Free Solo Surgery
No abstract available (Source: Annals of Surgery)
Source: Annals of Surgery - July 15, 2022 Category: Surgery Tags: Surgical Perspectives Source Type: research
Standardizing The Intraoperative Adverse Events Assessment to Create a Positive Culture of Reporting Errors in Surgery and Anesthesiology
No abstract available (Source: Annals of Surgery)
Source: Annals of Surgery - July 15, 2022 Category: Surgery Tags: Surgical Perspectives Source Type: research
A Call to Cease the Use of Slave Analogies in Medical Literature
No abstract available (Source: Annals of Surgery)
Source: Annals of Surgery - July 15, 2022 Category: Surgery Tags: Surgical Perspectives Source Type: research
Sex-Based Role Misidentification and Burnout of Resident Physicians: An Observational Study
Objective:
This cross-sectional study characterized associations between sex, role misidentification, and burnout among surgical and nonsurgical residents.
Summary Background Data:
Limited evidence suggests that female resident physicians are more likely to be misidentified as nonphysician team members, with potential negative implications for wellbeing. The prevalence and impact of role misidentification on the trainee experience in surgical as compared to nonsurgical specialties is unknown.
Methods:
An anonymous electronic survey was distributed to fourteen different residency programs at 2 academic med...
Source: Annals of Surgery - July 15, 2022 Category: Surgery Tags: Original Articles Source Type: research
TransCarotid Revascularization With Dynamic Flow Reversal Versus Carotid Endarterectomy in the Vascular Quality Initiative Surveillance Project
Objective:
To compare the outcomes of TCAR with flow reversal to the gold standard CEA using data from the Society for Vascular Surgery Vascular Quality Initiative TCAR Surveillance Project.
Summary of Background Data:
TCAR is a novel minimally invasive procedure for carotid revascularization in high-risk patients that is associated with significantly lower stroke rates compared with carotid artery stenting via the transfemoral approach.
Methods:
Patients in the United States and Canada who underwent TCAR and CEA for carotid artery stenosis (2016-2019) were included. Propensity scores were calculated base...
Source: Annals of Surgery - July 15, 2022 Category: Surgery Tags: Original Articles Source Type: research
Quantitative Assessment of Intraoperative Laser Fluorescence Angiography With Indocyanine Green Predicts Early Graft Function After Kidney Transplantation
This study was designed to demonstrate the predictive ability of quantitative indocyanine green (ICG) fluorescence angiography for the short-term postoperative outcome, the occurrence of delayed graft function (DGF), and long-term graft survival.
Summary Background Data:
DGF is a relevant problem after kidney transplantation; sufficient microperfusion of the allograft is crucial for postoperative organ function. Fluorescence angiography with ICG can serve as an intraoperative quality control of microperfusion.
Methods:
This prospective diagnostic study, conducted in 2 German transplantation centers from Novem...
Source: Annals of Surgery - July 15, 2022 Category: Surgery Tags: Original Articles Source Type: research
A Propensity Score-matched Analysis of Long-term Oncologic Outcomes After Nipple-sparing Versus Conventional Mastectomy for Locally Advanced Breast Cancer
Conclusions:
In this matched control study, we demonstrated comparable long-term oncologic outcomes between NSM with immediate reconstruction and CM alone after NACT for LABC. In patients who had tumors extending to the subareolar area before NACT, NSM can be tried if tumor involvement of the nipple-areola complex appears resolved on imaging studies after chemotherapy. (Source: Annals of Surgery)
Source: Annals of Surgery - July 15, 2022 Category: Surgery Tags: Original Articles Source Type: research
Implications of Perineural Invasion on Disease Recurrence and Survival After Pancreatectomy for Pancreatic Head Ductal Adenocarcinoma
Conclusions:
PNI represents a major determinant of tumor recurrence and patients’ survival in pancreatic cancer. The role of PNI is particularly relevant in early stages, supporting the hypothesis that invasion of nerves by cancer cells has a driving role in pancreatic cancer progression. (Source: Annals of Surgery)
Source: Annals of Surgery - July 15, 2022 Category: Surgery Tags: Original Articles Source Type: research
Invasive and Noninvasive Progression After Resection of Noninvasive Intraductal Papillary Mucinous Neoplasms
Objective:
To define frequencies, pattern of progression (invasive vs noninvasive), and risk factors of progression of resected noninvasive intraductal papillary mucinous neoplasms (IPMNs).
