-
Editors’ Note for April 2024 Surgery (IF 3.8) Pub Date : 2024-03-15 Steven D. Wexner MD PhD, Kevin E. Behrns MD
-
Corrigendum to “The unfunded grant, now what? Advice, approach, and strategy” Surgery 175 (2024) 317-322 Surgery (IF 3.8) Pub Date : 2024-03-14 Catherine J. Hunter MD, Tyler Leiva MD, Vikas Dudeja MD
-
The integration of artificial intelligence in robotic surgery: A narrative review Surgery (IF 3.8) Pub Date : 2024-03-12 Chi Zhang MD, M. Susan Hallbeck PhD, Hojjat Salehinejad PhD, Cornelius Thiels DO MBA
The rise of high-definition imaging and robotic surgery has independently been associated with improved postoperative outcomes. However, steep learning curves and finite human cognitive ability limit the facility in imaging interpretation and interaction with the robotic surgery console interfaces. This review presents innovative ways in which artificial intelligence integrates preoperative imaging
-
Teamwork matters: The association between nontechnical skills and cardiac arrest in trauma patients presenting with hypotension Surgery (IF 3.8) Pub Date : 2024-03-12 Michael A. Vella MD MBA, Alea Zone BS, Bahaa Succar MD, Mingyuan Cheng MSc PhD, Amelia W. Maiga MD MPH, Rachel D. Appelbaum MD, Lowyl Notario RN MSc, Dylan Pannell MD PhD, Daniel N. Holena MD, Ryan P. Dumas MD
The impact of trauma team dynamics on outcomes in injured patients is not completely understood. We sought to evaluate the association between trauma team function, as measured by a modified Trauma Non-Technical Skills assessment, and cardiac arrest in hypotensive trauma patients. We hypothesized that better team function is associated with a decreased probability of developing cardiac arrest. Trauma
-
Quality of life among older patients after elective ventral hernia repair: A retrospective review Surgery (IF 3.8) Pub Date : 2024-03-12 Sahana Holla BS, Savannah Renshaw MPH MPA, Molly Olson MS, Alison Whalen MD, Kavya Sreevalsan MD, Benjamin K. Poulose MD MPH, Courtney E. Collins MD MS
Ventral hernia repair is a common elective general surgery procedure among older patients, a population at greater risk of complications. Prior research has demonstrated improved quality of life in this population despite increased risk of complications. This study sought to assess the relationship between post–ventral hernia repair quality of life and patient frailty. We hypothesized that frail patients
-
The overlooked factor: The impact of disability on postoperative complications after emergency general surgery procedures Surgery (IF 3.8) Pub Date : 2024-03-12 Wardah Rafaqat MBBS, Emanuele Lagazzi MD, May Abiad MD, Dias Argandykov MD, Jefferson A. Proaño-Zamudio MD, Elaine P.X. Van Ee BSc, George C. Velmahos MD PhD, John O. Hwabejire MD MPH, Haytham M.A. Kaafarani MD MPH, Michael P. DeWane MD
Despite more than 61 million people in the United States living with a disability, studies on the impact of disability on health care disparities in surgical patients remain limited. Therefore, we aimed to understand the impact of disability on postoperative outcomes. We performed a retrospective cohort study using the Nationwide Readmission Database (2019). We compared patients ≥18 years undergoing
-
Limited health literacy is common among vascular surgery patients Surgery (IF 3.8) Pub Date : 2024-03-10 Amin A. Mirzaie BS, Nancy C. Hanson BA, Dan Neal MS, Scott A. Berceli MD PHD, Martin R. Back MD, Salvatore T. Scali MD, Thomas S. Huber MD PHD, Gilbert R. Upchurch Jr. MD, Samir K. Shah MD MPH
Health literacy is a crucial aspect of informed decision-making, and limited health literacy has been associated with worse health care outcomes. To date, health literacy has not been examined in vascular surgery patients. Therefore, we conducted a prospective observational study to determine the prevalence and factors associated with poor health literacy in vascular surgery patients. The Newest Vital
-
Surgeon experience and lymph node status: More than meets the eye Surgery (IF 3.8) Pub Date : 2024-03-06 James Tankel MD, Ory Wiesel MD
-
