib, Bausbacher, Harald, Geogloma, Ileana, Gurung, Kabita, Tsavellas, George, Basynat, Pradeep, Shrestha, Ashish K., Basu, Sanjoy, Chhabra, Alok, Harilingam, Mohan, Rabie, Mohamed, Akhtar, Mansoor, Kumar, Pradeep, Jafferbhoy, Sadaf F., Hussain, Najam, Raza, Soulat, Haque, Manzarul, Alam, Imran, Aseem, Rabiya, Patel, Shakira, Asad, Mehek, Booth, Michael I., Ball, William R., Wood, Christopher P.J., Pinho-Gomes, Ana C., Kausar, Ambareen, Obeidallah, Mohammed, Varghase, Joseph, Lodhia, Joshil, Bradley, Donal, Rengifo, Carla, Lindsay, David, Gopalswamy, Sivakumar, Finlay, Ian, Wardle, Stacy, Bullen, Naomi, Iftikhar, Syed Y., Awan, Altaf, Ahmed, Javed, Leeder, Paul, Fusai, Guiseppe, Bond-Smith, Giles, Psica, Alicja, Puri, Yogesh, Hou, David, Noble, Fergus, Szentpali, Karoly, Broadhurst, Jack, Date, Ravindra, Hossack, Martin R., Goh, Yan L., Turner, Paul, Shetty, Vinutha, Riera, Manel, Macano, Christina A.W., Sukha, Anisha, Preston, Shaun R., Hoban, Jennifer R., Puntis, Daniel J., Williams, Sophie V., Krysztopik, Richard, Kynaston, James, Batt, Jeremy, Doe, Matthew, Goscimski, Andrzej, Jones, Gareth H., Hall, Claire, Carty, Nick, Ahmed, Jamil, Panteleimonitis, Sofoklis, Gunasekera, Rohan T., Sheel, Andrea R.G., Lennon, Hannah, Hindley, Caroline, Reddy, Marcus, Kenny, Ross, Elkheir, Natalie, McGlone, Emma R., Rajaganeshan, Rajasundaram, Hancorn, Kate, Hargreaves, Anita, Prasad, Raj, Longbotham, David A., Vijayanand, Dhakshinamoorthy, Wijetunga, Imeshi, Ziprin, Paul, Nicolay, Christopher R., Yeldham, Geoffrey, Read, Edward, Gossage, James A., Rolph, Rachel C., Ebied, Husam, Phull, Manraj, Khan, Mohammad A., Popplewell, Matthew, Kyriakidis, Dimitrios, Hussain, Anwar, Henley, Natasha, Packer, Jessica R., Derbyshire, Laura, Porter, Jonathan, Appleton, Shaun, Farouk, Marwan, Basra, Melvinder, Jennings, Neil A., Ali, Shahda, Kanakala, Venkatesh, Ali, Haythem, Lane, Risha, Dickson-Lowe, Richard, Zarsadias, Prizzi, Mirza, Darius, Puig, Sonia, Al Amari, Khalid, Vijayan, Deepak, Sutcliffe, Robert, Marudanayagam, Ravi, Hamady, Zayed, Prasad, Abheesh R., Patel, Abhilasha, Durkin, Damien, Kaur, Parminder, Bowen, Laura, Byrne, James P., Pearson, Katherine L., Delisle, Theo G., Davies, James, Tomlinson, Mark A., Johnpulle, Michelle A., Slawinski, Corinna, Macdonald, Andrew, Nicholson, James, Newton, Katy, Mbuvi, James, Farooq, Ansar, Mothe, Bhavani S., Zafrani, Zakhi, Brett, Daniel, Francombe, James, Spreadborough, Philip, Barnes, James, Cheung, Melanie, Al-Bahrani, Ahmed Z., Preziosi, Giuseppe, Urbonas, Tomas, Alberts, Justin, Mallik, Mekhlola, Patel, Krashna, Segaran, Ashvina, Doulias, Triantafyllos, Sufi, Pratik A., Yao, Caroline, Pollock, Sarah, Manzelli, Antonio, Wajed, Saj, Kourkulos, Michail, Pezzuto, Roberto, Wadley, Martin, Hamilton, Emma, Jaunoo, Shameen, Padwick, Robert, Sayegh, Mazin, Newton, Richard C., Hebbar, Madhusoodhana, Farag, Sameh F., Hebbar, Madhu, Spearman, John, Hamdan, Mohammed F., D'Costa, Conrad, Blane, Christine, Giles, Mathew, Peter, Mark B., Hirst, Natalie A., Hossain, Tanvir, Pannu, Arslan, El-Dhuwaib, Yesar, Morrison, Tamsin E.M., Taylor, Greg W., Thompson, Ronald L.E., McCune, Ken, Loughlin, Paula, Lawther, Roger, Byrnes, Colman K., Simpson, Duncan J., Mawhinney, Abi, Warren, Conor, McKay, Damian, McIlmunn, Colin, Martin, Serena, MacArtney, Matthew, Diamond, Tom, Davey, Phil, Jones, Claire, Clements, Joshua M., Digney, Ruairi, Chan, Wei M., McCain, Stephen, Gull, Sadaf, Janeczko, Adam, Dorrian, Emmet, Harris, Andrew, Dawson, Suzanne, Johnston, Dorothy, McAree, Barry, Ghareeb, Essam, Thomas, George, Connelly, Martin, McKenzie, Stephen, Cieplucha, Krzysztos, Spence, Gary, Campbell, William, Hooks, Gareth, Bradley, Neil, Hill, Arnold D.K., Cassidy, John T., Boland, Michael, Burke, Paul, Nally, Deirdre M., Khogali, Elmoataz, Shabo, Wael, Iskandar, Edrin, McEntee, Gerry P., O'Neill, Maeve A., Peirce, Colin, Lyons, Emma M., O'Sullivan, Adrian W., Thakkar, Rohan, Carroll, Paul, Ivanovski, Ivan, Balfe, Paul, Lee, Matthew, Winter, Des C., Kelly, Michael E., Hoti, Emir, Maguire, Donal, Karunakaran, Priyadarssini, Geoghegan, Justin G., Martin, Sean T., Cross, Keith S., Cooke, Fiachra, Zeeshan, Saquib, Murphy, James O., Mealy, Ken, Mohan, Helen M., Nedujchelyn, Yuwaraja, Ullah, Muhammad F., Ahmed, Irfan, Giovinazzo, Francesco, Milburn, James, Prince, Sarah, Brooke, Eleanor, Buchan, Joanna, Khalil, Ahmed M., Vaughan, Elizabeth M., Ramage, Michael I., Aldridge, Roland C., Gibson, Simon, Nicholson, Gary A., Vass, David G., Grant, Alan J., Holroyd, David J., Jones, Angharad, Sutton, Cherith M.L.R., O'Dwyer, Patrick, Nilsson, Frida, Weber, Beatrix, Williamson, Tracey K., Lalla, Kushik, Bryant, Alice, Carter, Ross, Forrest, Craig R., Hunter, David I., Nassar, Ahmad H., Orizu, Mavis N., Knight, Katrina, Qandeel, Haitham, Suttie, Stuart, Belding, Rowena, McClarey, Andrew, Boyd, Alan T., Guthrie, Graeme J.K., Lim, Pei J., Luhmann, Andreas, Watson, Angus J.M., Richards, Colin H., Nicol, Laura, Madurska, Marta, Harrison, Ewen, Boyce, Kathryn M., Roebuck, Amanda, Ferguson, Graeme, Pati, Pradeep, Wilson, Michael S.J., Dalgaty, Faith, Fothergill, Laura, Driscoll, Peter J., Mozolowski, Kirsty L., Banwell, Victoria, Bennett, Stephen P., Rogers, Paul N., Skelly, Brendan L., Rutherford, Claire L., Mirza, Ahmed K., Lazim, Taha, Lim, Henry C.C., Duke, Diana, Ahmed, Talat, Beasley, William D., Wilkinson, Marc D., Maharaj, Geta, Malcolm, Cathy, Brown, Timothy H., Shingler, Guy M., Mowbray, Nicholas, Radwan, Rami, Morcous, Paul, Wood, Simon, Kadhim, Abbas, Stewart, Duncan J., Baker, Andrew L., Tanner, Nicola, Shenoy, Hrishikesh, Sutcliffe, Robert P., Hollyman, Marianne, Hodson, James, Bonney, Glenn, Vohra, Ravi S., and Griffiths, Ewen A.

