American Surgeon最新文献_第2页

IF 0.9 4区医学

American Surgeon Pub Date : 2026-06-01 Epub Date: 2025-12-03 DOI: 10.1177/00031348251405546

Lawrence VanDyke, Ryan Mantooth, Carson Stacy, Samantha Robinson, Peter Fischer, Cam Mosley, Heather Beauford, Hanna Jensen

{"title":"Bicycle-Related Trauma Trends in a Region of Expanding Cycling Infrastructure.","authors":"Lawrence VanDyke, Ryan Mantooth, Carson Stacy, Samantha Robinson, Peter Fischer, Cam Mosley, Heather Beauford, Hanna Jensen","doi":"10.1177/00031348251405546","DOIUrl":"10.1177/00031348251405546","url":null,"abstract":"BackgroundCycling has become increasingly popular nationwide, with our region showing a particularly sharp rise. In 2022, 31.6% of residents reported cycling at least 12 days in the past year, compared to 21% nationally. Trail use in the region rose by 36% from 2015 to 2019. As the area's only level II trauma center, we hypothesized a parallel increase in cycling-related trauma admissions.MethodsWe conducted a retrospective cohort study using our institutional trauma registry to identify bicycle-related hospitalizations from 2014 to 2022. Annual trends in injury incidence, demographics, severity, and hospital length of stay were analyzed and compared with existing regional trail usage data (2015-2019) and crash reports from the State Police (2015-2021). Descriptive statistics and unadjusted analyses were performed.ResultsA total of 191 patients were hospitalized for bicycle-related trauma (1.9% of all trauma admissions); over 41% required intensive care unit/operating room admission. The mean Injury Severity Score was 11.9 (SD = 8.3), and head trauma was the most common injury (mean head abbreviated injury scale 2.6; SD = 1.1). The cohort was 82% male, with a mean age of 44.8 (SD = 18.0) years. No significant annual increase in bicycle-related hospitalizations, injury severity, or reported crashes from police data was observed despite greatly increased bicycle usage.ConclusionDespite rising cycling activity, bicycle-related hospitalizations and crashes did not increase. This may reflect the protective impact of expanded cycling infrastructure. As most severe or fatal bicycle injuries occur on urban roadways, the regional emphasis on dedicated cycling infrastructure may play a protective role in reducing trauma incidence.","PeriodicalId":7782,"journal":{"name":"American Surgeon","volume":" ","pages":"1630-1636"},"PeriodicalIF":0.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145666724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Renal Insufficiency After Colectomy for Colon Cancer. 结肠癌结肠切除术后肾功能不全。

IF 0.9 4区医学

American Surgeon Pub Date : 2026-06-01 Epub Date: 2025-12-04 DOI: 10.1177/00031348251397304

Robert J Plummer, Jana K Elsawwah, Doo Y Park, Joseph S Flanagan, Patricia B Stopper, Rolando H Rolandelli, Zoltan H Nemeth

{"title":"Renal Insufficiency After Colectomy for Colon Cancer.","authors":"Robert J Plummer, Jana K Elsawwah, Doo Y Park, Joseph S Flanagan, Patricia B Stopper, Rolando H Rolandelli, Zoltan H Nemeth","doi":"10.1177/00031348251397304","DOIUrl":"10.1177/00031348251397304","url":null,"abstract":"BackgroundRenal insufficiency (RI) is highly prevalent among cancer patients and is linked to increased mortality. Comorbid conditions, drug-induced nephrotoxicity, and medication side effects, such as dehydration from vomiting, may affect kidney function. Hence, a better understanding of factors related to postoperative RI in patients undergoing colectomies for colon cancer can help identify strategies to enhance patient outcomes.MethodsWe analyzed the 2022 American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP)-Targeted Colectomy database to identify patients undergoing colectomies for colon cancer. We excluded those with preoperative renal failure, those who received a stoma, or those who experienced postoperative anastomotic leaks to ensure the validity of this study. A total of 535 patients were identified as having postoperative RI (Post-op RI Group), while 11,794 patients were identified as not having postoperative RI (Control Group).ResultsMultivariate logistic regression indicated that preoperative factors such as congestive heart failure (Odds Ratio (OR) = 3.3217; P < .001), hypertension (OR = 2.4416; P < .001), and chemotherapy within 90 days before surgery (OR = 1.7154; P < .001) were independently associated with increased odds of postoperative RI. Postoperative RI was independently associated with increased odds of mortality (OR = 5.3119; P < .001).ConclusionPostoperative RI is associated with morbidity in patients with colon cancer. Identification of patient characteristics, such as preoperative chemotherapy use and comorbidities, that may contribute to RI can be utilized in the management of patients. Closer preoperative monitoring of renal function and urine output, and fluid management in these patients may reduce the risk of kidney injury.","PeriodicalId":7782,"journal":{"name":"American Surgeon","volume":" ","pages":"1714-1720"},"PeriodicalIF":0.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145675908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Outcomes of Colorectal Resections in Renal Transplant Patients: A Systematic Review and Meta-Analysis. 肾移植患者结肠直肠切除术的结果：一项系统回顾和荟萃分析。