Risk factors for loss to follow-up after traumatic injury: An updated view of a chronic problem Surgery (IF 3.8) Pub Date : 2024-03-05 Sophia M. Smith MD, Xuewei Zhao MPH, Kelly Kenzik PhD, Cara Michael BA, Kendall Jenkins MS, Sabrina E. Sanchez MD MPH
Loss to follow-up after traumatic injury occurs at rates of up to 47%. However, the most recent data are over a decade old, and recent changes in traumatic injury patterns necessitate an updated assessment of risk factors for loss to follow-up after trauma. We conducted a retrospective chart review of trauma admissions from January 1, 2018 to December 31, 2021. Categorical variables were compared using
-
Preoperative chemoradiotherapy but not chemotherapy is associated with reduced risk of postoperative pancreatic fistula after pancreatoduodenectomy for pancreatic ductal adenocarcinoma: a nationwide analysis Surgery (IF 3.8) Pub Date : 2024-03-05 Leonoor V. Wismans, J. Annelie Suurmeijer, Jelle C. van Dongen, Bert A. Bonsing, Hjalmar C. Van Santvoort, Johanna W. Wilmink, Geertjan van Tienhoven, Ignace H. de Hingh, Daan J. Lips, Erwin van der Harst, Vincent E. de Meijer, Gijs A. Patijn, Koop Bosscha, Martijn W. Stommel, Sebastiaan Festen, Marcel den Dulk, Joost J. Nuyttens, Martijn P.W. Intven, Judith de Vos-Geelen, I. Quintus Molenaar, Olivier
Postoperative pancreatic fistula remains the leading cause of significant morbidity after pancreatoduodenectomy for pancreatic ductal adenocarcinoma. Preoperative chemoradiotherapy has been described to reduce the risk of postoperative pancreatic fistula, but randomized trials on neoadjuvant treatment in pancreatic ductal adenocarcinoma focus increasingly on preoperative chemotherapy rather than preoperative
-
Surgeon compensation in academic medicine Surgery (IF 3.8) Pub Date : 2024-03-05 Douglas B. Evans MD, Jon B. Mayer MBA
Academic surgery is the best career one could ever aspire to have; however, given the long duration of training and the anticipated education debt, surgeon compensation has not kept pace with the compensation of other comparable careers. As surgeon compensation has experienced increased downward pressure, it has become of growing importance to those in academic medicine/surgery. Competitive compensation
-
Don’t chase the adenoma: A probabilistic approach to imaging before parathyroidectomy Surgery (IF 3.8) Pub Date : 2024-03-02 Nicole Lunardi MD MSPH, Allison Jacob, Dawn Elfenbein MD MPH, David F. Schneider MD MS, Kristin Long MD MPH, Simon A. Holoubek DO MPH, Erin MacKinney MD, Alexander Chiu MD MPH, Rebecca S. Sippel MD, Courtney J. Balentine MD MPH
Preoperative imaging before parathyroidectomy can localize adenomas and reduce unnecessary bilateral neck explorations. We hypothesized that (1) the utility of preoperative imaging varies substantially depending on the preoperative probability of having adenoma(s) and (2) that a selective imaging approach based on this probability could avoid unnecessary patient costs and radiation. We analyzed 3,577
-
Racial disparities in rates of invasiveness of resected intraductal papillary mucinous neoplasms in the United States Surgery (IF 3.8) Pub Date : 2024-02-28 William E. Allen, Joshua D. Greendyk, H. Richard Alexander, Toni Beninato, Mariam F. Eskander, Miral S. Grandhi, Haejin In, Timothy J. Kennedy, Russell C. Langan, Jason C. Maggi, Dirk F. Moore, Henry A. Pitt, Subhajoyti De, Syed F. Haider, Brett L. Ecker
Racial and ethnic disparities have been observed in the multidisciplinary management of pancreatic ductal adenocarcinoma. Intraductal papillary mucinous neoplasm is the most common identifiable precursor to pancreatic ductal adenocarcinoma, where early surgical intervention before the development of an invasive intraductal papillary mucinous neoplasm improves survival. The association of race/ethnicity
-
When is it safe to start thromboprophylaxis after splenic angioembolization? Surgery (IF 3.8) Pub Date : 2024-02-27 Brianna L. Collie, Nicole B. Lyons, Christopher F. O’Neil, Walter A. Ramsey, Edward B. Lineen, Carl I. Schulman, Kenneth G. Proctor, Jonathan P. Meizoso, Nicholas Namias, Enrique Ginzburg
