Unrestricted Access to the Intravenous Tylenol Is Associated with Shorter Length of Stay in the Retrospective Cohort of Patients Treated for the Maxillofacial Trauma in a Level 1 Trauma Center
We observed decreased length of stay in thoracic surgery patients treated with non-opioid multimodal analgesia (NOMA). Whether unrestricted access to the intravenous tylenol (a non-opioid analgesic) which was part of NOMA, affects hospital course and length of stay (LOS) of the maxillofacial trauma patients, who are less likely to take oral tylenol is unknown. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Mindaugas Pranevicius, Afshin Parsikia, Howard Stupak, Jody M. Kaban, Benn Lieberman, Thomas Whitmer, Denise Sullivan, Kari Cleland, John McNelis, Leonard Golden Tags: Plastic and Maxillofacial Surgery Source Type: research

A New Student-led Digital Drawing Course: An Initiative to Bridge Patient Health Literacy Through Medical Illustrations
Health literacy and health inequity have emerged as significant issues facing the medical community. Despite in-depth explanations and language translation services, many patients fail to comprehend medical concepts and proposed surgical treatments. Our study aimed to evaluate how an instructional course on digital drawing would impact the likelihood of medical students to utilize medical illustrations in inpatient encounters. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Rebecca Kellner, Alexandra Agathis, James Moon, Brian A. Coakley Tags: Surgical Education Source Type: research

Implementation of a Medical Student Surgical Skills Simulation Curriculum: A Learner-centered “Into the Fire” Approach
We present a novel “into the fire” approach to implementing a medical student surgical skills simulation curriculum. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Harry J. Wong, Mikhail Attaar, Herbert M. Hedberg, Kristine Kuchta, Chelsea Dorsey, Michael Ujiki, Monika Krezalek Tags: Surgical Education Source Type: research

Is There a “July Effect” in Thyroidectomy? An Analysis of the Thyroidectomy-Targeted NSQIP Datasets
The “July effect” is defined as the increased likelihood for poor outcomes earlier in the academic year with respect to the rest of the year. This has been studied in various surgical procedures with inconsistent results, but has not been studied in thyroidectomy. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: George A. Taylor, Eddie Blay, Sarah M. Kling, Swathi Raman, Huaqing Zhao, Lindsay E. Kuo Tags: Surgical Education Source Type: research

Leveraging the Score Curriculum for a Longitudinal Educational Intervention for Teaching Surgical Informed Consent
Surgical informed consent (SIC) is one of the most important discussions a surgeon has with a patient, yet literature reports it is undervalued and inadequately taught. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Brian R. Quaranto, MIchael D. Lamb, James K. Lukan, Bobbie Ann A. White, Linda M. Harris, Jeffrey J. Brewer, Steven D. Schwaitzberg, Clairice A. Cooper Tags: Surgical Education Source Type: research

Long-term Outcomes of the Inaugural Surgical Exploration and Discovery Program at University of Illinois at Chicago
The current pre-clerkship curriculum provides medical students with very little exposure to surgery which may contribute to declining interests in pursuing a surgical career. The Surgical Exploration and Discover (SEAD ©) program is a 2-week summer program, designed at the University of Toronto in 2012 and adopted by our institution in 2014, to increase exposure to surgical specialties. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Antonio Gangemi, Tricia A. Harvat, Amelia M. Bartholomew Tags: Surgical Education Source Type: research

New Onset Depression Among Surgical Interns: An Alarming Challenge for the Surgical Workforce
Work environments can negatively impact professional productivity, satisfaction, and well-being. However, much less is known regarding the impact of the stressful work environment during surgical training on trainee mental health. We sought to quantify the incidence of new onset depression in a national cohort of surgical residents over the PGY-1 year. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Tasha Hughes, Jennifer F. Waljee, Srijan Sen, Amy Bohnert Tags: Surgical Education Source Type: research

