Surgery - An Elsevier Journal

12/16/2024

Potential prognostic factors of early-onset colore**al cancer in patients with obesity

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fans Steven Wexner Paula Ferrada American College of Surgeons SAGES -- The Society of American Gastrointestinal and Endoscopic Surgeons International Society for Fluorescence Guided Surgery - ISFGS

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We read with great interest the study by Pauline Aeschbacher on early-onset colore**al cancer (EOCRC) and its association with obesity and overweight status.1 We commend the authors for their thorough analysis and valuable insights into patients' postoperative outcomes and survival rates with EOCRC....

12/11/2024

GLP-1R agonist promotes proliferation of neuroendocrine neoplasm cells expressing GLP-1 receptors

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fans Steven Wexner Paula Ferrada American College of Surgeons SAGES -- The Society of American Gastrointestinal and Endoscopic Surgeons

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Semaglutide is a glucagon-like peptide 1 (GLP-1) analog that binds to GLP-1 receptors (GLP-1R) on beta-cells and neuronal cells and is used for treating type 2 diabetes and obesity. Insulin-secreting pancreatic neuroendocrine neoplasms have been reported to express high levels of GLP-1R protein, rai...

12/10/2024

Video-based surgical quality assessment of minimally invasive right hemicolectomy by medical students after specific training

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fans Steven Wexner Paula Ferrada American College of Surgeons SAGES -- The Society of American Gastrointestinal and Endoscopic Surgeons

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Recently, a competency assessment tool has been developed within the RIGHT project, a national quality improvement program for minimally invasive right hemicolectomy in patients with colon cancer. This study aimed to evaluate whether trained medical students can reliably evaluate minimally invasive....

12/06/2024

Impact of intraoperative hypotension during laparoscopic liver resection on postoperative complications including acute kidney injury

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fans Steven Wexner Paula Ferrada American College of Surgeons SAGES -- The Society of American Gastrointestinal and Endoscopic Surgeons

Article link: https://www.surgjournal.com/article/S0039-6060(24)00900-0/fulltext

12/03/2024

Expedited discharge and risk of readmission after ostomy construction

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fans Steven Wexner Paula Ferrada American College of Surgeons SAGES -- The Society of American Gastrointestinal and Endoscopic Surgeons

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Expedited discharge after surgery with construction of an ostomy may leave patients less prepared for home self-care, leading to increased hospital readmissions. We evaluated whether readmission rates were greater for patients with an expedited discharge (1–2 days) compared with nonexpedited disc...

12/02/2024

Clinical significance of resection and adjuvant chemotherapy for pancreatic ductal adenocarcinoma with occult para-aortic lymph node metastasis

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fans Steven Wexner Paula Ferrada

Article link: https://www.surgjournal.com/article/S0039-6060(24)00901-2/abstract

11/30/2024

The efficacy of negative-pressure wound therapy (NPWT) in the prevention of surgical site occurrences in open abdominal surgery: A randomized clinical trial

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fans Steven Wexner Paula Ferrada

Article link: https://www.surgjournal.com/article/S0039-6060(24)00896-1/abstract

11/29/2024

Complex blunt traumatic abdominal wall hernias: Experience from a high-volume abdominal core health center

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fans Steven Wexner Paula Ferrada

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Traumatic abdominal wall hernias are rare and commonly involve the lateral abdominal wall due to shearing off the oblique and transversus abdominis muscles from the iliac crest. The vast majority of the current literature focuses on the index trauma admission, includes few patients, and provides lit...

11/28/2024

Comparative analysis of treatment modalities for solitary, small (≤3 cm) hepatocellular carcinoma: A systematic review and network meta-analysis of oncologic outcomes!

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fans Steven Wexner Paula Ferrada

Article link: https://www.surgjournal.com/article/S0039-6060(24)00893-6/fulltext

11/26/2024

Localized hepatocellular carcinoma: Is liver-directed therapy alone as efficacious as surgical resection?
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fans Steven Wexner Paula Ferrada American College of Surgeons SAGES -- The Society of American Gastrointestinal and Endoscopic Surgeons

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Studies of the efficacy of nonsurgical methods of liver-directed therapy (percutaneous microwave or radiofrequency ablation, transarterial bland embolization, chemoembolization, and/or radioembolization) in the treatment of hepatocellular cancer lack contemporaneous comparative surgical cohorts. The...

11/25/2024

Is distal pancreatectomy the optimal surgical procedure for pancreatic neck cancer?



fans Steven Wexner Paula Ferrada

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The optimal resection for pancreatic neck cancer is challenging in clinical practice because we could dissect by pancreaticoduodenectomy or distal pancreatectomy. The purpose of this study was to evaluate the effectiveness of lymph node dissection and to help determine the optimal surgical treatment...

11/13/2024

Competency-based education across the surgery continuum ⤵️🔪👁️💥



fans Steven Wexner Paula Ferrada

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Competency-based medical education (CBME) serves as the foundation for the Accreditation Council for Graduate Medical Education’s (ACGME) model of accreditation. In 1999, the ACGME and American Board of Medical Specialties introduced 6 core competencies necessary for a practicing physician: patien...

11/12/2024

Lessons learned from implementing laparoscopic common bile duct exploration at a safety net hospital

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fans Steven Wexner Paula Ferrada

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11/11/2024

Influence of the rotation of the diverting loop ileostomy in re**al cancer surgery on small-bowel obstruction: A multicenter prospective study conducted by the Clinical Study Group of Osaka University, Colore**al Group

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fans Steven Wexner Paula Ferrada

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Whether rotation of a diverting loop ileostomy during re**al cancer surgery, for reducing the catastrophic effect of an anastomotic leakage, affects the incidence of small-bowel obstruction has not been fully investigated. The purpose of this study is to explore whether technical maneuvers in divert...

11/09/2024

Main versus segmental hepatic artery angioembolization in patients with traumatic liver injuries: A Western Trauma Association multicenter study

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fans Steven Wexner Paula Ferrada

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11/07/2024

Beyond Glasgow Coma Scale: Prehospital prediction of traumatic brain injury 🔪⤵️💥👁️🪢



fans Steven Wexner Paula Ferrada

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Early identification of traumatic brain injury followed by timely, targeted treatment is essential. We aimed to establish the ability of prehospital Glasgow Coma Scale score alone and combined with vital signs to predict hospital-diagnosed traumatic brain injury.

11/05/2024

Effect of erector spinae plane block and thoracic epidural anesthesia on hospital length of stay and postoperative opioid use after mastectomy

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fans Steven Wexner Paula Ferrada

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Adequate postoperative pain control is essential after mastectomy. This study compares the influence of 2 regional analgesia techniques on length of stay and opioid use to systemic analgesia alone.

11/02/2024

Laparoscopic pancreatoduodenectomy is safe for the treatment of pancreatic ductal adenocarcinoma treated by chemoradiotherapy compared with open pancreatoduodenectomy: A matched case-control study

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fans Steven Wexner Paula Ferrada Nicolas Avellaneda International Society for Fluorescence Guided Surgery - ISFGS Lucia Oliveira American College of Surgeons SAGES -- The Society of American Gastrointestinal and Endoscopic Surgeons Luis Felipe Cabrera Vargas

Article link: https://www.surgjournal.com/article/S0039-6060(24)00829-8/abstract