Risk of delayed intracranial hemorrhage in patients on anticoagulation with negative initial imaging
This study evaluates their risk of delayed ICH. (Source: American Journal of Surgery)
Source: American Journal of Surgery - January 15, 2021 Category: Surgery Authors: Meryl Ethridge, Joseph Keller, Elango Edhayan Source Type: research

Commentary: Small nonfunctional pancreatic neuroendocrine tumors (NF-PNETS): Resect or enucleate ? The case for an individualized approach
Beane et al.1 present the case for broader application of enucleation for small NF-PNETS. Compared to resection, they found that patients having tumor enucleation had shorter operative times, fewer transfusions and postoperative complications including fewer surgical site infections and organ space infections, with an incidence of clinically relevant postoperative pancreatic fistula (CR-POPF) that was statistically equivalent to resection, and a shortened postoperative length of stay. Despite the limitations of the study, the results support an expanded application of enucleation to more patients with small NF-PNETS. (Sour...
Source: American Journal of Surgery - January 13, 2021 Category: Surgery Authors: E. Christopher Ellison Tags: Invited Commentary Source Type: research

Prepared for: American journal of surgery December 2020 patient, nurse, medical assistant, and surgeon perspectives inform the development of a decision support tool for inguinal hernia surgery: A qualitative analysis
Critical perspectives on the informed consent process for inguinal hernia surgery are lacking. (Source: American Journal of Surgery)
Source: American Journal of Surgery - January 12, 2021 Category: Surgery Authors: Frank Gleason, Katey Feng, Ivan Herbey, Allison Shorten, Daniel I. Chu, Abhishek D. Parmar Source Type: research

Preoperative botulinum toxin a injection in complex abdominal wall reconstruction – a propensity-scored matched study
Fascial closure during complex abdominal wall reconstruction (AWR) improves recurrence and wound infection rates. To facilitate fascial closure in massive ventral hernias preoperative Botulinum Toxin A (BTA) injection can be used. (Source: American Journal of Surgery)
Source: American Journal of Surgery - January 12, 2021 Category: Surgery Authors: Eva Barbara Deerenberg, Jenny Meng Shao, Sharbel Adib Elhage, Robert Lopez, Sullivan Armando Ayuso, Vedra Abdomerovic Augenstein, B. Todd Heniford Source Type: research

Impact of cancer center accreditation on outcomes of patients undergoing resection for hepatocellular carcinoma: A SEER-Medicare analysis
We sought to assess variations in outcomes among patients undergoing resection for hepatocellular carcinoma (HCC) at centers with varied accreditation status. (Source: American Journal of Surgery)
Source: American Journal of Surgery - January 12, 2021 Category: Surgery Authors: Diamantis I. Tsilimigras, J. Madison Hyer, Adrian Diaz, Dimitrios Moris, Alizeh Abbas, Mary Dillhoff, Jordan M. Cloyd, Aslam Ejaz, Joal D. Beane, Allan Tsung, Timothy M. Pawlik Source Type: research

The Emergency surgery score (ESS) accurately predicts outcomes of emergency surgical admissions at a Saudi academic health center
The emergency surgery score (ESS) has emerged as a tool to predict outcomes in emergency surgery (EGS) patients. Our study examines the ability of ESS to predict outcomes in EGS admissions. (Source: American Journal of Surgery)
Source: American Journal of Surgery - January 12, 2021 Category: Surgery Authors: Ahmed A. Alburakan, Ouf A. Aloofy, Muath A. Alasheikh, Turky A. Bn Duraihem, Abdulmajeed Altoijry, Talal Altuwaijri, Thamer A. Nouh Source Type: research

Laparoscopic partial hepatectomy is cost-effective when performed in high volume centers: A five state analysis
Prior studies comparing the efficacy of laparoscopic (LHR) and open hepatic resection (OHR) have not evaluated inpatient costs. (Source: American Journal of Surgery)
Source: American Journal of Surgery - January 12, 2021 Category: Surgery Authors: Emanuel Eguia, Patrick J. Sweigert, Ruojia Debbie Li, Paul C. Kuo, Haroon Janjua, Gerard Abood, Marshall S. Baker Source Type: research

