Adrenalectomy outcomes predicted by a 5-item frailty index (5-iFI) in the ACS-NSQIP database
This study aims to evaluate a 5-item frailty index (5-iFI) as a predictor of complications as well as healthcare resource utilization (HCRU) following adrenalectomy. (Source: American Journal of Surgery)
Source: American Journal of Surgery - November 26, 2021 Category: Surgery Authors: Krishna T. Ravivarapu, Evan B. Garden, Osama Al-Alao, Alexander C. Small, Michael A. Palese Source Type: research

Adopting robotic thoracic surgery: Impacts hospital overall lung resection case volume
Purpose.We sought to evaluate the role of robotic-assisted lung surgery on hospital volume using difference in difference (DID). We propose hospital adoption of robotic thoracic technology increases total volume of specific procedures as compared to non-robotic hospitals.Methods.The 2010 –2015 Florida Agency for Health Care Administration dataset was queried for open, video-assisted thoracoscopic, and robotic-assisted thoracic surgeries. Incident Rate Ratios (IRR) from DID analysis determined the significance of robotic technology. (Source: American Journal of Surgery)
Source: American Journal of Surgery - November 24, 2021 Category: Surgery Authors: Michael P. Rogers, Haroon Janjua, Emanuel Eguia, Lucian Lozonschi, Eric M. Toloza, Paul C. Kuo Source Type: research

A systematic review of methodological principles and delivery of surgical simulation bootcamps
The growth of “bootcamp style” simulation training in surgical practice has been exponential over the last decade. Developing and delivering a surgical bootcamp requires a significant investment. This systematic review aims to identify the key components that allow for a successful and rewarding surgical boot camp course to be implemented that can be applied to all surgical specialities. (Source: American Journal of Surgery)
Source: American Journal of Surgery - November 24, 2021 Category: Surgery Authors: Matthew Young, Chris Lewis, Mithun Kailavasan, Lisa Satterthwaite, Oleg Safir, James Tomlinson, Chandra Shekhar Biyani Tags: Review Source Type: research

Management of rhabdomyolysis: A practice management guideline from the Eastern Association for the Surgery of Trauma
The treatment of rhabdomyolysis remains controversial. Although there is no question that any associated compartment syndrome needs to be identified and released, debate persists regarding the benefit of further therapy including aggressive intravenous fluid resuscitation (IVFR), urine alkalization with bicarbonate, and the use of mannitol. The goal of this practice management guideline was to evaluate the effects of bicarbonate, mannitol, and aggressive intravenous fluids on patients with rhabdomyolysis. (Source: American Journal of Surgery)
Source: American Journal of Surgery - November 21, 2021 Category: Surgery Authors: Jaswin S. Sawhney, George Kasotakis, Anna Goldenberg, Stuart Abramson, Christopher Dodgion, Nimitt Patel, Mansoor Khan, John J. Como Source Type: research

Supervised independence in elective inguinal hernia repairs performed by surgical residents is not associated with compromised short clinical outcome or rates of reoperation for recurrence
We evaluate the association between attending surgeon involvement and clinical outcome in elective inguinal hernia repairs performed by residents. (Source: American Journal of Surgery)
Source: American Journal of Surgery - November 18, 2021 Category: Surgery Authors: Isabela Lorenzo, Celsa M. Tonelli, Corinne Bunn, Sujay Kulshrestha, Sonya P. Agnew, Tyler D. Cohn, Zaid M. Abdelsattar, Marshall S. Baker, Frederick A. Luchette Source Type: research

Teaching assistant cases in general surgery training – A literature review
There is a lack of understanding of the scope and purpose of teaching assistant cases, impact on patients and safety, as well as the facilitators or barriers to resident participation in these cases. (Source: American Journal of Surgery)
Source: American Journal of Surgery - November 18, 2021 Category: Surgery Authors: Alaina D. Geary, Hilary Sanfey, Loretto Glynn, Luise I. Pernar Source Type: research

