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JOURNAL ARTICLE
Chukwuma N Eruchalu, James C Etheridge, Austin C Hammaker, Sarah Kader, Jonathan S Abelson, Jalen Harvey, Deborah Farr, Stephen J Stopenski, Jeffry T Nahmias, Ali Elsaadi, Samuel J Campbell, Darci C Foote, Felicia A Ivascu, Kelsey B Montgomery, Polina Zmijewski, Samuel E Byrd, Mary K Kimbrough, Savannah Smith, Lauren M Postlewait, Shah-Jahan M Dodwad, Sasha D Adams, Katherine C Markesbery, Katherine M Meister, Matthew R Woeste, Robert C G Martin, Zachary M Callahan, Joshua A Marks, Purvi Patel, Michael J Anstadt, Bilal Waqar Nasim, Ross E Willis, Jitesh A Patel, Melissa R Newcomb, Christopher C Stahl, Motaz Al Yafi, Jeffrey M Sutton, Brian C George, Ralph C Quillin, Nancy L Cho, Alexander R Cortez
OBJECTIVE: To determine the relationship between race/ethnicity and case volume among graduating surgical residents. SUMMARY BACKGROUND DATA: Racial/ethnic minority individuals face barriers to entry and advancement in surgery; however, no large-scale investigations of the operative experience of racial/ethnic minority residents have been performed. METHODS: A multi-institutional retrospective analysis of Accreditation Council for Graduate Medical Education (ACGME) case logs of categorical general surgery residents at 20 ACGME-accredited programs in the US Resident OPerative Experience (ROPE) Consortium database was performed...
March 17, 2023: Annals of Surgery
#2
JOURNAL ARTICLE
Savas T Tsikis, Scott C Fligor, Thomas I Hirsch, Paul D Mitchell, Amy Pan, Kamila Moskowitzova, Ashlyn E Whitlock, Greta Loring, Eric First, Arthur Nedder, Kathleen M Gura, Mark Puder
OBJECTIVE: To determine whether use of an immobilized lipase cartridge (ILC) to hydrolyze fats in enteral nutrition (EN) reduces parenteral nutrition (PN) dependence in a porcine model of short bowel syndrome with intestinal failure (SBS-IF). BACKGROUND: SBS-IF occurs following intestinal loss resulting in malabsorption and PN dependence. Limited therapeutic options are available for achieving enteral autonomy. METHODS: Eleven Yorkshire piglets underwent 75% jejunoileal resection and were randomized into control (n=6) and treatment (n=5) groups...
March 16, 2023: Annals of Surgery
#3
JOURNAL ARTICLE
Anish Gupta, Viniyendra Pamecha, Nilesh Sadashiv Patil, Nihar Mohapatra, Jaya Benjamin, Shalini Thapar, Anupam Kumar, Archana Rastogi
INTRODUCTION: The aim of the current RCT was to assess efficacy of donor lifestyle optimisation on liver regeneration and outcome following live donor liver transplantation(LDLT). METHODS: Live liver donors(LLDs) who were fit with no or minimal steatosis were randomized to receive either a customized low calorie diet with calorie intake equalling their basal requirement along with exercise for 2 weeks prior to surgery versus to continue their normal routine lifestyle...
March 13, 2023: Annals of Surgery
#4
JOURNAL ARTICLE
Hyeonuk Hwang, June Young Choi, Hyeong Won Yu, Jae Hoon Moon, Ji-Hoon Kim, Eun Kyung Lee, Yeo Koon Kim, Chang Yoon Lee, Sun Wook Cho, Eun-Jae Chung, Chang Hwan Ryu, Junsun Ryu, Ka Hee Yi, Do Joon Park, Kyu Eun Lee, Young Joo Park, Su-Jin Kim, Yuh-Seog Jung
OBJECTIVE: To investigate surgical, and clinical outcomes in patients with low-risk papillary thyroid microcarcinoma (PTMC) according to treatment options (immediate operation [IOP] vs. delayed operation following active surveillance (AS) [DOP]). BACKGROUND: AS has been adopted as an alternative to immediate surgery in patients with low-risk PTMC. Although some patients undergo surgery during AS, there is little information on surgical, and clinical outcomes after delayed operation following AS...
