Interhospital Transfer for Emergency General Surgery: An Independent Predictor of Mortality
ConclusionsInterhospital transfers are at higher risk of mortality and undergo procedures/surgeries more frequently than direct admissions. Identification of contributing factors to this increased mortality may identify opportunities for decreasing mortality rate in EGS transfers. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - August 15, 2018 Category: Surgery Source Type: research

Reducing the Impact of Violence on the Health Status of African-Americans: Literature Review and Recommendations from the Society of Black Academic Surgeons
Publication date: Available online 10 August 2018Source: The American Journal of SurgeryAuthor(s): Kimberly Joseph, Patricia Turner, Linda Barry, Carnell Cooper, Omar Danner, Samuel Enumah, JW Awori Hayanga, Iyore James, Bridget Oppong, Courtney Quinn, Ala Stanford, Yalaunda Thomas, W.Lynn Weaver, Mallory Williams, Carlton Young, L.D. Britt (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - August 10, 2018 Category: Surgery Source Type: research

Adjuvant transarterial chemoembolization for patients with hepatocellular carcinoma involving microvascular invasion
ConclusionsA-TACE may improve postoperative outcomes for MVI-HCC patients, especially those with tumor diameter>5 cm or multinodular tumors. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - August 6, 2018 Category: Surgery Source Type: research

The Value of Psychometric Analysis of the Advanced Trauma Life Support Cognitive Test: Outcome of an ACS-Accredited Educational Institute Multisite Study
ConclusionsThis study demonstrates computerized delivery of the ATLS post-test is feasible, promotes psychometric analysis, and could improve the quality of the test. Further collaboration between the ACS COT and ACS AEI would be beneficial. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - August 4, 2018 Category: Surgery Source Type: research

Optimizing adjuvant endocrine therapy for early ER+ breast cancer: an update for surgeons
ConclusionsAn individualised approach is required for every patient. The adverse effects of endocrine therapy should be weighed against the potential benefits of extended therapy to better inform decision-making. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - August 4, 2018 Category: Surgery Source Type: research

A study of the visual symptoms in two-dimensional versus three-dimensional laparoscopy
Publication date: Available online 3 August 2018Source: The American Journal of SurgeryAuthor(s): Michael El Boghdady, Gobinath Ramakrishnan, Afshin AlijaniAbstractAimThere are reports of visual strains and associated symptoms when operating in a 3D laparoscopic environment. We aimed to study the extent of visual symptoms seen in 3D versus conventional 2D imaging in volunteers performing laparoscopic tasks and study the effect of eye exercises on 3D laparoscopy.MethodsTwenty four consented laparoscopic novices were required to undergo a visual acuity test (Snellen chart) and eye deviation test (Maddox Wing). A battery of s...
Source: The American Journal of Surgery - August 4, 2018 Category: Surgery Source Type: research

Proficiency-Based Training and Credentialing Can Improve Patient Outcomes and Decrease Cost to a Hospital System
Publication date: Available online 3 August 2018Source: The American Journal of SurgeryAuthor(s): Vernissia Tam, Jeffrey Borrebach, Stefanie Altieri Dunn, Johanna Bellon, Herbert Zeh, Melissa HoggAbstractBackgroundWhile proficiency-based robotic training has been shown to enhance skill acquisition, no studies have shown that training leads to improved outcomes or quality measures.MethodsBoard-certified general surgeons participated in an optional proficiency-based robotic training curriculum and outcomes from robotic hernia cases were analyzed. Multivariable analysis was performed for operative times to adjust for patient ...
Source: The American Journal of Surgery - August 4, 2018 Category: Surgery Source Type: research

Are We Meeting ACGME Core Competencies? A Systematic Review of Literature on International Surgical Rotations
ConclusionFourteen articles were selected for the review after inclusion and exclusion criteria were applied. We found that ISR provided a valuable educational experience for US surgical residents by meeting the ACGME core competencies in a different environment. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - August 3, 2018 Category: Surgery Source Type: research