Tumor and serum levels of per- and polyfluoroalkyl (PFAS) in hepatobiliary and gastrointestinal malignancy
There has been significant controversy over the carcinogenic potential of per- and polyfluoroalkyl substances (PFAS). (Source: American Journal of Surgery)
Source: American Journal of Surgery - November 17, 2021 Category: Surgery Authors: Kathrine Kelly-Schuette, Larissa Fomum-Mugri, Jessica Walker, Allison Hoppe, Chi-Chi Mbanugo, Nadia Nikroo, Oselenonome Oboh, G. Paul Wright, Mathew Chung, M. Mura Assifi Source Type: research

Timing of venous thromboembolic pharmacological prophylaxis in traumatic combined subdural and subarachnoid hemorrhage
The combination of subdural and subarachnoid hemorrhage is the most common intracranial bleeding. The present study evaluated the timing and type of venous thromboembolic chemoprophylaxis (VTEp) for efficacy and safety in patients with blunt head trauma with combined acute subdural and subarachnoid hemorrhage. (Source: American Journal of Surgery)
Source: American Journal of Surgery - November 17, 2021 Category: Surgery Authors: Dominik A. Jakob, Meghan Lewis, Elizabeth R. Benjamin, Delbrynth Mitchao, Aristomenis K. Exadaktylos, Demetrios Demetriades Source Type: research

United States medical licensing examination Step 1 scores are a quantifiably better predictor of American Board of Surgery In-Training Examination success compared to Step 2 scores
United States Medical Licensing Examination Step 1 (STEP 1) and Step 2 (STEP 2) scores are used in the selection of surgery residents. The American Board of Surgery In-Training Examination (ABSITE) is employed to assess resident knowledge. We sought to determine whether both STEP 1 and/or STEP 2 were predictive of ABSITE performance. (Source: American Journal of Surgery)
Source: American Journal of Surgery - November 17, 2021 Category: Surgery Authors: Jessica A. Suchanek, Alan T. Davis, John-Christopher Sbraccia, Hugh J. Lindsey Tags: Original Research Article Source Type: research

“Some version, most of the time”: The surgical safety checklist, patient safety, and the everyday experience of practice variation
This study investigated checklist compliance to highlight where assumptions about the Surgical Safety Checklist might not be met in practice. (Source: American Journal of Surgery)
Source: American Journal of Surgery - November 16, 2021 Category: Surgery Authors: Melanie Hammond Mobilio, Elise Paradis, Carol-anne Moulton Tags: Association for Surgical Education Source Type: research

From the Editor – in – Chief: Top papers from the Association of Women Surgeons
In the January Issue of The American Journal of Surgery (AJS) we feature manuscripts from the Association of Women Surgeons (AWS). I want to thank AWS Society Editors Caroline Reinke (Senior Editor), Heena Santry (Editor), and Caitlin Hicks (Junior Editor) for putting together a fabulous issue. We are happy to feature the papers from their annual meeting as highlights below: (Source: American Journal of Surgery)
Source: American Journal of Surgery - November 15, 2021 Category: Surgery Authors: Herbert Chen Tags: Editorial Source Type: research

Factors associated with relapse-free survival after neoadjuvant chemotherapy for breast cancer at a safety net medical center
This study was designed to assess prognostic factors associated with relapse-free survival (RFS) after neoadjuvant chemotherapy (NAC) for breast cancer. (Source: American Journal of Surgery)
Source: American Journal of Surgery - November 15, 2021 Category: Surgery Authors: Rachel E. Sargent, Elizabeth Vazquez, Irene Kang, Janice Lu, Tejas Manchandia, Pulin Sheth, Alicia Terando, Maria E. Nelson, Azadeh Carr, David S. Hong, Stephen F. Sener Source Type: research