March 13, 2023: Annals of Surgery
#5
JOURNAL ARTICLE
K Lobastov, T Urbanek, E Stepanov, B K Lal, J Marangoni, E S Krauss, M Cronin, N Dengler, A Segal, H Welch, S Gianesini, X Chen, J Caprini
OBJECTIVE: Estimation of the specific thresholds of the Caprini risk score (CRS) that are associated with the increased incidence of venous thromboembolism (VTE) across different specialties, including identifying the highest level of risk. BACKGROUND: Accurate risk assessment remains an important but often challenging aspect of VTE prophylaxis. One well-established risk assessment model is CRS, which has been validated in thousands of patients from many different medical and surgical specialties...
March 13, 2023: Annals of Surgery
#6
JOURNAL ARTICLE
Christina L Roland
No abstract text is available yet for this article.
March 13, 2023: Annals of Surgery
#7
JOURNAL ARTICLE
Aliya Ramjaun, Melanie Hammond Mobilio, Nicole Wright, Maria Masella, Adam Snyman, Cyril Serrick, Carol-Anne Moulton
BACKGROUND: The surgical safety checklist (SSC) has been credited with improving team situation awareness (SA) in the operating room. While the SSC may support team SA at the outset of the operative case, intraoperative handoff provides an opportunity for either SA breakdown or, more preferably, SA reinforcement. High-functioning surgical teams demonstrate a high level of continued SA, whereas teams deficient in SA are more likely to be affected by surgical errors and adverse events. To date, no interprofessional intraoperative tools exist to support team SA beyond the SSC...
March 13, 2023: Annals of Surgery
#8
JOURNAL ARTICLE
Fausto Biancari, Tatu Juvonen, Antonio Fiore, Andrea Perrotti, Amélie Hervé, Joseph Touma, Matteo Pettinari, Sven Peterss, Joscha Buech, Angelo M Dell'Aquila, Konrad Wisniewski, Andreas Rukosujew, Till Demal, Lenard Conradi, Marek Pol, Petr Kacer, Francesco Onorati, Cecilia Rossetti, Igor Vendramin, Daniela Piani, Mauro Rinaldi, Luisa Ferrante, Eduard Quintana, Robert Pruna-Guillen, Javier Rodriguez Lega, Angel G Pinto, Metesh Acharya, Zein El-Dean, Mark Field, Amer Harky, Francesco Nappi, Sebastien Gerelli, Dario Di Perna, Giuseppe Gatti, Enzo Mazzaro, Stefano Rosato, Peter Raivio, Mikko Jormalainen, Giovanni Mariscalco
OBJECTIVE: The aim of this study was to evaluate the outcomes of different surgical strategies for acute Stanford type A aortic dissection (TAAD). SUMMARY BACKGROUND DATA: The optimal extent of aortic resection during surgery for acute TAAD is controversial. METHODS: This is a multicenter, retrospective cohort study of patients who underwent surgery for acute TAAD at 18 European hospitals. RESULTS: Out of 3902 consecutive patients, 689 (17...
March 13, 2023: Annals of Surgery
#9
JOURNAL ARTICLE
Joseph A Reza, Vignesh Raman, Andrew Vekstein, Maria Grau-Sepulveda, William P Burfeind, Kristine Chin, Roman Petrov, Cherie P Erkmen
OBJECTIVE: Evaluate the adoption and clinical impact of endoscopic resection (ER) in early esophageal cancer. BACKGROUND: Staging for early esophageal cancer is largely inaccurate. Assessment of the impact ER on staging accuracy is unknown as is the implementation of ER. METHODS: We retrospectively reviewed 2,608 patients captured in the STS General Thoracic Surgery Database (STS GTSD) between 2015 and 2020. Patients with clinical T1 (cT1) and T2 (cT2) esophageal cancer without nodal involvement (N0) who were treated with upfront esophagectomy were included...
March 13, 2023: Annals of Surgery
#10
JOURNAL ARTICLE
Maria E Linnaus, Erin M Garvey
No abstract text is available yet for this article.