Sarcopenia Defined By a Computed Tomography Estimate of the Psoas Muscle Area Does Not Predict Frailty in Geriatric Trauma Patients
ConclusionSarcopenia as an individual marker might not be an effective screening tool for risk assessment in geriatric-trauma patients. Frailty assessment should be a part of risk assessment and prognostication. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - August 3, 2018 Category: Surgery Source Type: research

Scholarly Impact of Student Authorship on Surgical Research
ConclusionsThe number of SA in JACS publications is increasing, without detriment to CA scholarly advancement. Involving students in surgical research should be encouraged. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - August 2, 2018 Category: Surgery Source Type: research

Efficacy of Transversus Abdominis Plane (TAP) Block in Pain Management after Laparoscopic Sleeve Gastrectomy (LSG): A Double-blind Randomized Controlled Trial
Publication date: Available online 1 August 2018Source: The American Journal of SurgeryAuthor(s): Alan A. Saber, Young C. Lee, Arjun Chandrasekaran, Namik Olivia, Armand Asarian, Samir Al-Ayoubi, Robert DiGregorio (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - August 1, 2018 Category: Surgery Source Type: research

The burden of excess length of stay in trauma patients
ConclusionEach extra day spent in the hospital after completion of medical care was associated with higher odds of developing complications. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - August 1, 2018 Category: Surgery Source Type: research

Peers versus Pros: Feedback using standards in simulation training
Publication date: Available online 31 July 2018Source: The American Journal of SurgeryAuthor(s): Wouter M. IJgosse, Bas Kengen, Harry van Goor, Jan-Maarten LuursemaabstractBackgroundCreating and updating expert performance-based standards for simulators is labor intensive and requires the regular availability of expert surgeons. We investigated how peer performance based standards compare to expert performance based standards.MethodsOne hundred medical students took part in a four-session laparoscopic basic skills simulator training course. Performance for the FLS videotrainer tasks were compared between students who recei...
Source: The American Journal of Surgery - August 1, 2018 Category: Surgery Source Type: research

Does Serum Albumin Explain Observed Racial Disparities in Mortality for Cancer Patients Undergoing Esophagectomy?
Publication date: Available online 31 July 2018Source: The American Journal of SurgeryAuthor(s): Michel J. Sabra, Marie Crandall, Carmen Smotherman, Ziad T. AwadAbstractBackgroundAfrican Americans with esophageal cancer have a higher mortality rate than Caucasians. We hypothesized that nutritional status, as reflected by preoperative albumin, might explain these disparities.MethodsThe National Surgical Quality Improvement Program database was queried for patients undergoing esophagectomy for esophageal cancer between 2005-2015. Preoperative albumin was divided into five categories (4.4). Univariate and multivariable regres...
Source: The American Journal of Surgery - July 31, 2018 Category: Surgery Source Type: research

Challenges and controversies in the surgical management of uremic hyperparathyroidism: A systematic review
ConclusionsSignificant controversy still exists regarding indications and timing of surgical management of uHPT. Although the benefits of PTX in the uHPT patient population have been established, there is a significant need for well-designed randomized clinical trials to further clarify existing guidelines and optimize treatment approaches. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - July 27, 2018 Category: Surgery Source Type: research

Advanced age does not increase morbidity after total thyroidectomy. Result of a prospective study
In this study we analyzed the specific risks linked to surgery, hypoparathyroidism and recurrent nerve palsy.Methodsmaterials-methods:Prospective, multicentre trial conducted at 13 hospital sites. The primary endpoint was the percentage of patients with postoperative hypocalcaemia (albumin-corrected serum calcium level
Source: The American Journal of Surgery - July 26, 2018 Category: Surgery Source Type: research

PTSD in civilian populations after hospitalization following traumatic injury: A Comprehensive Review
ConclusionsReported risk factors for PTSD were: prior psychiatric disorder, gunshots, and lack of social support. Most articles use the Posttraumatic Stress Disorder Checklist – Civilian version. Follow-up strategies mainly focus on multidisciplinary intervention protocols, including social workers, behavioral health specialists, and psychiatrists. Finally, gaps in the literature show the need for bilingual/bicultural patient-centered care for elderly, diverse ethnic backgrounds, and insured vs. uninsured patients. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - July 26, 2018 Category: Surgery Source Type: research

