Identifying a Basket of Surgical Procedures to Standardize Global Surgical Metrics: An International Delphi Study
Conclusions: This surgical basket facilitates a more standardized assessment of a country's surgical system. Further testing and refinement will likely be needed, but this basket can be used immediately to guide ongoing monitoring and evaluation of global surgery capacities to improve and strengthen surgery and anesthesia care. (Source: Annals of Surgery)
Source: Annals of Surgery - November 23, 2021 Category: Surgery Tags: ORIGINAL ARTICLES Source Type: research

Matched Pairs Comparison of an Enhanced Recovery Pathway Versus Conventional Management on Opioid Exposure and Pain Control in Patients Undergoing Lung Surgery
Objective: The aim of this study was to assess the effect of an enhanced recovery after surgery (ERAS) pathway on pain and opioid use following lung resection. Summary Background Data: A major component ERAS pathways is opioid-sparing analgesia; however, the effect on postoperative pain and opioid use in patients undergoing lung resection is unknown. Methods: Following implementation of an ERAS pathway for lung resection, 123 consecutive patients were identified. Patients were propensity-matched 1:1 with a group of consecutive patients (n = 907) undergoing lung resection before ERAS. Differences regarding...
Source: Annals of Surgery - November 23, 2021 Category: Surgery Tags: ORIGINAL ARTICLES Source Type: research

Endovascular Repair of Blunt Thoracic Aortic Trauma is Associated With Increased Left Ventricular Mass, Hypertension, and Off-target Aortic Remodeling
Conclusions: TEVAR is associated with LV mass increase, development of hypertension, and accelerated expansile remodeling of the ascending aorta. Although younger trauma patients may adapt to these effects, these changes may be even more important in older patients with other aortic pathologies and diminished baseline cardiac function. (Source: Annals of Surgery)
Source: Annals of Surgery - November 23, 2021 Category: Surgery Tags: ORIGINAL ARTICLES Source Type: research

Inner Deliberations of Surgeons Treating Critically-ill Emergency General Surgery Patients: A Qualitative Analysis
Conclusions: This is the first study to explore how surgeons decide among management options for critically-ill EGS patients. Surgeons’ decision-making reflected a broad array of clinical, personal, and institutional variables. Effective interventions to ensure preference-sensitive care for EGS patients must address all of these variables. (Source: Annals of Surgery)
Source: Annals of Surgery - November 23, 2021 Category: Surgery Tags: ORIGINAL ARTICLES Source Type: research

Adrenalectomy for Secondary Malignancy: Patients, Outcomes, and Indications
Conclusions: Durable survival is observed in patients undergoing adrenal metastasectomy and should be considered for subjects with isolated adrenal metastases. (Source: Annals of Surgery)
Source: Annals of Surgery - November 23, 2021 Category: Surgery Tags: ORIGINAL ARTICLES Source Type: research

The Global Macroeconomic Burden of Breast Cancer: Implications for Oncologic Surgery
Conclusions: The burden of disease and economic impact of breast cancer is intensifying in LMICs. Global efforts to improve access to surgical care for women with breast cancer could reduce mortality and mitigate the social and financial impact of this disease in LMICs. (Source: Annals of Surgery)
Source: Annals of Surgery - November 23, 2021 Category: Surgery Tags: ORIGINAL ARTICLES Source Type: research

Optimal Adjuvant Treatment Approach After Upfront Resection of Pancreatic Cancer: Revisiting the Role of Radiation Based on Pathologic Features
Objective: To identify the survival benefit of different adjuvant approaches and factors influencing their efficacy after upfront resection of pancreatic ductal adenocarcinoma (PDAC). Summary Background Data: The optimal adjuvant approach for PDAC remains controversial. Methods: Patients from the National Cancer Database who underwent upfront PDAC resection from 2010 to 2014 were analyzed to determine clinical outcomes of different adjuvant treatment approaches, stratified according to pathologic characteristics. Factors associated with overall survival were identified with multivariable logistic regressi...
Source: Annals of Surgery - November 23, 2021 Category: Surgery Tags: ORIGINAL ARTICLES Source Type: research