March 13, 2023: Annals of Surgery
#11
JOURNAL ARTICLE
Pascale Mariani, François-Clément Bidard, Aurore Rampanou, Alexandre Houy, Vincent Servois, Toulsie Ramtohul, Gaelle Pierron, Marion Chevrier, Benjamin Renouf, Olivier Lantz, Sophie Gardrat, Anne Vincent-Salomon, Sergio Sergio-Roman, Manuel Rodrigues, Sophie Piperno-Neumann, Nathalie Cassoux, Marc-Henri Stern, Shufang Renault
OBJECTIVE: We report here the results of a prospective study of circulating tumor DNA (ctDNA) detection in patients undergoing uveal melanoma (UM) liver metastases resection (NCT02849145). BACKGROUND: In UM patients, the liver is the most common and often only site of metastases. Local treatments of liver metastases, such as surgical resection, have a likely benefit in selected patients. PATIENTS AND METHODS: Upon enrollment, metastatic UM patients eligible for curative liver surgery had plasma samples collected before and after surgery...
February 27, 2023: Annals of Surgery
#12
JOURNAL ARTICLE
Huaijie Wang, Chong Xie, Weilong Lin, Jinbang Zhou, Weijia Yang, Zhengtuan Guo
OBJECTIVE: To report an innovative endoscopic surgery for subcutaneous vascular malformations and intramuscular FAVA at our center. SUMMARY BACKGROUND DATA: Historically, open surgical resection has been the treatment of choice. Recent advances in minimal invasive surgery have led to the successful application of endoscopic resection techniques for the surgical management of diseases of the soft tissue. METHODS: Patients who underwent endoscopic resection of vascular anomalies were included in this retrospective review...
February 24, 2023: Annals of Surgery
#13
JOURNAL ARTICLE
Bindi J Naik-Mathuria, Cary M Cain, Elizabeth A Alore, Liang Chen, Lisa A Pompeii
OBJECTIVE: The objective of this study is to characterize the full spectrum of pediatric firearm injury in the United States (U.S.) by describing fatal and nonfatal injury data epidemiology, vulnerable populations, and temporal trends. SUMMARY BACKGROUND DATA: Firearm injury is the leading cause of death in children and adolescents in the U.S.. Nonfatal injury is critical to fully define the problem, yet accurate data at the national level is lacking. METHODS: Cross-sectional study combining national firearm injury data from the Centers for Disease Control (fatal) and the National Trauma Data Bank (nonfatal) between 2008 - 2019 for ages 0 to17 years...
February 24, 2023: Annals of Surgery
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JOURNAL ARTICLE
Marko Juhani Vannas, Fredrik Åberg, Arno Nordin, Eija Tukiainen, Johanna Savikko, Helena Isoniemi
OBJECTIVE: Investigate the short- and long-term morbidity after LTx in patients with PSC. SUMMARY: Background Data Primary sclerosing cholangitis (PSC) is a common indication for liver transplantation (LTx) in Scandinavia. Recently, research has focused on long-term survival and morbidity. The comprehensive complication index (CCI©) precisely describes post-surgical complications, by considering both number and severity. METHODS: Two patient groups were compared: those with classical PSC symptoms (n=148) and those with increased risk of cholangiocarcinoma (n=51, premalignant group)...
February 24, 2023: Annals of Surgery
#15
JOURNAL ARTICLE
Alisa N Blumenthaler, Kristen Ashlee Robinson, Caitlin Hodge, Lianchun Xiao, Elizabeth J Lilley, James F Griffin, Michael G White, Ryan Day, Kimberson Tanco, Eduardo Bruera, Brian D Badgwell
OBJECTIVE: To evaluate if patients with advanced cancer prefer surgeons to use the best case/worst case (BC/WC) communication framework over the traditional risk/benefit (R/B) framework in the context of palliative surgical scenarios. BACKGROUND: Identifying patients' preferred communication frameworks may improve satisfaction and outcome measures during difficult clinical decision-making. METHODS: In a video vignette-based randomized, double-blinded study from November 2020 to May 2021, patients with advanced cancer viewed two videos depicting a physician-patient encounter in a palliative surgical scenario in which the surgeon uses either the BC/WC or the R/B framework to discuss treatment options...