Surgical Advanced Vascular Exposure and Repair: A Large Animal Course for Vascular Trauma
The Advanced Trauma Operative Management (ATOM ®) course has been adopted by the American College of Surgeons and participation increases surgeon competence in treating patients with penetrating injuries. Still there remain several advanced vascular surgical techniques for trauma that are ideal for education through simulation. Here we describe our experience with a novel course entitled "Surgical Advanced Vascular Exposure and Repair (SAVER)" which provides practice in these important operations. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Jane J. Keating, Daniel Ricaurte, Ryan Desrochers, Lenworth M. Jacobs, Alfred Croteau, Bryan Dieffenbach, Jonathan D. Gates Tags: Surgical Education Source Type: research

The Reporting of Race and Ethnicity in Surgical Literature
The reporting of race provides transparency to the representativeness of data and helps inform healthcare disparities. The International Committee of Medical Journal Editors (ICMJE) developed recommendations to promote quality reporting of race, however, the frequency of reporting continues to be low among most medical journals. The goal of our study is to assess the frequency as well as the quality of race reporting among publications from high impact surgical journals. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Richard C. Maduka, Michael Broderick, Erin M. White, Dena Ballouz, Harminder S. Sandhu, Gifty Kwakye, Herbert Chen, Gurjit Sandhu Tags: Surgical Education Source Type: research

Use of Learning Curves to Define Graduating Resident Surgical Competency
Theoretically, a resident ’s surgical proficiency increases with operative experience. However, few objective measures are available to assess this. We hypothesized the use of learning curves to establish a proficiency plateau could help programs define graduating residents’ procedure-specific surgical competency. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Xiaodong (Phoenix) Chen, Alan E. Harzman, E. Christopher Ellison Tags: Surgical Education Source Type: research

Vascular Surgery Training Trends in Open Abdominal Aneurysm Repair after the Introduction of Endovascular Abdominal Aneurysm Repair
The introduction of endovascular abdominal aortic aneurysm repair (EVAR) led to a reduction in open repair (OAR) cases, raising concerns regarding patient safety and future training of vascular surgeons. Our objective is to analyze trends in OAR and EVAR cases and their implications on vascular surgery training. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Nadin Elsayed, Maryamali Khan, Isaac Naazie, Jaideep Das Gupta, Mahmoud Malas Tags: Surgical Education Source Type: research

Virtual Mentoring: A Novel Approach to Facilitate Medical Student Application to General Surgery Residency
We examined the impact of virtual mentoring following the implementation of a novel program for trainees entering the field of general surgery. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Melissa Thornton, Audrey Stevens, Kareem R. AbdelFattah, Ryan Dumas, Jacqueline Babb Tags: Surgical Education Source Type: research

Barriers for Medical Students with Underrepresented Identities Considering Orthopaedic Surgery Careers: A Qualitative Investigation
Orthopaedic surgery remains the least diverse medical specialty, and entrenched gender and racial stereotypes exist about the field. Therefore, we used qualitative methodology to investigate barriers for medical students with underrepresented identities considering orthopedic careers. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Katherine M. Gerull, Priyanka Parameswaran, Taylor Cogsil, Donna Jeffe, Arghavan Salles, Cara A. Cipriano Tags: Surgical Education Source Type: research

Educational Environment, Depression, Stress, Substance Use, and Social Support Among Surgical Residents in Kenya
Residents have an increased risk of depression, stress, and substance abuse. Poor mental health leads to decreased clinical efficiency and training satisfaction; it also leads to self-harm and suicide. There is a paucity of data on the mental health of surgical residents in East Africa. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Sayed S.N.H. Shah, Ahmed M.R. Laving, Violet C.A. Okech-Helu, Manasi Kumar Tags: Surgical Education Source Type: research

General Surgery Resident-Initiated Transfers Are Frequent and Mutually Beneficial
Limited studies describe rationales for intra-specialty ( “lateral”) general surgery resident program transfers (GSTs). We aim to describe key features of general surgery residency programs reporting GSTs, to characterize rationales behind transfer events, and to compare transfer in resident skill sets against their institutional peers. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Ava K. Mokhtari, Hassan Mashbari, Noellen Saillant, Ryan Dumas, Brittany K. Bankhead-Kendall Tags: Surgical Education Source Type: research