Multi-institutional Development and External Validation of a Nomogram to Predict Recurrence After Curative Resection of Pancreatic Neuroendocrine Tumors
Objective: To develop a nomogram estimating the probability of recurrence free at 5 years after resection for localized grade 1 (G1)/ grade 2 (G2) pancreatic neuroendocrine tumors (PanNETs). Background: Among patients undergoing resection of PanNETs, approximately 17% experience recurrence. It is not established which patients are at risk, with no consensus on optimal follow-up. Method: A multi-institutional database of patients with G1/G2 PanNETs treated at 2 institutions was used to develop a nomogram estimating the rate of freedom from recurrence at 5 years after curative resection. A second cohort...
Source: Annals of Surgery - November 23, 2021 Category: Surgery Tags: ORIGINAL ARTICLES Source Type: research

Safe Dissemination of Laparoscopic Liver Resection in 27,146 Cases Between 2011 and 2017 From the National Clinical Database of Japan
Conclusions: LLR has rapidly become widespread in Japan. Basic LLR is now a standard option, and advanced LLR, while not as common yet, has been increasing year by year. LLR has been safely developed with low mortality and complications rate relative to OLR. (Source: Annals of Surgery)
Source: Annals of Surgery - November 23, 2021 Category: Surgery Tags: ORIGINAL ARTICLES Source Type: research

How to Handle Arterial Conduits in Liver Transplantation? Evidence From the First Multicenter Risk Analysis
Conclusion: When AC is required for rescue graft revascularization, the conduit placement site seems to be negligible and should follow the surgeon's preference. In this high-risk group, the study supports the concept of postoperative antiaggregation in LT requiring AC. (Source: Annals of Surgery)
Source: Annals of Surgery - November 23, 2021 Category: Surgery Tags: ORIGINAL ARTICLES Source Type: research

Time to Surgery and Colon Cancer Survival in the United States
Purpose: Time to surgery (TTS) is of concern to patients diagnosed with cancer and their physicians. Controversy surrounds the impact of TTS on colon cancer survival. There are limited national data evaluating the association; thus, our aim was to estimate the overall survival (OS) impact from increasing TTS for patients with colon cancer. Methods: Using the National Cancer Data Base (NCDB), we assessed OS as a function of time between diagnosis and surgery by evaluating intervals encompassing (Source: Annals of Surgery)
Source: Annals of Surgery - November 23, 2021 Category: Surgery Tags: ORIGINAL ARTICLES Source Type: research

Long-term Impact of Bariatric Surgery on Venous Thromboembolic Risk: A Matched Cohort Study
Conclusions: The results of this nation-wide study set out to characterize the impact of bariatric surgery on long-term risk of thromboembolic events outline a significant reduction in thromboembolic events, driven by a reduction in deep vein thrombosis. (Source: Annals of Surgery)
Source: Annals of Surgery - November 23, 2021 Category: Surgery Tags: ORIGINAL ARTICLES Source Type: research

Active Surveillance Versus Immediate Surgery in Clinically Complete Responders After Neoadjuvant Chemoradiotherapy for Esophageal Cancer: A Multicenter Propensity Matched Study
Conclusion: In this retrospective study, OS and PFS in patients with cCR undergoing active surveillance or immediate surgery were not significantly different. Active surveillance with postponed surgery for recurrent disease was not associated with a higher distant dissemination rate or more severe adverse postoperative outcomes. (Source: Annals of Surgery)
Source: Annals of Surgery - November 23, 2021 Category: Surgery Tags: ORIGINAL ARTICLES Source Type: research

A National Survey of Motor Vehicle Crashes Among General Surgery Residents
Conclusions: Hazardous driving events are prevalent among general surgery residents and associated with frequent duty hour violations and poor psychiatric well-being. Greater adherence to duty hour standards and efforts to improve well-being may improve driving safety. (Source: Annals of Surgery)
Source: Annals of Surgery - November 23, 2021 Category: Surgery Tags: ORIGINAL ARTICLES Source Type: research