February 21, 2023: Annals of Surgery
#16
JOURNAL ARTICLE
Anna Hung, Matthew L Maciejewski, Theodore S Z Berkowitz, David E Arterburn, James E Mitchell, Katharine A Bradley, Nathan A Kimbrel, Valerie A Smith
OBJECTIVE: In a large multi-site cohort of Veterans who underwent Roux-en-Y gastric bypass (RYGB) or laparoscopic sleeve gastrectomy (LSG), we compared the five-year suicidal ideation and attempt rates with matched non-surgical controls. SUMMARY BACKGROUND DATA: Bariatric surgery has significant health benefits but has also been associated with adverse mental health outcomes. METHODS: Five year rates of suicidal ideation and suicide attempts of Veterans who underwent RYGB or LSG from FY2000-2016 to matched non-surgical controls using sequential stratification using cumulative incidence functions (ideation cohort n=38,199; attempt cohort n=38,661 after excluding patients with past-year outcome events)...
February 21, 2023: Annals of Surgery
#17
JOURNAL ARTICLE
Weichuan Dong, Matthew Kucmanic, Jordan Winter, Peter Pronovost, Johnie Rose, Uriel Kim, Siran M Koroukian, Richard Hoehn
OBJECTIVE: To define neighborhood-level disparities in the receipt of complex cancer surgery. BACKGROUND: Little is known about the geographic variation of receipt of surgery among patients with complex gastrointestinal (GI) cancers, especially at a small geographic scale. METHODS: This study included individuals diagnosed with five invasive, non-metastatic, complex GI cancers (esophagus, stomach, pancreas, bile ducts, liver) from the Ohio Cancer Incidence Surveillance System during 2009 to 2018...
February 21, 2023: Annals of Surgery
#18
JOURNAL ARTICLE
Austin L Du, Chris A Rishel, Eric C Sun
INTRODUCTION: The opioid epidemic is a public health issue in the United States. The objective of this study was to evaluate the association between naloxone co-prescription mandates and postoperative outcomes. SUMMARY BACKGROUND DATA: Data on naloxone co-prescription mandates show mixed evidence for fatal overdoses in the broader population. How these mandates have impacted surgical patients has not been fully explored. METHODS: Healthcare claims data were used to identify all patients undergoing 1 of 50 common procedures between January 1, 2004 and June 30, 2019 and categorized as high-risk for opioid overdose...
February 20, 2023: Annals of Surgery
#19
JOURNAL ARTICLE
Alex Lee, Ahmed Al-Arnawoot, Luckshi Rajendran, Tyler Lamb, Anastasia Turner, Morgann Reid, Janelle Rekman, Richard Mimeault, Jad Abou Khalil, Guillaume Martel, Kimberly A Bertens, Fady Balaa
OBJECTIVE: To determine the safety of a fully functioning shared care model (SCM) in hepatopancreatobiliary surgery through evaluating outcomes in pancreaticoduodenectomy. SUMMARY BACKGROUND DATA: SCMs, where a team of surgeons share in care delivery and resource utilization, represent a surgeon-level opportunity to improve system efficiency and peer support, but concerns around clinical safety remain, especially in complex elective surgery. METHODS: Patients who underwent pancreaticoduodenectomy between 2016-2020 were included...
February 20, 2023: Annals of Surgery
#20
JOURNAL ARTICLE
Thijs J Schouten, Anne Claire Henry, F Jasmijn Smits, Marc G Besselink, Bert A Bonsing, Koop Bosscha, Olivier R Busch, Ronald M van Dam, Casper H van Eijck, Sebastiaan Festen, Bas Groot Koerkamp, Erwin van der Harst, Ignace H J T de Hingh, Geert Kazemier, Mike S L Liem, Vincent E de Meijer, Gijs A Patijn, Daphne Roos, Jennifer M J Schreinemakers, Martijn W J Stommel, Fennie Wit, Lois A Daamen, I Quintus Molenaar, Hjalmar C van Santvoort
OBJECTIVE: To evaluate the performance of published fistula risk models by external validation, and to identify independent risk factors for postoperative pancreatic fistula (POPF). SUMMARY BACKGROUND DATA: Multiple risk models have been developed to predict POPF after pancreatoduodenectomy. External validation in high-quality prospective cohorts is, however, lacking or only performed for individual models. METHODS: A post-hoc analysis of data from the stepped-wedge cluster randomized PORSCH trial was performed...
February 20, 2023: Annals of Surgery
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