Is It Possible to Replicate a Surgical Placement for Medical Undergraduates Virtually in Response to the COVID-19 Pandemic?
The COVID-19 pandemic brought cancellation of surgical placements for medical undergraduates nationwide. Given that surgical placements are traditionally “hands-on”, being able to replicate the placement virtually would mean improved accessibility. We devised a randomised control trial assessing efficacy of virtual surgical placements in improving knowledge, confidence and interest. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Sai Luxna Srinivasan, Oliver Burton Tags: Surgical Education Source Type: research

Leadership Training in Surgical Residency Programs: Needs Assessment of 2020 Urology Chief Residents
Surgical chief residents are expected to take on diverse leadership roles but may have different training, expectations, and support. Our aim was to characterize these responsibilities and assess training needs to improve preparation for leadership among a national cohort of chief residents. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Kevin Koo, Elizabeth Bearrick, Andrew Harris, Margaret Knoedler, Stephen Y. Nakada, Brian Matlaga Tags: Surgical Education Source Type: research

Live-streaming Intraoperative Teaching for Novel Thoracic Surgery Technology
The COVID-19 pandemic has forced surgical educators to adopt new platforms for teaching. Evolving technologies in thoracic surgery require continuing education to the highest level of care. Our aim was to assess the safety, feasibility, and effectiveness of live-streaming surgery in teaching novel technology to practicing surgeons. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Shawn M. Purnell, Min P. Kim, Ray K. Chihara, Edward Y. Chan Tags: Surgical Education Source Type: research

Resident Case Logs: The Untold Story
Underlogging of resident operative cases is a threat to understanding operative experience and informing status of skill acquisition. The identification of unlogged operations after the fact is limited by a lack of systematic, centralized methods for capturing original case assignments. Use of machine intelligence in tracking logging events can help define problems and improve logging compliance. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Ruchi Thanawala, Jonathan Jesneck, Rebecca Rhee, Neal E. Seymour Tags: Surgical Education Source Type: research

Resident Literature Review for Complication Presented at Morbidity and Mortality Conferences: A Sisyphean Task
Morbidity and Mortality (M&M) complication presentations include a thorough literature review. This requires a significant amount of time seldom compatible with the current work hours endured by surgical residents. Additionally, literature reviews can become repetitive for commonly encountered complications. The goal of this study was to find (a) the amount of time surgery residents spend performing literature reviews and (b) the number of presented complications that are repetitive. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Alexandros N. Flaris, Christopher J. Carnabatu, Rebecca W. Schroll, Mary T. Killackey Tags: Surgical Education Source Type: research

Surgical Outcomes and Resident Autonomy Over the Course of an Academic Year: Is There a “July Effect”?
Surgical resident operative autonomy has decreased over time without significant change in outcomes. We sought to examine how surgical outcomes and resident autonomy change over the course of an academic year. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Joseph B. Oliver, Jamal McFarlane, Anastasia Kunac, Devashish J. Anjaria Tags: Surgical Education Source Type: research

Surgical Skill Acquisition in Medical Students on the Virtual Platform: Is it as Effective as Conventional Proctoring Methods?
Pandemic related changes have radically altered the delivery of medical teaching.Didactic lectures, and small group teaching sessions are amenable to a “virtual” mode of delivery. The practical skills of medicine which students should be proficient in at time of graduation have tended to require in person tutelage. The aim of this study was to evaluate the use of telementoring in acquisition of basic suturing skills in medical students. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Aoife Feeley, Iain Feeley, Dermot Hehir Tags: Surgical Education Source Type: research

The Big Sibling Program: Impact of a Medical Student-Resident Mentorship Program During the Surgery Clerkship
Medical students often identify surgical residents as their primary source of teaching and mentoring. However, residents may underestimate their influence on student career decision making. To enhance this relationship, we created a Big Sibling mentorship program and studied the program effects. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Taylor M. Coe, Sophia K. McKinley, Isra Hamdi, Robert D. Sinyard, Kristen M. Jogerst, Emil R. Petrusa, Joy Moses, Noelle Saillant, Roy Phitayakorn Tags: Surgical Education Source Type: research