Radioactive iodine-125 seed localization as an aid in reoperative neck surgery
We describe the use of radioactive iodine-125 seed localization (RSL) in 6 patients with metastatic papillary thyroid carcinoma (PTC) and 2 with recurrent hyperparathyroidism. (Source: American Journal of Surgery)
Source: American Journal of Surgery - January 11, 2021 Category: Surgery Authors: Michael D. Bortz, Amna Khokar, David J. Winchester, Tricia A. Moo-Young, David B. Ecanow, Jacob S. Ecanow, Richard A. Prinz Source Type: research

Superior vena cava reconstruction in mediastinal tumors
In the event that superior vena cava (SVC) reconstruction is necessitated when resecting a mediastinal tumor, it is associated with a 30-day mortality ranging from 7% to 13%.1,2 The increased mortality is attributed to the encroachment of the tumor on surrounding structures such as the phrenic nerve, recurrent laryngeal nerve, and lung. Nerve injury leads to prolonged intubation, which carries an associated increase in both intensive care unit length of stay and overall mortality. Each of these may be further compounded by the pre-operative use of chemotherapy or radiation. (Source: American Journal of Surgery)
Source: American Journal of Surgery - January 11, 2021 Category: Surgery Authors: Alper Toker, J.W. Awori Hayanga, Ankit Dhamija, Ghulam Abbas Tags: My Thoughts / My Surgical Practice Source Type: research

Commentary on “the association of hospital Medicare beneficiary payer-mix, national quality rankings and outcomes following hepatopancreatic surgery” – The need for better data to identify quality
Paredes et al. report on the impact of hospital payer-mix on outcomes amongst Medicare beneficiaries-specifically on the association of high hospital level Medicare patient-mix on short-term postoperative outcomes undergoing hepatopancreatic (HP) surgery.1 The intent of this study was to determine if the current measured outcomes will be helpful in identifying centers for excellence for geriatric patients undergoing high risk operations in high and low payer mix hospitals. The authors used the Medicare Standard Analytic Files, a database often used to identify this patient population, and includes the following variables: ...
Source: American Journal of Surgery - January 10, 2021 Category: Surgery Authors: Samir Gupta, Camaleigh Jaber Tags: Invited Commentary Source Type: research

Surgical skills training and practice at home: When your grocery store becomes your simulator supplier
Surgery is a craft and acquisition of surgical skills has been traditionally achieved through the apprenticeship model. With working time restrictions, many are turning to simulation as an adjunct to teaching and achieving competency-based outcomes 1. However, the pandemic posed a huge challenge to the delivery of a full time surgical master's programme that is delivered almost entirely through simulation. To continue this programme a migration to an on-line platform was crucial. This editorial describes how we overcame the challenge of teaching surgical operative skills virtually and how it will inform our future teaching...
Source: American Journal of Surgery - January 10, 2021 Category: Surgery Authors: Leonie Heskin, Marie Morris, Oscar Traynor Tags: My Thoughts / My Surgical Practice Source Type: research

Good outcomes with a bad story
The balance between volume and outcome in transplantation is increasingly discussed and increasingly important. Understanding how organ quality affects surgical volume informs surgical practice, hospital policy, and transplant program growth. Indeed, as surgeons, we hope to transplant as many organs as we can in an effort to minimize morbidity and mortality on the waitlist. This interest in transplant volume is balanced by organ quality, such that patient and graft survivals from those transplants meet not only physician and patient expectations, but outcome requirements directed by hospitals regulatory groups. (Source: Am...
Source: American Journal of Surgery - January 10, 2021 Category: Surgery Authors: Joseph R. Scalea, Wen Xie, Georgios Vrakas, Stephen Gray Tags: Invited Commentary Source Type: research