Introducing the American Journal of Surgery Virtual Research Mentor: A Primer for Aspiring Surgeon-Scientists
In recent years, the field of surgery has increasingly embraced the many ways to be productive as an academic surgeon. While earlier innovators such as Drs. Starzl and Folkman translated basic science research from the bench to the bedside, the term “academic surgery” today encompasses a much broader range of research domains – from making discoveries in a basic science laboratory to shaping surgical education to influencing health policy. Despite this progress, some students, trainees, and early career surgeons find that lack of mentorsh ip in an area of interest, limited academic resources, and lagging ...
Source: American Journal of Surgery - November 15, 2021 Category: Surgery Authors: Patrick R. Carney, Meixi Ma, Lauren M. Theiss, Alexis P. Chidi, American Journal of Surgery Student and Resident Scholars Research Delegation Source Type: research

Disparities in rectal cancer care: A call to action for all
Rectal cancer treatment has evolved over the last few decades and has become more intricate and personalized, with multiple options for neoadjuvant therapy and complex technique-dependent surgeries. As a result, there is significant variation in rectal cancer outcomes across the United States.1 In a landmark paper, Monson et al. reported that hospitals with low volumes of rectal cancer were significantly less likely to follow current treatment guidelines for their patients.2 As is seen in other complex malignancies, centers treating a high volume of rectal cancer have improved outcomes, both in terms of surgical complicati...
Source: American Journal of Surgery - November 15, 2021 Category: Surgery Authors: Jed Calata, Carrie Y. Peterson Source Type: research

Is colorectal neoplasia more aggressive in the young? A look at shifting guidelines
This study aimed to compare factors associated with CRC in patients younger than 50 and in those 50 and older, that required surgical resection due to malignancy or premalignant conditions. (Source: American Journal of Surgery)
Source: American Journal of Surgery - November 14, 2021 Category: Surgery Authors: Peter Ali, Carolina Fonseca, Alicia Heidenreich, Rebecca Ruthberg, Amir Damadi Source Type: research

Patient survival following third time liver transplant in the United States in the MELD era
Third time liver transplantation is a technically demanding exercise with variable outcomes in single center series. There has been no national level description of survival following third time liver transplant in the US in the MELD era. (Source: American Journal of Surgery)
Source: American Journal of Surgery - November 13, 2021 Category: Surgery Authors: Kai He, Saulat S. Sheikh, Babak J. Orandi, Blair Smith, Jayme E. Locke, Robert M. Cannon Tags: Original Research Paper Source Type: research

Association of Women Surgeons presidential address, October 2021
Thank you so much for that kind introduction, Dr. McGuire. First, let me state that the views expressed here are my own, and do not necessarily represent those of the University of Florida or AWS. (Source: American Journal of Surgery)
Source: American Journal of Surgery - November 13, 2021 Category: Surgery Authors: Marie Crandall Tags: Editorial Source Type: research

Transplant surgery departmental leaders do not represent workforce demographics especially among women and underrepresented minorities — A retrospective analysis
The diversity among surgical directors for liver, kidney, and pancreas transplant departments has not been previously evaluated. We aim to quantify the sex and racial demographics of transplant department leaders and assess the impact on patient outcomes. (Source: American Journal of Surgery)
Source: American Journal of Surgery - November 13, 2021 Category: Surgery Authors: Ankur P. Choubey, Brenna Bullock, Apurva S. Choubey, Kavya Pai, Alejandro Chiodo Ortiz, Samar A. Khan, Anil Mishra, Rosy James, Naoru Koizumi, Terra Pearson, Jorge Ortiz Tags: Original Research Article Source Type: research

Mobile apps and surgical patients- we are getting closer
“Well, my temperature rises and my feet don't walk so fast.. “ (Source: American Journal of Surgery)
Source: American Journal of Surgery - November 13, 2021 Category: Surgery Authors: Michael E. Zenilman Tags: Invited Commentary Source Type: research

