journal
https://read.qxmd.com/read/36446682/achieving-an-optimal-textbook-outcome-following-pancreatic-resection-the-impact-of-surgeon-specific-experience-in-achieving-high-quality-outcomes
#1
JOURNAL ARTICLE
Qinyu Chen, Adrian Diaz, Joal Beane, Mary Dillhoff, Jordan Cloyd, Aslam Ejaz, Timothy M Pawlik
BACKGROUND: The interplay of patient-, procedural, and provider-level factors on the ability to achieve a textbook outcome(TO) remain poorly defined. METHODS: The Medicare Standard Analytical Files from 2013 to 2017 were used to identify beneficiaries who underwent pancreatic surgery. Multivariable logistic regression with mixed effects was used to examine the role of the individual surgeon relative to patient- and procedural-factors to achieve a TO. RESULTS: Among 20,902 patients who underwent pancreatic resection, median age was 72 years (IQR:68-77); roughly one-half of the cohort was female(47,4%) and the majority was White (89...
November 24, 2022: American Journal of Surgery
https://read.qxmd.com/read/36443105/implementation-evaluation-and-modification-of-a-near-peer-learning-group-in-graduate-surgical-education
#2
EDITORIAL
Patricia C Conroy, Sarah Mohamedaly, Mohammad Karimzada, Riley Brian, Cecilia Im, Sophia Hernandez, Sanziana Roman, Kenzo Hirose, Rita Mukhtar, Kimberly Kirkwood, Patricia O'Sullivan, Adnan Alseidi
No abstract text is available yet for this article.
November 24, 2022: American Journal of Surgery
https://read.qxmd.com/read/36437121/advanced-endoscopic-resections-in-the-treatment-of-malignant-colorectal-lesions-are-early-oncological-outcomes-impacted
#3
JOURNAL ARTICLE
Sumeyye Yilmaz, Ilker Ozgur, Adina Feinberg, Brogan Catalano, Scott R Steele, Emre Gorgun
BACKGROUND: Limited data exists on the impact of advanced endoscopic resections on early oncological outcomes of malignant colorectal lesions, especially in the presence of perforation. METHODS: Retrospective chart review of patients who underwent advanced endoscopic resections and had adenocarcinoma was performed. The primary endpoint was cancer recurrence. RESULTS: 63 patients were included. Mean age was 64.6 years with 58.7% of the patients being male...
November 23, 2022: American Journal of Surgery
https://read.qxmd.com/read/36435656/simultaneous-versus-staged-resection-for-synchronous-colorectal-liver-metastases-the-win-ratio-approach
#4
JOURNAL ARTICLE
Yutaka Endo, Laura Alaimo, Henrique Araujo Lima, Diamantis I Tsilimigras, J Madison Hyer, Alfredo Guglielmi, Andrea Ruzzenente, Sorin Alexandrescu, George Poultsides, Kazunari Sasaki, Federico Aucejo, Timothy M Pawlik
INTRODUCTION: In order to investigate the optimal approach for synchronous colorectal liver metastases (sCRLM), we sought to use the "win ratio" (WR), a novel statistical approach, to assess the relative benefit of simultaneous versus staged surgical treatment. METHODS: Patients who underwent hepatectomy for sCRLM between 2008 and 2020 were identified from a multi-institutional database. The WR approach was utilized to compare composite outcomes of patients undergoing simultaneous versus staged resection...
November 19, 2022: American Journal of Surgery
https://read.qxmd.com/read/36435655/the-impact-of-gendered-experiences-on-female-medical-students-specialty-choice-a-systematic-review
#5
JOURNAL ARTICLE
Sana Khan
BACKGROUND: Women make up 50% of American medical school graduates, yet are not equally represented in the vast spectrum of medical specialties. Many fields within medicine remain male dominated. This systematic review will explore social factors that affect female medical students' specialty choice. HYPOTHESIS: Gendered experiences influence the specialty choice of female medical students, resulting in their concentration in a specific cohort of specialties. METHODS: Studies were gathered by searching MEDLINE/Pubmed and EBSCOhost for sociological factors that impact female medical students' specialty choice...
November 19, 2022: American Journal of Surgery
https://read.qxmd.com/read/36446683/perforated-appendicitis-the-solution-to-pollution-is-not-dilution
#6
JOURNAL ARTICLE
Joslyn Jose, Sarah Khalil, Gordon Liu, Duncan Vos, Michael Leinwand
BACKGROUND: Surgical dogma states that the "solution to pollution is dilution." We hypothesized that withholding irrigation during pediatric Single Incision Laparoscopic Surgery (SILS) appendectomies for perforated appendicitis would decrease postoperative abscess rate. METHODS: From May 2011 to 5/2015, during SILS appendectomies, saline irrigation and suctioning was performed. From June 2015 to 8/2021, only suctioning was performed. The operations and peri-operative management were otherwise identical...