Background:
There is a risk of progression in the remnant pancreas after resection of IPMNs.
Methods:
Four hundred forty-nine consecutive patients with resected IPMNs from 1995 to 2018 were included to the study. Patients with invasive carcinoma or with follow-up (Source: Annals of Surgery)
Source: Annals of Surgery - July 15, 2022 Category: Surgery Tags: Original Articles Source Type: research
Artificial Intelligence for Intraoperative Guidance: Using Semantic Segmentation to Identify Surgical Anatomy During Laparoscopic Cholecystectomy
Conclusions:
AI can be used to identify anatomy within the surgical field. This technology may eventually be used to provide real-time guidance and minimize the risk of adverse events. (Source: Annals of Surgery)
Source: Annals of Surgery - July 15, 2022 Category: Surgery Tags: Original Articles Source Type: research
RAS/TP53 Co-mutation is Associated With Worse Survival After Concurrent Resection of Colorectal Liver Metastases and Extrahepatic Disease
Conclusions:
RAS/TP53 co-mutation is associated with worse OS after concurrent CLM/EHD resection. Mutational status and site of EHD should be included in the evaluation of patients considered for concurrent resection. (Source: Annals of Surgery)
Source: Annals of Surgery - July 15, 2022 Category: Surgery Tags: Original Articles Source Type: research
SRY is a Key Mediator of Sexual Dimorphism in Hepatic Ischemia/Reperfusion Injury
Conclusions:
SRY is a novel hepatic I/R mediator that promotes hepatic inflammatory reaction, oxidative stress and cell necrosis via inhibiting Wnt/β-catenin signaling, which accounts for the sex-based disparity in hepatic I/R injuries. (Source: Annals of Surgery)
Source: Annals of Surgery - July 15, 2022 Category: Surgery Tags: Original Articles Source Type: research
MRI-Diagnosed Tumor Deposits and EMVI Status Have Superior Prognostic Accuracy to Current Clinical TNM Staging in Rectal Cancer
Summary Background Data:
MRI assessment of rectal cancer not only assesses tumor depth and surgical resectability but also extramural disease which affects prognosis. We have observed that nonnodal tumor nodules (tumor deposits; mrTDs) have a distinct MRI appearance compared to lymph node metastases (mrLNMs).
Objective:
We aimed to assess whether mrTDs and mrLNMs have different prognostic implications and compare these to other known prognostic markers.
Methods:
This was a retrospective cohort study of 233 patients undergoing resection for rectal cancer from January 2007 to October 2015. Data were obtaine...
Source: Annals of Surgery - July 15, 2022 Category: Surgery Tags: Original Articles Source Type: research
Disparity Between United States Adolescent Class II and III Obesity Trends and Bariatric Surgery Utilization, 2015–2018
Objectives:
Class II (120%> body mass index [BMI] 140% of the 95th percentile for age and sex) obesity are the fastest growing subcategories of obesity in the United States pediatric population. Metabolic and bariatric surgery (MBS) is a safe and effective treatment option for with class II/III obesity. The primary objectives of this analysis were to determine the (1) current US MBS utilization rates in those with class II/III obesity and (2) utilization rates and 30-day postoperative outcomes.
Background:
The 2015 to 2018 National Health and Nutrition Examination Survey cross-sectional data (N = 19,225) generat...
Source: Annals of Surgery - July 15, 2022 Category: Surgery Tags: Original Articles Source Type: research
The Effect of Bariatric Surgery on Long-term Depression Treatment in Patients With Obesity
Conclusions:
Bariatric surgery was associated with a greater risk of postoperative incident depression treatment and greater persistence of postoperative depression treatment. Depression may worsen for some patients after bariatric surgery, so clinicians should carefully monitor their patients for depression postoperatively. (Source: Annals of Surgery)
Source: Annals of Surgery - July 15, 2022 Category: Surgery Tags: Original Articles Source Type: research