Management of Extremity Fasciotomy Sites Prospective Randomized Evaluation of Two Techniques
ConclusionsAggressive attempts at wound closure lead to an increased early closure rate. For wounds that remain open after the first re-operation, a simple shoelace technique is more successful than a wound VAC for achieving same hospital stay skin closure.SummaryPrimary closure of fasciotomy wounds is the optimal outcome for mechanical function and patient satisfaction. This prospective randomized controlled trial suggests primary closure can be achieved at rates better than previously reported in the literature, with a regimented approach to wound evaluation and a simple, cost-effective technique.Graphical abstract (Sour...
Source: The American Journal of Surgery - July 26, 2018 Category: Surgery Source Type: research

Polytrauma independent of therapeutic intervention alters the gastrointestinal microbiome
ConclusionsThe GI microbiome is altered in rats subjected to a polytrauma hemorrhage model at 2 hrs post-injury in the absence of antibiotics or therapeutic interventions. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - July 26, 2018 Category: Surgery Source Type: research

The Relationship of Hospital Market Concentration, Costs, and Quality for Major Surgical Procedures
CONCLUSIONIn less competitive (more concentrated) hospital markets, higher overall risk of failure-to-rescue after complications was accompanied by lower inpatient costs, on average. These data suggest that market controls may be leveraged to influence surgical quality and costs. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - July 26, 2018 Category: Surgery Source Type: research

National Risk Factors for Blunt Cardiac Injury: Hemopneumothorax is the Strongest Predictor
Publication date: Available online 25 July 2018Source: The American Journal of SurgeryAuthor(s): Areg Grigorian, Jeffrey Milliken, Joshua K. Livingston, Dean Spencer, Viktor Gabriel, Sebastian Schubl, Allen Kong, Cristobal Barrios, Victor Joe, Jeffry NahmiasAbstractBackgroundBlunt cardiac injury (BCI) can occur after chest trauma and may be associated with sternal fracture (SF). We hypothesized that injuries demonstrating a higher transmission of force to the thorax, such as thoracic aortic injury (TAI), would have a higher association with BCI.MethodsWe queried the National Trauma Data Bank (NTDB) from 2007-2015 to identi...
Source: The American Journal of Surgery - July 26, 2018 Category: Surgery Source Type: research

A Proficiency-Based Surgical Boot Camp May Not Provide Trainees with a Durable Foundation in Fundamental Surgical Skills
ConclusionsBoot camp style training can rapidly teach fundamental surgical skills to novices; however, skills regress significantly over time with a greater degree of regression seen on more complex skills. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - July 26, 2018 Category: Surgery Source Type: research

2018 ASE Presidential Address You Belong Here
Publication date: Available online 25 July 2018Source: The American Journal of SurgeryAuthor(s): Amalia Cochran (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - July 26, 2018 Category: Surgery Source Type: research

Use of a hybrid-abdominal wound simulated patient in the acs/ase medical student simulation skills curriculum
ConclusionAll students were proficient in the procedure tasks and communication skills and most felt that the course was beneficial. The ACS/ASE Medical Student Simulation-based Surgical Skills Curriculum was successfully integrated into our third year surgical clerkship.SUMMARY SENTENCEThe ACS/ASE Medical Student Simulation-based Surgical Skills Curriculum was developed to provide structured, uniform and consistent learning experiences. We successfully implemented the surgical drain module of the curriculum with third year medical students by incorporating a hybrid-abdominal wound simulated patient. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - July 25, 2018 Category: Surgery Source Type: research

Use of standardized visual aids improves informed consent for appendectomy in children: A randomized control trial
Publication date: Available online 24 July 2018Source: The American Journal of SurgeryAuthor(s): Eric H. Rosenfeld, Monica E. Lopez, Yangyang R. Yu, Caitlin A. Justus, Matthew M. Borges, Rincy C. Mathai, Aleena Karediya, Wei Zhang, Mary L. BrandtAbstractBackgroundObtaining informed consent for surgical procedures is often compromised by patient and family educational background, complexity of the forms, and language barriers. We developed and tested a visual aid in order to improve the informed consent process for families of children with appendicitis.MethodsFamilies were randomized to receive either a standard surgical c...
Source: The American Journal of Surgery - July 25, 2018 Category: Surgery Source Type: research

