Article
Surgery
Rohan Shah, Adrian Diaz, Laura Phieffer, Carmen Quatman, Andrew Glassman, J. Madison Hyer, Diamantis Tsilimigras, Timothy M. Pawlik
Summary: Study found that within Medicare's Bundled Payment for Care Improvement initiative, robotic total knee arthroplasty had lower costs and better outcomes compared to traditional methods. Patients undergoing robotic total knee arthroplasty had shorter hospital stays and lower rates of complications. Cost savings associated with robotic total knee arthroplasty were only realized when its utilization exceeded 50% of all total knee arthroplasty cases.
Article
Surgery
Xiaodong Chen, Michael Meara, Alan Harzman, Heidi Pieper, E. Christopher Ellison
Summary: The involvement of senior residents in noncomplex robotic surgeries does not significantly prolong the surgery duration or increase the cost. This suggests that training in noncomplex robotic surgeries can be efficiently incorporated into the residency curriculum.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Respiratory System
Brian Mitzman, Brigitte K. Smith, Thomas K. Varghese Jr
Summary: Robotics training is now an essential part of surgical education due to the increasing use of minimally invasive approaches for early stage lung cancer. While the robotics platform presents new challenges, it also offers distinct benefits that can enhance surgical training. Understanding the educational needs of younger trainees and implementing a formal robotics curriculum with modern teaching techniques can improve surgical training and reduce the learning curve.
THORACIC SURGERY CLINICS
(2023)
Article
Clinical Neurology
Vishal Venkatraman, Alexander D. Suarez, Elayna P. Kirsch, Helen Heo, Kevin A. Wu, Katherine E. McDaniel, Lexie Z. Yang, Sin -Ho Jung, Rajeev Dharmapurikar, Shivanand P. Lad, Michael M. Haglund
Summary: This study aimed to quantify the costs of resident education in an academic neurosurgery program, and found that both traditional teaching and structured training programs require significant time and financial resources. Therefore, it is important to acknowledge the surgeons who devote their time to training the next generation of neurosurgeons.
WORLD NEUROSURGERY
(2023)
Review
Medicine, General & Internal
Chao Song, Lucia Cheng, Yanli Li, Usha Kreaden, Susan R. Snyder
Summary: Cost-effectiveness studies of robotic-assisted radical prostatectomy (RARP) compared with open radical prostatectomy (ORP) and laparoscopic radical prostatectomy (LRP) for localized prostate cancer showed that RARP was more costly yet more effective, and likely to be more cost-effective. Further research is needed to thoroughly consider medical device features in cost-effectiveness analyses.
Article
Cardiac & Cardiovascular Systems
Brendan T. Heiden, Joshua D. Mitchell, Eric Rome, Varun Puri, Bryan F. Meyers, Su-Hsin Chang, Benjamin D. Kozower
Summary: Compared with VATS, RAL is not cost-effective for lung cancer lobectomy at lower willingness-to-pay thresholds. However, several factors including lower robotic instrument costs, shorter operating room times, lower conversion rates, shorter lengths of stay, higher hospital volumes, and improved quality of life may drive RAL to emerge as the more cost-effective approach for minimally invasive lung cancer resection.
ANNALS OF THORACIC SURGERY
(2022)
Article
Cardiac & Cardiovascular Systems
Vinay Badhwar, Lawrence M. Wei, Arnar Geirsson, Joseph A. Dearani, Eugene A. Grossi, T. Sloane Guy, Husam H. Balkhy, A. Marc Gillnov, Francis P. Sutter, Serguei Melnitchouk, Johannes Bonatti, Douglas A. Murphy, W. Randolph Chitwood
Summary: Since the first robotic cardiac operation, there have been advancements in robotic telemanipulation technology, leading to a need for refined education and training. Both AATS and STS have established postgraduate training fellowships to address the growing interest in robotic cardiac surgery. This review aims to provide consensus recommendations for team-based robotic cardiac training.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2023)
Article
Gastroenterology & Hepatology
Camille Stewart, Paul Wong, Susanne Warner, Mustafa Raoof, Gagandeep Singh, Yuman Fong, Laleh Melstrom
Summary: Robotic minor liver resections have superior peri-operative outcomes, lower total cost of care, fewer postoperative complications, and shorter length of stay compared to open minor liver resections.
Article
Surgery
Hailee R. Grannan, Emily Hetzel, Matthew I. Goldblatt, Jon C. Gould, Rana M. Higgins
Summary: The pilot robotic general surgery resident training curriculum had a positive impact on residents' participation in robotic operative cases and simulation exercises, as well as receiving positive feedback from residents, notably on the hands-on in-service and skills simulator. This study highlights the value of a formal robotic surgery curriculum for general surgery residency training.
SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES
(2021)
Article
Education, Scientific Disciplines
Andrew J. Medvecz, Timothy J. Vogus, Kyla P. Terhune
Summary: This study quantifies the direct financial impact of surgical trainees on an academic medical center by modeling the cost of replacing them. The results show that the net cost of replacing 30 surgical residents with PAs and SFAs at one institution is $1,728,628 annually, or $57,621 per resident. This provides a reproducible model of financial considerations regarding residents in an AMC.
JOURNAL OF SURGICAL EDUCATION
(2021)
Article
Orthopedics
Ian M. Duensing, Wells Stewart, Wendy M. Novicoff, R. Michael Meneghini, James A. Browne
Summary: The impact of robotic-assisted total knee replacement (rTKA) on resident education remains unclear. This study aimed to explore the experiences and perceptions of senior orthopaedic residents regarding rTKA and its effect on surgical training.
JOURNAL OF ARTHROPLASTY
(2023)
Article
Surgery
Catherine H. Davis, Miral S. Grandhi, Victor P. Gazivoda, Alissa Greenbaum, Timothy J. Kennedy, Russell C. Langan, H. Richard Alexander, Henry A. Pitt, David A. August
Summary: This study characterizes the trends in robotic pancreatoduodenectomy (RPD) and highlights its association with decreased morbidity and length of stay. However, the number of cases being performed is not adequate for all trainees to achieve proficiency before graduation.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
Arjun Verma, Joseph Hadaya, Shannon Richardson, Amulya Vadlakonda, Ramin Ramezani, Sha'Shonda Revels, Peyman Benharash
Summary: This study found a relationship between institutional robotic-assisted pulmonary lobectomy volume and hospitalization costs. The high cost of robotic-assisted surgery is a factor that deters some hospitals from adopting the technique. The results also showed that high-volume hospitals had better outcomes in terms of adverse events, length of stay, and costs.
Article
Medicine, General & Internal
Danny Darlington, Fatima Shirly Anitha, Carbin Joseph
Summary: This study investigated the perceptions of Indian surgical residents on robotic surgery and its impact on traditional surgical training. The majority of residents viewed the introduction of robotic surgery as a threat to traditional training and called for effective incorporation of robotic training into residency programs.
CUREUS JOURNAL OF MEDICAL SCIENCE
(2022)
Article
Surgery
Mia S. Turbati, Matthew Goldblatt, Jon C. Gould, Rana M. Higgins
Summary: This study validates the SimNow resident robotic basic simulation curriculum and provides insights into the learner's experience. Results show that performance metrics are significantly different between novices and competent/expert surgeons, but not between competent and expert surgeons. Clinical training level does not affect the experience and mental workload, except for the ability of competent and expert surgeons to better assess clinical application.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
Anna Z. Fashandi, John B. Hanks, Adriana G. Ramirez, John R. Potts, Philip W. Smith
Summary: The study found that new endocrine surgery fellowship programs do not decrease the number of endocrine surgery cases performed by general surgery residents, and have not contributed to the national decline in endocrine surgery cases performed by general surgery residents.
Editorial Material
Cardiac & Cardiovascular Systems
Adishesh K. Narahari, J. Hunter Mehaffey, Michael Salerno, Robert Battle, Gorav Ailawadi
Summary: Arterial switch operations (ASO) are performed on neonates to treat transposition of the great arteries, but future operations on the neoaorta may be required due to dilation. We present a unique case of a 25-year-old female who required a David procedure for neoaorta dilation due to the anterior lie of the pulmonary artery after ASO. Our approach to this patient's surgery with the unique anatomy is described.
JOURNAL OF CARDIAC SURGERY
(2021)
Editorial Material
Oncology
Shayna L. Showalter, Max O. Meneveau, Jessica Keim-Malpass, T. Fabian Camacho, Gabriella Squeo, Roger T. Anderson
ANNALS OF SURGICAL ONCOLOGY
(2021)
Article
Oncology
Shayna L. Showalter, Max O. Meneveau, Jessica Keim-Malpass, T. Fabian Camacho, Gabriella Squeo, Roger T. Anderson
Summary: The study found that among CALGB 9343 eligible patients, adherent patients in the BCS + AET group had lower recurrence rates than nonadherent patients. There was no significant difference in recurrence rates between the BCS + RT + AET group and the BCS + AET group with different adjuvant treatment combinations. Therefore, treatment decisions regarding RT omission should be personalized based on individual patient characteristics.
