Oligometastatic Disease in Lung Cancer for Surgeons: An Update
AbstractPurpose of reviewStage IV non-small cell lung cancer (NSCLC) is a heterogenic disease with constant challenges for physicians. In the case of oligometastatic disease, surgery has a crucial role. In selected cases of a possible indolent progression of the malignancy, a surgical approach is recommended to control the disease. The management of this subset of patients should be performed in a multidisciplinary team in order to define the best strategy for each patient.Recent findingsThe implementation of optimizing surgical management has demonstrated better outcomes in terms of long-term survival with no detrimental ...
Source: Current Surgery Reports - February 16, 2018 Category: Surgery Source Type: research
Multimodality Treatment of Advanced Non-small Cell Lung Cancer: Where are we with the Evidence?
This article outlines the current and outstanding evidence for the use of multimodality treatment in this group of patients, including in combination with an increasing number of treatment options, such as immunotherapy and genotype-targeted small molecule inhibitors.Recent findingsOptimal therapy for surgically resectable stage III disease remains debatable and currently the choice of treatment reflects each individual patient ’s disease characteristics and the expertise and opinion of the thoracic multi-disciplinary team. Evidence for a distinct oligometastatic state in which improved outcomes can be achieved remains m...
Source: Current Surgery Reports - February 8, 2018 Category: Surgery Source Type: research
Ear Reconstruction and 3D Printing: Is It Reality?
AbstractPurpose of ReviewAutologous reconstruction of microtia, the most common congenital external ear deformity, is one of the more challenging plastic surgical procedures, causing obligatory donor site morbidity and often resulting in suboptimal aesthetic outcomes. Recent advances in the fields of tissue engineering and 3D printing promise to profoundly affect the practice of reconstructive surgery.Recent Findings3D printed guides are already used by reconstructive surgeons during correction of complex anatomic defects. Similarly, the prosthetics industry has benefited from the ability to rapidly prototype customized pi...
Source: Current Surgery Reports - February 1, 2018 Category: Surgery Source Type: research
Physician Wellness in Surgical Residency
AbstractPurpose of ReviewPhysician wellness has become an increasing focus of attention in recent years as burnout among healthcare professionals appears to be on the rise. Within this review, we attempt to define burnout and describe the ways in which resident well-being is being addressed within surgical residency programs.Recent FindingsBurnout is a psychological construct, defined by emotional exhaustion, depersonalization, and a low sense of personal accomplishment, which has been shown to affect physicians beginning in their medical training. In spite of mounting evidence of the negative effects of burnout on physici...
Source: Current Surgery Reports - January 25, 2018 Category: Surgery Source Type: research
Non-classic LCIS Versus Classic LCIS Versus Atypical Hyperplasia: Should Management be the Same?
AbstractPurpose of ReviewThis review summarizes the literature from the last 5 years regarding atypical ductal hyperplasia (ADH), atypical lobular hyperplasia (ALH), classic lobular carcinoma in situ (C-LCIS), and non-classic LCIS (NC-LCIS).Recent FindingsADH, ALH, and C-LCIS are well-established markers of increased breast cancer risk. Recent studies suggest the possibility of observation for select cases of ADH diagnosed on core biopsy; however, guidelines support routine excision. In contrast, accumulating data support observation for ALH and C-LCIS on core biopsy with radiographic –pathologic concordance. Data on t...
Source: Current Surgery Reports - January 23, 2018 Category: Surgery Source Type: research
Rescue in Acute Care Surgery: Evolving Definitions and Metrics
AbstractPurpose of ReviewRescue is salvage of a patient after the development of a complication. This review describes the origins of this concept and provides an update on the factors influencing the ability to rescue acute care surgery (ACS) patients.Recent FindingsThe current literature on rescue in ACS reveals the complex interplay of patient and hospital characteristics that shape the development of complications and mortality during admission. Our unique patient population requires careful monitoring and timely intervention to achieve optimal outcomes. The definition of rescue in ACS patients is evolving based upon o...
Source: Current Surgery Reports - January 22, 2018 Category: Surgery Source Type: research
Intragastric Balloons: Indications, Options, Outcomes
ConclusionIGBs have favorable safety profiles and have shown significant short-term weight-loss improvement over lifestyle modification or pharmacotherapy. Further investigation is required to determine the long-term benefit of these devices for patients with obesity and morbid obesity as well as to monitor the devices ’ long-term safety profiles. (Source: Current Surgery Reports)
Source: Current Surgery Reports - October 20, 2017 Category: Surgery Source Type: research
Understanding Weight Regain and the Need for Life-Long Follow-up After Bariatric Surgery
AbstractPurpose of ReviewCurrently, 15.4% of the population has severe obesity. For adults with severe obesity, bariatric surgery is the most effective and cost-effective treatment available for mortality reduction, weight loss, and comorbidity resolution. Although most surgical patients experience significant weight loss in the year following surgery, a subset of patients experience weight regain thereafter. Weight regain can result in recurrence of comorbidities and reduction in the long-term cost-effectiveness of surgery. Weight regain prompts providers to consider additional interventions.Recent FindingsWe summarize ...
Source: Current Surgery Reports - October 17, 2017 Category: Surgery Source Type: research