Challenges and controversies in surgical management of uremic hyperparathyroidism: A systematic review
ConclusionsSignificant controversy still exists regarding indications and timing of surgical management of uHPT. Although the benefits of PTX in the uHPT patient population have been established, there is a significant need for well-designed randomized clinical trials to further clarify existing guidelines and optimize treatment approaches. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - July 25, 2018 Category: Surgery Source Type: research

Assessing the Domino Effect: Female Physician Industry Payments Fall Short, Parallel Gender Inequalities in Medicine
ConclusionGender inequality still exists in medicine, and in industry-physician payments. Industry should increasingly consider engaging women in consultancies, speaking engagements, and research. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - July 25, 2018 Category: Surgery Source Type: research

Enhanced Neonatal Surgical Site Infection Prediction Model Utilizing Statistically and Clinically Significant Variables in Combination with a Machine Learning Algorithm
ConclusionsThe hybrid model had similar predictability as other models with fewer and more clinically relevant variables. Machine-learning algorithms can identify important novel characteristics, which enhance clinical prediction models.SummaryThis study evaluated risk factors associated with neonatal surgical site infection (SSI) utilizing multiple logistic regression and a random forest classifier. Operative time, open surgical technique, and preoperative supplemental nutrition were associated with SSI. A hybrid multiple logistic regression model was developed based on the random forest and clinical knowledge, and predic...
Source: The American Journal of Surgery - July 25, 2018 Category: Surgery Source Type: research

Advanced age does not increase morbidity after total thyroidectomy. Result of a prospective study Authors’ names and affiliations
In this study we analyzed the specific risks linked to surgery, hypoparathyroidism and recurrent nerve palsy.Methodsmaterials-methods:Prospective, multicentre trial conducted at 13 hospital sites. The primary endpoint was the percentage of patients with postoperative hypocalcaemia (albumin-corrected serum calcium level
Source: The American Journal of Surgery - July 25, 2018 Category: Surgery Source Type: research

Perspectives of pregnancy and motherhood among general surgery residents: A qualitative analysis
ConclusionPregnancy is challenging during surgical residency. These findings may inform policy changes to improve retention and recruitment of women trainees who wish to begin families during residency.SummarySurgical residents who go through pregnancy during training face challenges that may negatively impact career satisfaction. This qualitative study of responses to open-ended questions in a national survey of 219 pregnant surgical residents characterizes the experience of childbearing in training. Respondents described the desire for work modifications late in pregnancy due to health concerns and longer maternity leave...
Source: The American Journal of Surgery - July 24, 2018 Category: Surgery Source Type: research

Minimally invasive surgery and stoma-related complications after restorative proctocolectomy for ulcerative colitis. A two-centre comparison with open approach
ConclusionsOverall stoma related complications do not seem to be reduced by minimally-invasive approach itself, but patients might experience less mechanical problems with laparoscopy without conversion. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - July 24, 2018 Category: Surgery Source Type: research

Survival Analysis of Early-Stage Breast Cancer Patients undergoing Axillary Lymph Node Dissection and Sentinel Lymph Node Dissection
ConclusionsSLND is a safe and effective alternative to ALND in BC patients with limited nodal involvement. This study provides additional evidence that the findings of ACOSOG Z0011 are applicable to the larger early-stage BC population. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - July 24, 2018 Category: Surgery Source Type: research

Transient steatosis assessed by magnetic resonance imaging predicts outcome after extended hepatectomy in mice
This study aims to quantify TRAS by magnetic resonance imaging (MRI) after hepatectomy in mice.Materials and MethodsMice (C57BL/6) underwent either extended hepatectomy (EH) or standard hepatectomy (SH). Serial MRI on postoperative days 1-7 was used to compare TRAS and liver remnant growth between groups. Survival was also assessed.ResultsEH was associated with decreased survival and impaired proliferation when compared to SH (p=0.02 and p=0.03). MRI showed increased TRAS 48h after EH compared to SH (11.8±6% vs. 4.3±2%, p
Source: The American Journal of Surgery - July 24, 2018 Category: Surgery Source Type: research