My Thoughts: Death of the “Virgin Abdomen”
In recent years, healthcare professionals have increasingly recognized the impact of language on quality care, learning environments, and social dynamics. We have made efforts to utilize appropriate pronouns and abandon discriminatory medical lexicon, such as “pimping,” “hysterectomy,” and “slave monitors.”1,2–4 In this editorial, we propose similarly abandoning the surgical expression “virgin abdomen” (i.e., no history of operative intervention in the peritoneal cavity), as the term carries (often unintended) implications for patients, learners, and colleagues about se...
Source: American Journal of Surgery - November 12, 2021 Category: Surgery Authors: Selin T. Sagalowsky, Cornelia L. Griggs Tags: My Thoughts / My Surgical Practice Source Type: research

Surgical equity: Care for persons experiencing homelessness
Homelessness is a public health crisis that affects over half a million people in the United States.1 Homelessness is caused by an interaction of individual and structural factors. Key drivers of housing instability include absence of safety nets, discrimination, lack of affordable housing, policies (e.g., minimum wage), poverty, and a disproportionate burden of untreated mental illness. Importantly, the coronavirus disease 2019 (COVID-19) pandemic has exacerbated the national housing instability crisis through its effects on the economy and accessibility of social services, putting more Americans at risk of experiencing h...
Source: American Journal of Surgery - November 12, 2021 Category: Surgery Authors: Rishub K. Das, Brian C. Drolet Tags: My Thoughts / My Surgical Practice Source Type: research

Doing our part to address the opioid epidemic
Opioid-related deaths contributed to 71% of drug-related deaths nationwide in 2019.1 Many people are first exposed to opioids through postoperative prescription opioids.2 Prescription opioids remain a significant driver of later illicit drug use.3 Conversely, uncontrolled postoperative pain is associated with increased complications, poor recovery and quality of life.4,5 Exploring non-opioid postoperative pain relief is imperative to ensuring high quality of care. (Source: American Journal of Surgery)
Source: American Journal of Surgery - November 11, 2021 Category: Surgery Authors: Arielle Thomas, Anne Stey Tags: Invited Commentary Source Type: research

A hybrid remote surgery clerkship curriculum during the COVID-19 pandemic: Lessons learned and future perspectives
Early in the COVID-19 pandemic, medical educators recommended to conserve clinical education despite the threat of an infectious agent.1 –3 The Surgery clerkship commitee at our institution had a similar outlook and developed a 6-week remote curriculum (following 6-weeks of a tradtional clerkship rotations) for third-year medical students in response to the California “Shelter in Place” order. The success of the remote clerkshi p curriculum (RCC) mirrors that of others,4,5 and suggests that the adoption of specific elements of e-learning in traditional Surgery clerkships be considered by surgical educator...
Source: American Journal of Surgery - November 11, 2021 Category: Surgery Authors: Max A. Schumm, Michael J. Dacey, Alexandra M. Moore, Danielle S. Graham, Areti Tillou, David C. Chen, Ian T. MacQueen, Justin P. Wagner Tags: My Thoughts / My Surgical Practice Source Type: research

The current status of the diversity pipeline in surgical training
Recent initiatives have emphasized the importance of diversity, equity, and inclusion in academic surgery. Racial/ethnic disparities remain prevalent throughout surgical training, and the “diversity pipeline” in resident recruitment and retention remains poorly defined. (Source: American Journal of Surgery)
Source: American Journal of Surgery - November 11, 2021 Category: Surgery Authors: Young Kim, Al-Faraaz Kassam, Imani E. McElroy, Sujin Lee, Adam Tanious, Elizabeth L. Chou, Shiv S. Patel, Anna Alaska Pendleton, Anahita Dua Source Type: research