Published
2016
Full Text
View/download PDF

9. Utilisation of an operative difficulty grading scale for laparoscopic cholecystectomy

Author

Griffiths, Ewen A, Hodson, James, Vohra, Ravi S, Marriott, Paul, Katbeh, Tarek, Zino, Samer, Nassar, Ahmad HM, Vohra, Ravinder S, Kirkham, Amanda J, Pasquali, Sandro, Johnstone, Marianne, Spreadborough, Philip, Alderson, Derek, Fenwick, Stephen, Elmasry, Mohamed, Nunes, Quentin M, Kennedy, David, Khan, Raja Basit, Khan, Muhammad AS, Magee, Conor J, Jones, Steven M, Mason, Denise, Parappally, Ciny P, Mathur, Pawan, Saunders, Michael, Jamel, Sara, Haque, Samer Ul, Zafar, Sara, Shiwani, Muhammad Hanif, Samuel, Nehemiah, Dar, Farooq, Jackson, Andrew, Lovett, Bryony, Dindyal, Shiva, Winter, Hannah, Fletcher, Ted, Rahman, Saquib, Wheatley, Kevin, Nieto, Tom, Ayaani, Soofiyah, Youssef, Haney, Nijjar, Rajwinder S, Watkin, Helen, Naumann, David, Emesih, Sophie, Sarmah, Piyush B, Lee, Kathryn, Joji, Nikita, Lambert, Joel, Heath, Jonathan, Teasdale, Rebecca L, Weerasinghe, Chamindri, Needham, Paul J, Welbourn, Hannah, Forster, Luke, Finch, David, Blazeby, Jane M, Robb, William, McNair, Angus GK, Hrycaiczuk, Alex, Charalabopoulos, Alexandros, Kadirkamanathan, Sritharan, Tang, Cheuk-Bong, Jayanthi, Naga VG, Noor, Nigel, Dobbins, Brian, Cockbain, Andrew J, Nilsen-Nunn, April, de Siqueira, Jonathan, Pellen, Mike, Cowley, Jonathan B, Ho, Wei-Min, Miu, Victor, White, Timothy J, Hodgkins, Kathryn A, Kinghorn, Alison, Tutton, Matthew G, Al-Abed, Yahya A, Menzies, Donald, Ahmad, Anwar, Reed, Joanna, Khan, Shabuddin, Monk, David, Vitone, Louis J, Murtaza, Ghulam, Joel, Abraham, Brennan, Stephen, Shier, David, Zhang, Catherine, Yoganathan, Thusidaran, Robinson, Steven J, McCallum, Iain JD, Jones, Michael J, Elsayed, Mohammed, Tuck, Liz, Wayman, John, Carney, Kate, Aroori, Somaiah, Hosie, Kenneth B, Kimble, Adam, Bunting, David M, Fawole, Adeshina S, Basheer, Mohammed, Dave, Rajiv V, Sarveswaran, Janahan, Jones, Elinor, Kendal, Chris, Tilston, Michael P, Gough, Martin, Wallace, Tom, Singh, Shailendra, Downing, Justine, Mockford, Katherine A, Issa, Eyad, Shah, Nayab, Chauhan, Neal, Wilson, Timothy R, Forouzanfar, Amir, Wild, Jonathan RL, Nofal, Emma, Bunnell, Catherine, Madbak, Khaliel, Rao, Sudhindra TV, Devoto, Laurence, Siddiqi, Najaf, Khawaja, Zechan, Hewes, James C, Gould, Laura, Chambers, Alice, Rodriguez, Daniel Urriza, Sen, Gourab, Robinson, Stuart, Bartlett, Francis, Rae, David M, Stevenson, Thomas EJ, Sarvananthan, Kas, Dwerryhouse, Simon J, Higgs, Simon M, Old, Oliver J, Hardy, Thomas J, Shah, Reena, Hornby, Steve T, Keogh, Ken, Frank, Lucinda, Al-Akash, Musallam, Upchurch, Emma A, Frame, Richard J, Hughes, Michael, Jelley, Clare, Weaver, Simon, Roy, Sudipta, Sillo, Toritseju O, Galanopoulos, Giorgios, Cuming, Tamzin, Cunha, Pedro, Tayeh, Salim, Kaptanis, Sarantos, Heshaishi, Mohamed, Eisawi, Abdalla, Abayomi, Michael, Ngu, Wee Sing, Fleming, Katie, Bajwa, Dalvi S, Chitre, Vivek, Aryal, Kamal, Ferris, Paul, Silva, Michael, Lammy, Simon, Mohamed, Sarah, Khawaja, Amir, Hussain, Adnan, Ghazanfar, Mudassar A, Bellini, Maria Irene, Ebdewi, Hamdi, Elshaer, Mohamed, Gravante, Gianpiero, Drake, Benjamin, Ogedegbe, Arikoge, Mukherjee, Dipankar, Arhi, Chanpreet, Giwa, Lola, Iqbal, Nusrat, Watson, Nicholas F, Aggarwal, Smeer Kumar, Orchard, Philippa, Villatoro, Eduardo, Willson, Peter D, Mok, Kam Wa Jessica, Woodman, Thomas, Deguara, Jean, Garcea, Giuseppe, Babu, Benoy I, Dennison, AR, Malde, Deep, Lloyd, David, Satheesan, Steve, Al-Taan, Omer, Boddy, Alexander, Slavin, John P, Jones, Robert P, Ballance, Laura, Gerakopoulos, Stratos, Jambulingam, Periyathambi, Mansour, Sami, Sakai, Naomi, Acharya, Vikas, Sadat, Mohammed M, Karim, Lawen, Larkin, David, Amin, Khalid, Khan, Amarah, Law, Jennifer, Jamdar, Saurabh, Smith, Stella R, Sampat, Keerthika, O'shea, Kathryn M, Manu, Mangta, Asprou, Fotini M, Malik, Nabeela S, Chang, Jessica, Lewis, Michael, Roberts, Geoffrey P, Karavadra, Babu, Photi, Evangelos, Hewes, James, Rodriguez, Dan, O'Reilly, Derek A, Rate, Anthony J, Sekhar, Hema, Henderson, Lucy T, Starmer, Benjamin Z, Coe, Peter O, Tolofari, Sotonye, Barrie, Jenifer, Bashir, Gareth, Sloane, Jake, Madanipour, Suroosh, Halkias, Constantine, Trevatt, Alexander EJ, Borowski, David W, Hornsby, Jane, Courtney, Michael J, Virupaksha, Suvi, Seymour, Keith, Robinson, Sarah, Hawkins, Helen, Bawa, Sadiq, Gallagher, Paul V, Reid, Alistair, Wood, Peter, Finch, JG, Finch, J Guy, Parmar, J, Stirland, E, Gardner-Thorpe, James, Al-Muhktar, Ahmed, Peterson, Mark, Majeed, Ali, Bajwa, Farrukh M, Martin, Jack, Choy, Alfred, Tsang, Andrew, Pore, Naresh, Andrew, David R, Al-Khyatt, Waleed, Bhandari, Christopher Taylor Santosh, Chambers, Adam, Subramanium, Dhivya, Toh, Simon KC, Carter, Nicholas C, Tate, Sophie, Pearce, Belinda, Wainwright, Denise, Mercer, Stuart J, Knight, Benjamin, Vijay, Vardhini, Alagaratnam, Swethan, Sinha, Sidhartha, Khan, Shahab, El-Hasani, Shamsi S, Hussain, Abdulzahra A, Bhattacharya, Vish, Kansal, Nisheeth, Fasih, Tani, Jackson, Claire, Siddiqui, Midhat N, Chishti, Imran A, Fordham, Imogen J, Siddiqui, Zohaib, Bausbacher, Harald, Geogloma, Ileana, Gurung, Kabita, Tsavellas, George, Basynat, Pradeep, Shrestha, Ashish Kiran, Basu, Sanjoy, Harilingam, Alok Chhabra Mohan, Rabie, Mohamed, Akhtar, Mansoor, Kumar, Pradeep, Jafferbhoy, Sadaf F, Hussain, Najam, Raza, Soulat, Haque, Manzarul, Alam, Imran, Aseem, Rabiya, Patel, Shakira, Asad, Mehek, Booth, Michael I, Ball, William R, Wood, Christopher PJ, Pinho-Gomes, Ana C, Kausar, Ambareen, Obeidallah, Moh'd Rami, Varghase, Joseph, Lodhia, Joshil, Bradley, Donal, Rengifo, Carla, Lindsay, David, Gopalswamy, Sivakumar, Finlay, Ian, Wardle, Stacy, Bullen, Naomi, Iftikhar, Syed Yusuf, Awan, Altaf, Ahmed, Javed, Leeder, Paul, Fusai, Guiseppe, Bond-Smith, Giles, Psica, Alicja, Puri, Yogesh, Hou, David, Noble, Fergus, Szentpali, Karoly, Broadhurst, Jack, Date, Ravindra, Hossack, Martin R, Goh, Yan Li, Turner, Paul, Shetty, Vinutha, Riera, Manel, Macano, Christina AW, Sukha, Anisha, Preston, Shaun R, Hoban, Jennifer R, Puntis, Daniel J, Williams, Sophie V, Krysztopik, Richard, Kynaston, James, Batt, Jeremy, Doe, Matthew, Goscimski, Andrzej, Jones, Gareth H, Hall, Claire, Carty, Nick, Ahmed, Jamil, Panteleimonitis, Sofoklis, Gunasekera, Rohan T, Sheel, Andrea RG, Lennon, Hannah, Hindley, Caroline, Reddy, Marcus, Kenny, Ross, Elkheir, Natalie, McGlone, Emma R, Rajaganeshan, Rajasundaram, Hancorn, Kate, Hargreaves, Anita, Prasad, Raj, Longbotham, David A, Vijayanand, Dhakshinamoorthy, Wijetunga, Imeshi, Ziprin, Paul, Nicolay, Christopher R, Yeldham, Geoffrey, Read, Edward, Gossage, James A, Rolph, Rachel C, Ebied, Husam, Phull, Manraj, Khan, Mohammad A, Popplewell, Matthew, Kyriakidis, Dimitrios, Hussain, Anwar, Henley, Natasha, Packer, Jessica R, Derbyshire, Laura, Porter, Jonathan, Appleton, Shaun, Farouk, Marwan, Basra, Melvinder, Jennings, Neil A, Ali, Shahda, Kanakala, Venkatesh, Ali, Haythem, Lane, Risha, Dickson-Lowe, Richard, Zarsadias, Prizzi, Mirza, Darius, Puig, Sonia, Al Amari, Khalid, Vijayan, Deepak, Sutcliffe, Robert, Marudanayagam, Ravi, Hamady, Zayed, Prasad, Abheesh R, Patel, Abhilasha, Durkin, Damien, Kaur, Parminder, Bowen, Laura, Byrne, James P, Pearson, Katherine L, Delisle, Theo G, Davies, James, Tomlinson, Mark A, Johnpulle, Michelle A, Slawinski, Corinna, Macdonald, Andrew, Nicholson, James, Newton, Katy, Mbuvi, James, Farooq, Ansar, Mothe, Bhavani Sidhartha, Zafrani, Zakhi, Brett, Daniel, Francombe, James, Barnes, James, Cheung, Melanie, Al-Bahrani, Ahmed Z, Preziosi, Giuseppe, Urbonas, Tomas, Alberts, Justin, Mallik, Mekhlola, Patel, Krashna, Segaran, Ashvina, Doulias, Triantafyllos, Sufi, Pratik A, Yao, Caroline, Pollock, Sarah, Manzelli, Antonio, Wajed, Saj, Kourkulos, Michail, Pezzuto, Roberto, Wadley, Martin, Hamilton, Emma, Jaunoo, Shameen, Padwick, Robert, Sayegh, Mazin, Newton, Richard C, Hebbar, Madhusoodhana, Farag, Sameh F, Spearman, John, Hamdan, Mohammed F, D'Costa, Conrad, Blane, Christine, Giles, Mathew, Peter, Mark B, Hirst, Natalie A, Hossain, Tanvir, El-Dhuwaib, Arslan Pannu Yesar, Morrison, Tamsin EM, Taylor, Greg W, Thompson, Ronald LE, McCune, Ken, Loughlin, Paula, Lawther, Roger, Byrnes, Colman K, Simpson, Duncan J, Mawhinney, Abi, Warren, Conor, McKay, Damian, McIlmunn, Colin, Martin, Serena, MacArtney, Matthew, Diamond, Tom, Davey, Phil, Jones, Claire, Clements, Joshua M, Digney, Ruairi, Chan, Wei Ming, McCain, Stephen, Gull, Sadaf, Janeczko, Adam, Dorrian, Emmet, Harris, Andrew, Dawson, Suzanne, Johnston, Dorothy, McAree, Barry, Ghareeb, Essam, Thomas, George, Connelly, Martin, McKenzie, Stephen, Cieplucha, Krzysztos, Spence, Gary, Campbell, William, Hooks, Gareth, Bradley, Neil, Hill, Arnold DK, Cassidy, John T, Boland, Michael, Burke, Paul, Nally, Deirdre M, Khogali, Elmoataz, Shabo, Wael, Iskandar, Edrin, McEntee, Gerry P, O'Neill, Maeve A, Peirce, Colin, Lyons, Emma M, O'Sullivan, Adrian W, Thakkar, Rohan, Carroll, Paul, Ivanovski, Ivan, Balfe, Paul, Lee, Matthew, Winter, Des C, Kelly, Michael E, Hoti, Emir, Maguire, Donal, Karunakaran, Priyadarssini, Geoghegan, Justin G, McDermott, Frank, Martin, Sean T, Cross, Keith S, Cooke, Fiachra, Zeeshan, Saquib, Murphy, James O, Mealy, Ken, Mohan, Helen M, Nedujchelyn, Yuwaraja, Ullah, Muhammad Fahad, Ahmed, Irfan, Giovinazzo, Francesco, Milburn, James, Prince, Sarah, Brooke, Eleanor, Buchan, Joanna, Khalil, Ahmed M, Vaughan, Elizabeth M, Ramage, Michael I, Aldridge, Roland C, Gibson, Simon, Nicholson, Gary A, Vass, David G, Grant, Alan J, Holroyd, David J, Jones, M Angharad, Sutton, Cherith MLR, O'Dwyer, Patrick, Nilsson, Frida, Weber, Beatrix, Williamson, Tracey K, Lalla, Kushik, Bryant, Alice, Carter, C Ross, Forrest, Craig R, Hunter, David I, Nassar, Ahmad H, Orizu, Mavis N, Knight, Katrina, Qandeel, Haitham, Suttie, Stuart, Belding, Rowena, McClarey, Andrew, Boyd, Alan T, Guthrie, Graeme JK, Lim, Pei J, Luhmann, Andreas, Watson, Angus JM, Richards, Colin H, Nicol, Laura, Madurska, Marta, Harrison, Ewen, Boyce, Kathryn M, Roebuck, Amanda, Ferguson, Graeme, Pati, Pradeep, Wilson, Michael SJ, Dalgaty, Faith, Fothergill, Laura, Driscoll, Peter J, Mozolowski, Kirsty L, Banwell, Victoria, Bennett, Stephen P, Rogers, Paul N, Skelly, Brendan L, Rutherford, Claire L, Mirza, Ahmed K, Lazim, Taha, Lim, Henry CC, Duke, Diana, Ahmed, Talat, Beasley, William D, Wilkinson, Marc D, Maharaj, Geta, Malcolm, Cathy, Brown, Timothy H, Al-Sarireh, Bilal, Shingler, Guy M, Mowbray, Nicholas, Radwan, Rami, Morcous, Paul, Wood, Simon, Kadhim, Abbas, Stewart, Duncan J, Baker, Andrew L, Tanner, Nicola, Shenoy, Hrishikesh, Hafiz, Shazia, De Marchi, Joshua A, Singh-Ranger, Deepak, Hisham, Elzanati, Ainley, Paul, O'Neill, Stephen, Terrace, John, Napetti, Sara, Hopwood, Benjamin, Rhys, Thomas, Kanavati, Osama, Coats, Maria, Aleksandrov, Danail, Kallaway, Charlotte, Yahya, Salama, Templeton, Alexa, Trotter, Martin, Lo, Christina, Dhillon, Ajit, Heywood, Nick, Aawsaj, Yousif, Hamdan, Alhafidz, Reece-Bolton, Obuobi, McGuigan, Andrew, Shahin, Yousef, Aymon, Luther, Ali Alison, Nicholson, James A, Rajendran, Ilayaraja, Boal, Matthew, Ritchie, Judith, Grp, CholeS Study, Collaborative, West Midlands Res, Segaran, A, and Collaborative, West Midlands Research