Commentary on: “Using local rather than general anesthesia for inguinal hernia repair is associated with shorter operative time and enhanced postoperative recovery”
In this issue of the American Journal of Surgery, Balentine et al. report on their evaluation of postoperative outcomes among more than 97,000 Veterans Affairs Surgical Quality Improvement Program (VASQIP) patients who underwent elective, unilateral, open inguinal hernia repair under local (LA) or general anesthesia (GA) between 1998 and 2018.1 The authors report significantly decreased odds of any VASQIP 30-day complication as well as decreased time in the operating room (OR) and Post Anesthesia Care Unit (PACU) for patients who received LA rather than GA. (Source: American Journal of Surgery)
Source: American Journal of Surgery - January 10, 2021 Category: Surgery Authors: A. Cozette Killian, George P. Yang Tags: Invited Commentary Source Type: research

A deeper dive into disparities in IBD: Data from the ACS NSQIP
Inflammatory bowel diseases (IBDs) is a general term for a chronic relapsing and remitting immune-mediated inflammatory condition primarily involving the gastrointestinal tract. IBD are typically categorized as ulcerative colitis (UC) or Crohn disease (CD) with a minority falling into an indeterminate category. While each subtypes has its own has distinct histopathologic, endoscopic, and clinical characteristics, all are thought to result from a complex interplay of environmental, microbial, and host factors including genetic and dietary factors. (Source: American Journal of Surgery)
Source: American Journal of Surgery - January 8, 2021 Category: Surgery Authors: Luz Mar ía Rodríguez, Grant Izmirlian, Patrick E. Young Tags: Invited Commentary Source Type: research

The preoperative risk tool SURPAS accurately predicts outcomes in emergency surgery
The Surgical Risk Preoperative Assessment System (SURPAS) uses eight variables to accurately predict postoperative complications but has not been sufficiently studied in emergency surgery. We evaluated SURPAS in emergency surgery, comparing it to the Emergency Surgery Score (ESS). (Source: American Journal of Surgery)
Source: American Journal of Surgery - January 8, 2021 Category: Surgery Authors: Paul D. Rozeboom, Michael R. Bronsert, William G. Henderson, Catherine G. Velopulos, Kathryn L. Colborn, Anne Lambert-Kerzner, Robert C. McIntyre, Robert A. Meguid Source Type: research

Preoperative laboratory testing among low-risk patients prior to elective ambulatory endocrine surgeries: A review of the 2015 –2018 NSQIP cohorts
Preoperative laboratory tests (PLTs) are not associated with complications among healthy patients in various ambulatory procedures. This association has not been studied in ambulatory endocrine surgery. (Source: American Journal of Surgery)
Source: American Journal of Surgery - January 6, 2021 Category: Surgery Authors: George A. Taylor, Jeffrey C. Liu, Cecelia E. Schmalbach, Lindsay E. Kuo Source Type: research

The AAST prospective observational multicenter study of the initial experience with reversal of direct oral anticoagulants in trauma patients
Drug-specific agents for the reversal of direct oral anticoagulants (DOACs) were recently approved. We hypothesized that the approval of these reversal agents would lead improved outcomes for trauma patients taking DOACs. (Source: American Journal of Surgery)
Source: American Journal of Surgery - January 5, 2021 Category: Surgery Authors: Brent Emigh, Leslie Kobayashi, Miroslav Kopp, Mitch Daley, Lindsey Teal, James Haan, Clay Cothren Burlew, Raminder Nirula, Forrest Moore, Sigrid Burruss, Stephen Kaminski, Julie Dunn, Matthew Carrick, Thomas Schroeppel, Brian Thurston, Jacob Quick, Patric Source Type: research

A national analysis of pediatric firearm violence and the effects of race and insurance status on risk of mortality
To perform a national analysis of pediatric firearm violence (PFV), hypothesizing that black and uninsured patients would have higher risk of mortality. (Source: American Journal of Surgery)
Source: American Journal of Surgery - January 5, 2021 Category: Surgery Authors: Kathryn Rosenbaum, Areg Grigorian, Eric Yeates, Catherine Kuza, Dennis Kim, Kenji Inaba, Matthew Dolich, Jeffry Nahmias Source Type: research