Under the Lens: Provider Perception of Trauma Video Review
Video-based assessment and review is increasingly common in surgical education. Trauma Video Review (TVR) has been shown to be an effective educational, quality improvement and research tool. The perception of providers involved in TVR remains incompletely described. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Kristen Burke, Madhuri Nagaraj, Kali Kuhlenschmidt, Alexander L. Marinica, Jessica Lowe, Caroline Park, Michael A. Vella, Daniel N. Holena, Michael W. Cripps, Ryan P. Dumas Tags: Surgical Education Source Type: research

Attenuating Neutrophil-to-lymphocyte Ratio Potentiates Sensitivity to Chemotherapy in a Murine Model of Pancreatic Ductal Adenocarcinoma
Neutrophil-to-lymphocyte ratio (NLR) is a prognostic biomarker in metastatic pancreatic ductal adenocarcinoma (PDAC). Our data indicate that reduction in systemic NLR during neoadjuvant chemotherapy is a novel biomarker of pathologic response in localized PDAC. To model this phenomenon in murine models of PDAC, we investigated the effect of systemically attenuating NLR (Ly6G+:CD3+ balance) on tumor burden, chemosensitivity, and anti-tumor immunity. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Iago de Castro Silva, Nilesh U. Deshpande, Anna Bianchi, Prateek Sharma, Austin R. Dosch, Samara Singh, Nagaraj S. Nagathihalli, Nipun B. Merchant, Jashodeep Datta Tags: Surgical Oncology Source Type: research

Differences Between Intracorporeal and Extracorporeal Gastric Tube Reconstruction after Esophagectomy
Esophagectomy remains good option to curative intent for esophageal carcinoma. However, quality of life for postoperative symptoms such as reflux, gastric emptying delayed and dysphagia is on debate. Some studies advocate relations between those symptoms to gastric tube conformation and discrepancies between intra and extracorporeal gastric tube construction. We aimed to analyze differences between both methods. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Flavio R. Takeda, George F.B. Darce, Ivan Cecconello, Sergio C. Nahas Tags: Surgical Oncology Source Type: research

Do T and/or N Criteria or Changes in T and/or N Criteria after Neoadjuvant Therapy Predict Survival after Transhiatal Esophagectomy?
This study was undertaken to determine if changes in TNC predict long-term survival after transhiatal esophagectomy (THE). (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Sharona B. Ross, Iswanto Sucandy, Joshua Ignatius, Christian Cignoni, valerie przetocki, Timothy J. Bourdeau, Alexander S. Rosemurgy Tags: Surgical Oncology Source Type: research

Factors Associated with Upstaging of Melanoma Thickness on Final Excision: Review of the National Cancer Database
The incidence and risk factors associated with upstaging from initial biopsy to definitive excision in cutaneous melanoma have not been established. The aim of our study was to determine the incidence of T stage upstaging of cutaneous melanoma and associated risk factors using the NCDB. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Victor P. Gazivoda, Patrick Hilden, Aaron W. Kangas-Dick, Alissa Greenbaum, Catherine Davis, Franz O. Smith, vadim koshenkov, Adam C. Berger Tags: Surgical Oncology Source Type: research

Feasibility, Safety and Efficacy of a Systemic Opioid-free Postoperative Pain Management Pathway in Major Oncologic Abdominal Surgery
WITHDRAWN (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Oriol Crusellas Ma ña, Lana Bijelic, Isabel Ramos Bernadó, Domenico Sabia, Pedro Barrios Sánchez Tags: Surgical Oncology Source Type: research

Giant Retroperitoneal Liposarcoma: The Implications of Tumor Size
Patients with retroperitoneal liposarcoma (RPLS) can remain asymptomatic before diagnosis and present with enormous tumors. There are no large studies of resected giant RPLS ( ≥25cm, gRPLS) to guide management decisions. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Brett S. Walker, Molly Leonard, Thomas L. Sutton, Ranish K. Patel, John T. Vetto, Beth Dewey, Jessica L. Davis, Lara E. Davis, Skye C. Mayo Tags: Surgical Oncology Source Type: research