Subjects
medicine.medical_specialty, medicine.medical_treatment, 030230 surgery, Article, 03 medical and health sciences, 0302 clinical medicine, Case mix index, Laparoscopic, length of stay, male, middle aged, postoperative complications, Medicine, Cholecystectomy, Prospective cohort study, Grading (education), humans, Laparoscopic cholecystectomy, business.industry, General surgery, adult, cholecystectomy, difficulty grading, laparoscopic, operative difficulty, surgery, aged, cholecystectomy, laparoscopic, conversion to open surgery, female, multivariate analysis, prospective studies, ROC curve, Difficulty grading, Cohort, 030211 gastroenterology & hepatology, Surgery, business, Operative difficulty, Grading scale, Abdominal surgery
Abstract

Background A reliable system for grading operative difficulty of laparoscopic cholecystectomy would standardise description of findings and reporting of outcomes. The aim of this study was to validate a difficulty grading system (Nassar scale), testing its applicability and consistency in two large prospective datasets. Methods Patient and disease-related variables and 30-day outcomes were identified in two prospective cholecystectomy databases: the multi-centre prospective cohort of 8820 patients from the recent CholeS Study and the single-surgeon series containing 4089 patients. Operative data and patient outcomes were correlated with Nassar operative difficultly scale, using Kendall’s tau for dichotomous variables, or Jonckheere–Terpstra tests for continuous variables. A ROC curve analysis was performed, to quantify the predictive accuracy of the scale for each outcome, with continuous outcomes dichotomised, prior to analysis. Results A higher operative difficulty grade was consistently associated with worse outcomes for the patients in both the reference and CholeS cohorts. The median length of stay increased from 0 to 4 days, and the 30-day complication rate from 7.6 to 24.4% as the difficulty grade increased from 1 to 4/5 (both p p Conclusion We have shown that an operative difficulty scale can standardise the description of operative findings by multiple grades of surgeons to facilitate audit, training assessment and research. It provides a tool for reporting operative findings, disease severity and technical difficulty and can be utilised in future research to reliably compare outcomes according to case mix and intra-operative difficulty.