IF 0.9 4区医学

American Surgeon Pub Date : 2026-06-01 Epub Date: 2025-12-23 DOI: 10.1177/00031348251403589

Mohammed Elfaki, Benjamin M Mac Curtain, Josh Bruinsma, Avinash Deshwal, Nicholas A Clausen, Wanyang Qian, Aaron O'Mahony, Hugo C Temperley, Gavin Calpin, Patrick Tan, Zi Qin Ng

{"title":"Outcomes of Colorectal Resections in Renal Transplant Patients: A Systematic Review and Meta-Analysis.","authors":"Mohammed Elfaki, Benjamin M Mac Curtain, Josh Bruinsma, Avinash Deshwal, Nicholas A Clausen, Wanyang Qian, Aaron O'Mahony, Hugo C Temperley, Gavin Calpin, Patrick Tan, Zi Qin Ng","doi":"10.1177/00031348251403589","DOIUrl":"10.1177/00031348251403589","url":null,"abstract":"BackgroundRenal transplant recipients are an increasingly encountered patient cohort due to improving long-term survival. They are also a vulnerable and often comorbid population with unique challenges presented by immunosuppression regimens. Colorectal resections are a critical intervention for a wide range of pathologies, and outcomes of the same in this cohort are poorly consolidated. The primary objective of this systematic review and meta-analysis is to comprehensively evaluate outcomes of colorectal resections in renal transplant recipients, with a specific focus on survival following surgery, alongside other morbidity and stoma related complications.MethodsOur search was conducted in line with the most recent Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) recommendations. An electronic search was conducted of the PubMed, EMBASE, and Cochrane Central Register of Controlled Trials databases up to August 2024.ResultsIn total, 11388 renal transplant recipients were included in this review, across 13 studies. Of these, 4,121 patients underwent a colorectal resection, the most common indications for resection were malignancy and diverticulitis, with an overall pooled mortality rate of 8% (95% CI: 3 to 15%). The pooled stoma formation rate was 62% (95% CI: 38 to 83%) and the pooled stoma reversal rate was 31% (95% CI: 22 to 40%). Sepsis/intra-abdominal infection and ST elevation myocardial infarction (STEMI) were the most common causes of morbidity/mortality within 90 days.ConclusionsThe morbidity and mortality considerations regarding renal transplant patients undergoing colorectal resections are significant. The management of these patients requires early involvement of multidisciplinary teams to consider optimization of underlying comorbidities, alteration of immunosuppressive regimens and addressing any postoperative complications that are unique to this cohort of patients.","PeriodicalId":7782,"journal":{"name":"American Surgeon","volume":" ","pages":"1707-1713"},"PeriodicalIF":0.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145809283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

The Operation that Saved a Future King: Henry V from Shrewsbury to Agincourt. 拯救未来国王的行动：亨利五世从什鲁斯伯里到阿金库尔。

IF 0.9 4区医学

American Surgeon Pub Date : 2026-06-01 Epub Date: 2025-10-07 DOI: 10.1177/00031348251385445