Iodine-125 Radioactive Seed Brachytherapy As a Treatment for Spine and Bone Metastases: A Systematic Review and Meta-Analysis
Iodine-125 (125I) seed brachytherapy (BT) involves image-guided placement of radioactive 125I seeds directly into a tumor lesion. The 125I seed can continuously deliver low dose radiation over long periods of time, with sparing of collateral tissue. It has been safe and efficacious in treating various malignancies. This systematic review evaluated the safety, analgesic efficacy, and local tumor control of 125I seed BT in managing spine and bone metastases. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Ruhi Sharma,, Navraj S. Sagoo,, Ali S. Haider,, Neha Sharma,, Maryam Haider,, Ishaan K. Sharma,, Matthew Igbinigie, Salah G. Aoun, kessiena L. aya DO, Shaleen Vira Tags: Surgical Oncology Source Type: research

Minimally Invasive Distal Pancreatectomy Is Associated with Improved Perioperative and Oncologic Outcomes
Minimally invasive (MI) surgery has been widely adopted for the treatment of left-sided pancreatic cancer. However, short- and long-term outcomes are not clearly defined. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Abdimajid Mohamed, Timothy L. Fitzgerald Tags: Surgical Oncology Source Type: research

Predictors of Major Respiratory Complications after Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy: Analysis of the NSQIP Database
We examined the National Surgical Quality Improvement Program (NSQIP) database to identify risk factors for postoperative respiratory complications after CS/HIPEC. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Rahima Khatun, Chan Shen, Colette Pameijer, June S. Peng Tags: Surgical Oncology Source Type: research

Prognostic Value of the Dynamic Change of Platelets to Lymphocytes Ratio and Neutrophil to Lymphocyte Ratio for Gastric Cancer Patients Receiving Curative Surgery
The inflammatory response has shown to be promising markers for monitoring the survival prediction in various cancer. Our study aims to focus a precise estimation on the prognostic significance of preoperative Neutrophil to Lymphocyte ratio (NLR), Platelets to Lymphocyte ratio (PLR), derived Neutrophil to Lymphocyte ratio ( ΔNLR) and derived Platelet to Lymphocyte ratio (ΔPLR) following gastric cancer. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Shiva Basnet Tags: Surgical Oncology Source Type: research

Resection Increases 5-Year Survival Rate for Small Bowel Neuroendocrine Tumors: A National Cancer Data Base Study
Incidence of small bowel neuroendocrine tumors (SBNET) has been increasing in the past few decades. Although few studies have assessed the impact of surgical intervention, no studies to date have investigated survival rates after resection for SBNET on a national level. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Venu Gopal Bangla, Edward M. Wolin, Celia M. Divino Tags: Surgical Oncology Source Type: research

Signet-ring Cell Gastric Carcinoma Has a Similar Survival As Non-signet-ring Cell Carcinoma in Clinical Stage I
Signet-ring cell gastric carcinoma (SRGC) has a presumed worse prognosis as a histological variant in patients diagnosed with gastric adenocarcinoma (GAC). However, the literature is controversial regarding the survival differences in clinical stage I disease between SRGC and non-SRGC (NSRGC) histology. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Maitham A. Moslim, Elizabeth Handorf, Jeffrey M. Farma Tags: Surgical Oncology Source Type: research

Age Increases the Likelihood of Withdrawal of Care after Robotic Esophagectomy
Esophageal cancer is increasing in incidence worldwide. The incidence of complications after esophagectomy in younger compared to older patients remains undefined. We will evaluate the impact of complications after robotic assisted trans-thoracic esophagectomy (RATE) in elderly patients. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Cassandra Schuster, Jamie Glasser, Kenneth L. Meredith, Jamie Huston Tags: Surgical Oncology Source Type: research