Thromboprophylaxis after blunt splenic trauma is complicated by the risk of bleeding, but the risk after angioembolization is unknown. We hypothesized that earlier thromboprophylaxis initiation was associated with increased bleeding complications without mitigating venous thromboembolism events. All blunt trauma patients who underwent splenic angioembolization within 24 hours of arrival were identified
-
Median arcuate ligament release at the time of pancreaticoduodenectomy or total pancreatectomy Surgery (IF 3.8) Pub Date : 2024-02-26 Erin P. Ward, Stephanie Vincent-Sheldon, Parag Tolat, Naveen Kulkarni, Mohammed Aldakkak, Rachel Budithi, Callisia N. Clarke, Susan Tsai, Douglas B. Evans, Kathleen K. Christians
Celiac artery compression can complicate the performance of pancreaticoduodenectomy or total pancreatectomy due to the need for ligation of the gastroduodenal artery. Median arcuate ligament release restores normal arterial flow to the liver, spleen, and stomach and may avoid complications related to poor perfusion of the foregut. All patients who underwent median arcuate ligament release for celiac
-
Predictive value of C-reactive protein for postoperative liver-specific surgical site infections Surgery (IF 3.8) Pub Date : 2024-02-26 Maxime Pattou, David Fuks, Theophile Guilbaud, Bastien Le Floch, Oceane Lelièvre, Ecoline Tribillon, Heithem Jeddou, Ugo Marchese, David Jeremie Birnbaum, Olivier Soubrane, Laurent Sulpice, Stylianos Tzedakis
C-reactive protein is a useful biological tool to predict infectious complications, but its predictive value in detecting organ-specific surgical site infection after liver resection has never been studied. We aimed to evaluate the predictive value of c-reactive protein and determine the cut-off values to detect postoperative liver resection–surgical site infection. A multicentric analysis of consecutive
-
Optimizing antibiotic management for patients with acute appendicitis: A quality improvement study Surgery (IF 3.8) Pub Date : 2024-02-26 Jason Beckermann, Maria E. Linnaus, Hayden Swartz, Shelby Stewart, Justin York, Ryan R. Gassner, Christopher A. Kasal, Annaliese G. Seidel, Corey J. Wachter, Kirstin J. Kooda, Jennifer R. Rich, Mark D. Sawyer
To decrease surgical site infections after appendectomy for acute appendicitis, preoperative broad-spectrum antibiotics are often used in clinical practice. However, this treatment strategy has come under scrutiny because of increasing rates of antibiotic-resistant infections. The aim of this multisite quality improvement project was to decrease the treatment of uncomplicated acute appendicitis with
-
Clinical and surgical effectiveness of the multi-disciplinary standardized management model in the treatment of retroperitoneal liposarcoma: Evidence-based clinical practice experience from Fudan Zhongshan Surgery (IF 3.8) Pub Date : 2024-02-22 Peidang Fan MD, Ping Tao MD, Jiongyuan Wang MD, Zhenyu Wang MD, Yingyong Hou PhD, Yuhong Zhou PhD, Weiqi Lu MD, Lijie Ma PhD, Yong Zhang PhD, Hanxing Tong PhD
To assess the correlation between clinical outcomes and diagnostic accuracy of evaluations carried out by a preoperative multidisciplinary team versus standard surgical care for patients with retroperitoneal liposarcoma undergoing surgery. This comparative study was conducted retrospectively at a specialist assessment center within Zhongshan Hospital, Fudan University, China, between April 2011 and
-
Early venous thromboembolism chemoprophylaxis in traumatic brain injury requiring neurosurgical intervention: Safe and effective Surgery (IF 3.8) Pub Date : 2024-02-21 Abdul Hafiz Al Tannir, Simin Golestani, Morgan Tentis, Patrick B. Murphy, Andrew T. Schramm, Jacob Peschman, Christopher Dodgion, Daniel Holena, Stephen Miranda, Thomas W. Carver, Marc A. de Moya, Morgan Schellenberg, Rachel S. Morris
Traumatic brain injury patients who require neurosurgical intervention are at the highest risk of worsening intracranial hemorrhage. This subgroup of patients has frequently been excluded from prior research regarding the timing of venous thromboembolism chemoprophylaxis. This study aims to assess the efficacy and safety of early venous thromboembolism chemoprophylaxis in patients with traumatic brain
-
Leading a surgical department: Chairs’ thoughts Surgery (IF 3.8) Pub Date : 2024-02-20 Kevin E. Behrns MD, Steven D. Wexner MD PhD