Don K Nakayama

{"title":"The Operation that Saved a Future King: Henry V from Shrewsbury to Agincourt.","authors":"Don K Nakayama","doi":"10.1177/00031348251385445","DOIUrl":"10.1177/00031348251385445","url":null,"abstract":"As Prince of Wales, Henry V (1386-1422, r. 1413-1422) was struck in the face by an archer's arrow during the Battle of Shrewsbury (1403), the decisive clash that secured his father Henry IV's hold on the English throne. Just sixteen and commanding the rear division, the young prince yanked the shaft from his cheek and fought on, despite a bodkin-point arrowhead lodged six inches deep below his eye. His bravery helped turn the tide of battle and reinforced the legitimacy of the new Lancastrian dynasty.The retained arrowhead, imbedded in bone in the prince's head, threatened his life from deep infection. A call went out for John Bradmore, royal surgeon, whose skill had earned Henry IV's trust in 1399 after saving a household official who had disemboweled himself in an attempted suicide. The surgeon met the wounded prince at Kenilworth Castle. A skilled metalsmith, Bradmore devised specialized forceps with serrated tips and a screw mechanism to grip and remove the embedded arrowhead.Henry survived and healed, the only remnant of his injury a facial scar. He would go on to become the hero of Agincourt (1415) and England's most celebrated warrior-king, his legacy immortalized by Shakespeare and the paragon of kingly valor.","PeriodicalId":7782,"journal":{"name":"American Surgeon","volume":" ","pages":"1858-1861"},"PeriodicalIF":0.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145243583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Efficacy of Short- vs Long-Course Antibiotics in Treatment of Hinchey Stage 3 and 4 Diverticulitis. 短期与长期抗生素治疗Hinchey期3、4期憩室炎的疗效比较。

IF 0.9 4区医学

American Surgeon Pub Date : 2026-06-01 Epub Date: 2026-01-02 DOI: 10.1177/00031348251409742

Abanoub A Awad, Maria E Linnaus, Isaac L Theerman, Theodore Yang, Justin M York, Daniel Stephens, Irving A Jorge, Michelle S Junker, Francisco J Cardenas Lara, Jennifer R Rich, Kirstin J Kooda, Jason Beckermann

{"title":"Efficacy of Short- vs Long-Course Antibiotics in Treatment of Hinchey Stage 3 and 4 Diverticulitis.","authors":"Abanoub A Awad, Maria E Linnaus, Isaac L Theerman, Theodore Yang, Justin M York, Daniel Stephens, Irving A Jorge, Michelle S Junker, Francisco J Cardenas Lara, Jennifer R Rich, Kirstin J Kooda, Jason Beckermann","doi":"10.1177/00031348251409742","DOIUrl":"10.1177/00031348251409742","url":null,"abstract":"BackgroundThis study aimed to evaluate outcomes of different antibiotic durations in patients with severe diverticulitis.MethodsInitial electronic medical record review identified 2437 adult patients who underwent sigmoid colectomy. Manual chart review identified 133 patients who underwent sigmoid resection and proximal diversion for Hinchey stage 3 or 4 diverticulitis. Patients who received a short antibiotic course (SAC, ≤5 days) were compared with those who received a long antibiotic course (LAC, >5 days). The primary composite outcome included superficial, incisional, organ-space infections or death within 30 days post procedure.ResultsA total of 53 SAC patients and 55 LAC patients were identified. The composite outcome occurred more frequently in LAC patients than in SAC patients (40% vs 15%; P = .005). Organ-space infection occurred more frequently in LAC patients than in SAC patients (31% vs 13%; P = .04).ConclusionsExtended duration of antibiotics after adequate source control does not improve outcomes even in the setting of extensive intra-abdominal contamination.","PeriodicalId":7782,"journal":{"name":"American Surgeon","volume":" ","pages":"1701-1706"},"PeriodicalIF":0.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145888791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Can Bilateral Reduction Mammoplasty Be Safely Performed in Breast Cancer Patients With Macromastia? 双侧缩乳成形术对巨乳症乳腺癌患者是否安全？

IF 0.9 4区医学

American Surgeon Pub Date : 2026-06-01 Epub Date: 2025-12-27 DOI: 10.1177/00031348251413533

Mehmet Furkan Sağdıç, Mahmut Onur Kültüroğlu, Emre Tunç, Ferit Aydın, Lütfi Doğan