Published
2018

10. Correction to: Utilisation of an operative difficulty grading scale for laparoscopic cholecystectomy (Surgical Endoscopy, (2018), 10.1007/s00464-018-6281-2)

Author

Griffiths, Ewen A., Hodson, James, Vohra, Ravi S., Marriott, Paul, Katbeh, Tarek, Zino, Samer, Nassar, Ahmad H. M., Vohra, Ravinder S., Kirkham, Amanda J., Pasquali, Sandro, Johnstone, Marianne, Spreadborough, Philip, Alderson, Derek, Fenwick, Stephen, Elmasry, Mohamed, Nunes, Quentin M., Kennedy, David, Khan, Raja Basit, Khan, Muhammad A. S., Magee, Conor J., Jones, Steven M., Mason, Denise, Parappally, Ciny P., Mathur, Pawan, Saunders, Michael, Jamel, Sara, Haque, Samer Ul, Zafar, Sara, Shiwani, Muhammad Hanif, Samuel, Nehemiah, Dar, Farooq, Jackson, Andrew, Lovett, Bryony, Dindyal, Shiva, Winter, Hannah, Fletcher, Ted, Rahman, Saquib, Wheatley, Kevin, Nieto, Tom, Ayaani, Soofiyah, Youssef, Haney, Nijjar, Rajwinder S., Watkin, Helen, Naumann, David, Emesih, Sophie, Sarmah, Piyush B., Lee, Kathryn, Joji, Nikita, Lambert, Joel, Heath, Jonathan, Teasdale, Rebecca L., Weerasinghe, Chamindri, Needham, Paul J., Welbourn, Hannah, Forster, Luke, Finch, David, Blazeby, Jane M., Robb, William, Mcnair, Angus G. K., Hrycaiczuk, Alex, Charalabopoulos, Alexandros, Kadirkamanathan, Sritharan, Tang, Cheuk-Bong, Jayanthi, Naga V. G., Noor, Nigel, Dobbins, Brian, Cockbain, Andrew J., Nilsen-Nunn, April, de Siqueira, Jonathan, Pellen, Mike, Cowley, Jonathan B., Wei-Min, Ho, Miu, Victor, White, Timothy J., Hodgkins, Kathryn A., Kinghorn, Alison, Tutton, Matthew G., Al-Abed, Yahya A., Menzies, Donald, Ahmad, Anwar, Reed, Joanna, Khan, Shabuddin, Monk, David, Vitone, Louis J., Murtaza, Ghulam, Joel, Abraham, Brennan, Stephen, Shier, David, Zhang, Catherine, Yoganathan, Thusidaran, Robinson, Steven J., Mccallum, Iain J. D., Jones, Michael J., Elsayed, Mohammed, Tuck, Liz, Wayman, John, Carney, Kate, Aroori, Somaiah, Hosie, Kenneth B., Kimble, Adam, Bunting, David M., Fawole, Adeshina S., Basheer, Mohammed, Dave, Rajiv V., Sarveswaran, Janahan, Jones, Elinor, Kendal, Chris, Tilston, Michael P., Gough, Martin, Wallace, Tom, Singh, Shailendra, Mockford, Justine Downing Katherine A., Issa, Eyad, Shah, Nayab, Chauhan, Neal, Wilson, Timothy R., Forouzanfar, Amir, Wild, Jonathan R. L., Nofal, Emma, Bunnell, Catherine, Madbak, Khaliel, Rao, Sudhindra T. V., Devoto, Laurence, Siddiqi, Najaf, Khawaja, Zechan, Hewes, James C., Gould, Laura, Chambers, Alice, Rodriguez, Daniel Urriza, Sen, Gourab, Robinson, Stuart, Bartlett, Francis, Rae, David M., Stevenson, Thomas E. J., Sarvananthan, Kas, Dwerryhouse, Simon J., Higgs, Simon M., Old, Oliver J., Hardy, Thomas J., Hornby, Reena Shah Steve T., Keogh, Ken, Frank, Lucinda, Al-Akash, Musallam, Upchurch, Emma A., Frame, Richard J., Hughes, Michael, Jelley, Clare, Weaver, Simon, Roy, Sudipta, Sillo, Toritseju O., Galanopoulos, Giorgios, Cuming, Tamzin, Cunha, Pedro, Tayeh, Salim, Kaptanis, Sarantos, Heshaishi, Mohamed, Eisawi, Abdalla, Abayomi, Michael, Ngu, Wee Sing, Fleming, Katie, Bajwa, Dalvir S., Chitre, Vivek, Aryal, Kamal, Ferris, Paul, Silva, Michael, Mohamed, Simon Lammy Sarah, Khawaja, Amir, Hussain, Adnan, Ghazanfar, Mudassar A., Bellini, Maria Irene, Ebdewi, Hamdi, Elshaer, Mohamed, Gravante, Gianpiero, Drake, Benjamin, Ogedegbe, Arikoge, Mukherjee, Dipankar, Arhi, Chanpreet, Iqbal, Lola Giwa Nusrat, Watson, Nicholas F., Aggarwal, Smeer Kumar, Orchard, Philippa, Villatoro, Eduardo, Willson, Peter D., Mok, Kam Wa Jessica, Woodman, Thomas, Deguara, Jean, Garcea, Giuseppe, Babu, Benoy I., Dennison, A. R., Malde, Deep, Lloyd, David, Satheesan, Steve, Al-Taan, Omer, Boddy, Alexander, Slavin, John P., Jones, Robert P., Ballance, Laura, Gerakopoulos, Stratos, Jambulingam, Periyathambi, Mansour, Sami, Sakai, Naomi, Acharya, Vikas, Sadat, Mohammed M., Karim, Lawen, Larkin, David, Amin, Khalid, Khan, Amarah, Law, Jennifer, Jamdar, Saurabh, Smith, Stella R., Sampat, Keerthika, O’Shea, Kathryn M., Manu, Mangta, Asprou, Fotini M., Malik, Nabeela S., Chang, Jessica, Lewis, Michael, Roberts, Geoffrey P., Karavadra, Babu, Photi, Evangelos, Hewes, James, Rodriguez, Dan, O’Reilly, Derek A., Rate, Anthony J., Sekhar, Hema, Henderson, Lucy T., Starmer, Benjamin Z., Coe, Peter O., Tolofari, Sotonye, Barrie, Jenifer, Bashir, Gareth, Sloane, Jake, Madanipour, Suroosh, Halkias, Constantine, Trevatt, Alexander E. J., Borowski, David W., Hornsby, Jane, Courtney, Michael J., Virupaksha, Suvi, Seymour, Keith, Robinson, Sarah, Hawkins, Helen, Bawa, Sadiq, Gallagher, Paul V., Reid, Alistair, Wood, Peter, Finch, J. G., Guy Finch, J., Parmar, J., Stirland, E., Gardner-Thorpe, James, Al-Muhktar, Ahmed, Peterson, Mark, Majeed, Ali, Bajwa, Farrukh M., Martin, Jack, Choy, Alfred, Tsang, Andrew, Pore, Naresh, Andrew, David R., Al-Khyatt, Waleed, Bhandari, Christopher Taylor Santosh, Chambers, Adam, Subramanium, Dhivya, Toh, Simon K. C., Carter, Nicholas C., Tate, Sophie, Pearce, Belinda, Wainwright, Denise, Mercer, Stuart J., Knight, Benjamin, Vijay, Vardhini, Alagaratnam, Swethan, Sinha, Sidhartha, Khan, Shahab, El-Hasani, Shamsi S., Hussain, Abdulzahra A., Bhattacharya, Vish, Kansal, Nisheeth, Fasih, Tani, Jackson, Claire, Siddiqui, Midhat N., Chishti, Imran A., Fordham, Imogen J., Siddiqui, Zohaib, Bausbacher, Harald, Geogloma, Ileana, Gurung, Kabita, Tsavellas, George, Basynat, Pradeep, Shrestha, Ashish Kiran, Basu, Sanjoy, Harilingam, Alok Chhabra Mohan, Rabie, Mohamed, Akhtar, Mansoor, Kumar, Pradeep, Jafferbhoy, Sadaf F., Hussain, Najam, Raza, Soulat, Haque, Manzarul, Alam, Imran, Aseem, Rabiya, Patel, Shakira, Asad, Mehek, Booth, Michael I., Ball, William R., Wood, Christopher P. J., Pinho-Gomes, Ana C., Kausar, Ambareen, Obeidallah, Moh’d