journal
https://read.qxmd.com/read/38787528/recommendations-on-robotic-hepato-pancreato-biliary-surgery-the-paris-jury-based-consensus-conference
#1
JOURNAL ARTICLE
Christian Hobeika, Matthias Pfister, David Geller, Allan Tsung, Albert Chan, Roberto Ivan Troisi, Mohamed Rela, Fabrizio Di Benedetto, Iswanto Sucandy, Yuichi Nagakawa, R Matthew Walsh, David Kooby, Jeffrey Barkun, Olivier Soubrane, Pierre-Alain Clavien
OBJECTIVE: To establish the first consensus guidelines on the safety and indications of robotics in Hepato-Pancreatic-Biliary (HPB) surgery. The secondary aim was to identify priorities for future research. SUMMARY BACKGROUND DATA: HPB robotic surgery is reaching the IDEAL 2b exploration phase for innovative technology. An objective assessment endorsed by the HPB community is timely and needed. METHODS: The ROBOT4HPB conference developed consensus guidelines using the Zurich-Danish model...
May 24, 2024: Annals of Surgery
https://read.qxmd.com/read/38787522/risk-factors-for-major-pregnancy-complications-in-female-cardiothoracic-surgeons
#2
JOURNAL ARTICLE
Anna Olds, Sameer Hirji, Manuel Castillo-Angeles, Lauren Kane, Jennifer Romano, Cynthia Herrington, Erika Rangel
OBJECTIVE: To describe the incidence of and risk factors for pregnancy complications in female cardiothoracic surgeons compared to women of similar sociodemographic profiles. SUMMARY BACKGROUND DATA: Female cardiothoracic surgeons often postpone childbearing, but little is known about their pregnancy outcomes. METHODS: A self-administered survey was distributed to US cardiothoracic surgeons/trainees in 2023. Surgeons with ≥1 live birth were queried on maternal work hours during pregnancy and major antenatal pregnancy complications...
May 24, 2024: Annals of Surgery
https://read.qxmd.com/read/38787521/goals-structure-and-financing-of-surgical-residency-training-a-subcommittee-report-of-the-blue-ribbon-committee-ii
#3
JOURNAL ARTICLE
Mary E Klingensmith, Rebecca M Minter, Karen Fisher, Cherisse D Berry, David Tom Cooke, Linda G Phillips, Anton N Sidawy, Julie A Freischlag
OBJECTIVE: As part of the Blue Ribbon Committee II, review current goals, structure and financing of surgical training in Graduate Medical Education (GME) and recommend needed changes. SUMMARY BACKGROUND DATA: Surgical training has continually undergone major transitions with the 80-hour work week, earlier specialization (vascular, plastics and cardiovascular) and now entrustable professional activities (EPAs) as part of competency based medical education (CBME)...
May 24, 2024: Annals of Surgery
https://read.qxmd.com/read/38787518/blue-ribbon-committee-i-review-findings-and-impact
#4
JOURNAL ARTICLE
Timothy C Flynn, Murray F Brennan, E Christopher Ellison, Julie A Freischlag, Mark A Malangoni, Carlos A Pellegrini, Ajit K Sachdeva, Patricia L Turner, Andrew L Warshaw, Michael J Zinner
OBJECTIVE: Review the subsequent impact of recommendations made by the 2004 American Surgical Association Blue Ribbon Committee (BRC I) Report on Surgical Education. BACKGROUND: Current leaders of the American College of Surgeons and the American Surgical Association convened an expert panel to review the impact of the BRC I report and make recommendations for future improvements in surgical education. METHODS: BRC I members reviewed the 2004 recommendations in light of the current status of surgical education...