{"title":"Can Bilateral Reduction Mammoplasty Be Safely Performed in Breast Cancer Patients With Macromastia?","authors":"Mehmet Furkan Sağdıç, Mahmut Onur Kültüroğlu, Emre Tunç, Ferit Aydın, Lütfi Doğan","doi":"10.1177/00031348251413533","DOIUrl":"10.1177/00031348251413533","url":null,"abstract":"BackgroundIn early-stage breast cancer patients with macromastia, radiotherapy following standard breast-conserving surgery may pose planning challenges due to large breast volume. Bilateral reduction mammoplasty (BRM) facilitates wider resections while improving radiotherapy planning and enhancing cosmetic symmetry.MethodsWe evaluated 30 patients undergoing BRM at the Surgical Oncology Clinic of Ankara Etlik City Hospital between October 2022 and May 2025. All patients received oncoplastic tumor resection on the malignant breast and contralateral reduction mammoplasty for symmetrization. We classified early postoperative complications as major or minor and examined outcomes in both malignant and reduction-only breast surgeries. We assessed patient satisfaction using the BREAST-Q questionnaire.ResultsPatients' median age was 52 years. Major complications were identified exclusively on the malignant side (10%). In three patients, reoperation and revision were performed due to major complications of the malignant breast, whereas no reoperation was required on the breast that underwent reduction alone. Minor complications were managed in the outpatient clinic. There was no delay in adjuvant treatment due to complications in any patient. Median BREAST-Q scores were as follows: 79 (range: 48-100) for psychosocial well-being, 82 (range: 45-100) for satisfaction with breasts, 100 (range: 61-100) for satisfaction with the medical team, and 91 (range: 62-100) for satisfaction with information.ConclusionBilateral reduction mammoplasty appears to be an oncologically safe and surgically feasible alternative for breast cancer patients with macromastia. The observed complication rates were within acceptable limits, and contralateral symmetrization did not result in any additional surgical burden for the patient.","PeriodicalId":7782,"journal":{"name":"American Surgeon","volume":" ","pages":"1783-1789"},"PeriodicalIF":0.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145846503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Surgery Versus Bisphosphonates for Osteoporosis in Primary Hyperparathyroidism: Evaluating Treatment Outcomes. 手术与双膦酸盐治疗原发性甲状旁腺功能亢进骨质疏松症：评估治疗结果。

IF 0.9 4区医学

American Surgeon Pub Date : 2026-06-01 Epub Date: 2025-12-24 DOI: 10.1177/00031348251412269

Niranjna Swaminathan, Peter J Abraham, Raj Roy, Andrea Gillis, Sophie Dream, Brenessa Lindeman, Herbert Chen

{"title":"Surgery Versus Bisphosphonates for Osteoporosis in Primary Hyperparathyroidism: Evaluating Treatment Outcomes.","authors":"Niranjna Swaminathan, Peter J Abraham, Raj Roy, Andrea Gillis, Sophie Dream, Brenessa Lindeman, Herbert Chen","doi":"10.1177/00031348251412269","DOIUrl":"10.1177/00031348251412269","url":null,"abstract":"IntroductionOsteoporosis is the most common cause of bone fracture among elderly patients in the United States. Although most instances of osteoporosis are due to demographic risk factors, some patients develop osteoporosis secondary to primary hyperparathyroidism (PHPT). The definitive treatment for these osteoporotic PHPT patients is parathyroidectomy. However, many providers initiate medical treatment with bisphosphonates prior to endocrine surgical referral. This study compares combined medical and surgical therapy against surgical therapy alone for PHPT patients with concomitant osteoporosis.MethodsAn institutional database of patients who underwent surgery for PHPT from October 2016 through July 2023 was reviewed. Anyone with a diagnosis of osteoporosis, osteopenia, or with a DEXA diagnostic of the above were included. Patients were separated into 2 groups based on the administration of bisphosphonates prior to their operation. Outcomes including 6-month cure rates, complication rates, and postoperative bone density scores were compared across groups.ResultsAmong 1055 patients undergoing parathyroidectomy, 138 (13.1%) had osteopenia or osteoporosis. Eighty-one patients (58.7%) received bisphosphonates prior to surgery. There were no significant differences between groups in baseline characteristics or in clinical outcomes, including fracture history, 6-month biochemical cure among patients with available follow-up (n = 53), recurrence, or postoperative hypocalcemia (all P > 0.05). Bone density improvement or stabilization following parathyroidectomy did not differ between groups.ConclusionsIn patients with PHPT and osteoporosis who proceed to timely parathyroidectomy, preoperative bisphosphonate therapy does not appear to provide additional benefit. These findings support direct referral for surgical evaluation without routine initiation of bisphosphonates before definitive surgical treatment.","PeriodicalId":7782,"journal":{"name":"American Surgeon","volume":" ","pages":"1819-1825"},"PeriodicalIF":0.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145817443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Preoperative Prediction of Hiatal Hernia Based on the American Foregut Society (AFS) Endoscopic Classification in Bariatric Surgery. 基于美国前肠学会（AFS）内镜分类的减肥手术裂孔疝术前预测。