-
Is Contemporary Open Pancreatic Necrosectomy Still Useful In The Minimally Invasive Era? Surgery (IF 3.8) Pub Date : 2024-02-20 Caihong Ning, Zefang Sun, Dingcheng Shen, Chiayen Lin, Jiarong Li, Qin Wei, Lu Chen, Gengwen Huang
Previous studies have shown that open pancreatic necrosectomy for infected pancreatic necrosis was associated with high morbidity and mortality. However, these results were mostly concluded from historical cohorts with traditional early necrosectomy in the absence of a minimally invasive step-up approach. To explore the value of contemporary open pancreatic necrosectomy for infected pancreatic necrosis
-
Causes of death in patients operated for colorectal cancer Surgery (IF 3.8) Pub Date : 2024-02-19 Swati Sonal, Chloe Boudreau, Grace C. Lee, Christy E. Cauley, Hiroko Kunitake, Robert N. Goldstone, Todd D. Francone, Liliana G. Bordeianou, Rocco Ricciardi, David L. Berger
Colorectal cancer remains the third leading cause of cancer-related mortality in the United States. This study evaluates the causes of death in patients operated on for colorectal cancer and their determinants. An Instructional Review Board-approved database containing patients who underwent surgical resection for colorectal cancer from 2004 to 2018 (last followed up in December 2020) in a tertiary
-
Financial toxicity in early-onset colorectal cancer: A National Health Interview Survey study Surgery (IF 3.8) Pub Date : 2024-02-19 Molly Kobritz, Colleen P. Nofi, Adekemi Egunsola, Andrea S. Zimmern
Financial toxicity is increasingly recognized as a devastating outcome of cancer treatment but is poorly characterized in patients with early-onset colorectal cancer. Young patients are particularly vulnerable to financial toxicity as they are frequently underinsured and may suffer significant disruptions to professional and financial growth. We hypothesized that financial toxicity associated with
-
Nonoperative management in acute, uncomplicated appendicitis Surgery (IF 3.8) Pub Date : 2024-02-18 Paul E. George, David H. Howard
-
Response to the editor: “Perioperative oral care can prevent surgical site infection after colorectal cancer surgery: a multicenter, retrospective study of 1,926 cases analyzed by propensity score matching” Surgery (IF 3.8) Pub Date : 2024-02-17 Hiroshi Nobuhara, Yasuhiro Matsugu
-
Clinical and pathological factors associated with survival in patients with pancreatic cancer who receive adjuvant therapy after neoadjuvant therapy: A retrospective multi-institutional analysis Surgery (IF 3.8) Pub Date : 2024-02-16 Takayuki Shimizu, Shimpei Maeda, Jason Link, Aletta Deranteriassian, Alykhan Premji, Arjun Verma, Nikhil Chervu, Joon Park, Mark Girgis, Peyman Benharash, Joe Hines, Zev Wainberg, Christopher Wolfgang, William Burns, Jun Yu, Carlos Fernandez-Del Castillo, Keith Lillemoe, Cristina Ferrone, Timothy Donahue
-
Consent 2.0: Informed choices in the age of artificial intelligence Surgery (IF 3.8) Pub Date : 2024-02-16 Yasser Farid, Chad Chang, Marco Marcasciano, Filippo Di Meglio, Ivan Rodríguez-Mantilla, Jacopo Nanni, Socorro Ortiz, Hung-Chi Chen
-
Improvement of mood and sleep quality in patients with primary hyperparathyroidism after parathyroidectomy: A prospective case-control study Surgery (IF 3.8) Pub Date : 2024-02-12 Beatriz Febrero, Juan José Ruiz-Manzanera, Inmaculada Ros-Madrid, Adrián Vergara, José M. Rodríguez
Primary hyperparathyroidism can impact patient quality of life with psychopathological symptoms like mood and sleep disturbances. In the latest recommendations published according to the primary hyperparathyroidism surgical consensus, these neuropsychological symptoms continue to be excluded. This study aims to assess the negative effects of mood and sleep on patients with primary hyperparathyroidism
-
The Medicare Physician Fee Schedule and surgical specialties: Reform needed to preserve access Surgery (IF 3.8) Pub Date : 2024-02-10 J. Scott Roth MD FACS
-
Early postoperative endoscopy for predicting anastomotic leakage after minimally invasive esophagectomy: A large-volume retrospective study Surgery (IF 3.8) Pub Date : 2024-02-10 Shouzheng Ma, Jianfei Zhu, Menghua Xue, Yang Shen, Yanlu Xiong, Kaifu Zheng, Xiyang Tang, Ling Wang, Yunfeng Ni, Tao Jiang, Jinbo Zhao
