Sarcopenia influences the kinetic growth rate after ALPPS
Associating liver partition and portal vein ligation for staged hepatectomy induces rapid and effective hypertrophy of the future liver remnant to prevent postoperative liver failure. The aim of this study was to determine cofactors, including sarcopenia, influencing the kinetic growth rate, and subsequently future liver remnant, in terms of safety, complications, and posthepatectomy liver failure. (Source: Surgery)
Source: Surgery - May 21, 2022 Category: Surgery Authors: Tim Reese, Clemens Galavics, Martin Schneider, Roland Br üning, Karl J. Oldhafer Source Type: research

Perioperative optimization with nutritional supplements in patients undergoing gastrointestinal surgery for cancer: A randomized, placebo-controlled feasibility clinical trial
Perioperative nutritional supplementation may improve outcomes. Trials have not investigated the role of combination strategy using different types of nutritional supplements. (Source: Surgery)
Source: Surgery - May 20, 2022 Category: Surgery Authors: Pablo E. Serrano, Sameer Parpia, Marko Simunovic, Emmanuelle Duceppe, Maria Ines Pinto-Sanchez, Mohit Bhandari, Mark Levine Source Type: research

Who ’s to blame for the inadequate lymph node yield?
I learned early in my surgical training that pelvic surgery is an unforgiving sport. My attending surgeon at the time, Dr Michael Porter, aptly described a proctectomy as “operating in a glass jar on something that’s the same size as the jar.” That was almost 20 years ago, and surgery for rectal cancer has certainly improved in the interim, but there is still significant variability in surgical quality and patient outcomes. One well-known and longstanding marke r of surgical quality is lymph node yield (LNY), which has conventionally been tied to the extent of surgical resection and height of vessel ligation. (Source: Surgery)
Source: Surgery - May 20, 2022 Category: Surgery Authors: Sean J. Langenfeld Tags: Invited commentary Source Type: research

Association Between COVID-19 Related Elective Surgery Cancellations and Pediatric Inguinal Hernia Complications: A Nationwide Multicenter Cohort Study
This study aims to determine whether elective surgery cancellations are safe in pediatric inguinal hernia. (Source: Surgery)
Source: Surgery - May 19, 2022 Category: Surgery Authors: Andrew Hu, Audra J. Reiter, Rodrigo Gerardo, Nicholas J. Skertich, Ruth Lewit, Muhammad Ghani, Amanda Witte, Hae-Sung Kang, Holden Richards, Bradley Perry, Yao Tian, Steven C. Mehl, Andres Gonzalez, Nathan M. Novotny, Jeffrey Haynes, Arturo Aranda, Irving Source Type: research

Surgeon specialty does not influence outcomes of hiatal hernia repair
Hiatal hernia repair is commonly performed by both general and thoracic surgeons. The present study examined differences in approach, setting, and outcomes by specialty for hiatal hernia repair. (Source: Surgery)
Source: Surgery - May 18, 2022 Category: Surgery Authors: Joseph Hadaya, Rahul Handa, Russyan Mark Mabeza, Vishal Dobaria, Yas Sanaiha, Peyman Benharash Source Type: research

The intersection of patient outcomes and trainee autonomy
Comment on: Rahman SA, Pickering O, Tucker V, Mercer SJ, Pucher PH. “Outcomes after independent trainee versus consultant-led emergency laparotomy: Inverse propensity score population dataset analysis.” Ann Surg. 2021. (Source: Surgery)
Source: Surgery - May 18, 2022 Category: Surgery Authors: Thomas W. Clements, Bryan A. Cotton Source Type: research

Intraoperative adverse events grading tools and their role in honest and accurate reporting of surgical outcomes
Employing a standardized intraoperative adverse event (iAE) classification grading system,1 Gawaria et  al reported that iAEs occurred during 34% of visceral surgeries and 28% of nonvisceral surgeries. The authors also found that an increasing iAE grade was associated with an increased incidence of postoperative complications and prolonged length of stay.2 We commend the authors for their thoughtful approach to understanding the interplay of iAEs, their timing, and severity. (Source: Surgery)
Source: Surgery - May 18, 2022 Category: Surgery Authors: Giovanni E. Cacciamani Source Type: research

In search of lost time: Delays in adjuvant therapy for pancreatic adenocarcinoma among under-resourced patient populations
This study seeks to identify factors associated with delayed adjuvant chemotherapy and whether delays impact survival in under-resourced populations. (Source: Surgery)
Source: Surgery - May 17, 2022 Category: Surgery Authors: Ahmad Hamad, Mariam F. Eskander, Chengli Shen, Oindrila Bhattacharyya, James L. Fisher, Bridget A. Oppong, Samilia Obeng-Gyasi, Allan Tsung Source Type: research