Rami, Varghase, Joseph, Lodhia, Joshil, Bradley, Donal, Rengifo, Carla, Lindsay, David, Gopalswamy, Sivakumar, Finlay, Ian, Wardle, Stacy, Bullen, Naomi, Iftikhar, Syed Yusuf, Awan, Altaf, Ahmed, Javed, Leeder, Paul, Fusai, Guiseppe, Bond-Smith, Giles, Psica, Alicja, Puri, Yogesh, Hou, David, Noble, Fergus, Szentpali, Karoly, Broadhurst, Jack, Date, Ravindra, Hossack, Martin R., Goh, Yan Li, Turner, Paul, Shetty, Vinutha, Riera, Manel, Macano, Christina A. W., Sukha, Anisha, Preston, Shaun R., Hoban, Jennifer R., Puntis, Daniel J., Williams, Sophie V., Krysztopik, Richard, Kynaston, James, Batt, Jeremy, Doe, Matthew, Goscimski, Andrzej, Jones, Gareth H., Hall, Claire, Carty, Nick, Ahmed, Jamil, Panteleimonitis, Sofoklis, Gunasekera, Rohan T., Sheel, Andrea R. G., Lennon, Hannah, Hindley, Caroline, Reddy, Marcus, Kenny, Ross, Elkheir, Natalie, Mcglone, Emma R., Rajaganeshan, Rajasundaram, Hancorn, Kate, Hargreaves, Anita, Prasad, Raj, Longbotham, David A., Vijayanand, Dhakshinamoorthy, Wijetunga, Imeshi, Ziprin, Paul, Nicolay, Christopher R., Yeldham, Geoffrey, Read, Edward, Gossage, James A., Rolph, Rachel C., Ebied, Husam, Phull, Manraj, Khan, Mohammad A., Popplewell, Matthew, Kyriakidis, Dimitrios, Hussain, Anwar, Henley, Natasha, Packer, Jessica R., Derbyshire, Laura, Porter, Jonathan, Appleton, Shaun, Farouk, Marwan, Basra, Melvinder, Jennings, Neil A., Ali, Shahda, Kanakala, Venkatesh, Ali, Haythem, Lane, Risha, Dickson-Lowe, Richard, Zarsadias, Prizzi, Mirza, Darius, Puig, Sonia, Amari, Khalid Al, Vijayan, Deepak, Sutcliffe, Robert, Marudanayagam, Ravi, Hamady, Zayed, Prasad, Abheesh R., Patel, Abhilasha, Durkin, Damien, Kaur, Parminder, Bowen, Laura, Byrne, James P., Pearson, Katherine L., Delisle, Theo G., Davies, James, Tomlinson, Mark A., Johnpulle, Michelle A., Slawinski, Corinna, Macdonald, Andrew, Nicholson, James, Newton, Katy, Mbuvi, James, Farooq, Ansar, Mothe, Bhavani Sidhartha, Zafrani, Zakhi, Brett, Daniel, Francombe, James, Barnes, James, Cheung, Melanie, Al-Bahrani, Ahmed Z., Preziosi, Giuseppe, Urbonas, Tomas, Alberts, Justin, Mallik, Mekhlola, Patel, Krashna, Segaran, Ashvina, Doulias, Triantafyllos, Sufi, Pratik A., Yao, Caroline, Pollock, Sarah, Manzelli, Antonio, Wajed, Saj, Kourkulos, Michail, Pezzuto, Roberto, Wadley, Martin, Hamilton, Emma, Jaunoo, Shameen, Padwick, Robert, Sayegh, Mazin, Newton, Richard C., Hebbar, Madhusoodhana, Farag, Sameh F., Spearman, John, Hamdan, Mohammed F., D’Costa, Conrad, Blane, Christine, Giles, Mathew, Peter, Mark B., Hirst, Natalie A., Hossain, Tanvir, El-Dhuwaib, Arslan Pannu Yesar, Morrison, Tamsin E. M., Taylor, Greg W., Thompson, Ronald L. E., Mccune, Ken, Loughlin, Paula, Lawther, Roger, Byrnes, Colman K., Simpson, Duncan J., Mawhinney, Abi, Warren, Conor, Mckay, Damian, Mcilmunn, Colin, Martin, Serena, Macartney, Matthew, Diamond, Tom, Davey, Phil, Jones, Claire, Clements, Joshua M., Digney, Ruairi, Chan, Wei Ming, Mccain, Stephen, Gull, Sadaf, Janeczko, Adam, Dorrian, Emmet, Harris, Andrew, Dawson, Suzanne, Johnston, Dorothy, Mcaree, Barry, Ghareeb, Essam, Thomas, George, Connelly, Martin, Mckenzie, Stephen, Cieplucha, Krzysztos, Spence, Gary, Campbell, William, Hooks, Gareth, Bradley, Neil, Hill, Arnold D. K., Cassidy, John T., Boland, Michael, Burke, Paul, Nally, Deirdre M., Khogali, Elmoataz, Shabo, Wael, Iskandar, Edrin, Mcentee, Gerry P., O’Neill, Maeve A., Peirce, Colin, Lyons, Emma M., O’Sullivan, Adrian W., Thakkar, Rohan, Carroll, Paul, Ivanovski, Ivan, Balfe, Paul, Lee, Matthew, Winter, Des C., Kelly, Michael E., Hoti, Emir, Maguire, Donal, Karunakaran, Priyadarssini, Geoghegan, Justin G., Mcdermott, Frank, Martin, Sean T., Cross, Keith S., Cooke, Fiachra, Zeeshan, Saquib, Murphy, James O., Mealy, Ken, Mohan, Helen M., Nedujchelyn, Yuwaraja, Ullah, Muhammad Fahad, Ahmed, Irfan, Giovinazzo, Francesco, Milburn, James, Prince, Sarah, Brooke, Eleanor, Buchan, Joanna, Khalil, Ahmed M., Vaughan, Elizabeth M., Ramage, Michael I., Aldridge, Roland C., Gibson, Simon, Nicholson, Gary A., Vass, David G., Grant, Alan J., Holroyd, David J., Angharad Jones, M., Sutton, Cherith M. L. R., O’Dwyer, Patrick, Nilsson, Frida, Weber, Beatrix, Williamson, Tracey K., Lalla, Kushik, Bryant, Alice, Ross Carter, C., Forrest, Craig R., Hunter, David I., Nassar, Ahmad H., Orizu, Mavis N., Knight, Katrina, Qandeel, Haitham, Suttie, Stuart, Belding, Rowena, Mcclarey, Andrew, Boyd, Alan T., Guthrie, Graeme J. K., Lim, Pei J., Luhmann, Andreas, Watson, Angus J. M., Richards, Colin H., Nicol, Laura, Madurska, Marta, Harrison, Ewen, Boyce, Kathryn M., Roebuck, Amanda, Ferguson, Graeme, Pati, Pradeep, Wilson, Michael S. J., Dalgaty, Faith, Fothergill, Laura, Driscoll, Peter J., Mozolowski, Kirsty L., Banwell, Victoria, Bennett, Stephen P., Rogers, Paul N., Skelly, Brendan L., Rutherford, Claire L., Mirza, Ahmed K., Lazim, Taha, Lim, Henry C. C., Duke, Diana, Ahmed, Talat, Beasley, William D., Wilkinson, Marc D., Maharaj, Geta, Malcolm, Cathy, Brown, Timothy H., Al-Sarireh, Bilal, Shingler, Guy M., Mowbray, Nicholas, Radwan, Rami, Morcous, Paul, Wood, Simon, Kadhim, Abbas, Stewart, Duncan J., Baker, Andrew L., Tanner, Nicola, Shenoy, Hrishikesh, Hafiz, Shazia, De Marchi, Joshua A., Singh-Ranger, Deepak, Hisham, Elzanati, Ainley, Paul, John Terrace, Stephen O’Neill., Napetti, Sara, Hopwood, Benjamin, Rhys, Thomas, Downing, Justine, Kanavati, Osama, Coats, Maria, Aleksandrov, Danail, Kallaway, Charlotte, Yahya, Salama, Templeton, Alexa, Trotter, Martin, Christina, Lo, Dhillon, Ajit, Heywood, Nick, Aawsaj, Yousif, Hamdan, Alhafidz, Reece-Bolton, Obuobi, Mcguigan, Andrew, Shahin, Yousef, Aymon, Null, Luther, Ali Alison, Nicholson, James A., Rajendran, Ilayaraja, Boal, Matthew, and Ritchie, Judith