Opioid Use Disorder is Associated With Complications and Increased Length of Stay After Major Abdominal Surgery
The objective of this study was to determine the impact of opioid use disorder (OUD) on perioperative outcomes after major upper abdominal surgeries. Summary of Background Data: OUD, defined as dependence/abuse, is a national health epidemic. Its impact on outcomes after major abdominal surgery has not been well characterized. Methods: Patients who underwent elective esophagectomy, total/partial gastrectomy, major hepatectomy, and pancreatectomy were identified using the National Inpatient Sample (2003–2015). Propensity score matching by baseline characteristics was performed for patients with and witho...
Source: Annals of Surgery - November 23, 2021 Category: Surgery Tags: ORIGINAL ARTICLES Source Type: research

Association of Historic Housing Policy, Modern Day Neighborhood Deprivation and Outcomes After Inpatient Hospitalization
Objective: To evaluate the association of historical racist housing policies and modern-day healthcare outcomes. Summary of Background Data: In 1933 the United States Government Home Owners Loan Corporation (HOLC) used racial composition of neighborhoods to determine creditworthiness and labeled them “Best”, “Still Desirable”, “Definitely Declining”, and “Hazardous.” Although efforts have been made to reverse these racist policies that structurally disadvantage those living in exposed neighborhoods, the lasting legacy on modern day healthcare outcomes is uncertain....
Source: Annals of Surgery - November 23, 2021 Category: Surgery Tags: ORIGINAL ARTICLES Source Type: research

Defining Common Features in High Impact and Highly Cited Journal Articles on Pancreatic Tumors: An Analysis of 1044 Studies Over the Past Decade
Introduction: Surgical researchers seek to publish their findings in esteemed surgical journals to advance science and their careers. A detailed investigation of study and manuscript attributes in a specific research area, like pancreatic neoplasia, may yield informative insights for researchers looking to maximize research impact. Objectives: We analyzed publications related to pancreatic surgery primarily focused on pancreatic and periampullary tumors to identify elements associated with acceptance into high impact journals and a high likelihood of future citations. Methods: A comprehensive review of ni...
Source: Annals of Surgery - November 23, 2021 Category: Surgery Tags: REVIEW PAPERS Source Type: research

Global Epidemiology of Chronic Venous Disease: A Systematic Review With Pooled Prevalence Analysis
Objective: To provide an updated estimate of the global prevalence of CVD and to comprehensively evaluate risk factors associated with this condition. Background: CVD is an important cause of morbidity internationally, but the global burden of this condition is poorly characterized. The burden of CVD must be better characterized to optimize service provision and permit workforce planning to care for patients with different stages of CVD. Methods: A systematic search in Ovid MEDLINE and Embase (1946–2019) identified 1271 articles. Full-text, English language articles reporting on the epidemiology of ...
Source: Annals of Surgery - November 23, 2021 Category: Surgery Tags: REVIEW PAPERS Source Type: research

Long-term Outcomes of Firearm Injury Survivors in the United States: The National Trauma Research Action Plan Scoping Review
Conclusions: Research on the long-term health impact of firearm injury is scant, and heterogeneity in available studies limits the ability to fully characterize the outcomes among these patients. A better understanding of the long-term health impact of firearm injury would support systematic change in policy and patient care to improve outcomes. (Source: Annals of Surgery)
Source: Annals of Surgery - November 23, 2021 Category: Surgery Tags: REVIEW PAPERS Source Type: research

Treatment of Inguinal Hernia: Systematic Review and Updated Network Meta-analysis of Randomized Controlled Trials
Background: Despite the advent of innovative surgical platforms and operative techniques, a definitive indication of the best surgical option for the treatment of unilateral primary inguinal hernia remains unsettled. Purpose was to perform an updated and comprehensive evaluation within the major approaches to inguinal hernia. Methods: Systematic review and network meta-analyses of randomized controlled trials (RCTs) compare Lichtenstein tension-free repair, laparoscopic transabdominal preperitoneal (TAPP) repair, and totally extraperitoneal repair (TEP). Risk ratio (RR) and weighted mean difference (WMD) were us...
Source: Annals of Surgery - November 23, 2021 Category: Surgery Tags: META-ANALYSES Source Type: research