Watchful Waiting Versus Elective Repair for Asymptomatic and Minimally Symptomatic Paraesophageal Hernias: A Cost-effectiveness Analysis
ConclusionThis study shows that WW and ELHR both have benefits in the management of minimally symptomatic paraesophageal hernias. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - July 24, 2018 Category: Surgery Source Type: research

Thyroid Surgery and Obesity: Cohort Study of Surgical Outcomes and Local Specific Complications
ConclusionsObesity is not associated with adverse outcomes in patients undergoing thyroid surgery. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - July 24, 2018 Category: Surgery Source Type: research

First Rib Fracture: A Harbinger of Severe Trauma?
ConclusionsWidespread use of CT scanning has resulted in a 5-fold increase in FRF diagnoses. While vascular injuries are not common, especially when identified on initial CXR, FRFs correlate with morbidity and associated injuries.Short summaryThis retrospective review of patients with blunt chest trauma identified 56 patients with first rib fractures, 20% of which were seen on plain chest radiograph. When a first rib fracture was seen on initial CXR it was associated with increased severity of injury and worse clinical outcomes including need for intubation and length of ICU stay. Patients with first rib fractures had few ...
Source: The American Journal of Surgery - July 24, 2018 Category: Surgery Source Type: research

Significance of bile duct resection for advanced gallbladder cancer without biliary infiltration
CONCLUSIONThe significance of BDR for pT2 or higher advanced GBC without biliary infiltration was equivocal because the patients received no survival benefit by undergoing BDR. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - July 21, 2018 Category: Surgery Source Type: research

Addition of a Scripted Pre-operative Patient Education Module to an Existing ERAS Pathway Further Reduces Length of Stay
ConclusionsScripted patient education modules may shorten length of stays and postoperative complications, even when added to an already existing ERAS bundle, which may translate into significant hospital cost savings. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - July 20, 2018 Category: Surgery Source Type: research

Women are underrepresented as top surgical performers as assessed by case volumes in the State of New York
Publication date: Available online 19 July 2018Source: The American Journal of SurgeryAuthor(s): Maria S. Altieri, Jie Yang, Lisa Bevilacqua, Chencan Zhu, Mark Talamini, Aurora D. PryorAbstractBackgroundData regarding gender disparities in surgeon case volumes across subspecialties is sparse.MethodsThrough the use of the New York SPARCS database, top 25 yearly performers of major surgical procedures were identified for each year from 2000-2014. Gender and academic affiliation was determined.ResultsBreast surgery had the highest number (51.6%) of female top performers by surgical volume. Higher number of female surgeons in ...
Source: The American Journal of Surgery - July 20, 2018 Category: Surgery Source Type: research

Coexistent Thyroid Nodules in Patients with Graves’ disease: What is the Frequency and the Risk of Malignancy?
ConclusionsMost thyroid nodules in patients with GD were incidentally discovered on pathologic exam. A higher rate of malignancy was found in patients with GD and clinically identifiable nodular disease. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - July 20, 2018 Category: Surgery Source Type: research

Are We Taking a Risk With Risk Assessment Tools? Evaluating the Relationship Between NSQIP and the ACS Risk Calculator in Colorectal Surgery
Publication date: Available online 19 July 2018Source: The American Journal of SurgeryAuthor(s): Deborah S. Keller, Jessie W. Ho, Alyssa J. Mercadel, Gerald O. Ogola, Scott R. SteeleAbstractGoalTo evaluate the relationship between the ACS Risk Calculator and NSQIP expected outcomes in elective colorectal resections.MethodsThe 2015 NSQIP morbidity report for elective colorectal procedures at a single institution was evaluated. Risk Calculator(RC) reports were completed for predicted risk. Correlation coefficients were calculated for the general relationship between the tools for complications. Receiver operator characterist...
Source: The American Journal of Surgery - July 20, 2018 Category: Surgery Source Type: research