Cancer Patient Assessment in a Preoperative Prehabilitation Program: Self-reported Patient Outcomes and Laboratory Markers vs Physical Markers of Malnutrition and Frailty
Prehabilitation includes optimization of malnourished and physically dependent patients to improve surgical outcomes and decrease morbidity and mortality. Risk factors for malnutrition and frailty have been researched, but information is lacking regarding the relationships between functional strength and laboratory values with scores of frailty and malnutrition. Also lack of standardized prehabilitation guidelines or patient-reported questionnaires. Understanding relationships can lead to development of parameters for patient enrollment in prehabilitation. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Marisa L. Doran, Xinyi Luo, Sinead Brenner, Siobhan Trotter, Nathan Bolton, Russell E. Brown, Ashley B. Stickman, Aimee F. G'sell Tags: Surgical Oncology Source Type: research

Cancer Recurrence Surveillance after Goldilocks Mastectomy
The Goldilocks mastectomy is an autologous breast reconstruction technique using the remaining skin flaps after skin-sparing mastectomy. Because it involves “burying” the de-epithelialized flaps, there is a hypothetical risk of missing a local recurrence. There are no current guidelines regarding the optimal long-term surveillance of these patients. We wanted to identify the rate of local recurrence in these patients and formulate the best approach to surveillance. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Adrian O. Campos, Seija Maniskas, Wai-Yee Li Tags: Surgical Oncology Source Type: research

Cost Utility Analysis and Safety of Postoperative Hemoglobin Level Testing Following Robotic-assisted Hysterectomy for Endometrial Cancer
Blood loss during surgery for endometrial cancer is minimal. Our objective was to assess the clinical utility of postoperative hemoglobin testing following hysterectomy. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Massoud Shoraka, Bahram Dideban, Semiramis Carbajal Mamani, Segundo J. Cardenas Goicoechea Tags: Surgical Oncology Source Type: research

Gastric Neuroendocrine Tumor Treatment and Survival Outcomes Is Determined by Facility Type
Gastric neuroendocrine tumors (gNETs) are rare cancers affecting roughly 7 in 100,000 people in the USA, and surgery is thought to offer a survival advantage when possible. We aim to determine if treatment facility (academic vs community hospital) plays a role in treatment and survival outcomes of patients with gNET. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Rebecca Platoff, Johanna J. Lou, Kathryn Bush, Clara Zhu, John Gaughan, Young K. Hong Tags: Surgical Oncology Source Type: research

Heated Intraperitoneal Chemotherapy Does Not Increase Risk of Major Complication or Failure to Rescue in Cytoreductive Surgery
Failure to rescue (FTR), or death after major complication, is a quality metric that facilitates outcome comparisons across heterogenous populations. We evaluated FTR after cytoreductive surgery (CRS) with and without hyperthermic intrapertioneal chemotherapy (HIPEC). (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Rebekah Macfie, Da Eun Cha, Elizabeth Gleeson, Yael Berger, Noah Cohen, Umut Sarpel, Benjamin J. Golas, Spiros P. Hiotis, Daniel M. Labow Tags: Surgical Oncology Source Type: research

Hematological Predictors of Long Term Outcomes in Pancreatic Ductal Adenocarcinoma
The prognostic role of systemic inflammatory markers in resectable pancreatic ductal adenocarcinoma (PDAC) has been studied, yet their role in the perioperative period is unclear. We conducted a comprehensive analysis of the prognostic capability of white blood cells (WBCs) and platelets in PDAC in the perioperative period. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Jenny Gong, Kevin Sugumar, Luke Rothermel, Jeffrey M. Hardacre, John B. Ammori, Lee M. Ocuin, Jordan M. Winter Tags: Surgical Oncology Source Type: research

Impact of Delay in Definitive Surgery in Stage 3 Merkel Cell Carcinoma
This study aims to investigate how delayed definitive surgical intervention impacts outcomes in stage 3 MCC. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Seyed S. Pairawan, Kristine Bonnick, Chloe Dominguez, Matthew J. Selleck, David Caba Molina, Naveenraj L. Solomon, Mark E. Reeves, Carlos A. Garberoglio, Jukes P. Namm Tags: Surgical Oncology Source Type: research