May 24, 2024: Annals of Surgery
https://read.qxmd.com/read/38775477/out-of-pocket-costs-among-commercially-insured-individuals-with-type-2-diabetes-and-obesity-comparison-between-ozempic-and-sleeve-gastrectomy
#5
JOURNAL ARTICLE
Michael A Edwards, Elizabeth Wall-Wieler, Yuki Liu, Feibi Zheng, Andrea Coviello
OBJECTIVE: Determine out-of-pocket (OOP) costs two years after sleeve gastrectomy (SG) or initiating Ozempic for patients with type 2 diabetes (T2D) and obesity. SUMMARY BACKGROUND DATA: Individuals with obesity and T2D have a variety of treatment options. Risks and benefits of these treatment options are becoming more well documented; however, the real-world patient costs of these options are not known. METHODS: Adults with body mass index (BMI) 35 kg/m2 or higher, and T2D who had an SG or used Ozempic were identified in the employer-based retrospective claims database Merative™ (previously Truven IBM Marketscan) from 2017 to 2021...
May 22, 2024: Annals of Surgery
https://read.qxmd.com/read/38775462/major-pancreatic-resection-increases-bone-mineral-density-loss-osteoporosis-and-fractures
#6
JOURNAL ARTICLE
Saed Khalilieh, Amrita Iyer, Emma Hammelef, Nitzan Zohar, Eliyahu Gorgov, Theresa P Yeo, Harish Lavu, Wilbur Bowne, Charles J Yeo, Avinoam Nevler
OBJECTIVE: To assess whether long-term survivors of pancreatic surgery show increased risk to develop impaired bone mineral density, osteoporosis, and vitamin D deficiency. BACKGROUND: Pancreatic resection poses a risk for malabsorption of fat-soluble vitamins and other micronutrients essential for bone mineralization. Here, we evaluated the long-term effects of pancreatic resection on bone mineral density (BMD) and its clinical sequelae. METHODS: This was a two-pronged analysis of post-pancreatectomy patients with a follow-up period greater than 3 years comprising (1) a large, propensity score-matched, cohort study based on a multinational federated research network (FRN) and (2) a retrospective single institution review of clinical and radiographic patient data...
May 22, 2024: Annals of Surgery
https://read.qxmd.com/read/38771952/outcomes-of-visceral-arterial-interposition-graft-reconstruction-for-locally-advanced-pancreatic-cancer
#7
JOURNAL ARTICLE
Jennifer A Yonkus, Roberto Alva-Ruiz, Jill J Colglazier, Michael L Kendrick, Manju Kalra, Todd E Rasmussen, Randall D Demartino, Thomas C Bower, Mark J Truty, Bernardo C Mendes
OBJECTIVE: The aim of this study is to determine perioperative outcomes and the patency of interposition conduits for visceral arterial reconstruction in this setting. SUMMARY BACKGROUND DATA: Visceral arterial encasement in locally advanced pancreatic cancer was historically a contraindication for surgery. With modern effective neoadjuvant strategies, our recent experience has made advanced vascular resection and reconstruction feasible in selected patients. METHODS: A retrospective review was performed of patients undergoing pancreatic tumor resection with en bloc arterial resection and interposition revascularization between 6/2002-10/2022...
May 21, 2024: Annals of Surgery
https://read.qxmd.com/read/38771951/extracellular-vesicle-mdm2-dna-as-a-potential-liquid-biopsy-biomarker-for-disease-identification-in-retroperitoneal-liposarcoma
#8
JOURNAL ARTICLE
Federica Calore, Lucia Casadei, Patricia D Sarchet, Paolo Fadda, Giovanni Nigita, Kevin R Coombes, Luciano Cascione, Fernanda Costas C de Faria, Sayumi Tahara, O Hans Iwenofu, Raphael E Pollock, Valerie P Grignol
OBJECTIVE: We aimed to assess the levels of MDM2-DNA within extracellular vesicles (EVs) isolated from the serum of retroperitoneal liposarcoma (RLS) patients versus healthy donors, as well as within the same patients at the time of surgery versus post-operative surveillance visits. To determine whether EV-MDM2 may serve as a possible first-ever biomarker of liposarcoma recurrence. BACKGROUND: A hallmark of well-differentiated and de-differentiated (WD/DD) retroperitoneal liposarcoma is elevated MDM2 due to genome amplification, with recurrence rates of >50% even after complete resection...