Anastomotic leakage is one of the most severe adverse events of minimally invasive esophagectomy for esophageal cancer. Early postoperative endoscopy is considered to be the most objective means to diagnose anastomotic leakage, but its safety is questioned by clinicians. This study aimed to evaluate the safety and effectiveness of early postoperative endoscopy in predicting anastomotic leakage. Patients
-
An engineered poly(A) tail attenuates gut ischemia/reperfusion-induced acute lung injury Surgery (IF 3.8) Pub Date : 2024-02-10 Atsushi Murao, Alok Jha, Monowar Aziz, Ping Wang
Gut ischemia/reperfusion causes the release of damage-associated molecular patterns, leading to acute lung injury and high mortality. Cold-inducible ribonucleic acid-binding protein is a ribonucleic acid chaperon that binds the polyadenylation tail of messenger ribonucleic acid intracellularly. Upon cell stress, cold-inducible ribonucleic acid-binding protein is released, and extracellular cold-inducible
-
Response letter to the editor—Original manuscript: Machine learning versus logistic regression for the prediction of complication after pancreatoduodenectomy Surgery (IF 3.8) Pub Date : 2024-02-06 Erik W. Ingwersen, F. Daams
-
Response letter to the editor—Original manuscript: Machine learning versus logistic regression for the prediction of complication after pancreatoduodenectomy Surgery (IF 3.8) Pub Date : 2024-02-06 Erik W. Ingwersen, F. Daams
-
Laparoscopic subtotal cholecystectomy for the difficult gallbladder: Evolution of technique at a single teaching hospital Surgery (IF 3.8) Pub Date : 2024-02-06 Shirley X. Deng MD, Bree T. Sharma BHSc, Tega Ebeye MSc, Anas Samman HBSc, Amna Zulfiqar MSc, Brittany Greene MD MSc FRCSC, Melanie E. Tsang MD MSc FRCSC, Shiva Jayaraman MD MESc FRCSC FACS
We have developed an algorithmic approach to laparoscopic cholecystectomy, including subtotal cholecystectomy, as a bailout strategy when the Critical View of Safety cannot be safely achieved due to significant inflammation and fibrosis of the hepatocystic triangle. This is a retrospective cohort study comparing postoperative outcomes in patients with severe cholecystitis who underwent laparoscopic
-
A propensity score–matched analysis of laparoscopic versus open pancreaticoduodenectomy: Is there value to a laparoscopic approach? Surgery (IF 3.8) Pub Date : 2024-02-02 John A. Stauffer MD, David Hyman MD, Gina Porrazzo BS, Mary Tice PA, Zhuo Li MS, Tariq Almerey MD
Laparoscopic pancreaticoduodenectomy has been found safe and associated with advantages over open pancreaticoduodenectomy in prior studies. We compared outcomes of laparoscopic pancreaticoduodenectomy versus open pancreaticoduodenectomy at a single institution after applying technical aspects and perioperative care learned from laparoscopic pancreaticoduodenectomy to the open pancreaticoduodenectomy
-
Minimally invasive pancreaticoduodenectomy: A favorable approach for frail patients with pancreatic cancer Surgery (IF 3.8) Pub Date : 2024-02-02 Emile Farah MD, Amr Al Abbas MD, Andres A. Abreu MD, Mingyuan Cheng PhD, Adam Yopp MD, Sam Wang MD, John Mansour MD, Matthew Porembka MD, Herbert J. Zeh III MD, Patricio M. Polanco MD
Within the past decade, minimally invasive pancreaticoduodenectomy has been increasingly adopted in high-volume cancer centers. Amid broader trends of a growing older population, the numbers of frail patients with cancer are expected to increase. In this study, we compared the postoperative outcomes of open pancreaticoduodenectomy and minimally invasive pancreaticoduodenectomy in frail patients with pancreatic
-
-
-
-
-
Surgeon experience does not influence nodal upstaging during vats lobectomy: Results from a large prospective national database Surgery (IF 3.8) Pub Date : 2024-02-01 Marco Chiappetta, Filippo Lococo, Isabella Sperduti, Diomira Tabacco, Carolina Sassorossi, Carlo Curcio, Roberto Crisci, Elisa Meacci, Federico Rea, Stefano Margaritora
