American journal of surgery最新文献_第9页

Socioecological model and designing interventions for surgical patients with non-English preferred language 非英语优先语言外科患者的社会生态模型及干预设计。

IF 2.7 3区医学

American journal of surgery Pub Date : 2026-03-01 Epub Date: 2025-08-28 DOI: 10.1016/j.amjsurg.2025.116597

Jesus Mejia BS , Brittany M. Dacier MD, MPH , Jenny Ventura MD, MPH , Emily E. Witt MD, MSc , Regan W. Bergmark MD, MPH , Gezzer Ortega MD, MPH

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The rise of women in pediatric surgery training: Have we reached equity? 女性在儿科外科培训中的崛起：我们达到平等了吗？

IF 2.7 3区医学

American journal of surgery Pub Date : 2026-03-01 Epub Date: 2025-09-22 DOI: 10.1016/j.amjsurg.2025.116624

Lisa Marie Jackson , James Petrancosta , Nina Kosciuszek , Sophia Liu , Tawny Kim , Erin E. Perrone , Claudia N. Emami , Kristen A. Calabro , Kenneth W. Gow

{"title":"The rise of women in pediatric surgery training: Have we reached equity?","authors":"Lisa Marie Jackson , James Petrancosta , Nina Kosciuszek , Sophia Liu , Tawny Kim , Erin E. Perrone , Claudia N. Emami , Kristen A. Calabro , Kenneth W. Gow","doi":"10.1016/j.amjsurg.2025.116624","DOIUrl":"10.1016/j.amjsurg.2025.116624","url":null,"abstract":"<div><h3>Background</h3><div>Women have long been underrepresented in surgical fields, including pediatric general surgery (PGS), one of the most competitive subspecialties. This study examined trends in gender representation in PGS.</div></div><div><h3>Methods</h3><div>We identified all PGS graduates from U.S. and Canadian programs between 1919 and 2025 using validated sources. Gender was determined, and male-to-female ratios were analyzed by year. National leadership roles were reviewed for their representation of females. Chi-square tests were used to assess statistical significance (p < 0.05).</div></div><div><h3>Results</h3><div>Seventy-nine programs produced 2235 graduates: 1675 (75 %) men and 560 (25 %) women. Female representation increased steadily, with gender parity emerging around 2020. Although women entered leadership roles in PGS earlier than in General Surgery, they still lag behind men in overall leadership representation.</div></div><div><h3>Conclusions</h3><div>PGS has made significant progress toward gender equity in training, with recent parity among graduates. However, leadership remains an area for continued improvement to ensure equitable representation at all levels.</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"253 ","pages":"Article 116624"},"PeriodicalIF":2.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145204927","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}

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Lessons for the surgeon from the early history of the Zollinger Ellison syndrome 从佐林格·埃里森综合征的早期历史给外科医生的教训：第六届亚历山大·沃尔特历史讲座在中西部外科协会第68届年会上提出，威斯康星州德拉万，2025年7月27日。

IF 2.7 3区医学

American journal of surgery Pub Date : 2026-03-01 Epub Date: 2025-10-09 DOI: 10.1016/j.amjsurg.2025.116654

E. Christopher Ellison MD

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The long-lasting effects of redlining: Editorial to the paper “Strong laws aren't enough: Historic Redlining, state firearm laws, and urban firearm violence in the United States” 警戒线的长期影响：《强有力的法律是不够的：历史性的警戒线、州枪支法和美国城市枪支暴力》一文的社论。

IF 2.7 3区医学

American journal of surgery Pub Date : 2026-03-01 Epub Date: 2025-09-12 DOI: 10.1016/j.amjsurg.2025.116611

Denzel R. Woode MD, Andre R. Campbell MD

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The people left behind 留下来的人。

IF 2.7 3区医学

American journal of surgery Pub Date : 2026-03-01 Epub Date: 2025-12-08 DOI: 10.1016/j.amjsurg.2025.116770

Lyen C. Huang MD, MPH, FACS, FASCRS , Kevin D. Helling MD, FACS

引用次数: 0

Consistency of outcomes of studies on rectal cancer from the NCDB and SEER databases: A systematic review NCDB和SEER数据库中直肠癌研究结果的一致性：一项系统综述。

IF 2.7 3区医学

American journal of surgery Pub Date : 2026-02-01 Epub Date: 2025-11-20 DOI: 10.1016/j.amjsurg.2025.116728

Justin Dourado , Matthew Bilotti , Sameh Hany Emile , Anjelli Wignakumar , Cameron Perrone , Spencer Barnes , Nir Horesh , Steven D. Wexner

