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Related Experiment Video

Updated: Jun 12, 2026

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center
07:48

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Published on: January 9, 2026

High-risk surgery: epidemiology and outcomes.

Suneetha Ramani Moonesinghe1, Michael Gerard Mythen, Michael Patrick William Grocott

  • 1Centre for Anaesthesia, University College London Hospital, 235 Euston Rd., London, UK. rmoonesinghe@gmail.com

Anesthesia and Analgesia
|May 25, 2010
PubMed
Summary

Surgical morbidity affects millions globally, impacting long-term survival. This review explores healthcare delivery and patient factors influencing surgical outcomes and proposes improved risk assessment tools.

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Last Updated: Jun 12, 2026

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center
07:48

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center

Published on: January 9, 2026

Area of Science:

  • Surgical outcomes research
  • Public health
  • Healthcare quality improvement

Background:

  • Surgical morbidity and mortality represent a significant global public health concern, affecting millions of patients annually.
  • Perioperative complications are linked to reduced long-term survival, highlighting the importance of understanding surgical outcomes.
  • Variations in healthcare delivery and patient-specific factors contribute to disparities in surgical morbidity and mortality.

Purpose of the Study:

  • To review factors influencing surgical outcomes, including healthcare delivery and patient-related elements.
  • To evaluate methods for assessing perioperative risk and surgical outcomes.
  • To identify future research directions for enhancing surgical care quality.

Main Methods:

  • Literature review examining factors affecting surgical outcomes.
  • Analysis of healthcare delivery aspects (structure, process, resource utilization).
  • Evaluation of patient-related factors (comorbidities, functional capacity, cardiovascular health) and assessment tools (risk stratification, exercise testing, biomarkers).

Main Results:

  • Healthcare delivery variations impact surgical morbidity and mortality.
  • Patient factors like comorbidities and functional status are critical determinants of perioperative risk.
  • Current risk stratification and outcome assessment tools have limitations.

Conclusions:

  • Improving precision in perioperative risk assessment tools is crucial.
  • Enhanced outcome measures are needed to evaluate surgical healthcare quality.
  • Future work should focus on developing better tools for clinical trials, epidemiological studies, and quality improvement programs.