The consideration for outpatient mastectomy during the COVID-19 global pandemic
The COVID-19 global pandemic has heavily dictated surgical care over the past several months, with no clear end in sight. Healthcare workers, resources, and safety are constantly in flux while patient care continues to be the top priority. With the changing surgical landscape, surgeons and patients have been faced with the arduous decision of operative timing, particularly non-emergent oncological cases. The burden of inpatient COVID-19 cases has affected the availability of inpatient beds for non-emergent post-operative inpatient hospitalizations, thus requiring surgeons to re-consider which operations may be performed in...
Source: American Journal of Surgery - January 3, 2021 Category: Surgery Authors: Chandler S. Cortina, Erin P. Ward, Amanda L. Kong Tags: My Thoughts / My Surgical Practice Source Type: research

Laparoscopic anterior resection with or without transanal tube for rectal cancer patients – A multicenter randomized controlled trial
In rectal cancer surgery, insertion of transanal tube has been shown to have efficacy to prevent anastomotic leakage. This randomized controlled study aims to clarify the incidence of anastomotic leakage with or without transanal tube in patients with rectal cancer. (Source: American Journal of Surgery)
Source: American Journal of Surgery - January 2, 2021 Category: Surgery Authors: Koichi Tamura, Kenji Matsuda, Tetsuya Horiuchi, Kohei Noguchi, Tsukasa Hotta, Katsunari Takifuji, Makoto Iwahashi, Hiromitsu Iwamoto, Yuki Mizumoto, Hiroki Yamaue Source Type: research

Find your joy- (Can a surgeon actually retire?)
After surviving a massive heart attack, I was advised to develop a ten-year plan to retire. During the journey, I learned what had given me joy during my career as an academic surgeon and developed hobbies that replicated that joy. On December 1, 2014, I fully retired and walked away. While I am proud to have been a surgeon, and have many fond memories, I haven't looked back. Yes, a surgeon can retire, but successful retirement requires that you “Find Your Joy” and new ways to fulfill it. (Source: American Journal of Surgery)
Source: American Journal of Surgery - December 31, 2020 Category: Surgery Authors: Peter J. Fabri Source Type: research

Neoadjuvant therapy alters the biliary microbiome in PDAC
Pancreatic cancer (PDAC) is a lethal malignancy with dismal survival rates.1 Aggressive biology, late presentation and poor response to chemotherapy contribute to these grim outcomes. Only a minority of patients with PDAC present early enough to be eligible for curative surgical resection.2 Unfortunately, many patients with localized pancreatic cancer, despite undergoing potentially curative surgical resection and adjuvant therapy, recur early. Given the significant risk of early failure, and to potentially increase the pool of patients who can benefit from surgical resection (by downstaging patients with borderline resect...
Source: American Journal of Surgery - December 31, 2020 Category: Surgery Authors: Tejeshwar Jain, Vikas Dudeja Tags: Invited Commentary Source Type: research

Travel distance and overall survival in hepatocellular cancer care
Our objective was to assess the relationship between overall survival (OS) and distance travelled to the treating facility for patients undergoing liver resection for hepatocellular carcinoma and to determine whether this relationship was dependent upon the structural factors of the treating facility. (Source: American Journal of Surgery)
Source: American Journal of Surgery - December 31, 2020 Category: Surgery Authors: Julie B. Siegel, Shelby Allen, Kathryn E. Engelhardt, Katherine A. Morgan, William P. Lancaster Source Type: research

Preoperative resource utilization prior to minimally invasive repair of pectus excavatum
This study describes the utility of physiologic testing prior to minimally invasive repair of pectus excavatum (MIRPE). (Source: American Journal of Surgery)
Source: American Journal of Surgery - December 30, 2020 Category: Surgery Authors: Yangyang R. Yu, Richard Sola, Abdur R. Jamal, Tyler C. Friske, Huirong Zhu, Eric Rosenfeld, Mark V. Mazziotti, Shawn D. St Peter, Sohail R. Shah Source Type: research

Can lower preoperative 48-hour pH score predict reflux resolution after sleeve gastrectomy
Morbidly-obese patients with reflux who are undergoing sleeve gastrectomy (SG) may experience resolution, or persistent reflux. We studied factors associated with reflux resolution after SG. (Source: American Journal of Surgery)
Source: American Journal of Surgery - December 30, 2020 Category: Surgery Authors: Karen L. Summe, Abdelkader Hawasli Source Type: research