IF 0.9 4区医学

American Surgeon Pub Date : 2026-06-01 Epub Date: 2026-02-20 DOI: 10.1177/00031348261429414

Muhammed Said Dalkılıç, Mehmet Gençtürk, Merih Yılmaz, Abdullah Şişik

引用次数: 0

Simple Postoperative Markers for Early Identification of Low-Risk Patients After Gastric or Colorectal Cancer Surgery: A Retrospective Cohort Study. 胃癌或结直肠癌术后早期识别低危患者的简单术后标志物：一项回顾性队列研究

IF 0.9 4区医学

American Surgeon Pub Date : 2026-06-01 Epub Date: 2025-11-27 DOI: 10.1177/00031348251405539

Duchen Li, Xuezheng Jiang, Xianpu Zhu, Hongyuan Chen, Xiaoqiao Zhang

{"title":"Simple Postoperative Markers for Early Identification of Low-Risk Patients After Gastric or Colorectal Cancer Surgery: A Retrospective Cohort Study.","authors":"Duchen Li, Xuezheng Jiang, Xianpu Zhu, Hongyuan Chen, Xiaoqiao Zhang","doi":"10.1177/00031348251405539","DOIUrl":"10.1177/00031348251405539","url":null,"abstract":"BackgroundEarly identification of low-risk patients after curative gastric or colorectal surgery can enable safe, timely discharge. We evaluated two routinely available postoperative markers-serum prealbumin (PA) and lymphocyte percentage (L%)-as a simple rule-out strategy.MethodsThis is a single-center retrospective cohort study with a temporal external validation set. Prealbumin (mg/dL) and L% (%) were measured on postoperative day (POD)1/3/5. We prespecified a high-sensitivity threshold (sensitivity ≥90%) in the training cohort and assessed its performance in the validation cohort. Multivariable logistic models were fitted at POD3 and POD5.ResultsPostoperative day 1 L% showed limited discrimination; analyses focused on POD3/5. At both time points, PA and L% were independent protective predictors, with no effect modification by tumor site. Slim (PA + L%) and Full models had similar discrimination; both were well calibrated, and decision-curve analysis indicated clear net benefit over default strategies. Under the fixed high-sensitivity approach, the POD3 Slim model maintained high sensitivity and NPV with moderate specificity.ConclusionsBy POD3, combining PA and L% provides a low-cost, readily deployable, rule-out-oriented approach that supports safe early discharge within structured postoperative pathways. Multicenter prospective validation and impact studies are warranted.","PeriodicalId":7782,"journal":{"name":"American Surgeon","volume":" ","pages":"1730-1739"},"PeriodicalIF":0.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145627611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Publish or Perish: Rethinking Productivity in Academic Surgery. 出版或灭亡：重新思考学术外科的生产力。

IF 0.9 4区医学

American Surgeon Pub Date : 2026-06-01 Epub Date: 2025-12-27 DOI: 10.1177/00031348251412260

Dimitrios Moris, Ioannis A Ziogas, Alexander Toledo, Paulo N Martins, Emmanouil Giorgakis

{"title":"Publish or Perish: Rethinking Productivity in Academic Surgery.","authors":"Dimitrios Moris, Ioannis A Ziogas, Alexander Toledo, Paulo N Martins, Emmanouil Giorgakis","doi":"10.1177/00031348251412260","DOIUrl":"10.1177/00031348251412260","url":null,"abstract":"The maxim \"publish or perish\" has become both the mantra and the malaise of modern academic surgery. While publication remains essential to scientific progress, the increasing reliance on quantitative metrics-publication counts, impact factors, and citation indices-has altered how excellence is defined, rewarded, and sustained. This commentary examines the widening gap between impactful productivity and metric-driven academic survival, distinguishing surgeon-scientists whose prolific scholarship arises from creativity, intellectual clarity, and disciplined efficiency from those who simply optimize institutional expectations. We argue for an ethic of differentiated excellence, in which departments recognize varied modes of academic contribution, protect gifted outliers from bureaucratic containment, and cultivate environments that transform exceptional talent into institutional capital. Ultimately, academic success in surgery should not be measured by volume alone, but by the depth, authenticity, and translational power of scholarly work that advances science, improves care, and shapes future generations of surgeons.","PeriodicalId":7782,"journal":{"name":"American Surgeon","volume":" ","pages":"1627-1629"},"PeriodicalIF":0.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145846498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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