Impact of adjuvant therapies following surgery for anal melanoma
Anal melanoma is rare. Surgery is standard of care for non-metastatic disease. There are limited data supporting adjuvant therapy. We sought to examine the impact of adjuvant radiation, chemotherapy and immunotherapy on survival. (Source: American Journal of Surgery)
Source: American Journal of Surgery - November 10, 2021 Category: Surgery Authors: Denise L. Wong, Evan S. Glazer, Miriam Tsao, Jeremiah L. Deneve, Martin D. Fleming, David Shibata Tags: Original Research Paper Source Type: research

Transition from trainee to educator in the operating room: A needs assessment and framework to support junior faculty
Transitioning from trainee to attending surgeon requires learners to become educators. The purpose of this study is to evaluate educational strategies utilized by surgeons, define gaps in preparation for operative teaching, and identify opportunities to support this transition. (Source: American Journal of Surgery)
Source: American Journal of Surgery - November 9, 2021 Category: Surgery Authors: Kenneth A. Lynch, Rebecca F. Brown, Emily Steinhagen, Deborah L. Jacobson, Neha Malhotra, Kimberly Hendershot, Kirstyn E. Brownson, Christie Bialowas, Hossam Abdou, Brigitte K. Smith, Megan Miller Tags: Association for Surgical Education Source Type: research

Emergency department disposition: Do surgical residents contribute to inefficiency?
Residents are often viewed as contributors to Emergency Department (ED) prolongation of length of stay (LOS). To understand this proposition, we performed a study to identify ED patient care intervals and how each contributed to LOS. (Source: American Journal of Surgery)
Source: American Journal of Surgery - November 3, 2021 Category: Surgery Authors: Crystal Siyu Zhang, Larry Wang, Jonathan Saxe Source Type: research

From the Editor – in – Chief: Top papers from the Association for Surgical Education
In the December Issue of The American Journal of Surgery (AJS) we feature manuscripts from the Association for Surgical Education (ASE). I want to thank AWS Society Editor Roy Phitayakorn for putting together a fantastic issue. We are happy to feature the papers from their annual meeting as highlights below: (Source: American Journal of Surgery)
Source: American Journal of Surgery - November 1, 2021 Category: Surgery Tags: Editorial Source Type: research

Medicare reimbursement for common general surgery procedures has declined over the last decade
Summary: Medicare reimbursement rates for open and laparoscopic operations (cholecystectomy, inguinal hernia repair, appendectomy) were abstracted from 2011 to 2021. Over the study period, three common operations have all seen decreases in adjusted reimbursement, independent of operative approach. (Source: American Journal of Surgery)
Source: American Journal of Surgery - October 31, 2021 Category: Surgery Authors: Jonathan J. Hue, Janel L. Paukovits, Katherine Bingmer, Kavin Sugumar, Raymond P. Onders, Jeffrey M. Hardacre Source Type: research

Better in 2021
While effective teaching is critical to passing on knowledge and skill to surgical trainees, the actual learning must be done by the trainees. Neural pathways are created as memories which are consolidated, refined, forgotten, and subsequently retrieved. Knowledge and skill build on previous memories as learners gain additional experience. Learning will be greatly enhanced when teachers: 1) praise student efforts, 2) offer individualized feedback, and 3) consistently challenge (assess) trainees. (Source: American Journal of Surgery)
Source: American Journal of Surgery - October 29, 2021 Category: Surgery Authors: David R. Farley Source Type: research

Comparison of gastrojejunostomy to endoscopic stenting for gastric outlet obstruction: An updated Systematic Review and Meta ‐analysis
This study aimed to determine the optimal intervention modality for malignant GOO by comparing clinical outcomes after Gastrojejunostomy and endoscopic stenting. (Source: American Journal of Surgery)
Source: American Journal of Surgery - October 29, 2021 Category: Surgery Authors: Jiaze Hong, Yizhou Chen, Jiayu Li, Peidong Hu, Ping Chen, Nannan Du, Tongmin Huang, Jingjie Chen Source Type: research