Background Despite recent improvement in preoperative staging, nodal and mediastinal upstaging occur in about 5% to 15% of cN0 patients. Different clinical and tumor characteristics are associated with upstaging, whereas the role of the surgeon's experience is not well evaluated. This study aimed to investigate if operator experience might influence nodal upstaging during video-assisted thoracic surgery
-
CPT1B maintains redox homeostasis and inhibits ferroptosis to induce gemcitabine resistance via the KEAP1/NRF2 axis in pancreatic cancer Surgery (IF 3.8) Pub Date : 2024-02-01 Abudureyimu Tuerhong, Jin Xu, Wei Wang, Si Shi, Qingcai Meng, Jie Hua, Jiang Liu, Bo Zhang, Xianjun Yu, Chen Liang
Although we have made progress in treatment and have increased the 5-year survival by ≤30% in pancreatic cancer, chemotherapy resistance remains a major obstacle. However, whether reprogrammed lipid metabolism contributes to chemoresistance still needs to be further studied. Gene expression was determined using Western blotting and quantitative reverse transcription polymerase chain reaction. Cell
-
Hand-sewn gastrojejunal anastomosis reduces delayed gastric emptying after pancreaticoduodenectomy: A single-center retrospective clinical study of 1,077 consecutive patients Surgery (IF 3.8) Pub Date : 2024-01-29 Zhendong Fu MM, Suizhi Gao MM, Xinqian Wu MM, Jianwei Qin MD, Zheng Dang MD, Huan Wang MD, Jiawei Han MM, Yiwei Ren MM, Lingyu Zhu MM, Xiaofei Ye PhD, Xiaohan Shi MD, Xiaoyi Yin MD, Meilong Shi MD, Jian Wang MM, Xinyu Liu MM, Shiwei Guo MD, Kailian Zheng MD, Gang Jin MD
Hand-sewn anastomosis and stapled anastomosis are the 2 main types of gastrojejunal anastomotic methods in pancreaticoduodenectomy. There is ongoing debate regarding the most effective anastomotic method for reducing delayed gastric emptying after pancreaticoduodenectomy. This study aims to identify factors that influence delayed gastric emptying after pancreaticoduodenectomy and assess the impact
-
Inhibition of chemokine receptor CXCR2 attenuates postoperative peritoneal adhesion formation Surgery (IF 3.8) Pub Date : 2024-01-27 Shiyue Su MD, Chuanyu Hou MD, Qinqing Tang MD PhD
Postoperative peritoneal adhesions remain a problem after general and gynecological surgery. Hematoxylin and eosin and Masson’s trichrome staining of ischemic buttons were performed 6, 12, 24 hours, and 7 days after button induction. Scanning electron microscopy, ribonucleic acid sequencing, quantitative real-time polymerase chain reaction, immunohistochemical staining, and flow cytometry were used
-
Clinical impact of coexistent chronic lymphocytic thyroiditis on central lymph node metastasis in low- to intermediate-risk papillary thyroid carcinoma: The MASTER study Surgery (IF 3.8) Pub Date : 2024-01-27 Da Beom Heo MD, Ho-Ryun Won MD PhD, Kyung Tae MD PhD, Yea Eun Kang MD PhD, Eonju Jeon MD PhD, Yong Bae Ji MD PhD, Jae Won Chang MD PhD, June Young Choi MD PhD, Hyeong Won Yu MD PhD, Eu Jeong Ku MD PhD, Eun Kyung Lee MD PhD, Mijin Kim MD PhD, Jun-Ho Choe MD PhD, Bon Seok Koo MD PhD, MASTER study group
The clinicopathological impact of chronic lymphocytic thyroiditis on patients with papillary thyroid carcinoma patients is still controversial. This study aimed to evaluate the clinicopathologic differences and risk factors for central lymph node metastasis based on the presence of coexistent chronic lymphocytic thyroiditis in patients with low- to intermediate-risk papillary thyroid carcinoma. The
-
Impact of ultra-pulse carbon dioxide laser on the treatment of chronic refractory ulcer with bone exposure Surgery (IF 3.8) Pub Date : 2024-01-27 Bo Jiang MMed, Xiyang Li MMed, Rui Tang BM, Lei Mei BM, Danyu Zheng BM, Xinli Tian MMed
Chronic refractory ulcers with bone exposure present significant challenges in wound management and necessitate effective treatment strategies to facilitate healing and alleviate patient discomfort. This study aimed to investigate the impact of ultra-pulse carbon dioxide laser on treating chronic refractory ulcers with bone exposure. This retrospective observational study enrolled patients diagnosed
-
Philanthropic support of academic programs Surgery (IF 3.8) Pub Date : 2024-01-27 Mary T. Hawn MD MPH
