American journal of surgery最新文献_第3页

Laparoscopic repair of duodenal descending-horizontal junction perforation: A novel technique. 腹腔镜修复十二指肠下降-水平连接处穿孔：一种新技术。

IF 2.7 3区医学

American journal of surgery Pub Date : 2026-04-15 DOI: 10.1016/j.amjsurg.2026.116997

Han Zou, Hongwei Hou, Bingdong Zhang, Jie Wu, Qinjie Liu, Qingsong Tao

{"title":"Laparoscopic repair of duodenal descending-horizontal junction perforation: A novel technique.","authors":"Han Zou, Hongwei Hou, Bingdong Zhang, Jie Wu, Qinjie Liu, Qingsong Tao","doi":"10.1016/j.amjsurg.2026.116997","DOIUrl":"https://doi.org/10.1016/j.amjsurg.2026.116997","url":null,"abstract":"<p><strong>Background: </strong>Peptic perforations, particularly in the duodenum, are life-threatening. Minimally invasive techniques such as laparoscopy offer recovery benefits but face limitations with complex perforations. Perforations of the descending duodenum (second part) or the descending-horizontal junction present diagnostic and therapeutic challenges due to their retroperitoneal location. Traditional open surgery is traumatic, and existing minimally invasive options have strict criteria.</p><p><strong>Case presentation: </strong>We report a case of a 69-year-old female who sustained a perforation at the junction of the descending and horizontal parts of the duodenum during an endoscopic submucosal dissection (ESD) for a tubulovillous adenoma. A novel laparoscopic trans-mesocolic approach was used for repair. The technique involved dissecting the root of the transverse mesocolon and using the superior mesenteric vein (SMV) as a key landmark to safely expose the perforation site from above the ileocolic vessels. The perforation was successfully repaired with primary suturing. The patient's postoperative recovery was uneventful, and she was discharged without complications.</p><p><strong>Conclusion: </strong>This report describes a novel laparoscopic trans-mesocolic approach for repairing perforations of the descending duodenum or the descending-horizontal junction. By utilizing the SMV as a cranial guide and entering the avascular plane of Toldt's fascia, this technique offers a safe and effective alternative to more extensive surgical exposures, potentially reducing operative trauma. While this initial experience demonstrates its technical feasibility, further studies are warranted to define its indications and benefits.</p>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":" ","pages":"116997"},"PeriodicalIF":2.7,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147760076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Surgeon educators are infrastructure: Governing surgical training at scale. 外科医生教育者是基础设施：大规模管理外科培训。

IF 2.7 3区医学

American journal of surgery Pub Date : 2026-04-14 DOI: 10.1016/j.amjsurg.2026.116988

Hsin-Yi Chiu, Chien-Yu Chen, Po-Li Wei

引用次数: 0

Measuring the impact of simulation-based education: Why we need to rethink. 衡量基于模拟的教育的影响：为什么我们需要重新思考。

IF 2.7 3区医学

American journal of surgery Pub Date : 2026-04-14 DOI: 10.1016/j.amjsurg.2026.116991

Chandra Shekhar Biyani, William James Gladstone Finch, Stephen R Payne, Ken Spearpoint, Dhananjaya Sharma

引用次数: 0

Where surgery ends. 手术结束的地方。

IF 2.7 3区医学

American journal of surgery Pub Date : 2026-04-09 DOI: 10.1016/j.amjsurg.2026.116984

Ugolini Giampaolo, Ghignone Federico, Zattoni Davide

引用次数: 0

Patient-reported outcomes and attitudes in patients at high-risk for breast cancer. 乳腺癌高危患者报告的结果和态度。

IF 2.7 3区医学

American journal of surgery Pub Date : 2026-04-09 DOI: 10.1016/j.amjsurg.2026.116979

Cassidy T Yoshida, Madeline G Higgins, Sarah E Leslie, Jakob A Durden, Monica Adams, Sudheer Vemuru, Hannah Parris, Victoria D Huynh, Jennifer Goode, Annie DeWitt, Ashley Arkema, Nicole Becker, Nicole Davis, Laura J Helmkamp, Sarah E Tevis