Introducing the American Journal of Surgery Virtual Research Mentor: A primer for aspiring surgeon-scientists
In recent years, the field of surgery has increasingly embraced the many ways to be productive as an academic surgeon. While earlier innovators such as Drs. Starzl and Folkman translated basic science research from the bench to the bedside, the term “academic surgery” today encompasses a much broader range of research domains – from making discoveries in a basic science laboratory to shaping surgical education to influencing health policy. Despite this progress, some students, trainees, and early career surgeons find that lack of mentorsh ip in an area of interest, limited academic resources, and lagging ...
Source: American Journal of Surgery - October 27, 2021 Category: Surgery Authors: Patrick R. Carney, Meixi Ma, Lauren M. Theiss, Alexis P. Chidi, American Journal of Surgery Student and Resident Scholars Research Delegation Tags: My Thoughts / My Surgical Pratice Source Type: research

Eyes of the Beholders: First-year medical students ’ perceptions of surgeons and the field of surgery
Medical students have negative perceptions of surgery prior to their clerkships. To explore possible explanations, we examined the association between these perceptions, individual identity and vulnerability to stereotype threat (ST). (Source: American Journal of Surgery)
Source: American Journal of Surgery - October 27, 2021 Category: Surgery Authors: Rachael Acker, Michael G. Healy, Rachel Vanderkruik, Emil Petrusa, Sophia McKinley, Roy Phitayakorn Source Type: research

Creating space
Good afternoon. Chris, thank you for that kind introduction. (Source: American Journal of Surgery)
Source: American Journal of Surgery - October 27, 2021 Category: Surgery Authors: S. Rob Todd Source Type: research

Disparity in prehospital scene time for geriatric trauma patients
Minimizing the time between injury and delivery of definitive care at a trauma center is a key goal of trauma systems. One important modifiable component of the total prehospital time is scene time, which is defined as the time between arrival of emergency medical services (EMS) at the scene of the injury and initiation of transport to a trauma center. Prolonged scene time is associated with increased mortality in patients of all ages.1 –4 As a result, several large EMS systems have identified scene time as an important quality metric for prehospital trauma care.5–8 (Source: American Journal of Surgery)
Source: American Journal of Surgery - October 26, 2021 Category: Surgery Authors: Alexander J. Ordoobadi, Gregory A. Peters, Maggie L. Westfal, Cassandra M. Kelleher, David C. Chang Source Type: research

72nd Southwestern Surgical Congress Claude H. Organ, Jr. memorial lecture: Rise of acute care robotic Surgery for common emergency general surgery conditions
Dr. Claude Organ rose above poverty, racism, and untold insurmountable odds to become a masterful surgeon and revered leader in numerous academic and professional circles. But it's his impact on surgical education and his philosophy to “teach, give back, and keep advancing” that inspired this lecture. Acute care robotic surgery (ACRS) utilizes the strengths of robotic assisted laparoscopic surgery (RALS) for a high-volume population of emergency general surgery (EGS) patients. The future benefits of ACRS may include improvemen ts in resident training, patient safety, and outcomes. (Source: American Journal of Surgery)
Source: American Journal of Surgery - October 26, 2021 Category: Surgery Authors: Alicia J. Mangram Source Type: research

Radical D2 gastrectomy with adjuvant chemotherapy for stage IB/II/III distal gastric cancers in the era of perioperative chemotherapy: A propensity matched comparison
This study aimed to assess the impact of treatment sequencing on long-term survival, in distal gastric cancers (GCs) (stage IB/II/III). (Source: American Journal of Surgery)
Source: American Journal of Surgery - October 26, 2021 Category: Surgery Authors: Hemant Kumar Singh, Vikram Chaudhari, Swati Batra, Vikas Ostwal, Anant Ramaswamy, Smruti Mokal, Shailesh V. Shrikhande, Manish S. Bhandare Source Type: research