Thoracoscopy or Thoracotomy for Esophageal Atresia: A Systematic Review and Meta-analysis
Conclusion: Thoracoscopy is effective and safe, with similar or better outcomes than thoracotomy for patients and providers. The only significant drawback is the need for antireflux surgery in the first years of life. Comparative randomized long-term studies are needed. (Source: Annals of Surgery)
Source: Annals of Surgery - November 23, 2021 Category: Surgery Tags: META-ANALYSES Source Type: research

Influence of the Retrocolic Versus Antecolic Route for Alimentary Tract Reconstruction on Delayed Gastric Emptying After Pancreatoduodenectomy: A Multicenter, Noninferiority Randomized Controlled Trial
Conclusions: This trial could not demonstrate the noninferiority of retrocolic to antecolic alimentary tract reconstruction in terms of DGE incidence. The alimentary tract should not be reconstructed via the retrocolic route after PD, to prevent DGE. (Source: Annals of Surgery)
Source: Annals of Surgery - November 23, 2021 Category: Surgery Tags: RANDOMIZED CONTROLLED TRIALS Source Type: research

End Colostomy With or Without Mesh to Prevent a Parastomal Hernia (GRECCAR 7): A Prospective, Randomized, Double Blinded, Multicentre Trial
Conclusion: We failed to show efficiency of a prophylactic mesh on PSH rate. Placement of a mesh in a retro-muscular position with a central incision to allow colon passage cannot be recommended to prevent PSH. Optimization of mesh location and reinforcement material should be performed. (Source: Annals of Surgery)
Source: Annals of Surgery - November 23, 2021 Category: Surgery Tags: RANDOMIZED CONTROLLED TRIALS Source Type: research

Parental Leave Revisited: The ABS Responds
No abstract available (Source: Annals of Surgery)
Source: Annals of Surgery - November 23, 2021 Category: Surgery Tags: SURGICAL PERSPECTIVES Source Type: research

The Baby and the Board: A Step Toward Normalizing Childbearing During Surgical Training
No abstract available (Source: Annals of Surgery)
Source: Annals of Surgery - November 23, 2021 Category: Surgery Tags: SURGICAL PERSPECTIVES Source Type: research

From Listening to Action: Academic Surgical Departmental Response to Social Injustice Through Curricular Development
Conclusion: Using a standard curriculum development framework, an effective department-wide cultural competency curriculum can be developed and implemented. (Source: Annals of Surgery)
Source: Annals of Surgery - November 23, 2021 Category: Surgery Tags: DISPARITIES, DIVERSITY AND SOCIAL JUSTICE Source Type: research

Impact of the COVID-19 Pandemic on Long-term Recovery From Traumatic Injury
Conclusions: The COVID-19 pandemic is negatively impacting the recovery of trauma survivors. It is essential that we recognize the impact of the pandemic on injured patients while focusing on directed efforts to improve the long-term outcomes of this already at-risk population. (Source: Annals of Surgery)
Source: Annals of Surgery - November 23, 2021 Category: Surgery Tags: COVID-19 Source Type: research

Impact of the COVID-19 Pandemic on Emergency Adult Surgical Patients and Surgical Services: An International Multi-center Cohort Study and Department Survey
Conclusion: The first wave of the COVID-19 pandemic significantly impacted surgical patients, both directly through co-morbid infection and indirectly as shown by increasing mortality in peak months, irrespective of COVID-19 status. Higher CFS scores and ASA grades strongly predict outcomes in surgical patients and are an important risk assessment tool during the pandemic. (Source: Annals of Surgery)
Source: Annals of Surgery - November 23, 2021 Category: Surgery Tags: COVID-19 Source Type: research

To Radiate, Not to Radiate, or to Dose-Escalate?
No abstract available (Source: Annals of Surgery)
Source: Annals of Surgery - November 23, 2021 Category: Surgery Tags: FEATURES Source Type: research

