journal
https://read.qxmd.com/read/38987096/who-should-get-a-right-colectomy-in-low-grade-appendiceal-adenocarcinomas-association-of-lymphovascular-invasion-and-nodal-metastases
#1
JOURNAL ARTICLE
Muhammad Talha Waheed, Ibrahim Malik, Andrew M Blakely, Yasmine Zerhouni, Mark Hanna, Kurt Melstrom, Lily L Lai, Andreas M Kaiser, Lwin Thinzar, Isaac B Paz, Mustafa Raoof
BACKGROUND: There is variation in the probability of nodal metastases from low-grade appendiceal adenocarcinomas, and the role of right colectomy is unclear. We aimed to define the prevalence and utility of lymphovascular invasion in predicting the risk of nodal metastases to help stratify patients who may benefit from right hemicolectomy. METHODS: Patients with nonmetastatic low-grade appendiceal adenocarcinomas were identified from the National Cancer Database (2010-2017)...
July 9, 2024: Surgery
https://read.qxmd.com/read/38987095/the-prognostic-role-of-aspartate-transaminase-to-platelet-ratio-index-on-outcomes-after-nonemergent-major-hepatectomy
#2
JOURNAL ARTICLE
Dhruv J Patel, Michael T LeCompte, Hong Jin Kim, Elizabeth M Gleeson
INTRODUCTION: Noninvasive screening methods to identify patients preoperatively with abnormal liver texture remain limited. Aspartate transaminase to platelet ratio index has been validated to predict fibrosis in patients with hepatitis C; however, its use as a predictor of postoperative outcomes in patients without viral hepatitis remains unknown. METHODS: We queried the American College of Surgeons National Surgical Quality Improvement Program dataset to identify patients who underwent a major hepatectomy between 2014 and 2021...
July 9, 2024: Surgery
https://read.qxmd.com/read/38987094/geographic-and-demographic-trends-with-the-initiation-of-virtual-interviews-in-general-surgery-a-7-program-evaluation
#3
JOURNAL ARTICLE
Rebecca Moreci, Joseph C L'Huillier, Rebecca S Gates, Sarah Lund, Julie Clanahan, Angela Atkinson, Claire Wilson, Denise M Danos, Lance E Stuke
BACKGROUND: Although most general surgery residency interviews remain virtual, the effect of this format remains understudied. Single-institution data have shown an increase in the number of applications received and interviews conducted with virtual interviewing but no change in the geographic backgrounds of interviewed or matched applicants. This study sought to compare national trends in geographic characteristics of general surgery applicants, interviewed applicants, and matched applicants between in-person and virtual application cycles...
July 9, 2024: Surgery
https://read.qxmd.com/read/38987093/virtual-reality-for-postsurgical-pain-management-an-explorative-randomized-controlled-study
#4
JOURNAL ARTICLE
Elisabeth J Lier, Merlijn L M Smits, Regina L M van Boekel, Kris C P Vissers, Natasja J G Maandag, Marjan de Vries, Harry van Goor
BACKGROUND: Virtual reality (VR) is a promising tool in a multimodal analgesic approach; however, evidence regarding virtual reality for postsurgical pain is limited. This study investigates the initial effectiveness and feasibility of self-administered virtual reality in postsurgical pain management. METHODS: Patients reporting a postsurgical pain score ≥4 were randomized for control or VR, stratified for 3 interventions with varying levels of immersion and interaction...
July 9, 2024: Surgery
https://read.qxmd.com/read/38981796/changing-colon-cancer-screening-guidelines-to-age-45-has-it-made-a-difference
#5
JOURNAL ARTICLE
Neha Shafique, Carolyn G Susman, Gabriella N Tortorello, Anushka Dheer, Erica Pettke, Giorgos C Karakousis
BACKGROUND: A concerning increase in early-onset colorectal cancer led to guideline changes in 2018 by the American Cancer Society to lower the age for initial colorectal cancer screening from 50 to 45 years of age. Although this would be expected to result in increased screening rates and subsequent earlier detection of colorectal cancer, the effect of this guideline change at a national level is not yet fully understood. METHODS: Using the National Cancer Database, we identified patients newly targeted for screening (age 45-49 years) diagnosed with colon cancer in either 2017 (early cohort) or 2019 (late cohort)...
July 8, 2024: Surgery
https://read.qxmd.com/read/38972774/obesity-and-overweight-are-associated-with-worse-survival-in-early-onset-colorectal-cancer-a-critical-analysis-of-sample-selection-criteria
#6
LETTER
Ya-Jie Wang, Tan Tan, Yi-Sheng Pan
No abstract text is available yet for this article.
July 6, 2024: Surgery
https://read.qxmd.com/read/38972773/letter-to-the-editor-on-effects-of-povidone-iodine-wound-irrigation-on-surgical-site-infection-in-gastroenterological-surgery-a-randomized-controlled-trial
#7
LETTER
Weixing Jing, Yiqi Huang, Tianxiao Fu
No abstract text is available yet for this article.