The lasting footprint of COVID-19 on surgical education: A resident and attending perspective on the global pandemic
The COVID-19 pandemic has impacted surgical training nationwide. Our former curricula will likely not return, and training will need to adapt, so we are able to graduate residents of the same caliber as prior to the pandemic. (Source: American Journal of Surgery)
Source: American Journal of Surgery - December 30, 2020 Category: Surgery Authors: Taryne A. Imai, Harmik J. Soukiasian, Adam Truong, Van Chau, Farin Amersi Source Type: research

Endostapler vs Endoloop closure of the appendiceal stump in laparoscopic appendectomy: Which has better outcomes?
In laparoscopic appendectomy (LA), closure of the appendiceal stump can be achieved using either an endostapler or endoloop. We compared outcome data from utilizing either technique. (Source: American Journal of Surgery)
Source: American Journal of Surgery - December 30, 2020 Category: Surgery Authors: Cynthia White, Claire Hardman, P. Parikh, Akpofure Peter Ekeh Source Type: research

My thoughts: Unspoken truths about gender inequality in surgery across different cultures and income levels
Over the last decade, the medical profession witnessed a surge of female representation with an increasing number of female medical graduates. However, the increased attrition of the female workforce throughout their surgical career compared to male surgeons remains evident despite their comparable achievements.1 Armed with enthusiasm and qualification, many women are still hesitant to embark on the progression in this fast-paced and highly demanding career. This can be attributed to a complex interplay of biological differences and cultural stereotypes, which has ultimately resulted in a compromise in quality mentorship a...
Source: American Journal of Surgery - December 28, 2020 Category: Surgery Authors: Sneha Rajiv Jain, Wen Hui Lim, See Teng Tan, Choon Seng Chong, Chia Hui Tai Tags: My Thoughts / My Surgical Pratice Source Type: research

Effect of a behavioral intervention on anxiety and perceived performance of non-technical skills during surgical simulations
Surgical trainees experience intrinsic stress and anxiety during high-acuity clinical situations which can negatively impact performance. Emerging data suggests that education in mindfulness-based coping techniques may improve performance. We evaluated the effects of a stress recovery intervention on novice trainees ’ perceived level of anxiety during an intentionally stressful simulation. (Source: American Journal of Surgery)
Source: American Journal of Surgery - December 28, 2020 Category: Surgery Authors: Lisa S. Merriman, Rebecca L. Williams-Karnesky, Renee Pepin, Annette Brooks, Jorge Wernly, Zo ë O. Jones, John C. Russell Source Type: research

A multi-institutional study assessing general surgery faculty teaching evaluations brief title: General surgery faculty teaching evaluations
Resident evaluation of faculty teaching is an important metric in general surgery training, however considerable variability in faculty teaching evaluation (FE) instruments exists. (Source: American Journal of Surgery)
Source: American Journal of Surgery - December 24, 2020 Category: Surgery Authors: Adam D. Shellito, Christian de Virgilio, Amy H. Kaji, Darrel W. Harrington, Jamie M. Robertson, Nicole K. Zern, David A. Spain, Karen J. Dickinson, Douglas S. Smink, Nancy L. Cho, Timothy Donahue, Cary B. Aarons, Jukes P. Namm, Farin Amersi, Tiffany N. Ta Source Type: research

Laparoscopic Ligamentum Teres cardiopexy to the rescue; an old procedure with a new use in managing reflux after sleeve gastrectomy
Severe reflux after sleeve-gastrectomy (SG) often requires conversion to Roux-en-Y-Gastric Bypass (RYGB). We performed laparoscopic Ligamentum Teres Cardiopexy (LLTC) as an alternative operation.Materials& Methods: Ten patients had LLTC between June 2019 –June 2020. Pre-operative work-up included Barium swallow, upper endoscopy with pH monitoring. The percent excess body mass index (%EBMI) loss before LLTC was 70 ± 0.2%. (Source: American Journal of Surgery)
Source: American Journal of Surgery - December 24, 2020 Category: Surgery Authors: Abdelkader Hawasli, Robert Foster, David Lew, Laura Peck Source Type: research

