American journal of surgery最新文献_第9页

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

引用次数: 0

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

Use of ethnography/observations in mixed-methodology surgical research: understanding real-world behavior. 民族志/观察在混合方法外科研究中的应用：理解现实世界的行为。

IF 2.7 3区医学

American journal of surgery Pub Date : 2026-02-17 DOI: 10.1016/j.amjsurg.2026.116875

Chandler A Annesi, Wendelyn M Oslock, Alfonsus Adrian H Harsono, Bayley A Jones, Alizeh Abbas, Gianina C Hernandez-Marquez, Daniel I Chu, Michael A Rubyan

引用次数: 0

"I wish I had been more surgeon-like in my approach": A qualitative exploration of breastfeeding in women in surgery. “我希望我的方法更像外科医生”：对手术中女性母乳喂养的定性探索。

IF 2.7 3区医学

American journal of surgery Pub Date : 2026-02-17 DOI: 10.1016/j.amjsurg.2026.116872

M Elise Graham, Kimya Manouchehri, Ashaka Patel, Danielle Vucenovic, Claire A Wilson, Jacob Davidson, Fiona Webster, Jennifer M Shaw, Natashia M Seemann

{"title":"\"I wish I had been more surgeon-like in my approach\": A qualitative exploration of breastfeeding in women in surgery.","authors":"M Elise Graham, Kimya Manouchehri, Ashaka Patel, Danielle Vucenovic, Claire A Wilson, Jacob Davidson, Fiona Webster, Jennifer M Shaw, Natashia M Seemann","doi":"10.1016/j.amjsurg.2026.116872","DOIUrl":"https://doi.org/10.1016/j.amjsurg.2026.116872","url":null,"abstract":"<p><p>Women surgeons encounter unique challenges in breastfeeding and lactation, influenced by early postpartum return to work, limited childcare options, and inadequate institutional supports. This qualitative study examined the infant-feeding experiences of Canadian women surgeons and trainees, with a focus on breastfeeding and pumping. Participants were recruited through social media, and semi-structured interviews explored motivations, barriers, and workplace experiences. Interviews were audio-recorded, transcribed, and analyzed using constructivist grounded theory with iterative open and focused coding to identify common themes. Sixteen participants across five surgical specialties were included. Three themes emerged: strong personal motivations to breastfeed; substantial structural and systemic barriers, including lack of protected time and private space; and pervasive feelings of guilt and judgment related to feeding choices. These findings highlight persistent obstacles to lactation in surgical environments and underscore the need for targeted institutional, policy, and cultural interventions to better support surgeon-mothers in achieving their infant-feeding goals.</p>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":" ","pages":"116872"},"PeriodicalIF":2.7,"publicationDate":"2026-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146256962","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

Surgical trailblazers: Charting the course for first generation students interested in surgery. 外科开拓者：为第一代对外科感兴趣的学生制定课程。

IF 2.7 3区医学

American journal of surgery Pub Date : 2026-02-16 DOI: 10.1016/j.amjsurg.2026.116869

Jalee Birney, Sarah E Adkins, Dylan Vance, Cameron Duello, Lauren Plum, Sarah C Wilson, Heather Minchew, Katelyn Sanner Dixon, German Berbel, Lyndsey J Kilgore

{"title":"Surgical trailblazers: Charting the course for first generation students interested in surgery.","authors":"Jalee Birney, Sarah E Adkins, Dylan Vance, Cameron Duello, Lauren Plum, Sarah C Wilson, Heather Minchew, Katelyn Sanner Dixon, German Berbel, Lyndsey J Kilgore","doi":"10.1016/j.amjsurg.2026.116869","DOIUrl":"https://doi.org/10.1016/j.amjsurg.2026.116869","url":null,"abstract":"<p><strong>Background: </strong>First-generation college and medical students (FGS) have a laborious path to medical school graduation. Without guidance, many FGS face an increased \"distance traveled\" to become surgeons.</p><p><strong>Methods: </strong>During the 2021-2023 academic years, surgical subspecialty events were offered to pre-clinical students. Students were surveyed about first-generation status and their confidence in pursuing a surgical career.</p><p><strong>Results: </strong>Across twenty-two surgical events, 235 students participated, of which 57% (134) identified as FGS with only 3% (4) having previous surgical exposure and 10% (13) reporting initial interest in surgery. Of non-FGS 42% (42) had previous exposure and 66% (66) reported interest in surgery. Following the event, 79% (37) FGS reported confidence in pursuing surgery.</p><p><strong>Conclusions: </strong>These surgical subspecialty events offered many FGS a first exposure to surgery while increasing their confidence to pursue a surgical career. By building strong support networks, medical schools can support FGS as they contribute to the diversity of the surgical field.</p>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":" ","pages":"116869"},"PeriodicalIF":2.7,"publicationDate":"2026-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147300934","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

Artificial intelligence performance in generating colorectal surgery board questions. 人工智能在产生结直肠手术委员会问题中的表现。

IF 2.7 3区医学

American journal of surgery Pub Date : 2026-02-10 DOI: 10.1016/j.amjsurg.2026.116860

Jonathan Zuo, Makenna Marty, Seija Maniskas, Gabriel Akopian, Karen Zaghiyan, Phillip Fleshner, Adam Truong

{"title":"Artificial intelligence performance in generating colorectal surgery board questions.","authors":"Jonathan Zuo, Makenna Marty, Seija Maniskas, Gabriel Akopian, Karen Zaghiyan, Phillip Fleshner, Adam Truong","doi":"10.1016/j.amjsurg.2026.116860","DOIUrl":"https://doi.org/10.1016/j.amjsurg.2026.116860","url":null,"abstract":"<p><strong>Background: </strong>Large language models (LLM) can pass medical licensing and specialty board exams, but their ability to generate high-quality board-style exam questions is uncertain.</p><p><strong>Methods: </strong>Three LLMs each generated 20 colorectal surgery board questions in accordance with American Board of Colon and Rectal Surgery guidelines. Questions from the Colon and Rectal Surgery Educational Program (CARSEP) served as comparators. Board-certified colorectal surgeons, blinded to source, graded each question on clarity, relevance, suitability, distractor quality, and adequacy of rationale, and categorized questions as \"Approved for Committee,\" \"Author to Review,\" or \"Not Accepted.\"</p><p><strong>Results: </strong>CARSEP demonstrated the highest \"Approved for Committee\" rate (65%), compared with ChatGPT-4o (7%), Copilot Pro (10%), and Gemini Advanced (10%). CARSEP significantly outperformed most LLMs across all evaluation domains (p < 0.001), except for question suitability, where most LLM questions received >70% very good to good ratings.</p><p><strong>Conclusions: </strong>Although LLMs demonstrate potential, they are currently unable to consistently generate high-quality, colorectal surgery board-style questions.</p>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":" ","pages":"116860"},"PeriodicalIF":2.7,"publicationDate":"2026-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146200166","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

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