Subjects
Surgery
Published
2018

11. Preoperative risk factors for conversion from laparoscopic to open cholecystectomy: a validated risk score derived from a prospective U.K. database of 8820 patients

Author

Sutcliffe, Robert P., primary, Hollyman, Marianne, additional, Hodson, James, additional, Bonney, Glenn, additional, Vohra, Ravi S., additional, Griffiths, Ewen A., additional, Fenwick, Stephen, additional, Elmasry, Mohamed, additional, Nunes, Quentin, additional, Kennedy, David, additional, Khan, Raja B., additional, Khan, Muhammad A.S., additional, Magee, Conor J., additional, Jones, Steven M., additional, Mason, Denise, additional, Parappally, Ciny P., additional, Mathur, Pawan, additional, Saunders, Michael, additional, Jamel, Sara, additional, Haque, Samer U.l., additional, Zafar, Sara, additional, Shiwani, Muhammad H., additional, Samuel, Nehemiah, additional, Dar, Farooq, additional, Jackson, Andrew, additional, Lovett, Bryony, additional, Dindyal, Shiva, additional, Winter, Hannah, additional, Rahman, Saquib, additional, Wheatley, Kevin, additional, Nieto, Tom, additional, Ayaani, Soofiyah, additional, Youssef, Haney, additional, Nijjar, Rajwinder S., additional, Watkin, Helen, additional, Naumann, David, additional, Emeshi, Sophie, additional, Sarmah, Piyush B., additional, Lee, Kathryn, additional, Joji, Nikita, additional, Heath, Jonathan, additional, Teasdale, Rebecca L., additional, Weerasinghe, Chamindri, additional, Needham, Paul J., additional, Welbourn, Hannah, additional, Forster, Luke, additional, Finch, David, additional, Blazeby, Jane M., additional, Robb, William, additional, McNair, Angus G.K., additional, Hrycaiczuk, Alex, additional, Charalabopoulos, Alexandros, additional, Kadirkamanathan, Sritharan, additional, Tang, Cheuk-Bong, additional, Jayanthi, Naga V.G., additional, Noor, Nigel, additional, Dobbins, Brian, additional, Cockbain, Andrew J., additional, Nilsen-Nunn, April, additional, de Siqueira, Jonathan, additional, Pellen, Mike, additional, Cowley, Jonathan B., additional, Ho, Wei-Min, additional, Miu, Victor, additional, White, Timothy J., additional, Hodgkins, Kathryn A., additional, Kinghorn, Alison, additional, Tutton, Matthew G., additional, Al-Abed, Yahya A., additional, Menzies, Donald, additional, Ahmad, Anwar, additional, Reed, Joanna, additional, Khan, Shabuddin, additional, Monk, David, additional, Vitone, Louis J., additional, Murtaza, Ghulam, additional, Joel, Abraham, additional, Brennan, Stephen, additional, Shier, David, additional, Zhang, Catherine, additional, Yoganathan, Thusidaran, additional, Robinson, Steven J., additional, McCallum, Iain J.D., additional, Jones, Michael J., additional, Elsayed, Mohammed, additional, Tuck, Liz, additional, Wayman, John, additional, Carney, Kate, additional, Aroori, Somaiah, additional, Hosie, Kenneth B., additional, Kimble, Adam, additional, Bunting, David M., additional, Fawole, Adeshina S., additional, Basheer, Mohammed, additional, Dave, Rajiv V., additional, Sarveswaran, Janahan, additional, Jones, Elinor, additional, Kendal, Chris, additional, Tilston, Michael P., additional, Gough, Martin, additional, Wallace, Tom, additional, Singh, Shailendra, additional, Downing, Justine, additional, Mockford, Katherine A., additional, Issa, Eyad, additional, Shah, Nayab, additional, Chauhan, Neal, additional, Wilson, Timothy R., additional, Forouzanfar, Amir, additional, Wild, Jonathan R.L., additional, Nofal, Emma, additional, Bunnell, Catherine, additional, Madbak, Khaliel, additional, Rao, Sudhindra T.V., additional, Devoto, Laurence, additional, Siddiqi, Najaf, additional, Khawaja, Zechan, additional, Hewes, James C., additional, Gould, Laura, additional, Chambers, Alice, additional, Rodriguez, Daniel U., additional, Sen, Gourab, additional, Robinson, Stuart, additional, Bartlett, Francis, additional, Rae, David M., additional, Stevenson, Thomas E.J., additional, Sarvananthan, Kas, additional, Dwerryhouse, Simon J., additional, Higgs, Simon M., additional, Old, Oliver J., additional, Hardy, Thomas J., additional, Shah, Reena, additional, Hornby, Steve T., additional, Keogh, Ken, additional, Frank, Lucinda, additional, Al-Akash, Musallam, additional, Upchurch, Emma A., additional, Frame, Richard J., additional, Hughes, Michael, additional, Jelley, Clare, additional, Weaver, Simon, additional, Roy, Sudipta, additional, Sillo, Toritseju O., additional, Galanopoulos, Giorgios, additional, Cuming, Tamzin, additional, Cunha, Pedro, additional, Tayeh, Salim, additional, Kaptanis, Sarantos, additional, Heshaishi, Mohamed, additional, Eisawi, Abdalla, additional, Abayomi, Michael, additional, Ngu, Wee S., additional, Fleming, Katie, additional, Bajwa, Dalvir S., additional, Chitre, Vivek, additional, Aryal, Kamal, additional, Ferris, Paul, additional, Silva, Michael, additional, Lammy, Simon, additional, Mohamed, Sarah, additional, Khawaja, Amir, additional, Hussain, Adnan, additional, Ghazanfar, Mudassar A., additional, Bellini, Maria I., additional, Ebdewi, Hamdi, additional, Elshaer, Mohamed, additional, Gravante, Gianpiero, additional, Drake, Benjamin, additional, Ogedegbe, Arikoge, additional, Mukherjee, Dipankar, additional, Arhi, Chanpreet, additional, Giwa, Lola, additional, Iqbal, Nusrat, additional, Watson, Nicholas F., additional, Aggarwal, Smeer K., additional, Orchard, Philippa, additional, Villatoro, Eduardo, additional, Willson, Peter D., additional, Mok, Kam W.J., additional, Woodman, Thomas, additional, Deguara, Jean, additional, Garcea, Giuseppe, additional, Babu, Benoy I., additional, Dennison, Alistair R., additional, Malde, Deep, additional, Lloyd, David, additional, Slavin, John P., additional, Jones, Robert P., additional, Ballance, Laura, additional, Gerakopoulos, Stratos, additional, Jambulingam, Periyathambi, additional, Mansour, Sami, additional, Sakai, Naomi, additional, Acharya, Vikas, additional, Sadat, Mohammed M., additional, Karim, Lawen, additional, Larkin, David, additional, Amin, Khalid, additional, Khan, Amarah, additional, Law, Jennifer, additional, Jamdar, Saurabh, additional, Smith, Stella R., additional, Sampat, Keerthika, additional, O'shea, Kathryn M., additional, Manu, Mangta, additional, Asprou, Fotini M., additional, Malik, Nabeela S., additional, Chang, Jessica, additional, Johnstone, Marianne, additional, Lewis, Michael, additional, Roberts, Geoffrey P., additional, Karavadra, Babu, additional, Photi, Evangelos, additional, Hewes, James, additional, Rodriguez, Dan, additional, O'Reilly, Derek A., additional, Rate, Anthony J., additional, Sekhar, Hema, additional, Henderson, Lucy T., additional, Starmer, Benjamin Z., additional, Coe, Peter O., additional, Tolofari, Sotonye, additional, Barrie, Jenifer, additional, Bashir, Gareth, additional, Sloane, Jake, additional, Madanipour, Suroosh, additional, Halkias, Constantine, additional, Trevatt, Alexander E.J., additional, Borowski, David W., additional, Hornsby, Jane, additional, Courtney, Michael J., additional, Virupaksha, Suvi, additional, Seymour, Keith, additional, Robinson, Sarah, additional, Hawkins, Helen, additional, Bawa, Sadiq, additional, Gallagher, Paul V., additional, Reid, Alistair, additional, Wood, Peter, additional, Finch, Jonathan G., additional, Finch, J.Guy, additional, Parmar, Jitesh, additional, Stirland, Euan, additional, Gardner-Thorpe, James, additional, Al-Muhktar, Ahmed, additional, Peterson, Mark, additional, Majeed, Ali, additional, Bajwa, Farrukh M., additional, Martin, Jack, additional, Choy, Alfred, additional, Tsang, Andrew, additional, Pore, Naresh, additional, Andrew, David R., additional, Al-Khyatt, Waleed, additional, Santosh Bhandari, Christopher Taylor, additional, Chambers, Adam, additional, Subramanium, Dhivya, additional, Toh, Simon K.C., additional, Carter, Nicholas C., additional, Mercer, Stuart J., additional, Knight, Benjamin, additional, Vijay, Vardhini, additional, Alagaratnam, Swethan, additional, Sinha, Sidhartha, additional, Khan, Shahab, additional, El-Hasani, Shamsi S., additional, Hussain, Abdulzahra A., additional, Bhattacharya, Vish, additional, Kansal, Nisheeth, additional, Fasih, Tani, additional, Jackson, Claire, additional, Siddiqui, Midhat N., additional, Chishti, Imran A., additional, Fordham, Imogen J., additional, Siddiqui, Zohaib, additional, Bausbacher, Harald, additional, Geogloma, Ileana, additional, Gurung, Kabita, additional, Tsavellas, George, additional, Basynat, Pradeep, additional, Shrestha, Ashish K., additional, Basu, Sanjoy, additional, Chhabra, Alok, additional, Harilingam, Mohan, additional, Rabie, Mohamed, additional, Akhtar, Mansoor, additional, Kumar, Pradeep, additional, Jafferbhoy, Sadaf F., additional, Hussain, Najam, additional, Raza, Soulat, additional, Haque, Manzarul, additional, Alam, Imran, additional, Aseem, Rabiya, additional, Patel, Shakira, additional, Asad, Mehek, additional, Booth, Michael