Academic surgical departments must subsidize the research mission, as most funded research does not fully support the faculty effort and true costs of the investigation. Most departments support their research program with the margin from clinical revenue; however, increased pressure on clinical income poses a challenge to this strategy. Philanthropy is an increasingly important revenue source to fund
-
The value of national accreditation program for rectal cancer: A survey of accredited programs and programs seeking accreditation Surgery (IF 3.8) Pub Date : 2024-01-23 Muneera R. Kapadia MD MME, Peter J. Senatore MD, Craig Messick MD, Tracy L. Hull MD, Virginia O. Shaffer MD, Arden M. Morris MD, David W. Dietz MD, Steven D. Wexner MD, Elizabeth C. Wick MD
Significant variation in rectal cancer care has been demonstrated in the United States. The National Accreditation Program for Rectal Cancer was established in 2017 to improve the quality of rectal cancer care through standardization and emphasis on a multidisciplinary approach. The aim of this study was to understand the perceived value and barriers to achieving the National Accreditation Program
-
Intraoperative segmental pancreatic occlusion and insulin assay combination optimizes the localization of lesions and confirmation of complete resection in pancreatic hypoglycemia patients Surgery (IF 3.8) Pub Date : 2024-01-23 Manar Mikhail Atyah MD, Jia Huang MD, Zhiying Yang MD
To evaluate the efficacy of the application of intraoperative segmental pancreatic occlusion and insulin assay in surgical procedures for pancreatic hypoglycemia. We retrospectively analyzed the clinical data of 11 pancreatic hypoglycemia cases treated in the China-Japan Friendship Hospital between September 2015 and August 2021. Intraoperative segmental pancreatic occlusion and insulin assay were
-
Analysis of 10-year trends in Medicare Physician Fee Schedule payments in surgery Surgery (IF 3.8) Pub Date : 2024-01-22 Udai S. Sibia MD MBA, Janelle-Cheri Millen MBBS, John R. Klune MD MBA, Anton Bilchik MD PhD MBA, Leland J. Foshag MD
Medicare expenditures have steadily increased over the decades, and yet Medicare Physician Fee Schedule payments for individual services have declined. We examine trends in Medicare Physician Fee Schedule payments for office visits, inpatient visits, and surgical procedures. The Medicare Physician Fee Schedule Look-Up Tool was queried for payment data for office visits, inpatient visits, and surgical
-
Portal vein resection in pancreatic neuroendocrine neoplasms Surgery (IF 3.8) Pub Date : 2024-01-22 Anna Nießen MD, Ulla Klaiber MD, Magdalena Lewosinska MD, Felix Nickel MD, Franck Billmann MD, Ulf Hinz MSc, Markus W. Büchler MD, Thilo Hackert MD
Surgery offers the only cure for borderline resectable or locally advanced pancreatic neuroendocrine neoplasms. Data on incidence, perioperative and long-term outcomes of portal vein resection for pancreatic neuroendocrine neoplasms are scarce. This study aimed to analyze the outcome and prognostic factors of portal vein resection in surgery for pancreatic neuroendocrine neoplasms. Consecutive patients
-
MIRO study: Do the results of a randomized controlled trial apply in a real population? Surgery (IF 3.8) Pub Date : 2024-01-22 Alexandre Challine MD PhD, Mehdi Kirouani MD, Sheraz R. Markar MD PhD, Stylianos Tzedakis MD, Romain Jaquet MD, Guillaume Piessen MD PhD, Tienhan Sandrine Dabakoyo-Yonli MD PhD, Jérémie H. Lefèvre MD PhD, Andrea Lazzati MD PhD, Thibault Voron MD PhD
The aim of our study was to evaluate the external validity of the MIRO randomized controlled trial findings in a similar nationwide setting “real life” population, especially the benefit of a hybrid approach in esophageal resection for pulmonary complication. The external validity of randomized controlled trial findings to the general population with the same condition remains problematic because of
-
Letter to the Editor on: “A novel nomogram based on preoperative parameters to predict posthepatectomy liver failure in patients with hepatocellular carcinoma” Surgery (IF 3.8) Pub Date : 2024-01-19 Ze-Ping Jiang, Zao-tian Zhou, Tian Xie, Lan Zhou
Abstract not available