May 21, 2024: Annals of Surgery
https://read.qxmd.com/read/38771946/percent-thrombus-predicts-popliteal-artery-aneurysm-related-limb-threatening-events
#9
JOURNAL ARTICLE
Tiffany R Bellomo, Guillaume Goudot, Srihari K Lella, Brandon Gaston, Natalie Sumetsky, Shiv Patel, Nikolaos Zacharias, Anahita Dua
OBJECTIVE: The objective of this study was to identify clinical and anatomic characteristics of Popliteal artery aneurysms (PAAs) associated with acutely limb threatening events. SUMMARY BACKGROUND DATA: Popliteal artery aneurysms (PAAs) are associated with high morbidity and mortality. Current guidelines recommend operative repair for PAAs with a diameter greater than 20 mm based on very limited evidence. METHODS: This retrospective cross-sectional cohort was derived from a multi-institutional database queried for all patients with a PAA from 2008 to 2022...
May 21, 2024: Annals of Surgery
https://read.qxmd.com/read/38771944/unplanned-surgery-in-dually-eligible-beneficiaries-for-conditions-that-should-be-treated-electively
#10
JOURNAL ARTICLE
Shukri H A Dualeh, Sidra N Bonner, Nicholas J Kunnath, Andrew M Ibrahim
OBJECTIVE: To evaluate the rate of unplanned surgery among dually eligible beneficiaries for surgical conditions that should be treated electively. SUMMARY BACKGROUND DATA: Access-sensitive surgical conditions (e.g. abdominal aortic aneurysm repair, colectomy for colon cancer, ventral hernia repair) are ideally treated with elective surgery, but when left untreated have a natural history leading to unplanned surgery. Dually eligible beneficiaries may face systematic barriers to access surgical care...
May 21, 2024: Annals of Surgery
https://read.qxmd.com/read/38766877/making-choices-a-multi-institutional-longitudinal-cohort-study-assessing-changes-in-treatment-outcome-valuation-for-low-risk-thyroid-cancer
#11
JOURNAL ARTICLE
Alexis G Antunez, Brandy R Sinco, Megan C Saucke, Kyle J Bushaw, Catherine B Jensen, Sophie Dream, Abbey L Fingeret, Masha J Livhits, Aarti Mathur, Alexandria McDow, Sanziana A Roman, Corrine I Voils, Justin Sydnor, Susan C Pitt
OBJECTIVE: To evaluate the relative importance of treatment outcomes to patients with low-risk thyroid cancer (TC). SUMMARY BACKGROUND DATA: Overuse of total thyroidectomy (TT) for low-risk TC is common. Emotions from a cancer diagnosis may lead patients to choose TT resulting in outcomes that do not align with their preferences. METHODS: Adults with clinically low-risk TC enrolled in a prospective, multi-institutional, longitudinal cohort study from 11/2019-6/2021...
May 20, 2024: Annals of Surgery
https://read.qxmd.com/read/38757267/early-experience-with-endorobotic-submucosal-dissection-ersd-pathologic-and-short-term-outcomes-in-the-first-28-patients
#12
JOURNAL ARTICLE
Ali Alipouriani, Ilker Ozgur, Amit Bhatt, Scott R Steele, Joshua Sommovilla, Emre Gorgun
OBJECTIVE: To evaluate the safety and feasibility of single-port endorobotic submucosal dissection (ERSD) using the Da Vinci SP platform for the management of rectal neoplasms. SUMMARY BACKGROUND DATA: Endoscopic submucosal dissection (ESD) offers a potential organ-sparing treatment for advanced colorectal neoplasms but demands high technical skill and a steep learning curve. Advances in semiflexible robotic platforms, such as the Da Vinci SP, promise to simplify this procedure, potentially offering improved outcomes for patients with benign rectal neoplasms...