Specialty differences in resident resilience and burnout - A national survey
This study characterizes the relationship between resilience and burnout in medical (MR) and surgical (SR) resident physicians. (Source: American Journal of Surgery)
Source: American Journal of Surgery - December 24, 2020 Category: Surgery Authors: Cristina Nituica, Oana Alina Bota, John Blebea Source Type: research

Does acral lentiginous melanoma subtype account for differences in patterns of care in black patients?
Melanoma-specific outcomes for Black patients are worse when compared to non-Hispanic white (NHW) patients. We sought to evaluate whether acral lentiginous melanoma, seen more commonly in Black patients, was associated with racial disparities in outcomes (Source: American Journal of Surgery)
Source: American Journal of Surgery - December 24, 2020 Category: Surgery Authors: Taylor M. Carter, Paula D. Strassle, David W. Ollila, Karyn B. Stitzenberg, Michael O. Meyers, Ugwuji N. Maduekwe Source Type: research

Facing Surgery ’s complicated past
Your surgical team attends weekly teaching in the department ’s main conference room. In it, an oil painting celebrating “the father of abdominal surgery” hangs from floor to ceiling. The painting depicts the moments leading up to the pioneering surgeon’s first successful ovarian cystectomy in 1809, well before the era of modern anesthesia and antisep sis. The surgeon tenderly holds the hand of his patient, a White woman, before several onlookers in her home. From the far corner of the room, a Black female slave looks on as she carries the belongings - hats, gloves and cane - of the gathered audienc...
Source: American Journal of Surgery - December 23, 2020 Category: Surgery Authors: Amanda Labora, Hattie Huston-Paterson Tags: My Thoughts / My Surgical Pratice Source Type: research

Preoperative anemia and surgical outcomes following laparotomy in a resource-limited setting
Anemia is a common and potentially modifiable condition in sub-Saharan Africa. We sought to determine the role of preoperative anemia on post laparotomy abdominal complications. (Source: American Journal of Surgery)
Source: American Journal of Surgery - December 23, 2020 Category: Surgery Authors: John Sincavage, Brittany Robinson, Vanessa J. Msosa, Chawezi Katete, Laura N. Purcell, Anthony Charles Source Type: research

Continuous neuromonitoring during radiofrequency ablation of benign thyroid nodules provides objective evidence of laryngeal nerve safety
This study assesses whether RLN functional integrity is altered during RFA using continuous intraoperative neuromonitoring(CIONM). (Source: American Journal of Surgery)
Source: American Journal of Surgery - December 23, 2020 Category: Surgery Authors: Catherine F. Sinclair, Maria J. T éllez, Roberto Peláez-Cruz, Alba Díaz-Baamonde, Sedat Ulkatan Source Type: research

Facing Surgery's complicated past
Your surgical team attends weekly teaching in the department's main conference room. In it, an oil painting celebrating “the father of abdominal surgery” hangs from floor to ceiling. The painting depicts the moments leading up to the pioneering surgeon's first successful ovarian cystectomy in 1809, well before the era of modern anesthesia and antisepsis. The surgeon tenderly holds the hand of his patient, a White woman, before several onlookers in her home. From the far corner of the room, a Black female slave looks on as she carries the belongings - hats, gloves and cane - of the gathered audience. (Source: Am...
Source: American Journal of Surgery - December 23, 2020 Category: Surgery Authors: Amanda Labora, Hattie Huston-Paterson Tags: My Thoughts / My Surgical Pratice Source Type: research

Gender disparities during the transition into practice of newly trained surgeons: Are female surgeons left behind?
Female surgeons encounter well-known gender-based inequities such as lower salary, less professional promotion opportunities, underrepresentation in leadership positions, decreased scholarly productivity, more domestic and childrearing responsibilities, increased work-family conflicts leading to higher rate of divorce, depression, and burnout, sexual harassment and gender discrimination. Furthermore, despite evidence that female surgeons have equal or even slightly better patient outcomes than male surgeons,1 discriminatory perceptions of incompetence and distrust of the female surgeon's skills persist. (Source: American Journal of Surgery)
Source: American Journal of Surgery - December 23, 2020 Category: Surgery Authors: Priyanka Chugh, Katherine He, Naomi M. Sell, Allan Stolarski, Edward Whang, Gentian Kristo Tags: My Thoughts / My Surgical Pratice Source Type: research