-
Evaluating capabilities of large language models: Performance of GPT-4 on surgical knowledge assessments Surgery (IF 3.8) Pub Date : 2024-01-20 Brendin R. Beaulieu-Jones MD MBA MBI, Margaret T. Berrigan MD, Sahaj Shah BS, Jayson S. Marwaha MD MBI, Shuo-Lun Lai MD, Gabriel A. Brat MD MPH
Artificial intelligence has the potential to dramatically alter health care by enhancing how we diagnose and treat disease. One promising artificial intelligence model is ChatGPT, a general-purpose large language model trained by OpenAI. ChatGPT has shown human-level performance on several professional and academic benchmarks. We sought to evaluate its performance on surgical knowledge questions and
-
Coaching your faculty and yourself Surgery (IF 3.8) Pub Date : 2024-01-20 Jonathan M. Stem MD, Caprice C. Greenberg MD MPH
Surgical skills vary drastically among practicing surgeons. This variation in skill has been demonstrated to translate directly into patient outcomes, highlighting the importance of skill development. Despite this, directed efforts to improve surgical skills and performance among practicing surgeons remain limited. The development of surgical coaching programs offers an exciting opportunity for surgeon
-
Disparate impact of the COVID-19 pandemic on delays in colorectal cancer treatment: A National Cancer Database study Surgery (IF 3.8) Pub Date : 2024-01-19 Sophie H. Chung MD, Gordana Rasic MD MS, Kelsey S. Romatoski MD, Kelly Kenzik MS PhD, Jennifer F. Tseng MD MPH, Teviah E. Sachs MD MPH
Timely treatment for patients with colorectal cancer may have been disrupted by the COVID-19 pandemic. We evaluated the impact of the pandemic on delays to treatment with surgery or systemic therapy for patients with colorectal cancer and delineated factors predictive of delayed treatment. Using the National Cancer Database, patients diagnosed with colorectal cancer were categorized by year of diagnosis
-
Variation in the definition of ‘failure to rescue’ from postoperative complications: a systematic review and recommendations for outcome reporting Surgery (IF 3.8) Pub Date : 2024-01-19 Cameron I. Wells MBChB BMedSc(Hons), Sameer Bhat MBChB BMedSc(Hons), William Xu MBChB BMedSc(Hons), Chris Varghese MBChB BMedSc(Hons), Celia Keane MBChB PhD, Wal Baraza MPhil FRCS, Greg O’Grady MBChB PhD FRACS, Chris Harmston MBChB FRCS(Eng) FRACS, Ian P. Bissett MBChB MD FRACS
Failure to rescue is the rate of death amongst patients with postoperative complications and has been proposed as a perioperative quality indicator. However, variation in its definition has limited comparisons between studies. We systematically reviewed all surgical literature reporting failure to rescue rates and examined variations in the definition of the ‘numerator,’ ‘denominator,’ and timing of
-
Additional bypass graft or concomitant surgical ablation? Insights from the HEIST registry Surgery (IF 3.8) Pub Date : 2024-01-17 Piotr Suwalski MD PhD, Emil Julian Dąbrowski MD, Jakub Batko MD, Michał Pasierski MD, Radosław Litwinowicz MD PhD, Adam Kowalówka MD, Marek Jasiński MD PhD, Jan Rogowski MD PhD, Marek Deja MD PhD, Krzysztof Bartus MD PhD, Tong Li MD, Matteo Matteucci MD PhD, Wojciech Wańha MD PhD, Paolo Meani MD PhD, Daniele Ronco MD PhD, Giuseppe Maria Raffa MD PhD, Pietro Giorgio Malvindi MD PhD, Łukasz Kuźma MD
-
Current trends and outcomes for unilateral groin hernia repairs in the United States using the Abdominal Core Health Quality Collaborative database: A multicenter propensity score matching analysis of 30-day and 1-year outcomes Surgery (IF 3.8) Pub Date : 2024-01-12 Diego L. Lima MD MSc, Raquel Nogueira MD, Rebeca Dominguez Profeta MD, Li-Ching Huang PhD, Leandro Totti Cavazzola MD PhD, Flavio Malcher MD MSc, Prashanth Sreeramoju MD MPH
Different unilateral groin hernia repair approaches have been developed in the last 2 decades. The most commonly done approaches are open inguinal hernia repair by the Lichenstein technique, laparoscopic approach by either total extraperitoneal or transabdominal preperitoneal, and robotic transabdominal preperitoneal approach. Hence, this study aimed to compare early and late postoperative outcomes