I., additional, Ball, William R., additional, Wood, Christopher P.J., additional, Pinho-Gomes, Ana C., additional, Kausar, Ambareen, additional, Obeidallah, Mohammed, additional, Varghase, Joseph, additional, Lodhia, Joshil, additional, Bradley, Donal, additional, Rengifo, Carla, additional, Lindsay, David, additional, Gopalswamy, Sivakumar, additional, Finlay, Ian, additional, Wardle, Stacy, additional, Bullen, Naomi, additional, Iftikhar, Syed Y., additional, Awan, Altaf, additional, Ahmed, Javed, additional, Leeder, Paul, additional, Fusai, Guiseppe, additional, Bond-Smith, Giles, additional, Psica, Alicja, additional, Puri, Yogesh, additional, Hou, David, additional, Noble, Fergus, additional, Szentpali, Karoly, additional, Broadhurst, Jack, additional, Date, Ravindra, additional, Hossack, Martin R., additional, Goh, Yan L., additional, Turner, Paul, additional, Shetty, Vinutha, additional, Riera, Manel, additional, Macano, Christina A.W., additional, Sukha, Anisha, additional, Preston, Shaun R., additional, Hoban, Jennifer R., additional, Puntis, Daniel J., additional, Williams, Sophie V., additional, Krysztopik, Richard, additional, Kynaston, James, additional, Batt, Jeremy, additional, Doe, Matthew, additional, Goscimski, Andrzej, additional, Jones, Gareth H., additional, Hall, Claire, additional, Carty, Nick, additional, Ahmed, Jamil, additional, Panteleimonitis, Sofoklis, additional, Gunasekera, Rohan T., additional, Sheel, Andrea R.G., additional, Lennon, Hannah, additional, Hindley, Caroline, additional, Reddy, Marcus, additional, Kenny, Ross, additional, Elkheir, Natalie, additional, McGlone, Emma R., additional, Rajaganeshan, Rajasundaram, additional, Hancorn, Kate, additional, Hargreaves, Anita, additional, Prasad, Raj, additional, Longbotham, David A., additional, Vijayanand, Dhakshinamoorthy, additional, Wijetunga, Imeshi, additional, Ziprin, Paul, additional, Nicolay, Christopher R., additional, Yeldham, Geoffrey, additional, Read, Edward, additional, Gossage, James A., additional, Rolph, Rachel C., additional, Ebied, Husam, additional, Phull, Manraj, additional, Khan, Mohammad A., additional, Popplewell, Matthew, additional, Kyriakidis, Dimitrios, additional, Hussain, Anwar, additional, Henley, Natasha, additional, Packer, Jessica R., additional, Derbyshire, Laura, additional, Porter, Jonathan, additional, Appleton, Shaun, additional, Farouk, Marwan, additional, Basra, Melvinder, additional, Jennings, Neil A., additional, Ali, Shahda, additional, Kanakala, Venkatesh, additional, Ali, Haythem, additional, Lane, Risha, additional, Dickson-Lowe, Richard, additional, Zarsadias, Prizzi, additional, Mirza, Darius, additional, Puig, Sonia, additional, Al Amari, Khalid, additional, Vijayan, Deepak, additional, Sutcliffe, Robert, additional, Marudanayagam, Ravi, additional, Hamady, Zayed, additional, Prasad, Abheesh R., additional, Patel, Abhilasha, additional, Durkin, Damien, additional, Kaur, Parminder, additional, Bowen, Laura, additional, Byrne, James P., additional, Pearson, Katherine L., additional, Delisle, Theo G., additional, Davies, James, additional, Tomlinson, Mark A., additional, Johnpulle, Michelle A., additional, Slawinski, Corinna, additional, Macdonald, Andrew, additional, Nicholson, James, additional, Newton, Katy, additional, Mbuvi, James, additional, Farooq, Ansar, additional, Mothe, Bhavani S., additional, Zafrani, Zakhi, additional, Brett, Daniel, additional, Francombe, James, additional, Spreadborough, Philip, additional, Barnes, James, additional, Cheung, Melanie, additional, Al-Bahrani, Ahmed Z., additional, Preziosi, Giuseppe, additional, Urbonas, Tomas, additional, Alberts, Justin, additional, Mallik, Mekhlola, additional, Patel, Krashna, additional, Segaran, Ashvina, additional, Doulias, Triantafyllos, additional, Sufi, Pratik A., additional, Yao, Caroline, additional, Pollock, Sarah, additional, Manzelli, Antonio, additional, Wajed, Saj, additional, Kourkulos, Michail, additional, Pezzuto, Roberto, additional, Wadley, Martin, additional, Hamilton, Emma, additional, Jaunoo, Shameen, additional, Padwick, Robert, additional, Sayegh, Mazin, additional, Newton, Richard C., additional, Hebbar, Madhusoodhana, additional, Farag, Sameh F., additional, Hebbar, Madhu, additional, Spearman, John, additional, Hamdan, Mohammed F., additional, D'Costa, Conrad, additional, Blane, Christine, additional, Giles, Mathew, additional, Peter, Mark B., additional, Hirst, Natalie A., additional, Hossain, Tanvir, additional, Pannu, Arslan, additional, El-Dhuwaib, Yesar, additional, Morrison, Tamsin E.M., additional, Taylor, Greg W., additional, Thompson, Ronald L.E., additional, McCune, Ken, additional, Loughlin, Paula, additional, Lawther, Roger, additional, Byrnes, Colman K., additional, Simpson, Duncan J., additional, Mawhinney, Abi, additional, Warren, Conor, additional, McKay, Damian, additional, McIlmunn, Colin, additional, Martin, Serena, additional, MacArtney, Matthew, additional, Diamond, Tom, additional, Davey, Phil, additional, Jones, Claire, additional, Clements, Joshua M., additional, Digney, Ruairi, additional, Chan, Wei M., additional, McCain, Stephen, additional, Gull, Sadaf, additional, Janeczko, Adam, additional, Dorrian, Emmet, additional, Harris, Andrew, additional, Dawson, Suzanne, additional, Johnston, Dorothy, additional, McAree, Barry, additional, Ghareeb, Essam, additional, Thomas, George, additional, Connelly, Martin, additional, McKenzie, Stephen, additional, Cieplucha, Krzysztos, additional, Spence, Gary, additional, Campbell, William, additional, Hooks, Gareth, additional, Bradley, Neil, additional, Hill, Arnold D.K., additional, Cassidy, John T., additional, Boland, Michael, additional, Burke, Paul, additional, Nally, Deirdre M., additional, Khogali, Elmoataz, additional, Shabo, Wael, additional, Iskandar, Edrin, additional, McEntee, Gerry P., additional, O'Neill, Maeve A., additional, Peirce, Colin, additional, Lyons, Emma M., additional, O'Sullivan, Adrian W., additional, Thakkar, Rohan, additional, Carroll, Paul, additional, Ivanovski, Ivan, additional, Balfe, Paul, additional, Lee, Matthew, additional, Winter, Des C., additional, Kelly, Michael E., additional, Hoti, Emir, additional, Maguire, Donal, additional, Karunakaran, Priyadarssini, additional, Geoghegan, Justin G., additional, Martin, Sean T., additional, Cross, Keith S., additional, Cooke, Fiachra, additional, Zeeshan, Saquib, additional, Murphy, James O., additional, Mealy, Ken, additional, Mohan, Helen M., additional, Nedujchelyn, Yuwaraja, additional, Ullah, Muhammad F., additional, Ahmed, Irfan, additional, Giovinazzo, Francesco, additional, Milburn, James, additional, Prince, Sarah, additional, Brooke, Eleanor, additional, Buchan, Joanna, additional, Khalil, Ahmed M., additional, Vaughan, Elizabeth M., additional, Ramage, Michael I., additional, Aldridge, Roland C., additional, Gibson, Simon, additional, Nicholson, Gary A., additional, Vass, David G., additional, Grant, Alan J., additional, Holroyd, David J., additional, Jones, Angharad, additional, Sutton, Cherith M.L.R., additional, O'Dwyer, Patrick, additional, Nilsson, Frida, additional, Weber, Beatrix, additional, Williamson, Tracey K., additional, Lalla, Kushik, additional, Bryant, Alice, additional, Carter, Ross, additional, Forrest, Craig R., additional, Hunter, David I., additional, Nassar, Ahmad H., additional, Orizu, Mavis N., additional, Knight, Katrina, additional, Qandeel, Haitham, additional, Suttie, Stuart, additional, Belding, Rowena, additional, McClarey, Andrew, additional, Boyd, Alan T., additional, Guthrie, Graeme J.K., additional, Lim, Pei J., additional, Luhmann, Andreas, additional, Watson, Angus J.M., additional, Richards, Colin H., additional, Nicol, Laura, additional, Madurska, Marta, additional, Harrison, Ewen, additional, Boyce, Kathryn M., additional, Roebuck, Amanda, additional, Ferguson, Graeme, additional, Pati, Pradeep, additional, Wilson, Michael S.J., additional, Dalgaty, Faith, additional, Fothergill, Laura, additional, Driscoll, Peter J., additional, Mozolowski, Kirsty L., additional, Banwell, Victoria, additional, Bennett, Stephen P., additional, Rogers, Paul N., additional, Skelly, Brendan L., additional, Rutherford, Claire L., additional, Mirza, Ahmed K., additional, Lazim, Taha, additional, Lim, Henry C.C., additional, Duke, Diana, additional, Ahmed, Talat, additional, Beasley, William D., additional, Wilkinson, Marc D., additional, Maharaj, Geta, additional, Malcolm, Cathy, additional, Brown, Timothy H., additional, Shingler, Guy M., additional, Mowbray, Nicholas, additional, Radwan, Rami, additional, Morcous, Paul, additional, Wood, Simon, additional, Kadhim, Abbas, additional, Stewart, Duncan J., additional, Baker, Andrew L., additional, Tanner, Nicola, additional, and Shenoy, Hrishikesh, additional