Patterns of health care utilization among medicare beneficiaries diagnosed with pancreatic adenocarcinoma
Care patterns among patients diagnosed with pancreatic adenocarcinoma remain poorly defined. (Source: American Journal of Surgery)
Source: American Journal of Surgery - October 26, 2021 Category: Surgery Authors: Alessandro Paro, Djhenne Dalmacy, J. Madison Hyer, Aslam Ejaz, Jordan Cloyd, Mary Dillhoff, Allan Tsung, Diamantis I. Tsilimigras, Timothy M. Pawlik Source Type: research

Cholecystectomy in patients with hematologic malignancies
remains poorly understood. (Source: American Journal of Surgery)
Source: American Journal of Surgery - October 23, 2021 Category: Surgery Authors: Camille L. Stewart, Thuy B. Tran, Andrew Nguyen, Jasmine Zain, Lily Lai, Yuman Fong, Yanghee Woo Source Type: research

Are we choosing wisely? Drivers of preoperative MRI use in breast cancer patients
Factors contributing to the use of preoperative MRI remain poorly understood. (Source: American Journal of Surgery)
Source: American Journal of Surgery - October 23, 2021 Category: Surgery Authors: Anees B. Chagpar, Elisabeth Dupont, Akiko Chiba, Edward A. Levine, Jennifer S. Gass, Sharon Lum, Eric Brown, Andrew Fenton, Naveenraj L. Solomon, David W. Ollila, Mary Murray, Kristalyn Gallagher, Marissa Howard-McNatt, Melissa Lazar, Carlos Garcia-Cantu, Source Type: research

Post-thyroidectomy hypocalcemia: Is a routine preferable over a selective supplementation?
Comparative studies among protocols for the management of post-total thyroidectomy (TT) hypocalcemia are lacking. We compared the effectiveness of PTH-driven selective supplementation (PD-SS) and routine calcium and calcitriol supplementation with preoperative calcitriol administration in preventing symptomatic hypocalcemia (SH) and readmission. (Source: American Journal of Surgery)
Source: American Journal of Surgery - October 22, 2021 Category: Surgery Authors: Luca Sessa, Carmela DE Crea, Francesca Zotta, Milena Pia Cerviere, Pierpaolo Gallucci, Francesco Pennestri ’, Pietro Princi, Luca Revelli, Giovanni Arcuri, Rocco Bellantone, Marco Raffaelli Source Type: research

Blood, balloons, and blades: State of the art trauma resuscitation
This article will review three critical elements in management of the bleeding trauma patient: blood products, resuscitative endovascular balloon occlusion of the aorta (REBOA), and the trauma hybrid operating room (THOR). (Source: American Journal of Surgery)
Source: American Journal of Surgery - October 22, 2021 Category: Surgery Authors: Laura J. Moore Source Type: research

A critical analysis of laparoscopic and open approaches to sporadic pancreatic insulinoma resection in the modern era
A single center experience with sporadic pancreatic insulinoma was analyzed to develop an algorithm for modern surgical management. (Source: American Journal of Surgery)
Source: American Journal of Surgery - October 21, 2021 Category: Surgery Authors: Robert Naples, Jonah D. Thomas, Danny A. Orabi, Jordan P. Reynolds, Scott Robertson, Allan E. Siperstein, R.Matthew Walsh, Robert Simon, Joyce J. Shin, Judy Jin, Vikram D. Krishnamurthy, Eren Berber Source Type: research

Can less Be more in the treatment of cN1a papillary thyroid microcarcinoma?
Over the past several years, the standards of endocrine surgical care have trended towards the minimum necessary surgery for patients with differentiated thyroid cancer (DTC) with the goal of balancing appropriate cancer treatment with minimizing treatment-related morbidity. Recent literature has suggested that active surveillance is sufficient for select patients with papillary thyroid microcarcinoma (PTMC) limited to the thyroid. Similarly, The American Thyroid Association 2015 guidelines for the management of DTC suggest thyroid lobectomy as an alternative to total thyroidectomy for papillary thyroid cancers (Source: Am...
Source: American Journal of Surgery - October 20, 2021 Category: Surgery Authors: Polina Zmijewski, Lindsay E. Kuo Tags: Invited Commentary Source Type: research

