Colorectal Surgery
SURGICAL CLINICS OF NORTH AMERICA (Source: Surgical Clinics of North America)
Source: Surgical Clinics of North America - April 26, 2024 Category: Surgery Authors: Quinton M. Hatch Source Type: research
Copyright
ELSEVIER (Source: Surgical Clinics of North America)
Source: Surgical Clinics of North America - April 26, 2024 Category: Surgery Source Type: research
Contributors
RONALD F. MARTIN, MD, FACS (Source: Surgical Clinics of North America)
Source: Surgical Clinics of North America - April 26, 2024 Category: Surgery Source Type: research
Contents
Ronald F. Martin (Source: Surgical Clinics of North America)
Source: Surgical Clinics of North America - April 26, 2024 Category: Surgery Source Type: research
Forthcoming Issues
Endocrine Surgery (Source: Surgical Clinics of North America)
Source: Surgical Clinics of North America - April 26, 2024 Category: Surgery Source Type: research
Gallbladder Cancer
Gallbladder cancer is the most common biliary tract malignancy, often detected incidentally post-cholecystectomy or at an advanced stage, historically linked to a poor prognosis. Advances in minimally invasive surgery and systemic therapies have improved outcomes. Global incidence varies, with risk factors including gender, age, gallbladder disease history, and polyp size influencing malignancy risks. Management involves cross-sectional imaging, staging laparoscopy in select cases, and radical cholecystectomy with lymphadenectomy and adjuvant therapy, though its use is limited. Trials are ongoing assessing the role of neoa...
Source: Surgical Clinics of North America - April 24, 2024 Category: Surgery Authors: Giacomo C. Waller, Umut Sarpel Source Type: research
Pancreas Cyst Diagnosis and Advances in Cyst Fluid Analysis
Pancreatic Cystic Neoplasms (PCN) represent a diverse group of tumors, some of which may progress to pancreatic cancer. Considering their high prevalence in the general population, the development of reliable biomarkers is crucial. The ideal biomarker will accurately diagnose the subtype of PCN and assess the risk of high-grade dysplasia or invasive cancer. Cyst fluid analysis has emerged as a promising approach to accomplish this goal, yet no single marker has yet gained unanimous support for routine inclusion in PCN evaluation. (Source: Surgical Clinics of North America)
Source: Surgical Clinics of North America - April 23, 2024 Category: Surgery Authors: Tommaso Pollini, Letizia Todeschini, Ajay V. Maker Source Type: research
Palliative Interventions and Best Supportive Care in Biliary Malignancy
Biliary malignancy is rare, often carries poor prognosis, and most patients are not resection candidates at diagnosis. There are a variety of endoscopic, percutaneous, and systemic treatments that are used to address the symptoms and complications of biliary malignancy. Additionally, best supportive care and palliative care should be incorporated into care plans early on in a patient ’s course. It is important for all physicians to be equipped to have conversations regarding overall prognosis, general expectations, and goals of care to determine a care plan individualized for each patient. (Source: Surgical Clinics of North America)
Source: Surgical Clinics of North America - April 23, 2024 Category: Surgery Authors: Christine Chung, Lauren Wancata Source Type: research
Management of the Difficult Gallbladder
Cholecystectomies are very common in general surgery practice. A small percentage of these will present with factors that pose operative difficulty. The surgeon should have a high index of suspicion based on preoperative factors of patients that may present an operative challenge and have necessary equipment available and the surgical skill to provide the best surgical outcome for the patient if a total cholecystectomy is unable to be performed. (Source: Surgical Clinics of North America)
Source: Surgical Clinics of North America - April 23, 2024 Category: Surgery Authors: Jason Murry, Hugh Babineau Source Type: research
Advances in Management of Nonfunctional Pancreas Neuroendocrine Tumors
This article presents updates in the surgical management of non-functional sporadic pancreas neuroendocrine tumors NET, including considerations for assessment of biologic behavior to support decision-making, indications for surgery, and surgical approaches tailored to the unique nature of neuroendocrine tumors. (Source: Surgical Clinics of North America)
Source: Surgical Clinics of North America - April 23, 2024 Category: Surgery Authors: Alexandra W. Acher, Julie Hallet Source Type: research
Locally Advanced Pancreas Cancer, Is There a Role for Surgery?