Self-advocacy is associated with lower likelihood of living donor kidney transplantation
The Living Donor Navigator (LDN) Program pairs kidney transplant candidates (TC) with a friend or family member for advocacy training to help identify donors and achieve living donor kidney transplantation (LDKT). However, some TCs participate alone as self-advocates. (Source: American Journal of Surgery)
Source: American Journal of Surgery - December 23, 2020 Category: Surgery Authors: A. Cozette Killian, Rhiannon D. Reed, Alexis Carter, M. Chandler McLeod, Brittany A. Shelton, Vineeta Kumar, Haiyan Qu, Paul A. MacLennan, Babak J. Orandi, Robert M. Cannon, Douglas Anderson, Michael J. Hanaway, Jayme E. Locke Source Type: research

Pancreatic neuroendocrine tumors: Surgical outcomes and survival analysis
Survival for pancreatic neuroendocrine tumors is driven mostly by tumor grade. Minimally invasive surgery is a safe and effective approach to resecting these tumors. (Source: American Journal of Surgery)
Source: American Journal of Surgery - December 23, 2020 Category: Surgery Authors: Joseph N. Fahmy, M. Alyssa Varsanik, Daniel Hubbs, Emanuel Eguia, Gerard Abood, Lawrence M. Knab Source Type: research

Positive microscopic surgical margins: Is there an association with survival in resected small gastrointestinal stromal tumors?
Few studies evaluate the relationships between surgical approach, histologic margin, and overall survival in gastrointestinal stromal tumor. We test the hypothesis that margin positive resection is associated with compromised overall survival. (Source: American Journal of Surgery)
Source: American Journal of Surgery - December 23, 2020 Category: Surgery Authors: Dhruv J. Patel, Sujay Kulshrestha, Corinne Bunn, Michael Littau, Sonya Agnew, Marshall S. Baker Source Type: research

The impact of alcohol use and withdrawal on trauma outcomes: A case control study
Many patients admitted to hospitals with acute trauma have a positive serum blood alcohol levels. Published associations between alcohol use, injury patterns, and outcomes are inconsistent. We sought to further delineate the impact of alcohol use and alcohol withdrawal on hospital outcomes amongst acute trauma patients. (Source: American Journal of Surgery)
Source: American Journal of Surgery - December 22, 2020 Category: Surgery Authors: Cheng Ng, Marie Fleury, Hazim Hakmi, Brian Bronson, James A. Vosswinkel, Emily C. Huang, Marc Shapiro, Randeep Jawa Source Type: research

Periprocedural complications in patients with SARS-CoV-2 infection compared to those without infection: A nationwide propensity-matched analysis
Reports on emergency surgery performed soon after a COVID-19 infection that are not controlled for premorbid risk-factors show increased 30-day mortality and pulmonary complications. This contributed to a virtual cessation of elective surgery during the pandemic surge. To inform evidence-based guidance on the decisions for surgery during the recovery phase of the pandemic, we compare 30-day outcomes in patients testing positive for COVID-19 before their operation, to contemporary propensity-matched COVID-19 negative patients undergoing the same procedures. (Source: American Journal of Surgery)
Source: American Journal of Surgery - December 21, 2020 Category: Surgery Authors: Brajesh K. Lal, Nikhil K. Prasad, Brian R. Englum, Douglas Turner, Tariq Siddiqui, Minerva Mayorga Carlin, Rachel Lake, John D. Sorkin Source Type: research

Outcomes of cholecystectomy in US veterans with cirrhosis: Predicting outcomes using nomogram
Using VASQIP database, laparoscopic cholecystectomy may offer better outcomes compared with open approach in selected cirrhotic veterans. Reliable nomograms were created using this data to estimate both 90-day mortality and complication rates in this population. (Source: American Journal of Surgery)
Source: American Journal of Surgery - December 21, 2020 Category: Surgery Authors: Awni Shahait, Jose Wilson B. Mesquita-Neto, Mustafa Rashad Hasnain, Mohanad Baldawi, Kara Girten, Donald Weaver, Khaled J. Saleh, Scott A. Gruber, Gamal Mostafa Source Type: research