Leadership skills curriculum development for residents and fellows: A needs-assessment
Non-technical skills (NTS) curricula have demonstrated success in surgical residencies. The purpose of this study is to examine the need for a structured leadership curriculum at our institution. (Source: American Journal of Surgery)
Source: American Journal of Surgery - October 20, 2021 Category: Surgery Authors: Christopher Friendly, Camila Villacreses, Rupak Mukherjee, Ellen Babilon, Julie Caraway, Sean Dieffenbaugher, Ashley Hink, John Mellinger, Leah Plumblee, Megan Walters, Cynthia Talley Source Type: research

Development and application of an inpatient traffic lights classification to improve the surgical ward round quality
Interventions such as the World Health Organization (WHO) surgical safety checklist and national surgical databases have been developed to reduce surgical errors and standardize the operative patient care in order to improve postoperative outcomes. Nevertheless, these measures to upgrade care in the operating room (OR) have not been carried over to the surgical ward round in the same manner.1 Zegers et al. reported that more than 50% of the adverse events (AE) were related to surgical procedures, taking place on the ward rather than in the OR and 12.8% resulted in permanent disability or contributed to death. (Source: Amer...
Source: American Journal of Surgery - October 20, 2021 Category: Surgery Authors: Lilian Torregrosa Almonacid, An íbal Ariza Gutiérrez, Laura Villarreal, Luis Felipe Cabrera Vargas Tags: My Thoughts / My Surgical Pratice Source Type: research

Novel method to link surgical trainee performance data to patient outcomes
We describe the feasibility of an innovative method to link trainee performance data with patient outcomes. (Source: American Journal of Surgery)
Source: American Journal of Surgery - October 20, 2021 Category: Surgery Authors: Angela E. Thelen, Daniel E. Kendrick, Xilin Chen, John Luckoski, Tanvi Gupta, Hoda Bandeh-Ahmadi, Michael Clark, Brian C. George Source Type: research

A potential novel biomarker in predicting lymph node metastasis of gastric signet ring cell carcinoma: A derived monocyte to lymphocyte ratio
This study is designed to evaluate the predictive value of derived monocyte to lymphocyte ratio (dMLR), neutrophil to lymphocyte ratio (NLR) and eosinophil to lymphocyte ratio (ELR) for lymph node metastasis (LNM) in gastric signet ring cell carcinoma (SRCC) patients. (Source: American Journal of Surgery)
Source: American Journal of Surgery - October 20, 2021 Category: Surgery Authors: Chengcheng Tong, Wei Wang, Yang Xia, Chiyi He Source Type: research

Can less Be more in the treatment of cN1a papillary thyroid carcinoma?
Over the past several years, the standards of endocrine surgical care have trended towards the minimum necessary surgery for patients with differentiated thyroid cancer (DTC) with the goal of balancing appropriate cancer treatment with minimizing treatment-related morbidity. Recent literature has suggested that active surveillance is sufficient for select patients with papillary thyroid microcarcinoma (PTMC) limited to the thyroid. Similarly, The American Thyroid Association 2015 guidelines for the management of DTC suggest thyroid lobectomy as an alternative to total thyroidectomy for papillary thyroid cancers (Source: Am...
Source: American Journal of Surgery - October 20, 2021 Category: Surgery Authors: Polina Zmijewski, Lindsay E. Kuo Tags: Invited Commentary Source Type: research

Resident self-assessment of common endocrine procedures
This study aimed to elucidate residents ’ self-assessment of their ability to perform common endocrine procedures. (Source: American Journal of Surgery)
Source: American Journal of Surgery - October 20, 2021 Category: Surgery Authors: Peter J. Abraham, Jessica Fazendin, Rongbing Xie, Herbert Chen, Brenessa Lindeman Source Type: research