Journal of the American College of Surgeons This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Expanding the Spectrum of Surgical Simulation Training
Surgical simulation has evolved over the last decades and now plays an important role in surgical training efforts designed to foster the acquisition of new skills and knowledge outside of the clinical environment. Many factors have led to this fundamental change in educational methods, including concerns over patient safety, limited work hours, and less clinical exposure. In 2008, the Residency Review Committee mandated that all surgical training programs implement skills training curricula in their training programs. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - November 22, 2021 Category: Surgery Authors: Susan Miller Briggs Tags: Invited Commentary Source Type: research

Cost Computation and Profitability of Robotic Surgery
I would like to thank Drs Bold and Perry for their letter about our recent publication in the Journal of the American College of Surgeons, “Cost Analysis of Pancreaticoduodenectomy at a High-Volume Robotic Hepatopancreaticobiliary Surgery Program.”1 (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - November 22, 2021 Category: Surgery Authors: Alexander S. Rosemurgy Tags: Letter Source Type: research

Nothing Ventured, Nothing Gained: Does This Apply to Obesity in Young People?
The efficacy and safety of bariatric surgery as a treatment for adult obesity and related complications, particularly type 2 diabetes mellitus (T2DM), is well established, with evidence from more than 13 randomized controlled trials demonstrating its superior efficacy compared with conventional medical therapy. As such, bariatric surgery is increasingly being recognized by international governing bodies, physicians, and surgeons as a central element in the treatment algorithm for adults with obesity. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - November 22, 2021 Category: Surgery Authors: Alexis C. Sudlow, Carel W. le Roux Tags: Invited Commentary Source Type: research

Minimally Invasive Distal Pancreatectomy: Are There Long-Term Benefits?
Despite promising postoperative outcomes after complex laparoscopic operation, such as colectomy, skepticism exists regarding minimally invasive distal pancreatectomy (MIDP). This is due to the elevated risk from anatomic location, vascular proximity, and perioperative complications, as well as the learning curve and surgeon comfort level. Early data composed of small retrospective reviews found that compared with open distal pancreatectomy, patients undergoing MIDP had significantly improved perioperative outcomes (lower blood loss, decreased length of stay, fewer complications) without compromising margin positivity or i...
Source: Journal of the American College of Surgeons - November 22, 2021 Category: Surgery Authors: Natasha Leigh, Chet W Hammill Tags: Invited Commentary Source Type: research

Is It Time to Revisit Biologic Mesh?
The management of ventral hernia in the setting of contamination has persistently led to confusing recommendations involving different types of mesh. For surgeons performing abdominal wall reconstruction (AWR), the main goal is to provide a durable repair in complex situations while minimizing short- and long-term morbidity. A growing body of literature supports the use of retromuscular and/or preperitoneal mid-weight, macroporous polypropylene as a cost-effective combination for use in clean-contaminated and contaminated situations with an acceptable complication profile. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - November 22, 2021 Category: Surgery Authors: Benjamin K. Poulose Tags: Invited Commentary Source Type: research

Preventing Retained Surgical Items
Retained surgical items (RSIs) continue to be a serious quality problem facing our healthcare system. In fact, RSIs are the most common sentinel event reported to the Joint Commission.1 Root-cause analyses demonstrated that these sentinel events are caused by human factors, leadership, and communication. Although human failures contribute to 80% to 90% of these errors, we continue to ask people to work harder, more efficiently, and safer. Not surprisingly, the rate of RSIs has remained relatively stable in the past decade. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - November 22, 2021 Category: Surgery Authors: Benjamin D. Kozower Tags: Invited Commentary Source Type: research

Surgical Extirpation of the Primary Tumor in Stage IV Breast Cancer: The Debate Continues
In 2019, approximately 6% of the estimated 268,600 women in the US with newly diagnosed breast cancer had metastatic disease at the time of diagnosis.1 Historically, systemic therapy has been the primary treatment option for patients with metastatic disease. Surgical removal of the primary tumor and/or lymph nodes was not believed to contribute to improved outcomes or survival. However, multiple retrospective studies were then published demonstrating improved survival with removal of the primary tumor. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - November 22, 2021 Category: Surgery Authors: Irene Israel, Julie A. Margenthaler Tags: Invited Commentary Source Type: research