{"title":"Consistency of outcomes of studies on rectal cancer from the NCDB and SEER databases: A systematic review","authors":"Justin Dourado , Matthew Bilotti , Sameh Hany Emile , Anjelli Wignakumar , Cameron Perrone , Spencer Barnes , Nir Horesh , Steven D. Wexner","doi":"10.1016/j.amjsurg.2025.116728","DOIUrl":"10.1016/j.amjsurg.2025.116728","url":null,"abstract":"<div><h3>Introduction</h3><div>The National Cancer Database (NCDB) and the Surveillance, Epidemiology, and End Results (SEER) Program are major national cancer databases. While widely used, it is unclear if studies from each yield consistent conclusions on similar questions. This study compared findings from NCDB and SEER studies on rectal adenocarcinoma care to assess concordance.</div></div><div><h3>Methods</h3><div>This PRISMA-compliant systematic review included studies evaluating rectal adenocarcinoma care using NCDB or SEER data. The main outcome was concordance or discordance between studies with overlapping topics.</div></div><div><h3>Results</h3><div>Of 310 screened studies, 30 addressed overlapping questions, with nine areas of overlap, and major disagreements in four. SEER studies showed a survival benefit of neoadjuvant radiation therapy (NRT) in mucinous adenocarcinoma, unlike NCDB studies. Other differences involved adjuvant therapy for stage T3N0 and stage II disease, and lymph node yield cutoffs.</div></div><div><h3>Conclusion</h3><div>Most NCDB and SEER study conclusions were consistent, with discrepancies limited to controversial areas.</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"252 ","pages":"Article 116728"},"PeriodicalIF":2.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145676154","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

Dedicated bedside assistance improves operative efficiency in robotic colorectal surgery: A retrospective comparative study 专用床边辅助提高机器人结直肠手术的手术效率：一项回顾性比较研究

IF 2.7 3区医学

American journal of surgery Pub Date : 2026-02-01 Epub Date: 2025-11-28 DOI: 10.1016/j.amjsurg.2025.116760

Mustafa Oruc, Tyler Cross, Salih Karahan, Anna Spivak, Metincan Erkaya, Anuradha Bhama, Scott Steele, Emre Gorgun

{"title":"Dedicated bedside assistance improves operative efficiency in robotic colorectal surgery: A retrospective comparative study","authors":"Mustafa Oruc, Tyler Cross, Salih Karahan, Anna Spivak, Metincan Erkaya, Anuradha Bhama, Scott Steele, Emre Gorgun","doi":"10.1016/j.amjsurg.2025.116760","DOIUrl":"10.1016/j.amjsurg.2025.116760","url":null,"abstract":"<div><h3>Background</h3><div>The effect of dedicated bedside assistance on the outcomes of robotic colorectal surgery has not been clearly established. This study evaluated whether dedicated bedside assistance (DBA) improves the operative efficiency and overall surgical performance.</div></div><div><h3>Method</h3><div>A retrospective analysis was conducted on 148 consecutive robotic proctectomy and sigmoidectomy cases performed by a single expert colorectal surgeon between 2021 and 2024. Cases were compared based on the presence or absence of a dedicated bedside assistant. Both intraoperative metrics and postoperative outcomes were analyzed.</div></div><div><h3>Results</h3><div>The presence of DBA was associated with significantly reduced operation, console, and non-console times in rectal procedures, with efficiency gains observed across most clinical subgroups. Workflow improvements were also observed in sigmoid surgeries despite similar total operative durations.</div></div><div><h3>Conclusion</h3><div>The implementation of a DBA markedly enhances intraoperative efficiency in robotic colorectal surgery. This benefit is most pronounced in technically demanding rectal procedures, where skilled bedside support can significantly streamline workflow and reduce console time.</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"252 ","pages":"Article 116760"},"PeriodicalIF":2.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145681805","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

22-year experience with bariatric revision surgery; What have we learned? 22年的减肥手术经验；我们学到了什么？

IF 2.7 3区医学

American journal of surgery Pub Date : 2026-02-01 Epub Date: 2025-11-19 DOI: 10.1016/j.amjsurg.2025.116738

Natasha A. Sioda , Valerie L. Armstrong , Grace Madura , Marko A. Laitinen , Elisabeth S. Lim , Yu-Hui H. Chang , Kristi Harold , David Pearson , Enrique Elli , Todd Kellogg , James A. Madura

{"title":"22-year experience with bariatric revision surgery; What have we learned?","authors":"Natasha A. Sioda , Valerie L. Armstrong , Grace Madura , Marko A. Laitinen , Elisabeth S. Lim , Yu-Hui H. Chang , Kristi Harold , David Pearson , Enrique Elli , Todd Kellogg , James A. Madura","doi":"10.1016/j.amjsurg.2025.116738","DOIUrl":"10.1016/j.amjsurg.2025.116738","url":null,"abstract":"<div><h3>Background</h3><div>The obesity epidemic has resulted in an accompanied increase in bariatric surgery volumes in the United States. The present study aims to analyze trends and indications for revision of bariatric operations.</div></div><div><h3>Methods</h3><div>A retrospective review of patients who underwent revisional bariatric surgery at a multi-site single institution from 2000 to 2022.</div></div><div><h3>Results</h3><div>901 patients were identified; the primary operations leading to revision was Roux-en-Y gastric bypass (RYGB) (n = 413), gastric banding (n = 276), sleeve gastrectomy (SG) (n = 157), and other (N = 55); with mean follow-up of 2.6 years.</div></div><div><h3>Conclusions</h3><div>Bariatric revisions have varied over time related to the incidence and outcomes of the most popular primary operations. SG has become the most common operation undergoing revision. Weight regain or inadequate weight loss was the most common reason for revision, with majority of patients undergoing revision to RYGB. At our institution, revision to RYGB yielded the most significant improvement in results at most recent follow up.</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"252 ","pages":"Article 116738"},"PeriodicalIF":2.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145616364","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