Published
2016
Full Text
View/download PDF

12. UK Foot and Ankle Thromboembolism (UK-FATE).

Author

Mangwani J, Houchen-Wolloff L, Malhotra K, Booth S, Smith A, Teece L, Mason LW, Shaikh R, Alfred W, Okhifun I, Cinar E, Bua N, Vemulapalli K, Acharya A, Gadd R, Money-Taylor J, Kantharaju R, Bhosale A, Bahri S, Broadbent R, Drummond I, Jones N, Shah S, Ravindrarjah T, Yasen Z, Singh K, Al-Habs R, Jeyaseelan L, Habbiba A, Walker T, Dewhurst M, Glasgow N, Eze D, Carter G, Rajan P, Patil V, Amer O, Malik K, Pavanerathan P, Mallick A, Seferiadis I, Currall V, Sadasivan P, Kumar S, Sanjani SR, Ciaccio M, Ayyaswamy B, Prasad P, Anand M, Sunilraj D, Lane S, Prathap S, Kankate R, Aktselis I, Davda K, Vijapur A, Tayyem M, Chau J, Azhar MS, Sturdee S, Hussain H, Sonde S, Luqman MQ, Farooq R, Wells G, Shenolikar A, Simons M, Hodgson P, Thomas R, Stevens S, Elhassan Y, Adeniyi A, Aspinall W, Joseph V, Day M, Tong A, Joyner C, Alzaranky M, Elhassan O, Chhantyal K, Arora A, Abiddin Z, Kucharski R, Ahmad I, Zeb J, Ishaq U, Thomas J, Jain K, Deol R, Faroug R, Johal K, Mordecai S, Argyropouos M, Chawla A, Ibrahim M, Pereira M, Barr L, Julies E, Hill F, Kapoor S, Bailey J, Mukhopadhyay I, Rana S, Tarig H, Qualaghassi M, Seewoonarian S, Rose B, Crate G, Abbott S, Fenner C, Geleit R, Yousaf S, Akram N, Al-Hubeshy Z, Patel B, Hussein M, Clark C, Giddie J, Dega R, Dasari K, Nandhara G, Kumar P, Gupta P, Poole H, Zace P, Alvi F, Jacob J, Reddy R, Sateesh V, Gledhill A, Craven J, Cichero M, Yates B, Newton A, Grice J, Fawcett N, Fraig H, Hamad F, Marsland D, Elliot R, Ghani Y, Chandrashekhar S, Millan RK, Clark A, Rahman K, Sykes M, Little Z, Saleem J, Jolly L, Jain A, Qadri A, Rymaruk S, Kulkarni A, Garabadi M, Akhtar M, Hossain M, Yunus S, Saleem M, Fong J, Islam A, Nusir B, Chapman J, Holmes D, Mamoowala N, Almond K, Wright C, Caruana E, Watson T, Allison G, Pillai A, Madhi I, Alsalihy M, Elamin K, Yip CR, Tew L, Dahiya R, Goff T, Bagshaw O, Slade H, Andrzejowski P, Gomati A, Drake C, Hind J, Morgan R, Khalaf A, Ditta A, Ramasamy A, McIntyre J, Blacklock C, Middleton S, Clayton R, Hrycaiczuk A, Thornhill C, Jeyakumar G, Vaithilingam D, Potter K, Jamal/Pete Chan B, Mohamed M, Fraser D, Elhalawany A, Beastall J, Cousins G, Nunag P, Loveday D, Bawa A, Gilmore R, Schankat K, Walls A, Corin N, Robinson P, Hepple S, Harries W, Riddick A, Winson I, Marsh L, Bashir MA, Saini J, Atkinson H, Limaye R, Johnson-Lynn S, Sethi M, Flanagan G, Uddin A, Reilly I, Martin R, Pujol-Nichol A, Carroll N, Boucher A, Alward M, Myint Y, Butler K, Kendal A, Bugeja M, Mooteeram J, Saedi F, Koc T, Morcos Z, Robertson G, Holmes N, Tribe H, Pearkes T, Soliman A, Prasanna A, Teoh K, Kamat S, Bajracharya A, Reeves J, Ngwayi M, Imtiaz G, Blackmore N, Lau B, Naik A, Tung E, Murhekar S, Ray R, Lyle S, Makwana N, Kaisi KA, Al-Musabi M, Dean M, Hughes A, Shuttlewood K, Welck M, Patel S, Sykes A, Thibbaiah MM, Hadi H, Haldar A, Ardakani AG, Jani P, Kutuzov V, Gibbons J, Trussler D, Hawley E, Akhtar S, Rajgor HD, Budair B, Prem H, Mckenzie J, Thurston D, O'Sullivan M, Elmajee M, Pond E, Zahra W, Heaver C, Igbagiri K, Gaukroger A, Solan M, Peacock C, Fan KS, Barton T, Robinson D, Graham S, Zeolla J, Everett S, Iqbal M, Gourbault L, Singh S, Tang C, Tarhini M, Khan S, Balasubramanian S, Lever C, Bansod V, Iyengar K, Wadood A, McMillan L, Toh E, Masunda S, Federer S, Ahmad F, Lashin A, Kaddah A, Oladeji E, Dawe E, Nolan C, El-Bayouk K, Dhukaram V, Chapman A, Beddard L, Thomas A, Garg V, Taylor H, Kelsall N, Roslee C, Akram N, Lowdon H, Kamel-Sherif A, Jones A, Best A, Zabaglo M, Sayani J, Kyaw O, Khin C, Ali R, Shaik Y, Hossain N, Valente L, Ajis A, Guha A, Pereira M, Ayoub A, Paraoan V, Hali N, Baird C, Kugan R, Abdallatif A, Blomfield M, Jackson G, Craven J, Malhotra A, Toner A, Render L, Ashley C, Limb R, Smith R, Hughes L, Matthews H, Shiers-Gelalis F, Ting J, Place S, Budgen A, Stanley J, and Jowett C

Subjects
Humans, Male, Female, United Kingdom epidemiology, Middle Aged, Prospective Studies, Risk Factors, Adult, Incidence, Aged, Postoperative Complications epidemiology, Postoperative Complications prevention & control, Rupture surgery, Venous Thromboembolism prevention & control, Venous Thromboembolism epidemiology, Venous Thromboembolism etiology, Achilles Tendon injuries, Achilles Tendon surgery, Anticoagulants therapeutic use
Abstract

Aims: Venous thromboembolism (VTE) is a potential complication of foot and ankle surgery. There is a lack of agreement on contributing risk factors and chemical prophylaxis requirements. The primary outcome of this study was to analyze the 90-day incidence of symptomatic VTE and VTE-related mortality in patients undergoing foot and ankle surgery and Achilles tendon (TA) rupture. Secondary aims were to assess the variation in the provision of chemical prophylaxis and risk factors for VTE., Methods: This was a multicentre, prospective national collaborative audit with data collection over nine months for all patients undergoing foot and ankle surgery in an operating theatre or TA rupture treatment, within participating UK hospitals. The association between VTE and thromboprophylaxis was assessed with a univariable logistic regression model. A multivariable logistic regression model was used to identify key predictors for the risk of VTE., Results: A total of 13,569 patients were included from 68 sites. Overall, 11,363 patients were available for analysis: 44.79% were elective (n = 5,090), 42.16% were trauma excluding TA ruptures (n = 4,791), 3.50% were acute diabetic procedures (n = 398), 2.44% were TA ruptures undergoing surgery (n = 277), and 7.10% were TA ruptures treated nonoperatively (n = 807). In total, 11 chemical anticoagulants were recorded, with the most common agent being low-molecular-weight heparin (n = 6,303; 56.79%). A total of 32.71% received no chemical prophylaxis. There were 99 cases of VTE (incidence 0.87% (95% CI 0.71 to 1.06)). VTE-related mortality was 0.03% (95% CI 0.005 to 0.080). Univariable analysis showed that increased age and American Society of Anesthesiologists (ASA) grade had higher odds of VTE, as did having previous cancer, stroke, or history of VTE. On multivariable analysis, the strongest predictors for VTE were the type of foot and ankle procedure and ASA grade., Conclusion: The 90-day incidence of symptomatic VTE and mortality related to VTE is low in foot and ankle surgery and TA management. There was notable variability in the chemical prophylaxis used. The significant risk factors associated with 90-day symptomatic VTE were TA rupture and high ASA grade., Competing Interests: J. Mangwani reports support from the Leicester Hospitals Charity, related to this study. J. Mangwani reports payment or honoraria for lectures, presentations, educational events from Orthosolutions, and royalties from Meshworks, unrelated to this study. K. Malhotra reports payment or honoraria for lectures, presentations, speaker bureaus, manuscript writing or educational events from NewClip Technics, unrelated to this study. L. W. Mason reports royalties or licenses, consulting fees, and patents planned, issued or pending from Orthosolutions, unrelated to this study., (© 2024 The British Editorial Society of Bone & Joint Surgery.)

Published
2024
Full Text
View/download PDF

Catalog

Books, media, physical & digital resources
See catalog results