Understanding the Onset and Mechanism of Occurrence of Post-Pancreatectomy Diabetes
There are 2 issues to resolve regarding glucose tolerance after pancreatectomy; the mechanism of occurrence of new-onset diabetes after pancreatectomy and the difference in postoperative glucose tolerance between pancreaticoduodenectomy (PD) and distal pancreatectomy (DP). Glucose tolerance is determined by the balance between insulin secretion and insulin resistance. Pancreatectomy usually causes deterioration of glucose tolerance because the pancreas is the organ responsible for the hormonal regulation of glucose metabolism by secreting insulin. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - November 22, 2021 Category: Surgery Authors: Manabu Kawai Tags: Invited Commentary Source Type: research

Examining Quality Improvement in Medicine and Business
Over the past 20 years, the medical community has been forced to invest in quality assurance programs. Surgery, in particular, has worked to develop a workforce educated in quality improvement methods and to formalize existing efforts in quality and safety in surgery. The article, “Impact of the WHO Surgical Safety Checklist relative to its design and intended use: a systematic review and meta-meta-analysis” provides a nice opportunity to consider the general benefits and limitations of quality improvement programs in surgery in the context of the lessons learned in busin ess, where formal efforts in quality assurance ...
Source: Journal of the American College of Surgeons - November 22, 2021 Category: Surgery Authors: Rachel R. Kelz, Jason Tong Tags: Invited Commentary Source Type: research

Contents
(Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - November 22, 2021 Category: Surgery Source Type: research

Editorial Board
(Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - November 22, 2021 Category: Surgery Source Type: research

Message from the Editor: Gratitude for 2021
The reputation of the Journal depends on the contributions of authors. But the standard of the Journal, the level of excellence, is also a consequence of the efforts of expert reviewers who evaluate submitted manuscripts and determine their appropriateness for the Journal of the American College of Surgeons. The Editorial Board members are recognized on the Journal ’s masthead each month. But many others deserve credit for serving on an ad hoc basis, responding to our requests for expert analyses. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - November 22, 2021 Category: Surgery Source Type: research

Assessment of Blood Transfusion Requirement in Patients on Therapeutic Anticoagulation and Vena Caval Filters Following Elective Minimally Invasive Bariatric Surgery: A MBSAQIP Analysis
Bleeding is one of the most common complications in bariatric surgery and has a risk of being catastrophic. As surgeons are encountering more patients on therapeutic anticoagulation and/or vena caval filters preoperatively, it may become an important consideration to identify the risk of blood transfusions postoperatively in patients undergoing elective bariatric surgery. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Santosh Swaminathan, Radu Filipescu, J. Alexander Palesty, Shohan Shetty Tags: Bariatric and Foregut Source Type: research

Cardiovascular Safety of Laparoscopic Roux En Y Gastric Bypass Vs. Laparoscopic Sleeve Gastrectomy: An Analysis of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) Data Registry
Patients affected by morbid obesity present several cardiovascular risk factors that can lead to complications after Bariatric Surgery (BaS). Previous research suggests that laparoscopic Roux En Y gastric bypass (LRYGB) may have an advantage over laparoscopic sleeve gastrectomy (LSG) regarding remission of cardiometabolic conditions in patients with severe obesity. We aimed to examine the incidence of major adverse cardiovascular and cerebrovascular events (MACCE) after LRYGB compared to LSG. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Roberto J. Valera, Cristina Botero Fonnegra, Mauricio Sarmiento-Cobos, Carlos E. Rivera, Lisandro Montorfano, Emanuele Lo Menzo, Samuel Szomstein, Raul J. Rosenthal Tags: Bariatric and Foregut Source Type: research

Complications after Single Anastomosis Duodeno-ileal Bypass with Sleeve Gastrectomy (SADI-S) a Retrospective Review of Cases in a High-volume European Center
The Single Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy (SADI-S) has been introduced in the past few years for the treatment of morbid obesity. This technique has shown good outcomes in terms weight loss and short-term complications. However, there is poor literature concerning about the incidence and management long-term complications. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Arturo Cirera, Ramon Vilallonga, Amador Garcia Ruiz de Gordejuela, Oscar Gonzalez, Enric Caubet, Jos é M. Balibrea, Andreea Ciudin, Ruth Blanco, Laura Vidal, José Manuel Fort Tags: Bariatric and Foregut Source Type: research