Perioperative outcomes of pheochromocytoma/paraganglioma surgery preceded by Takotsubo-like cardiomyopathy
Pheochromocytomas and paragangliomas can induce severe cardiovascular manifestations such as Takotsubo-like cardiomyopathy. What the perioperative outcomes are of patients presenting with pheochromocytomas/paragangliomas preceded by Takotsubo-like cardiomyopathy remains an unresolved question. (Source: Surgery)
Source: Surgery - May 16, 2022 Category: Surgery Authors: Élisabeth Hain, Amine Chamakhi, Charlotte Lussey-Lepoutre, Jérôme Bertherat, Christophe Baillard, Gilles Manceau, Louis Puybasset, Jacques Blacher, Bernard Cholley, Anne-Paule Gimenez-Roqueplo, Bertrand Dousset, Laurence Amar, Fabrice Menegaux, Sébast Source Type: research

Demystifying the outcome disparities in carotid revascularization: Utilization of experienced centers
The present study examined race- and insurance-based disparities in utilization of high-volume centers for carotid revascularization. (Source: Surgery)
Source: Surgery - May 14, 2022 Category: Surgery Authors: Russyan Mark Mabeza, Nikhil Chervu, Yas Sanaiha, Joseph Hadaya, Zachary Tran, Christian de Virgilio, Peyman Benharash Source Type: research

Variability in pediatric appendectomy: The association between disposable supply cost and procedure duration
Pediatric appendicitis accounts for a notable proportion of health care use and cost in the United States. To identify opportunities for cost savings during pediatric laparoscopic appendectomy, this study assessed whether surgeons' use of costlier disposable supplies correlated with procedure duration and patient outcomes. (Source: Surgery)
Source: Surgery - May 14, 2022 Category: Surgery Authors: Pooja S. Salvi, Robert A. Cowles, P. Stephen Oh, Daniel G. Solomon Source Type: research

Invited Commentary on “Fragmentation of Practice: The Adverse Effect of Surgeons Moving Around”
Innumerable factors contribute to postoperative outcome. Various patient, physician, health system, and infrastructure-level variables have been shown to influence these outcomes and impact health care cost and delivery.1 However, the level to which surgeon-driven factors, such as procedure-specific case volume across different hospitals, and familiarity with a specific operating room team/hospital system affect outcomes is relatively unknown. While it has been previously shown that outcomes improve with increased case volumes, the potential patient, surgeon, and system-level impact of surgeons operating at multiple hospit...
Source: Surgery - May 14, 2022 Category: Surgery Authors: Emily A. Grimsley, Michael P. Rogers, Paul C. Kuo Source Type: research

Twenty-two –year evolution of a Medical Breast Service: Filling the important gaps between breast surgery and medical oncology
Historically, surgeons have provided subspecialty breast care. The development of a robust medical breast program in a large academic center staffed by trained primary care providers initially showed a shift in care of benign breast disease away from surgeons. In this review, we aim to revisit the practice after 20 years. Medical patients are defined as patients with symptomatic issues (eg, pain or lump), those at increased risk (due to family history, genetic mutations, or benign atypical lesions), or survivors in need of long-term care. (Source: Surgery)
Source: Surgery - May 13, 2022 Category: Surgery Authors: Holly J. Pederson, Ayat ElSherif, Brian Allyn, Stephen R. Grobmyer Source Type: research

Clinical features and postoperative survival in patients with sporadic versus multiple endocrine neoplasia type 1-related pancreatic neuroendocrine tumors: An international cohort study
This study sought to compare clinicopathologic characteristics and outcomes of multiple endocrine neoplasia type 1 –associated and sporadic pancreatic neuroendocrine tumors from a large multi-national database. (Source: Surgery)
Source: Surgery - May 13, 2022 Category: Surgery Authors: John R. Bergquist, Omair A. Shariq, Amy Y. Li, Patrick J. Worth, Nikolaos Chatzizacharias, Zahir Soonawalla, Panagiotis Athanasopoulos, Christos Toumpanakis, Paul Hansen, Rowan W. Parks, Saxon Connor, Kate Parker, Jonathan Koea, Sanket Srinivasa, Benedett Source Type: research

Influence of intraoperative fluid replacement on ampicillin serum levels and surgical site infections
Surgical site infections (SSI) occur despite antimicrobial prophylaxis and increase postoperative morbidity and mortality. This could be caused by an intraoperative decrease in antibiotic serum concentrations such as ampicillin after major abdominal surgery due to blood loss and fluid therapy, which possibly promotes SSI. This hypothesis was tested in the present study. (Source: Surgery)
Source: Surgery - May 12, 2022 Category: Surgery Authors: Irina Staib-Lasarzik, Sophie Lehr, Ann Kristin Rosner, Ralph Timaru-Kast, Katharina Hoeter, Kai Bruns, Daniel Wollschl äger, Stefan Heinrich, Serge C. Thal, Kristin Engelhard Source Type: research