Optimizing the integration of advanced practitioners in a department of surgery: An operational improvement model
Publication date: Available online 19 July 2018Source: The American Journal of SurgeryAuthor(s): Laura J. Torbeck, Melissa Hockaday, Cecelia Smith, Gary DunningtonAbstractPhysician assistants (PAs) and nurse practitioners (NPs) have established themselves as key members of the healthcare team to supplement practicing physicians in patient care. PAs and NPs are collectively referred to as “advanced providers” (APs) and work not only in primary care but in general surgery and surgical subspecialties. Studies have addressed AP integration into the profession of medicine and have examined cost and efficacy of APs, ...
Source: The American Journal of Surgery - July 20, 2018 Category: Surgery Source Type: research

Utility of liver biopsy in the evaluation of pediatric total parenteral nutrition cholestasis
ConclusionsLiver biopsy in patients with TPN cholestasis was associated with an increase in utilization of ursodeoxycholic acid. The effects of this are not fully understood; however, liver biopsy was not associated with improved patient outcomes such as LOS or mortality.SummaryThe utilization of liver biopsy in the evaluation of TPN cholestasis in neonates is unknown. The only change in management after liver biopsy was an increase in the use of ursodeoxycholic acid; however, did not lead to changes in patient outcomes. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - July 20, 2018 Category: Surgery Source Type: research

Long-term outcomes of laparoscopic versus open gastrectomy for advanced gastric cancer: a large cohort study
Conclusions: This study suggests that LAG with D2 lymphadenectomy may be a feasible and safe procedure for AGC treatment. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - July 20, 2018 Category: Surgery Source Type: research

Complications, Length of Stay, and Cost of Cholecystectomy in Kidney Transplant Recipients
Publication date: Available online 19 July 2018Source: The American Journal of SurgeryAuthor(s): Sandra R. DiBrito, Christine E. Haugen, Courtenay M. Holscher, Israel O. Olorundare, Yewande Alimi, Dorry L. Segev, Jacqueline Garonzik-WangAbstractBackgroundKidney transplant recipients (KTR) are at increased risk of requiring cholecystectomy. Given physiologic impacts of renal replacement and lifelong immunosuppression, cholecystectomy may be riskier in this unique population.MethodsUsing the National Inpatient Sample, we compared 7,318 KTR to 5,341,427 non-transplant recipients following cholecystectomy from 2000-2011, and i...
Source: The American Journal of Surgery - July 20, 2018 Category: Surgery Source Type: research

Racial and Ethnic Disparities in Promotion and Retention of Academic Surgeons
Publication date: Available online 19 July 2018Source: The American Journal of SurgeryAuthor(s): Jonathan S. Abelson, Natalie Z. Wong, Matthew Symer, Gregory Eckenrode, Anthony Watkins, Heather L. YeoAbstractBackgroundRacial/ethnic diversity remains poor in academic surgery. However, no study has quantified differences in the rates of retention and promotion of underrepresented minority (URM) academic surgeons.MethodsThe American Association of Medical Colleges Faculty Roster was used to track all first-time assistant and associate professors appointed between 1/1/2003 and 12/31/2006. Primary endpoints were percent promoti...
Source: The American Journal of Surgery - July 20, 2018 Category: Surgery Source Type: research

Greening the operating room
ConclusionsSurgery has a unique opportunity to transition to more environmentally-friendly operating room strategies, which may help decrease waste and lessen the impact of climate change. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - July 20, 2018 Category: Surgery Source Type: research

Application of 21-gene recurrence score results and ASTRO suitability criteria in breast cancer patients treated with intraoperative radiation therapy (IORT)
CONCLUSIONSASTRO suitability criteria for APBI and RS were useful in making prognostic and therapeutic recommendations for patients considering IORT. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - July 19, 2018 Category: Surgery Source Type: research

Management of hepatocellular carcinoma recurrence after liver transplant is far from perfect
Publication date: August 2018Source: The American Journal of Surgery, Volume 216, Issue 2Author(s): Andrea Mancuso, Alberto Maringhini (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - July 19, 2018 Category: Surgery Source Type: research

Editorial Board
Publication date: August 2018Source: The American Journal of Surgery, Volume 216, Issue 2Author(s): (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - July 19, 2018 Category: Surgery Source Type: research