LncRNA AP000472.2 Promoting Proliferation, Metastasis and Invasion of Papillary Thyroid Carcinoma by Mediating Activation of TGF- β Signaling Pathway
To investigate the molecular mechanism of lncRNA AP000472.2 promoting proliferation, invasion and metastasis of papillary thyroid carcinoma(PTC). (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Liehao Jiang, Zhuo Tan, Jiafeng Wang, Jiajie Xu, Chuanming Zheng, Minghua Ge Tags: Surgical Oncology Source Type: research

Optimal Management of Clinical T2n0 Gastric Adenocarcinomas: Surgery or Chemotherapy First?
Randomized control trials have demonstrated that locally advanced gastric adenocarcinoma benefits from perioperative chemotherapy (PC) and surgery. Patients with clinical T2N0 (cT2N0) gastric adenocarcinoma were included in these trials, however, the benefit of PC remains unclear due to small number of included patients. The goal of this study was to determine the role and sequencing of chemotherapy for cT2N0 gastric adenocarcinoma undergoing surgical resection. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Elizabeth J. Olecki, Kelly A. Stahl, William G. Wong, Rolfy Perez Holguin, Matthew Edmund B. Dixon, June S. Peng Tags: Surgical Oncology Source Type: research

Perioperative Chemotherapy Is Associated with Increased Risk of Ventral Incisional Hernia in Gastrointestinal Cancer Patients Undergoing Surgical Resection
Factors associated with the development of ventral hernia after surgery are well defined, particularly obesity. It is unknown whether oncologic therapies such as chemotherapy or radiation increase the risk of incisional hernia. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Erica Mastoroudis, Madeline Tierney, Daniel Davenport, Joseph Kim, Prakash Pandalai, John S. Roth, Michael J. Cavnar Tags: Surgical Oncology Source Type: research

Polo-like Kinase 4 Promotes Gastric Cancer Peritoneal Metastasis Through Activation of the Rac1 Gef PREX2
Peritoneal metastasis from gastric adenocarcinoma(GCa) portends a poor prognosis, and symptoms are often resistant to chemotherapy. High Plk4 expression predicts aggressive tumor biology in patients with breast or colorectal cancer. We hypothesize that Plk4 facilitates peritoneal metastasis in GCa by enhancing cancer cell migration and invasion of the peritoneum, signaling via the Rac1 activating Guanine Exchange Factor (GEF) PREX2. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Deanna Ng, Karineh Kazazian, Olga Brashavitskaya, Kiera Lee, Aiman Ali, Karina Pacholczyk, Shelly Luu, Savtaj Brar, Marco Magalhaes, C.A.R.O.L. J.A.N.E. SWALLOW Tags: Surgical Oncology Source Type: research

Postoperative Chemotherapy May Not Be an Optimal Multimodality Treatment Strategy for Patients with Resectable Gastric Adenocarcinoma
Multimodality therapy is the standard of care in majority of patients with non-metastatic gastric adenocarcinoma(GC). Current literature lacks head-to-head comparison between perioperative chemotherapy(PEC), postoperative chemoradiation therapy(POCR), and postoperative chemotherapy(POC). We aim to identify the optimal sequence of adjuvant therapy. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Anthony S. Casabianca, Rachel NeMoyer, Subir Goyal, Phd, Jeffrey M. Switchenko, Yong Lin, Darren R. Carpizo, David A. August, H. Richard Alexander, Mihir M. Shah, Timothy J. Kennedy Tags: Surgical Oncology Source Type: research

Predictors of Recurrence in Non-Metastatic Appendiceal Cancer: A Single Center Experience Over 25 Years
Invasive appendiceal epithelial cancers are rare and encompass a broad set of histology including appendiceal mucinous neoplasms (LAMN), adenocarcinomas (AC), goblet cell adenocarcinomas (GCA) and neuroendocrine neoplasms. We sought to identify prognostic indicators of recurrence in non-metastatic appendiceal ACs and GCAs. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Sebastian Chung, Jinru Shia, Andrea Cercek, Garrett Nash Tags: Surgical Oncology Source Type: research