Local Control and Survival After Induction Chemotherapy and Ablative Radiation Versus Resection for Pancreatic Ductal Adenocarcinoma With Vascular Involvement
Objective: We sought to compare overall survival (OS) and disease control for patients with localized pancreatic ductal adenocarcinoma (PDAC) treated with ablative dose radiotherapy (A-RT) versus resection. Summary Background Data: Locoregional treatment for PDAC includes resection when possible or palliative RT. A-RT may offer durable tumor control and encouraging survival. Methods: This was a single-institution retrospective analysis of patients with PDAC treated with induction chemotherapy followed by A-RT [≥98 Gy biologically effective dose (BED) using 15–25 fractions in 3–4.5 Gy/frac...
Source: Annals of Surgery - November 23, 2021 Category: Surgery Tags: FEATURES Source Type: research

Social Vulnerability and Postoperative Complications; We Need More Than ERAS Pathways and Glucose Control to Improve Surgical Outcomes
No abstract available (Source: Annals of Surgery)
Source: Annals of Surgery - November 23, 2021 Category: Surgery Tags: FEATURES Source Type: research

County-level Social Vulnerability is Associated With Worse Surgical Outcomes Especially Among Minority Patients
Conclusions: Patients residing in vulnerable communities characterized by a high SVI generally had worse postoperative outcomes. The impact of social vulnerability was most pronounced among Black/minority patients, rather than White individuals. Efforts to ensure equitable surgical outcomes need to focus on both patient-level, as well as community-specific factors. (Source: Annals of Surgery)
Source: Annals of Surgery - November 23, 2021 Category: Surgery Tags: FEATURES Source Type: research

Reciprocal Learning Between Military and Civilian Surgeons: Past and Future Paths for Medical Innovation
Numerous surgical advances have resulted from exchanges between military and civilian surgeons. As part of the U.S. National Library of Medicine Michael E. DeBakey Fellowship in the History of Medicine, we conducted archival research to shed light on the lessons that civilian surgery has learned from the military system and vice-versa. Several historical case studies highlight the need for immersive programs where surgeons from the military and civilian sectors can gain exposure to the techniques, expertise, and institutional knowledge the other domain provides. Our findings demonstrate the benefits and promise of structur...
Source: Annals of Surgery - October 12, 2021 Category: Surgery Tags: SURGICAL RETROSPECTION Source Type: research

Association Between Hospital Volume and Failure to Rescue After Open or Endovascular Repair of Intact Abdominal Aortic Aneurysms in the VASCUNET and International Consortium of Vascular Registries
Objective: To investigate the association between hospital volume and failure to rescue (FtR), after open repair (OAR), and endovascular repair (EVAR) of intact abdominal aortic aneurysms (AAA) among centers participating in the VASCUNET and International Consortium of Vascular Registries. Summary of Background Data: FtR (ie, in-hospital death following major complications) is a composite end-point representing the inability to treat complications effectively and prevent death. Methods: Using data from 8 vascular registries, complication and mortality rates after intact AAA repair were examined (n = 60,27...
Source: Annals of Surgery - October 12, 2021 Category: Surgery Tags: ORIGINAL ARTICLES Source Type: research

Analysis of Nonbattle Deaths Among U.S. Service Members in the Deployed Environment
Conclusions: Approximately 1 in 5 deaths were NBD. The majority were potentially preventable, including a significant proportion of self-inflicted injuries. A single comprehensive data repository would facilitate future mortality monitoring and performance improvement. These data may assist military leaders with implementing targeted safety strategies. (Source: Annals of Surgery)
Source: Annals of Surgery - October 12, 2021 Category: Surgery Tags: ORIGINAL ARTICLES Source Type: research

Fighting Inertia: Why are we Continuing to Treat Acute Uncomplicated Diverticulitis With Antibiotics?
No abstract available (Source: Annals of Surgery)
Source: Annals of Surgery - October 12, 2021 Category: Surgery Tags: COMMENTARY Source Type: research