Strategies to minimize postoperative complications in microsurgical free tissue transfer: The role of anticoagulation, antiplatelets, and ambulation 减少显微外科游离组织移植术后并发症的策略：抗凝、抗血小板和移动的作用

IF 2.7 3区医学

American journal of surgery Pub Date : 2026-02-01 Epub Date: 2025-11-20 DOI: 10.1016/j.amjsurg.2025.116730

Erika T. Shock, Brooke E. Porter, Farrell K. Landwehr, Angela V. Atkinson, Natalie S. Raatz, Kevin M. Klifto, Thomas D. Willson

{"title":"Strategies to minimize postoperative complications in microsurgical free tissue transfer: The role of anticoagulation, antiplatelets, and ambulation","authors":"Erika T. Shock, Brooke E. Porter, Farrell K. Landwehr, Angela V. Atkinson, Natalie S. Raatz, Kevin M. Klifto, Thomas D. Willson","doi":"10.1016/j.amjsurg.2025.116730","DOIUrl":"10.1016/j.amjsurg.2025.116730","url":null,"abstract":"<div><h3>Objective</h3><div>Microsurgical free tissue transfer (FTT) is essential in reconstructive surgery, but thromboembolic events are a leading cause of flap failure. This study evaluates how perioperative anticoagulation, antiplatelet therapy, and ambulation affect postoperative complications in FTT.</div></div><div><h3>Study design</h3><div>A retrospective cohort study of 497 free flap procedures assessed associations between antiplatelet and anticoagulation therapy, ambulation timing, and postoperative outcomes. The cohort included pediatric and adult patients who underwent a free tissue transfer from 2012 to 2021. Multivariable logistic regression identified predictors of flap-related complications.</div></div><div><h3>Results</h3><div>Controlling for age, sex, and nicotine use, ambulation on postoperative day 1 was linked to reduced arterial/venous thrombosis (OR 0.34, p = 0.003) and fewer operating room takebacks (OR 0.56, p = 0.006). Anticoagulation on day 6 increased takeback odds (OR 1.64, p = 0.029). Antiplatelet therapy on day 7 decreased takeback odds (OR 0.65, p = 0.04). Day 7 ambulation lowered odds of any complication (aOR 0.67, p = 0.042).</div></div><div><h3>Conclusions</h3><div>Early mobilization and appropriately timed antithrombotic therapy reduce FTT complications, supporting standardized postoperative care.</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"252 ","pages":"Article 116730"},"PeriodicalIF":2.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145616368","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

U.S. mortality in abdominal surgical emergencies: Comparative analysis of obesity-associated vs overall deaths (1999–2020) 美国腹部外科急诊死亡率：1999-2020年肥胖相关死亡与总体死亡的比较分析

IF 2.7 3区医学

American journal of surgery Pub Date : 2026-02-01 Epub Date: 2025-11-25 DOI: 10.1016/j.amjsurg.2025.116735

Haneen Kamran , Muhammad Umar Bhatti , Sameen Tahira , Umm E. Aimen Minhas , Farah Khan , Muhammad Ahsan Asif , Azeem Khalid , Juaquito Jorge , Kashaf Sherafgan

{"title":"U.S. mortality in abdominal surgical emergencies: Comparative analysis of obesity-associated vs overall deaths (1999–2020)","authors":"Haneen Kamran , Muhammad Umar Bhatti , Sameen Tahira , Umm E. Aimen Minhas , Farah Khan , Muhammad Ahsan Asif , Azeem Khalid , Juaquito Jorge , Kashaf Sherafgan","doi":"10.1016/j.amjsurg.2025.116735","DOIUrl":"10.1016/j.amjsurg.2025.116735","url":null,"abstract":"<div><h3>Background</h3><div>Obesity increases mortality risk in emergency abdominal surgery patients, yet large-scale, population-level analyses remain scarce.</div></div><div><h3>Methods</h3><div>This study analyzed U.S. mortality trends (1999–2020) from the CDC WONDER database, assessing mortality both overall and in obese patients with acute abdominal surgical emergencies (ASE) using ICD-10 codes. Age-adjusted mortality rates (AAMRs) and annual percent changes (APCs) were calculated.</div></div><div><h3>Results</h3><div>Obesity-related ASE AAMR rose significantly from 2.05 to 5.5 per million, with a marked increase post-2018 (APC = 23.42). Mortality was higher in women but increased faster in men in the obesity group in contrast to higher ASE related mortality in males overall. Significant racial disparities were noted, with obesity related ASE mortality highest among non-Hispanic American Indians. Regionally, the South exhibited the steepest mortality increase.</div></div><div><h3>Conclusion</h3><div>Rising trends in obesity-related mortality in abdominal surgical emergencies, showing racial and regional disparities, call for targeted interventions.</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"252 ","pages":"Article 116735"},"PeriodicalIF":2.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145675952","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