November 17, 2022: American Journal of Surgery
https://read.qxmd.com/read/36437119/from-the-editor-in-chief-top-papers-from-the-association-of-women-surgeons
#7
EDITORIAL
Herbert Chen
No abstract text is available yet for this article.
November 17, 2022: American Journal of Surgery
https://read.qxmd.com/read/36424200/pregnancy-associated-mucinous-cystic-neoplasms-of-the-pancreas-a-systematic-review
#8
REVIEW
Devesh Dhamor, Santhosh Irrinki, Anil Naik, Kailash Chand Kurdia, Pulkit Rastogi, Pankaj Gupta, Vinay K Kapoor
INTRODUCTION: Mucinous cystic neoplasms (MCN) are mucin-producing epithelial cell tumors of pancreas. They consist of an ovarian-type stroma expressing estrogen and progesterone receptors. Pregnancy-associated MCNs are presumed to be larger in size and more aggressive without any concrete evidence. OBJECTIVE: and Data Sources: Systematic review of published literature using PubMed and Google Scholar databases. Original articles including case reports and series published between 1970&2021 were included wherein MCN was diagnosed during pregnancy/within one-year post-partum...
November 17, 2022: American Journal of Surgery
https://read.qxmd.com/read/36414472/validation-and-cross-cultural-adaptation-of-the-postoperative-quality-of-recovery-15-qor-15-questionnaire-for-spanish-speaking-patients-a-prospective-cohort-study
#9
JOURNAL ARTICLE
Victor Morales-Ariza, Yuri Loaiza-Aldeán, Marcos de Miguel, Mireia Peña-Navarro, Olga Martínez-Silva, Anna González-Tallada, Susana Manrique-Muñoz, Miriam de Nadal
BACKGROUND: The postoperative QoR-15 questionnaire may improve the detection of postoperative complications on an early basis and contribute to optimize treatment and recovery. No validated Spanish QoR-15 questionnaire has been available to date. METHODS: The Spanish QoR-15 questionnaire (QoR-15E), carried out by official bilingual translators, was administered to 242 adult patients undergoing elective surgery before and 24 h after surgery. Patients were asked about their perceived quality of general recovery using a visual analogue scale (VAS)...
November 17, 2022: American Journal of Surgery
https://read.qxmd.com/read/36443104/all-about-the-benjamins-efficacy-of-a-modified-triage-protocol-for-trauma-activation-in-geriatric-patients
#10
JOURNAL ARTICLE
Janet S Lee, Abid D Khan, Valerie Brockman, Thomas J Schroeppel
BACKGROUND: The geriatric triage protocol at the study institution was modified from SBP <90 mmHg to SBP <110 mmHg and then to SBP <100 mmHg. The purpose of this study is to evaluate the impact of adjusting geriatric triage protocols on patient outcomes. METHODS: A single-center retrospective review was conducted on trauma patients 65 years or older. Three study periods with different geriatric specific trauma team activation (TTA) protocols (Group 1-SBP<90 mmHg; Group 2-SBP<110 mmHg; Group 3-SBP<100 mmHg) were compared...
November 16, 2022: American Journal of Surgery
https://read.qxmd.com/read/36404168/in-hospital-30-and-90-day-mortality-in-elderly-trauma-patients-with-operative-feeding-tubes
#11
JOURNAL ARTICLE
Derek R Marlor, Khaled M Taghlabi, Anneliese N Hierl, Maxwell C Braasch, Robert D Winfield
BACKGROUND: Nutrition is essential in the treatment of elderly trauma patients (ETP). ETP experience dysphagia at rates six times higher than the non-trauma elderly population (NTEP) and are at increased risk for malnutrition. Operative feeding tube (OFT) placement is often used to aid with the nutritional management of ETP. Elderly patients experience higher rates of morbidity and mortality when compared to the general population, especially in the traumatic setting, with some data suggesting in-hospital mortality as high as 10%...
November 16, 2022: American Journal of Surgery
https://read.qxmd.com/read/36404169/best-surgical-approach-for-splenic-flexure-colon-cancers-extended-versus-segmental-resection
#12
JOURNAL ARTICLE
Ilker Ozgur, David Liska, Michael A Valente, Nicholas Smith, Xue Jia, Brogan Catalano, Scott R Steele, Emre Gorgun
BACKGROUND: The optimal surgical treatment approach for splenic flexure colon cancers remains controversial regarding the type of resection. METHODS: We hypothesized that both extended and segmental resections have similar surgical and oncologic outcomes. A retrospective review of prospectively collected database was performed on all patients who had colectomy for splenic flexure colon cancer between 1996 and 2018. RESULTS: Of 142 patients, 119 underwent extended resection; therefore, this group was compared with the group which underwent segmental resection (n = 23)...