July 6, 2024: Surgery
https://read.qxmd.com/read/38972772/letter-to-the-editor-on-pediatric-trauma-patients-with-isolated-grade-iii-blunt-splenic-injuries-may-be-safely-managed-without-intensive-care-unit-admission
#8
LETTER
Xiaoyan Hu, Yiqi Huang, Yanling Zhang
No abstract text is available yet for this article.
July 6, 2024: Surgery
https://read.qxmd.com/read/38972771/prediction-of-intra-abdominal-injury-using-natural-language-processing-of-electronic-medical-record-data
#9
JOURNAL ARTICLE
Giovanna Danna, Ravi Garg, Joanna Buchheit, Radha Patel, Tiannan Zhan, Alexander Ellyn, Farhan Maqbool, Linda Yala, Yuriy Moklyak, James Frydman, Abel Kho, Nan Kong, Alona Furmanchuk, Alexander Lundberg, Anne M Stey
BACKGROUND: This study aimed to use natural language processing to predict the presence of intra-abdominal injury using unstructured data from electronic medical records. METHODS: This was a random-sample retrospective observational cohort study leveraging unstructured data from injured patients taken to one of 9 acute care hospitals in an integrated health system between 2015 and 2021. Patients with International Classification of Diseases External Cause of Morbidity codes were identified...
July 6, 2024: Surgery
https://read.qxmd.com/read/38972770/analysis-of-the-loss-of-phosphatase-and-tensin-homolog-expression-in-thyroid-tissue-for-the-diagnosis-of-cowden-syndrome
#10
JOURNAL ARTICLE
Beatriz Febrero Sánchez, Emma Iborra, Paloma Sánchez-Pedreño, Inmaculada Ros-Madrid, José M Rodríguez
BACKGROUND: Cowden syndrome is an autosomal-dominant disorder caused by a germline phosphatase and tensin homolog mutation, giving rise to several tumors with an aggressive clinical course. In the thyroid, there are certain histologic criteria that could be related to this syndrome that could be useful for its early detection. We sought to analyze the loss of phosphatase and tensin homolog in thyroid histologic pieces with certain histologic criteria and to determine the percentage of patients diagnosed with Cowden syndrome with this methodology...
July 6, 2024: Surgery
https://read.qxmd.com/read/38972769/low-neighborhood-socioeconomic-status-is-associated-with-poor-outcomes-in-young-adults-with-colorectal-cancer
#11
JOURNAL ARTICLE
Tomohiro M Ko, Kayla N Laraia, H Richard Alexander, Brett L Ecker, Miral S Grandhi, Timothy J Kennedy, Haejin In, Russell C Langan, Henry A Pitt, Antoinette M Stroup, Mariam F Eskander
BACKGROUND: The incidence of early-onset colorectal cancer has increased markedly over the past decade. Although established for older adults, there are limited data on socioeconomic and racial disparities in screening, treatment, and outcomes in this distinct group. METHODS: Adults with primary colorectal cancer diagnosed at age <50 were identified from the Surveillance, Epidemiology, and End Results database. The exposure of interest was neighborhood socioeconomic status based on the Yost Index, a census-tract level composite score of neighborhood economic health...
July 6, 2024: Surgery
https://read.qxmd.com/read/38971699/the-effect-of-damage-control-laparotomy-on-surgical-site-infection-risks-after-emergent-intestinal-surgery
#12
JOURNAL ARTICLE
Maosong Ye, Connor P Littlefield, Linder Wendt, Colette Galet, Kevin Huang, Dionne Skeete
INTRODUCTION: Damage-control laparotomy has been widely used in general surgery. However, associated surgical-site infection risks have rarely been investigated. Damage-control laparotomy allows for additional opportunities for decontamination. We hypothesized that damage-control laparotomy would be associated with lower surgical-site infection risks compared with laparotomy with only primary fascial closure or with primary fascial and skin closure. METHODS: Patients admitted for emergent intestinal surgery from 2006 to 2021 were included...
July 5, 2024: Surgery
https://read.qxmd.com/read/38971698/analysis-of-technical-failure-after-1-613-surgical-microwave-ablations-a-propensity-score-matched-analysis
#13
JOURNAL ARTICLE
Vincent W Butano, Michael C Phillips, Alexandra B Wells, Matthew S Strand, Iain H McKillop, Erin H Baker, John B Martinie, David A Iannitti
BACKGROUND: Microwave ablation is becoming increasingly common for the treatment of liver tumors. Despite numerous studies aimed at identifying risk factors for local recurrence after microwave ablation, a consensus on modifiable risk factors for failure remains elusive, partly because of the limited statistical power of these studies. This study investigated the incidence of technical failure after microwave ablation, encompassing both incomplete ablation and local recurrence, and aimed to identify modifiable factors that reduce technical failure...