May 17, 2024: Annals of Surgery
https://read.qxmd.com/read/38757265/reducing-chronic-opioid-use-long-term-impacts-of-enhanced-recovery-after-mastectomy-protocols
#13
JOURNAL ARTICLE
Kristen Jogerst, Nikita Gupta, Heidi E Kosiorek, Yeonsoo S Lee, Sami Abujbarah, Patricia Cronin, William Casey, Barbara Pockaj
OBJECTIVE: This study investigates Enhanced Recovery After Surgery (ERAS®) protocols' impact on long-term opioid and sedative use following mastectomy with or without implant-based breast reconstruction (IBBR). SUMMARY BACKGROUND DATA: ERAS® protocols for patients undergoing mastectomy with or without IBBR are associated with decreased length of stay, increased rate of same-day discharge, decreased postoperative pain, and decreased postoperative opioid requirements...
May 17, 2024: Annals of Surgery
https://read.qxmd.com/read/38747145/defining-benchmarks-for-pelvic-exenteration-surgery-a-multicentre-analysis-of-patients-with-locally-advanced-and-recurrent-rectal-cancer
#14
JOURNAL ARTICLE
Kilian G M Brown, Michael J Solomon, Cherry E Koh, Paul A Sutton, Samuel Aguiar, Tiago S Bezerra, Hamish W Clouston, Ashwin Desouza, Eric J Dozois, Amanda L Ersryd, Frank Frizelle, Jonas A Funder, Julio Garcia-Aguilar, Richard Garfinkle, Tamara Glyn, Alexander Heriot, Yukihide Kanemitsu, Chia Y Kong, Helle Ø Kristensen, Songphol Malakorn, David M Mens, Per J Nilsson, Gabriella J Palmer, Emmanouil Pappou, Martha Quinn, Aaron J Quyn, Chucheep Sahakitrungruang, Avanish Saklani, Arne M Solbakken, Jim P Tiernan, Cornelis Verhoef, Daniel Steffens
OBJECTIVE: To establish globally applicable benchmark outcomes for pelvic exenteration (PE) in patients with locally advanced primary (LARC) and recurrent rectal cancer (LRRC), using outcomes achieved at highly specialised centres. BACKGROUND DATA: PE is established as the standard of care for selected patients with LARC and LRRC. There are currently no available benchmarks against which surgical performance in PE can be compared for audit and quality improvement...
May 15, 2024: Annals of Surgery
https://read.qxmd.com/read/38747142/somatostatin-analogues-for-prevention-of-popf-better-same-or-worse
#15
JOURNAL ARTICLE
Peter J Allen
No abstract text is available yet for this article.
May 15, 2024: Annals of Surgery
https://read.qxmd.com/read/38726676/comparison-of-postoperative-outcomes-among-patients-treated-by-male-versus-female-surgeons-a-systematic-review-and-meta-analysis
#16
JOURNAL ARTICLE
Natsumi Saka, Norio Yamamoto, Jun Watanabe, Christopher Wallis, Angela Jerath, Hidehiro Someko, Minoru Hayashi, Kyosuke Kamijo, Takashi Ariie, Toshiki Kuno, Hirotaka Kato, Hodan Mohamud, Ashton Chang, Raj Satkunasivam, Yusuke Tsugawa
OBJECTIVE: To compare clinical outcomes of patients treated by female surgeons versus those treated by male surgeons. SUMMARY BACKGROUND DATA: It remains unclear as to whether surgical performance and outcomes differ between female and male surgeons. METHODS: We conducted a meta-analysis to compare patients' clinical outcomes-including patients' postoperative mortality, readmission, and complication rates-between female versus male surgeons...
