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Updated: Jul 4, 2026

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy
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Published on: April 19, 2024

Mortality in outpatient surgery.

Geoffrey R Keyes1, Robert Singer, Ronald E Iverson

  • 1Los Angeles, La Jolla, and Stanford, Calif.; Camp Hill, Pa.; New York, N.Y.; and Dallas, Texas From the University of Southern California, Stanford University Medical School, and the University of California, Los Angeles; Holy Spirit Hospital; Weill Cornell Medical College; and the University of Texas Southwestern Medical School.

Plastic and Reconstructive Surgery
|July 3, 2008
PubMed
Summary
This summary is machine-generated.

Pulmonary embolism caused most deaths in accredited outpatient surgery facilities. Abdominoplasty procedures showed a high association with fatal pulmonary embolisms, requiring further investigation for prevention strategies.

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Last Updated: Jul 4, 2026

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy
04:38

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy

Published on: April 19, 2024

Area of Science:

  • Ambulatory surgery
  • Patient safety
  • Surgical outcomes

Background:

  • The American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF) collects morbidity and mortality data.
  • Previous data from the Internet-Based Quality Assurance and Peer Review (IBQAP) system were published in 2004.
  • This study analyzes AAAASF-accredited facility data from the IBQAP through June 2006, focusing on surgical mortality.

Purpose of the Study:

  • To analyze mortality data from AAAASF-accredited facilities.
  • To identify causes of death in outpatient procedures.
  • To investigate the incidence of pulmonary embolism in ambulatory surgery.

Main Methods:

  • Data were collected through the IBQAP system from January 2001 to June 2006.
  • The IBQAP mandates biannual reporting of unanticipated sequelae and random case reviews.
  • Surgeons in AAAASF-accredited facilities reported data, including surgical log numbers for case tabulation.

Main Results:

  • A total of 23 deaths occurred in 1,141,418 outpatient procedures.
  • Pulmonary embolism was the cause of death in 13 cases.
  • Only one death was attributed to an intraoperative adverse event.

Conclusions:

  • Pulmonary embolism is a risk across various surgical settings, including office-based facilities.
  • Abdominoplasty is the procedure most frequently linked to fatal pulmonary embolism in office-based settings.
  • Further research is needed to understand and prevent pulmonary embolism associated with abdominoplasty.