July 5, 2024: Surgery
https://read.qxmd.com/read/38971697/center-level-variation-in-hospitalization-costs-of-pancreaticoduodenectomy-for-pancreatic-cancer
#14
JOURNAL ARTICLE
Nguyen K Le, Nikhil L Chervu, Ayesha Ng, Zihan Gao, Nam Yong Cho, Nicole Charland, Shannon M Nesbit, Peyman Benharash, Timothy R Donahue
BACKGROUND: Pancreaticoduodenectomy is a highly morbid operation with significant resource utilization. Using a national cohort, we examined the interhospital variation in pancreaticoduodenectomy hospitalization cost in the United States. METHODS: Adults undergoing elective pancreaticoduodenectomy in the setting of pancreatic cancer were tabulated from the 2016-2020 Nationwide Readmissions Database. A 2-level mixed-effects model was developed to evaluate the interhospital variation in pancreaticoduodenectomy hospitalization costs...
July 5, 2024: Surgery
https://read.qxmd.com/read/38971696/discharge-against-medical-advice-in-trauma-patients-trends-risk-factors-and-implications-for-health-care-management-strategies
#15
JOURNAL ARTICLE
Nam Yong Cho, Amulya Vadlakonda, Saad Mallick, Joanna Curry, Sara Sakowitz, Zachary Tran, Peyman Benharash
OBJECTIVE: Given the nonelective nature of most trauma admissions, patients who experience trauma are at a particular risk of discharge against medical advice. Despite the risk of unplanned readmission and financial burden on the health care system, discharge against medical advice among hospitalized patients continues to rise. The present study aimed to assess evolving trends and outcomes associated in patients with discharge against medical advice among patients hospitalized for traumatic injury...
July 5, 2024: Surgery
https://read.qxmd.com/read/38969552/extended-antibiotics-and-clinically-relevant-postoperative-pancreatic-fistula-in-elevated-risk-patients-a-letter-in-response-to-hidden-determinants-of-the-duration-of-antibiotics-after-pancreaticoduodenectomy
#16
LETTER
https://read.qxmd.com/read/38969551/pouch-abandonment-is-extremely-rare-even-in-the-reoperative-setting-a-high-volume-referral-center-experience
#17
JOURNAL ARTICLE
Umut Akova, Daniel Wong, Mehmet Gulmez, Volkan Dogru, Eren Esen, Arman Erkan, Jessica N Simon, Andre da Luz Moreira, Feza H Remzi
BACKGROUND: Ileal pouch anal anastomosis is the preferred method for restoration of intestinal continuity after proctocolectomy. Successful ileal pouch anal anastomosis requires adequate reach of the ileal mesentery to the pelvis. Reach issues are a common cause for intraoperative pouch abandonment; however, data regarding contemporary abandonment rates are rare and nonexistent in the revisional setting. METHODS: A retrospective review was conducted of consecutive ileal pouch anal anastomosis surgery at a single referral center...
July 4, 2024: Surgery
https://read.qxmd.com/read/38969550/targeted-surgery-combined-with-postoperative-medical-therapy-for-residual-disease-for-severe-and-multifocal-crohn-disease
#18
JOURNAL ARTICLE
Océane Lelièvre, Solafah Abdalla, Franck Carbonnel, Aurélien Amiot, Antoine Meyer, Christophe Penna, Stéphane Benoist, Antoine Brouquet
BACKGROUND: In patients with multifocal intestinal Crohn disease requiring surgery for complication or uncontrolled disease, resection of all the lesions may lead to diarrhea and malnutrition. METHODS: This is a single-center retrospective review of all patients undergoing targeted surgery for multifocal Crohn disease with at least one residual Crohn disease location left behind. The primary endpoint was the rate of insufficient control of residual Crohn disease lesions requiring redo-surgery targeting these lesions...
July 4, 2024: Surgery
https://read.qxmd.com/read/38965006/empowering-leaders-better-together
#19
JOURNAL ARTICLE
Timothy R Donahue
No abstract text is available yet for this article.
July 3, 2024: Surgery
https://read.qxmd.com/read/38965005/pneumonectomy-for-non-small-cell-lung-cancer-a-national-cancer-database-analysis-of-geographic-and-temporal-trends-outcomes-and-associated-factors
#20
JOURNAL ARTICLE
Jorge Humberto Rodriguez-Quintero, Amanda Ghanie, Rajika Jindani, Mohamed K Kamel, Roger Zhu, Marc Vimolratana, Neel P Chudgar, Brendon M Stiles
BACKGROUND: The circumstances under which pneumonectomy should be performed are controversial. This study aims to investigate national trends in pneumonectomy use to determine which patients, in what geographic areas, and under what clinical circumstances pneumonectomy is performed in the United States. METHODS: We queried the National Cancer Database and included all patients undergoing anatomic surgical resection for non-small cell lung cancer (2015-2020). The association between demographic and clinical factors and the use of pneumonectomy were investigated...
July 3, 2024: Surgery
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