Locally advanced pancreatic cancer (LAPC) represents a unique clinical scenario in which the tumor is considered localized but unresectable due to anatomic factors. Despite a consensus against upfront surgery, no standard approach to induction therapy exists for patients with LAPC. Extended systemic therapy has shown promise in establishing tumor response and remains the standard of care. While associated with improved local control, the timing and role of radiation therapy remain in question. Following adequate response to induction chemotherapy, a safe attempt at margin-negative resection can be considered. Special atten...
Source: Surgical Clinics of North America - April 16, 2024 Category: Surgery Authors: Brittany C. Fields, Ching-Wei D. Tzeng Source Type: research
Health Care Disparities in Endocrine Surgical Disorders
While there has been great progress in the past few decades in the management of endocrine surgery disorders, with adoption of new technologies and approaches, standardization of practice patterns, and guideline recommendations, unequal implementation of these improvement has led to differences in access and outcomes. Health disparities are well documented in this population; however, literature lacks discussion of strategies to decrease disparities. In this article, the authors will describe the current status of health care-related disparities in endocrine surgical care, and discuss opportunities for future investigation...
Source: Surgical Clinics of North America - April 10, 2024 Category: Surgery Authors: Adriana Ramirez, Fiemu Nwariaku, Tricia Moo-Young, Jessica Liu McMullin Source Type: research
Pancreatic Cancer Screening among High-risk Individuals
Pancreatic ductal adenocarcinoma (PDAC) continues to remain one of the leading causes of cancer-related death. Unlike other malignancies where universal screening is recommended, the same cannot be said for PDAC. The purpose of this study is to review which patients are at high risk of developing PDAC and therefore candidates for screening, methods/frequency of screening, and risk for these groups of patients. (Source: Surgical Clinics of North America)
Source: Surgical Clinics of North America - April 10, 2024 Category: Surgery Authors: Kevin M. Turner, Sameer H. Patel Source Type: research
The Grade C Pancreatic Fistula
Grade C pancreatic fistulas are associated with severe morbidity and a significant risk of mortality. High-risk pancreatic anastomoses can be predicted to allow best practice fistula mitigation techniques. In these high-risk glands, any deviation from a stable postoperative clinical course should prompt early computed tomography and aggressive, percutaneous drainage of the operative bed. If salvage surgery is necessary, drainage of the operative bed and/or external diversion of pancreatic juice via stenting while completion pancreatectomy should be avoided. Senior mentorship in the perioperative period offers an opportunit...
Source: Surgical Clinics of North America - April 6, 2024 Category: Surgery Authors: Stephen W. Behrman Source Type: research
Evaluation and Surgical Management of Multiple Endocrine Neoplasias
Multiple endocrine neoplasia (MEN) syndromes are rare autosomal dominant diseases that are associated with a mixture of both endocrine and non-endocrine tumors. Traditionally, there are 2 types of MEN that have unique clinical associations: MEN 1 (parathyroid hyperplasia, pancreatic neuroendocrine tumors, and pituitary tumors) and MEN 2 (medullary thyroid carcinoma and pheochromocytoma), which is further classified into MEN 2A (adds parathyroid adenomas) and 2B (adds ganglioneuromas and marfanoid habitus). Many of the endocrine tumors are resected surgically, and the pre, intra, and postoperative management strategies used...
Source: Surgical Clinics of North America - April 3, 2024 Category: Surgery Authors: C. Corbin Frye, Taylor C. Brown, John A. Olson Source Type: research