{"title":"Patient-reported outcomes and attitudes in patients at high-risk for breast cancer.","authors":"Cassidy T Yoshida, Madeline G Higgins, Sarah E Leslie, Jakob A Durden, Monica Adams, Sudheer Vemuru, Hannah Parris, Victoria D Huynh, Jennifer Goode, Annie DeWitt, Ashley Arkema, Nicole Becker, Nicole Davis, Laura J Helmkamp, Sarah E Tevis","doi":"10.1016/j.amjsurg.2026.116979","DOIUrl":"https://doi.org/10.1016/j.amjsurg.2026.116979","url":null,"abstract":"<p><strong>Background: </strong>Quality of life is assessed using patient-reported outcome measures (PROMs), but is rarely utilized in patients at high risk for breast cancer despite greater distress. We evaluated PROMs in this population.</p><p><strong>Methods: </strong>Participants completed the BREAST-Q, measuring Satisfaction with Breasts (SB), Physical Wellbeing (PhW), Psychosocial Wellbeing (PsyW), and Sexual Wellbeing (SW) from 08/2020-02/2025. Additional questions assessed worry. Responses were compared to published normative controls using descriptive statistics and two-sample t-tests.</p><p><strong>Results: </strong>83 high-risk participants (average age 41 years ± 10) reported significantly higher SB score (p = 0.018) and significantly lower PhW score (p = 0.039). There were no statistically significant differences for PsyW and SW. Most participants reported screenings increased their sense of control over breast cancer risk-reduction.</p><p><strong>Conclusions: </strong>Differences observed in SB and PhW suggest that high-risk screening may positively influence body image but negatively impacts PhW. Further work is needed to elucidate factors leading to these differences.</p>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":" ","pages":"116979"},"PeriodicalIF":2.7,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147759817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Trailblazer or 4(0) years in the wilderness? mentorship is needed for first generation students pursuing surgical careers. 开拓者还是荒野生活4年？第一代从事外科职业的学生需要指导。

IF 2.7 3区医学

American journal of surgery Pub Date : 2026-04-07 DOI: 10.1016/j.amjsurg.2026.116968

Alexandra Chimento, Jessica A Zagory

引用次数: 0

Outcomes of outpatient thyroidectomy for high-risk patients: A single-site retrospective cohort study. 高危患者门诊甲状腺切除术的结局：一项单点回顾性队列研究

IF 2.7 3区医学

American journal of surgery Pub Date : 2026-04-02 DOI: 10.1016/j.amjsurg.2026.116964

Emery Boudreau, Alice Jo, Laura E Newton, Aidan Wright, Pablo Martinez-Camblor, Maria F Bates, Meredith J Sorensen

{"title":"Outcomes of outpatient thyroidectomy for high-risk patients: A single-site retrospective cohort study.","authors":"Emery Boudreau, Alice Jo, Laura E Newton, Aidan Wright, Pablo Martinez-Camblor, Maria F Bates, Meredith J Sorensen","doi":"10.1016/j.amjsurg.2026.116964","DOIUrl":"https://doi.org/10.1016/j.amjsurg.2026.116964","url":null,"abstract":"<p><strong>Background: </strong>While outpatient thyroidectomy is well-studied in healthy patients, data are limited in patients with previously defined relative contraindications including obstructive sleep apnea, anticoagulant or antiplatelet use, substernal goiter, and Graves' disease. This study evaluates safety of outpatient thyroidectomy in high-risk patients compared to low-risk patients at a high-volume endocrine surgery center.</p><p><strong>Study design: </strong>Retrospective cohort.</p><p><strong>Results: </strong>From 2021 to 2025, 513 patients underwent outpatient total thyroidectomy (271 low-risk; 242 high-risk). Complication rates were low and comparable between groups. Hematoma occurred in 1.1% of low-risk versus 0.4% of high-risk patients (p = 0.70). Anticoagulant or antiplatelet therapy (excluding aspirin) was held preoperatively. Transient recurrent laryngeal nerve injury was 4.06% vs 4.56% (p = 0.95); transient hypocalcemia was 15.13% vs 16.6% (p = 0.74). No permanent nerve injuries or permanent hypocalcemia occurred. Adverse 30-day events were also comparable.</p><p><strong>Conclusion: </strong>Outpatient thyroidectomy is safe in patients with some relative contraindications. These findings support expanding outpatient eligibility criteria for high-volume centers.</p>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":" ","pages":"116964"},"PeriodicalIF":2.7,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147653668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Scalpel and salary: Gender pay disparities in academic medicine, 2013-2023. 手术刀与薪酬：2013-2023年学术医学的性别薪酬差异。

IF 2.7 3区医学

American journal of surgery Pub Date : 2026-04-02 DOI: 10.1016/j.amjsurg.2026.116965

Amelia A Trant, Alexa Wolfe, Jessica K Lee

{"title":"Scalpel and salary: Gender pay disparities in academic medicine, 2013-2023.","authors":"Amelia A Trant, Alexa Wolfe, Jessica K Lee","doi":"10.1016/j.amjsurg.2026.116965","DOIUrl":"https://doi.org/10.1016/j.amjsurg.2026.116965","url":null,"abstract":"<p><strong>Objective: </strong>To characterize trends and specialty-specific variation in gender-based salary disparities.</p><p><strong>Design: </strong>Secondary analysis of Association of American Medical Colleges Faculty Salary Reports from 2013 to 2023 using descriptive and nonparametric methods to assess gender distribution, leadership representation, and salary differences across specialties.</p><p><strong>Setting and participants: </strong>The 2013 cohort included 63,463 full-time faculty (34% women); the 2023 cohort included 88,646 faculty (43% women).</p><p><strong>Results: </strong>Pay gaps narrowed between 2013 and 2023 but persisted across specialties and ranks. Women's representation increased across specialties and leadership. Pay gaps varied by specialty, with larger disparities in surgical fields. Median pay gaps were significantly greater in surgical versus non-surgical specialties in 2013 (35.0% vs 21.0%; p = 0.020) and 2023 (32.0%vs 18.4%; p = 0.028). No association was identified between female workforce or leadership representation and pay gaps.</p><p><strong>Conclusions: </strong>Gender pay inequities persist, particularly in surgical specialties, suggesting ongoing structural and specialty-specific drivers.</p>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":" ","pages":"116965"},"PeriodicalIF":2.7,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147697264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Utilizing post-imaging surveys to guide development of photoacoustic computed technology for breast imaging 利用成像后调查指导乳腺成像光声计算机技术的发展