A population-based study of treatment patterns, 10-year recurrence and breast cancer-specific mortality in a cohort of elderly patients with breast cancer
We compared disease characteristics, therapies offered and received, and outcomes between older (>75 years) and younger (60 –75 years) women with breast cancer (BC) from a regional database in Ontario, Canada. (Source: American Journal of Surgery)
Source: American Journal of Surgery - December 21, 2020 Category: Surgery Authors: Salsabila Samman, Sylvie D. Cornacchi, Gary Foster, Lehana Thabane, Sarah Thomson, Olivia Lovrics, Sonya Martin, Peter J. Lovrics Source Type: research

Should surgeons consider partnering with private equity investors?
Institutional capital funded private equity (PE) is targeting the healthcare sector, specifically physician practices and ambulatory surgery centers (ASCs). The sector is attractive due to size, steady revenue streams, and scalability that may result in opportunities for increased efficiencies and arbitrage. (Source: American Journal of Surgery)
Source: American Journal of Surgery - December 19, 2020 Category: Surgery Authors: Bhagwan Satiani, Todd A. Zigrang, Jessica L. Bailey –Wheaton Tags: Editorial Source Type: research

Comparison of laparoscopic and open pancreaticoduodenectomy for the treatment of nonpancreatic periampullary adenocarcinomas: a propensity score matching analysis
Use of laparoscopic pancreaticoduodenectomy (LPD) in place of open pancreaticoduodenectomy (OPD) remains controversial. Our aim was to evaluate the results of LPD versus OPD in non-pancreatic periampullary adenocarcinoma (NPPC), a less aggressive tumor. (Source: American Journal of Surgery)
Source: American Journal of Surgery - December 17, 2020 Category: Surgery Authors: Chao Dang, Min Wang, Feng Zhu, Tingting Qin, Renyi Qin Source Type: research

Prognostic value of resection margin length after surgical resection for intrahepatic cholangiocarcinoma
The definition and prognostic value of a wide resection margin remains controversial. The aim of this study was to assess the relevance of resection margin length for survival following intrahepatic cholangiocarcinoma (ICC) resection. (Source: American Journal of Surgery)
Source: American Journal of Surgery - December 15, 2020 Category: Surgery Authors: Hongxu Zhu, Longrong Wang, Miao Wang, Xigan He, Weiqi Xu, Weiping Zhu, Yiming Zhao, Lu Wang Source Type: research

Nurses ’ perceptions of women surgeons: Is there gender discrimination in the surgeon-nurse relationship?
The surgeon-nurse relationship is a vital component of the healthcare system. The best surgical care involves a team approach; nurses are an integral part of this team. The harmonious interdisciplinary collaboration between nurses and physicians has been shown to produce better patient outcomes, optimize team performance, reduce hospital costs, and increase overall job satisfaction.1 In Surgery, traditional gender roles have dictated the surgeon to nurse relationship as “man to woman”, respectively. (Source: American Journal of Surgery)
Source: American Journal of Surgery - December 14, 2020 Category: Surgery Authors: Abigail Espeut, Sharona Ross, Janelle Spence, Kenneth Luberice, Janelle-Cheri Millen, Iswanto Sucandy, Alexander Rosemurgy Tags: My Thoughts / My Surgical Practice Source Type: research

How skilled are skilled facilities? Post-discharge complications after colorectal cancer surgery in the U.S.
Characteristics and indications for discharging patients to home or a specific facility type have been studied; however, critical evaluation of these facilities through analysis of post-discharge complications and readmission rates is mandatory. The aim of this study was to compare complications occurring after discharge to home, skilled, and unskilled care facilities to identify potential pitfalls. (Source: American Journal of Surgery)
Source: American Journal of Surgery - December 14, 2020 Category: Surgery Authors: Mohamed A. Abd El Aziz, Fabian Grass, Kevin T. Behm, Anne-Lise D'Angelo, Kellie L. Mathis, Eric J. Dozois, David W. Larson Source Type: research