May 10, 2024: Annals of Surgery
https://read.qxmd.com/read/38726675/health-expenditures-after-bariatric-surgery-a-retrospective-cohort-study
#17
JOURNAL ARTICLE
Valerie A Smith, Lindsay Zepel, Aniket A Kawatkar, David E Arterburn, Aileen Baecker, Mary K Theis, Caroline Sloan, Amy G Clark, Shireesh Saurabh, Karen J Coleman, Matthew L Maciejewski
OBJECTIVE: Bariatric surgery leads to substantial improvements in weight and weight-related conditions, but prior literature on post-surgical health expenditures is equivocal. In a retrospective cohort study, we compared expenditures between surgical and matched non-surgical patients. SUMMARY BACKGROUND DATA AND METHODS: In a retrospective study, total, outpatient, inpatient and medication expenditures 3 years before and 5.5 years after surgery were compared between 22,698 bariatric surgery (n=7,127 RYGB, 15,571 sleeve gastrectomy) patients from 2012-2019 and 66,769 matched non-surgical patients, using generalized estimating equations...
May 10, 2024: Annals of Surgery
https://read.qxmd.com/read/38726674/outcomes-from-871-441-consecutive-surgical-procedures-without-overlap-or-with-maximally-permissible-non-concurrent-overlap
#18
JOURNAL ARTICLE
Austin J Borja, Ritesh Karsalia, Ryan S Gallagher, Krista Strouz, Jianbo Na, Scott D McClintock, Ronald P DeMatteo, Neil R Malhotra
OBJECTIVE: To isolate the impact of subsumed surgery (a shorter procedure completed entirely during overlapping non-critical portions of a longer antecedent procedure) on patient outcomes. SUMMARY BACKGROUND DATA: The American College of Surgeons recently recommended the elimination of "concurrent surgery" with overlap during a procedure's critical portions. Guidelines for non-concurrent overlap have been established, but the safety of subsumed surgery remains to be examined...
May 10, 2024: Annals of Surgery
https://read.qxmd.com/read/38726671/predicting-mortality-prior-to-interhospital-hospital-for-unseen-general-surgery-patients-development-validation-and-feasibility-trial-of-a-mortality-risk-calculator
#19
JOURNAL ARTICLE
Sayf Al-Deen Said, Corey K Gentle, Abby Gross, Kelly Nimylowycz, Mir Shanaz Hossain, Allison Weathers, R Matthew Walsh, Scott R Steele, Miguel Regueiro, Toms Augustin
OBJECTIVE: Develop and validate a mortality risk calculator that could be utilized at the time of transfer, leveraging routinely collected variables that could be obtained by trained non-clinical transfer personnel. SUMMARY BACKGROUND DATA: There are no objective tools to predict mortality at the time of inter-hospital transfer for Emergency General Surgery (EGS) patients that are "unseen" by the accepting system. METHODS: Patients transferred to general or colorectal surgery services from January 2016 through August 2022 were retrospectively identified and randomly divided into training and validation cohorts (3:1 ratio)...
May 10, 2024: Annals of Surgery
https://read.qxmd.com/read/38726670/improving-environmental-sustainability-of-operating-theatres-a-systematic-review-of-staff-attitudes-barriers-and-enablers
#20
JOURNAL ARTICLE
Siya Lodhia, Victoria Pegna, Ruth Abrams, Daniel Jackson, Timothy A Rockall, Chantelle Rizan
OBJECTIVE: To understand views of staff in relation to attitudes, enablers, and barriers to implementation of environmentally sustainable surgery in operating theatres. This will ultimately help in the goal of successfully implementing more sustainable theatres. SUMMARY BACKGROUND: Global healthcare sectors are responsible for 4.4% of greenhouse gas emissions. Surgical operating theatres are resource intensive areas and improvements will be important to meet Net-Zero carbon emissions within healthcare...
May 10, 2024: Annals of Surgery
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