IF 2.7 3区医学

American journal of surgery Pub Date : 2026-04-01 Epub Date: 2026-01-17 DOI: 10.1016/j.amjsurg.2026.116828

Stephanie Delos Santos , Marta Invernizzi , Cindy Liu , Xin Tong , Jodi Rosen , Lihong V. Wang , Lily L. Lai

{"title":"Utilizing post-imaging surveys to guide development of photoacoustic computed technology for breast imaging","authors":"Stephanie Delos Santos , Marta Invernizzi , Cindy Liu , Xin Tong , Jodi Rosen , Lihong V. Wang , Lily L. Lai","doi":"10.1016/j.amjsurg.2026.116828","DOIUrl":"10.1016/j.amjsurg.2026.116828","url":null,"abstract":"<div><h3>Objective</h3><div>Current breast imaging has limitations. Mammography uses radiation and compression; ultrasound depends on user expertise; MRI requires time and intravenous contrast. Development of novel technologies for breast imaging may be improved with patient surveys.</div></div><div><h3>Methods</h3><div>Breast cancer patients scheduled for breast operations or undergoing neoadjuvant therapy were enrolled in studies to evaluate photoacoustic computed tomography (PACT) at a single institution. After each imaging session, the patients were surveyed. The survey included Likert scale, multiple choice, and open-ended questions.</div></div><div><h3>Results</h3><div>Of 49 patients, 86 % completed at least one survey with 42 % completing three. Survey completion took <10 min. Features assessed specific to the imaging technology included water bath, duration, positioning, and environment. Patients overwhelmingly reported ease of PACT over mammography and MRI. Suggestions included better cushioning, improved head support, well-fitting laser safety glasses.</div></div><div><h3>Conclusion</h3><div>Photoacoustic breast imaging is feasible to breast cancer patients. User feedback informs on clinical technology improvement.</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"254 ","pages":"Article 116828"},"PeriodicalIF":2.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146036385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Chinese language patients’ perceptions on thyroid disease and treatment: A qualitative study 汉语患者对甲状腺疾病认知及治疗的定性研究

IF 2.7 3区医学

American journal of surgery Pub Date : 2026-04-01 Epub Date: 2026-01-21 DOI: 10.1016/j.amjsurg.2026.116842

Jasmine Zhang , Janice J. Wong , Terrance Peng , Yifan V. Mao , Elena G. Hughes , Anna M. Sawka , Masha J. Livhits , Michael W. Yeh , James X. Wu

{"title":"Chinese language patients’ perceptions on thyroid disease and treatment: A qualitative study","authors":"Jasmine Zhang , Janice J. Wong , Terrance Peng , Yifan V. Mao , Elena G. Hughes , Anna M. Sawka , Masha J. Livhits , Michael W. Yeh , James X. Wu","doi":"10.1016/j.amjsurg.2026.116842","DOIUrl":"10.1016/j.amjsurg.2026.116842","url":null,"abstract":"<div><h3>Background</h3><div>Chinese language speakers comprise a significant proportion of the United States patient population. This qualitative study seeks to characterize health beliefs among Chinese-speaking patients with thyroid disease to inform culturally competent care.</div></div><div><h3>Methods</h3><div>Thirteen Chinese-speaking patients (mean age 47; 12 female) participated in semi-structured interviews exploring beliefs about thyroid disease and its management.</div></div><div><h3>Results</h3><div>Participants reported limited knowledge of thyroid disease and desired more accessible education. Thyroid disease was viewed as minimally disruptive relative to other diseases or malignancies with family history, environmental exposures, and stress as contributors to development. Experiences with conventional thyroid treatment were marked by logistical and relational challenges. While modern medicine was seen as effective, some perceived it to be overly aggressive and believed Traditional Chinese Medicine (TCM) may have a valuable, complementary role in management.</div></div><div><h3>Conclusions</h3><div>Future research may seek to investigate the integration of TCM and conventional thyroid care to improve therapeutic relationships and health outcomes for Chinese-language patients.</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"254 ","pages":"Article 116842"},"PeriodicalIF":2.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146074921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0