Clinical and economic validation of the International Study Group of Pancreatic Fistula (ISGPF) classification scheme

WB Pratt, SK Maithel, T Vanounou, ZS Huang… - Annals of …, 2007 - journals.lww.com
Objective: The authors sought to validate the ISGPF classification scheme in a large cohort of
patients following pancreaticoduodenectomy (PD) in a pancreaticobiliary surgical specialty …

Comparing the clinical and economic impact of laparoscopic versus open liver resection

T Vanounou, JL Steel, KT Nguyen, A Tsung… - Annals of surgical …, 2010 - Springer
Background Laparoscopic liver resection has thus far not gained widespread acceptance
among liver surgeons. Valid questions remain regarding the relative clinical superiority of the …

Postoperative pancreatic fistulas are not equivalent after proximal, distal, and central pancreatectomy

W Pratt, SK Maithel, T Vanounou, MP Callery… - Journal of …, 2006 - Springer
It is uncertain whether postoperative pancreatic fistulas after distal and central pancreatectomies
behave similarly to those after pancreaticoduodenectomy. To date, this concept has not …

Deviation-based cost modeling: a novel model to evaluate the clinical and economic impact of clinical pathways

T Vanounou, W Pratt, JE Fischer, CM Vollmer Jr… - Journal of the American …, 2007 - Elsevier
BACKGROUND: Although clinical pathways were developed to streamline patient care cost
efficiently, few have been put to rigorous financial test. This is important today, because …

Epidural analgesia for pancreatoduodenectomy: a critical appraisal

…, RA Steinbrook, SK Maithel, T Vanounou… - Journal of …, 2008 - Elsevier
Introduction Epidural analgesia has emerged as a commonly applied method to improve
pain management and reduce perioperative complications in major abdominal surgery. …

[HTML][HTML] Intra-arterial therapies for unresectable and chemorefractory colorectal cancer liver metastases: a systematic review and meta-analysis

…, R Garfinkle, SA Acuna, J Touchette, T Vanounou… - Hpb, 2018 - Elsevier
Background A large proportion of patients with colorectal cancer liver metastases (CRCLM)
not amenable to curative liver resection will progress on systemic therapy. Intra-arterial …

Quality assessment in high-acuity surgery: volume and mortality are not enough

CM Vollmer, W Pratt, T Vanounou, SK Maithel… - Archives of …, 2007 - jamanetwork.com
Hypothesis A new quality assessment model for high-acuity surgery links process improvements
with hospital costs and patient-centered outcomes and accurately reflects the clinical …

[HTML][HTML] Bridging the gap between open and minimally invasive pancreaticoduodenectomy: the hybrid approach

…, S Bergman, S Piedimonte, T Vanounou - Canadian Journal of …, 2014 - ncbi.nlm.nih.gov
Background Minimally invasive pancreatic surgery has evolved rapidly, but total laparoscopic
pancreaticoduodenectomy has not been widely adopted owing to its technical complexity. …

Selective administration of prophylactic octreotide during pancreaticoduodenectomy: a clinical and cost-benefit analysis in low-and high-risk glands

T Vanounou, WB Pratt, MP Callery… - Journal of the American …, 2007 - Elsevier
BACKGROUND: The efficacy of prophylactic octreotide after pancreaticoduodenectomy has
been rigorously scrutinized, yet few studies have specifically illustrated its impact in patients …

[HTML][HTML] Minimally invasive pancreatic resections: cost and value perspectives

…, MA Hidal, J Fleshman, M Talamonti, T Vanounou… - HPB, 2017 - Elsevier
… 5 , Tsafrir Vanounou 6 , Richard Garfinkle 6 , Vic Velanovich 7 , David Kooby 8 , Charles M.
Vollmer 9 … Tsafrir Vanounou A framework for cost comparisons in MIPR moving forward: cost-…