Efficacy and Safety of Nonantibiotic Outpatient Treatment in Mild Acute Diverticulitis (DINAMO-study): A Multicentre, Randomised, Open-label, Noninferiority Trial
Conclusions: Nonantibiotic outpatient treatment of mild AD is safe and effective and is not inferior to current standard treatment. Trial registration: ClinicalTrials.gov (NCT02785549); EU Clinical Trials Register (2016-001596-75) (Source: Annals of Surgery)
Source: Annals of Surgery - October 12, 2021 Category: Surgery Tags: RANDOMIZED CONTROLLED TRIAL Source Type: research

Genomewide Expression Profiling Identifies a Novel miRNA-based Signature for the Detection of Peritoneal Metastasis in Patients With Gastric Cancer
Conclusions: We have established an miRNA-based signature that have a potential to identify peritoneal metastasis in GC patients. (Source: Annals of Surgery)
Source: Annals of Surgery - October 12, 2021 Category: Surgery Tags: ORIGINAL ARTICLES Source Type: research

Repair, Reconstruct, or Divert: Fate of the Perforated Esophagus
Conclusions: Several advanced interventions exist for critically ill patients with uncontained esophageal perforation. Repair and organ preservation are always preferred; however, patients at extremes of illness might best be treated with resection-diversion, with the understanding that the competing risk of death may preclude eventual reconstruction. (Source: Annals of Surgery)
Source: Annals of Surgery - October 12, 2021 Category: Surgery Tags: ORIGINAL ARTICLES Source Type: research

The Association Between Preoperative Opioid Exposure and Prolonged Postoperative Use
Conclusions: Patients with nonchronic, periodic opioid use before surgery are vulnerable to persistent postoperative opioid use. Identifying opioid use before surgery is a critical opportunity to optimize care after surgery. (Source: Annals of Surgery)
Source: Annals of Surgery - October 12, 2021 Category: Surgery Tags: ORIGINAL ARTICLES Source Type: research

Surgeon Perspectives on Benefits and Downsides of Overlapping Surgery: In-depth, Qualitative Interviews
Conclusions: The utilization of the novel perspectives presented here will allow for targeted assessment of physician perspectives in future quantitative studies and increase the likelihood that variables measured encompass the range of factors that surgeons find meaningful and relevant. Priority areas of future research should include examining effects of overlapping surgery on surgical training and surgeon wellness. (Source: Annals of Surgery)
Source: Annals of Surgery - October 12, 2021 Category: Surgery Tags: ORIGINAL ARTICLES Source Type: research

An Experimental Simulation of Heat Effects on Cognition and Workload of Surgical Team Members
Conclusions: We provide causal evidence that over time, heat exposure impairs cognitive speed and accuracy, and increases subjective workload. We recommend building on this study to drive best-practices for acute burns surgery and design work to enable burns teams to maintain their cognitive stamina, lower their workload, and improve outcomes for patients and surgeons. (Source: Annals of Surgery)
Source: Annals of Surgery - October 12, 2021 Category: Surgery Tags: ORIGINAL ARTICLES Source Type: research

Comparative Propensity Matched Outcomes in Severe COVID-19 Respiratory Failure—Extracorporeal Membrane Oxygenation or Maximum Ventilation Alone
Conclusions: ECMO-eligible patients with severe COVID-19 respiratory failure demonstrate a 3-fold improvement in survival with ECMO. They are also in a better physical state at discharge and have lower overall complication rates. As such, strong consideration should be given for ECMO when mechanical ventilatory support alone becomes insufficient in treating COVID-19 respiratory failure. (Source: Annals of Surgery)
Source: Annals of Surgery - October 12, 2021 Category: Surgery Tags: COVID-19 Source Type: research

Demise of “Hilar En Bloc Resection by No-touch Technique” as Surgery for Perihilar Cholangiocarcinoma: Dissociation Between Theory and Practice
No abstract available (Source: Annals of Surgery)
Source: Annals of Surgery - October 12, 2021 Category: Surgery Tags: SURGICAL PERSPECTIVES Source Type: research