November 15, 2022: American Journal of Surgery
https://read.qxmd.com/read/36402619/the-optimal-extent-of-colectomy-for-splenic-flexure-carcinoma-extended-vs-segmental-less-is-best
#13
EDITORIAL
William C Cirocco
No abstract text is available yet for this article.
November 15, 2022: American Journal of Surgery
https://read.qxmd.com/read/36428108/high-risk-liver-patients-are-not-associated-with-adverse-events-following-pancreaticoduodenectomy
#14
JOURNAL ARTICLE
Christopher W Mangieri, Matthew A Strode, Cristian D Valenzuela, Richard A Erali, Perry Shen, Russell Howerton, Clancy J Clark
INTRODUCTION: Pancreaticoduodenectomy performed with underlying hepatic disease has been reported to have increased adverse events postoperatively. This study aimed to further evaluate that association. METHODS: Retrospective review of the American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP) main and targeted pancreatectomy registries for 2014-2016. High-risk liver patients were defined by MELD scores, received neoadjuvant chemotherapy, and had hepatosteatosis; two separate subgroups of MELD ≥9 and ≥ 11...
November 13, 2022: American Journal of Surgery
https://read.qxmd.com/read/36384987/corrigendum-to-presentation-clinical-course-and-complications-in-trauma-patients-with-concomitant-covid-19-infection-am-j-surg-224-1-pt-b-2022-607-611
#15
C H Meyer, A Grant, R Sola, K Gills, A Mora, B M Tracy, V J Muralidharan, D Koganti, S R Todd, C Butler, J Nguyen, S Hurst, K Udobi, J Sciarretta, K Williams, M Davis, C Dente, E Benjamin, P Ayoung-Chee, R N Smith
No abstract text is available yet for this article.
November 13, 2022: American Journal of Surgery
https://read.qxmd.com/read/36437122/adh-to-excise-or-not-to-excise-that-is-the-question
#16
EDITORIAL
Sydney Record, Akiko Chiba
No abstract text is available yet for this article.
November 12, 2022: American Journal of Surgery
https://read.qxmd.com/read/36437120/inflammatory-breast-cancer-and-the-importance-of-skin-punch-biopsy
#17
JOURNAL ARTICLE
Stephanie A Valente, Ayat ElSherif, Jennifer Tran, Chao Tu, Megan Kruse
BACKGROUND: The oncologic outcomes of patients diagnosed with inflammatory breast cancer (IBC) based on clinical exam only versus those with dermal lymphatic invasion on skin punch biopsy may be different and are worth further investigation. METHODS: Patients diagnosed from 2006 to 2021 with IBC at our institution were grouped according to clinical diagnosis or skin biopsy performed. Oncologic and survival outcomes among groups were compared. RESULTS: A total of 72 IBC patients were identified and grouped into 3 categories based on method of diagnosis: skin biopsy positive (n = 24), skin biopsy negative (n = 10) and no biopsy performed (n = 38)...
November 12, 2022: American Journal of Surgery
https://read.qxmd.com/read/36424201/to-screen-or-not-to-screen-a-key-decision-that-reflects-health-literacy-and-trust
#18
EDITORIAL
Joy E Obayemi, Gifty Kwakye
No abstract text is available yet for this article.
November 12, 2022: American Journal of Surgery
https://read.qxmd.com/read/36411108/linguistic-discordance-factors-go-beyond-language
#19
EDITORIAL
Tanya Anand, Bellal Joseph
No abstract text is available yet for this article.
November 12, 2022: American Journal of Surgery
https://read.qxmd.com/read/36414471/lessons-in-liability-examining-medical-malpractice-suits-against-general-surgeons-in-maryland
#20
JOURNAL ARTICLE
Margaret H Sundel, Kyle W Blackburn, Nahom Seyoum, Claire Morton, Allyson Swartzberg, Andrea C Bafford
BACKGROUND: Although medical malpractice lawsuits pose a significant burden, there is a paucity of research on physician-specific characteristics influencing lawsuits against surgeons. Our objective was to identify factors associated with general surgeons being named in malpractice cases. METHODS: This was a cross sectional study of Maryland general surgeons, using malpractice data from a publicly accessible judiciary database. Case number per decade and lifetime lawsuit status were modeled with linear and logistic regression...
November 10, 2022: American Journal of Surgery
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