Surgical Residents at the Forefront of the COVID-19 Pandemic: Perspectives on Redeployment
This article details a resident's perspective on redeployment of surgical residents to the COVID-19 frontline setting, using the example of the COVID-19 intensive care unit. Redeployment during a pandemic brings the unique opportunity to collaborate with colleagues on the frontlines and learn alongside one another about the evolving management of this disease. During this ongoing pandemic, it is incumbent upon us as clinicians to work together in a multidisciplinary manner and reflect on ways this pandemic impacts the delivery of patient care. (Source: Annals of Surgery)
Source: Annals of Surgery - October 12, 2021 Category: Surgery Tags: SURGICAL PERSPECTIVES Source Type: research

A Game of Adaptability: Reflecting on the Highlights and Challenges of Applying for Surgical Residency During the COVID-19 Pandemic
Virtual recruitment of candidates applying into General Surgery residency during the COVID-19 pandemic presented a number of benefits and challenges. Notable benefits for candidates included financial and resource cost savings, the ability to conduct multiple interviews within short time frame, and the ability to meet more faculty members on virtual interview day. Challenges included technological difficulties, difficulty assessing culture and authenticity of in-program relationships, zoom fatigue, and inability to form relationships with co-applicants. After assessing our experiences with these benefits and challenges, th...
Source: Annals of Surgery - October 12, 2021 Category: Surgery Tags: SURGICAL PERSPECTIVES Source Type: research

Liver Venous Deprivation or Associating Liver Partition and Portal Vein Ligation for Staged Hepatectomy?: A Retrospective Multicentric Study
Objective: To compare 2 techniques of remnant liver hypertrophy in candidates for extended hepatectomy: radiological simultaneous portal vein embolization and hepatic vein embolization (HVE); namely LVD, and ALPPS. Background: Recent advances in chemotherapy and surgical techniques have widened indications for extended hepatectomy, before which remnant liver augmentation is mandatory. ALPPS and LVD typically show higher hypertrophy rates than portal vein embolization, but their respective places in patient management remain unclear. Methods: All consecutive ALPPS and LVD procedures performed in 8 French c...
Source: Annals of Surgery - October 12, 2021 Category: Surgery Tags: ESA PAPERS Source Type: research

Outcomes of Esophagogastric Cancer Surgery During Eight Years of Surgical Auditing by the Dutch Upper Gastrointestinal Cancer Audit (DUCA)
Conclusions: During 8 years of auditing, outcomes improved, with no signs of risk-averse behavior. These improvements occurred in parallel with centralization. Feedback on postoperative complications remains the focus of the DUCA. (Source: Annals of Surgery)
Source: Annals of Surgery - October 12, 2021 Category: Surgery Tags: ESA PAPERS Source Type: research

The Impact of Cold Ischaemia Time on Outcomes of Living Donor Kidney Transplantation in the UK Living Kidney Sharing Scheme
Objective: To assess the impact of CIT on living donor kidney transplantation (LDKT) outcomes in the UKLKSS versus outside the scheme. Background: LDKT provides the best treatment option for end-stage kidney disease patients. end-stage kidney disease patients with an incompatible living donor still have an opportunity to be transplanted through Kidney Exchange Programmes (KEP). In KEPs where kidneys travel rather than donors, cold ischaemia time (CIT) can be prolonged. Methods: Data from all UK adult LDKT between 2007 and 2018 were analysed. Results: 9969 LDKT were performed during this period, of ...
Source: Annals of Surgery - October 12, 2021 Category: Surgery Tags: ESA PAPERS Source Type: research

Impact of Permanent Post-thyroidectomy Hypoparathyroidism on Self-evaluation of Quality of Life and Voice: Results From the National QoL-Hypopara Study
Conclusions: Hypoparathyroid patients present significantly impaired quality of life, lower voice quality, and frequent symptoms. These results reinforce the importance of preventing this complication. (Source: Annals of Surgery)
Source: Annals of Surgery - October 12, 2021 Category: Surgery Tags: ESA PAPERS Source Type: research