ANNALS OF SURGICAL ONCOLOGY
(2021)
Correction
Oncology
Shayna L. Showalter, Max O. Meneveau, Jessica Keim-Malpass, T. Fabian Camacho, Gabriella Squeo, Roger T. Anderson
ANNALS OF SURGICAL ONCOLOGY
(2021)
Article
Oncology
Courtney M. Lattimore, Max O. Meneveau, Gina R. Petroni, Nikole E. Varhegyi, Gabriella C. Squeo, Timothy N. Showalter, Shayna L. Showalter
Summary: This study investigated patient-perceived quality of life among patients treated with a novel form of breast intraoperative radiation therapy. The results showed a decline in quality of life one month after the treatment, but most measures returned to baseline or improved at 6 months. Overall, the new treatment approach had minimal negative impact on quality of life.
Article
Cardiac & Cardiovascular Systems
Robert B. Hawkins, Raymond J. Strobel, J. Hunter Mehaffey, Mohammed A. Quader, Mark Joseph, Gorav Ailawadi
Summary: Rheumatic mitral valve disease is common in the region and its proportion is increasing. There are significant variations among hospitals. Rheumatic mitral surgery has similar short-term outcomes compared to nonrheumatic pathology, but requires greater resource utilization.
JOURNAL OF CARDIAC SURGERY
(2022)
Article
Cardiac & Cardiovascular Systems
Kenan W. Yount, Robert B. Hawkins, J. Hunter Mehaffey, Nicholas R. Teman, Leora T. Yarboro, John A. Kern, Gorav Ailawadi
Summary: This study compares the intermediate-term outcomes of the Magna and Trifecta valves. The Trifecta valve, despite having lower postoperative mean gradients, may have an increased risk of mid-term structural valve degeneration.
JOURNAL OF CARDIAC SURGERY
(2022)
Article
Oncology
Max O. Meneveau, Pankaj Kumar, Kevin T. Lynch, Sapna P. Patel, Craig L. Slingluff
Summary: This study found that adding peptide antigens to incomplete Freund's adjuvant (IFA) enhanced antigen presentation pathways and tertiary lymphoid structure gene signatures in the vaccine-site microenvironment (VSME). Adding the Toll-like receptor 3 (TLR3) agonist polyICLC (pICLC) induced an immunologically favorable VSME one week after injection, but had little impact after multiple injections. Repeated injections at the same site enhanced immune pathway stimulation.
JOURNAL FOR IMMUNOTHERAPY OF CANCER
(2022)
Article
Surgery
Max O. Meneveau, Rick D. Vavolizza, Anwaruddin Mohammad, Pankaj Kumar, Joseph T. Manderfield, Colleen Callahan, Kevin T. Lynch, Tarek Abbas, Craig L. Slingluff, Stefan Bekiranov
Summary: A predictive model utilizing machine learning has been developed to accurately identify patients with 1 pathologic lymph node (pLN) versus those with more than 1 pLN. The model utilizes gene expression profiles and clinical data as input variables. This study aims to reduce the unnecessary use of complete therapeutic lymph node dissection (TLND) in patients who only have 1 pLN.
Article
Cardiac & Cardiovascular Systems
Christopher L. Cramer, Katherine Marsh, Elizabeth D. Krebs, Hunter Mehaffey, Jared P. Beller, W. Zachary Chancellor, Nicholas R. Teman, Leora T. Yarboro
Summary: This study investigated the employment status after heart transplant and identified factors influencing employment. The study found that approximately 22% of patients were employed at 1 year post-transplant, and this increased to 32% at 2 years. Employment was associated with factors such as being white, male, having prior job experience, and having private insurance. The study also found that employment was associated with decreased mortality risk, with employed individuals having a 26% lower risk of mortality.
JOURNAL OF HEART AND LUNG TRANSPLANTATION
(2023)
Article
Cardiac & Cardiovascular Systems
J. Hunter Mehaffey, J. W. Awori Hayanga, Mohammad Kawsara, Ankit Sakhuja, Christopher Mascio, J. Scott Rankin, Vinay Badhwar
Summary: Contemporary real-world data from Medicare patients with multivessel disease reveal that coronary artery bypass grafting (CABG) outcomes were superior to percutaneous coronary intervention (PCI), providing important longitudinal data to guide patient care and policy development.
ANNALS OF THORACIC SURGERY
(2023)
Article
Cardiac & Cardiovascular Systems
Raymond J. Strobel, Adishesh K. Narahari, Evan P. Rotar, Andrew M. Young, Jeffrey Vergales, J. Hunter Mehaffey, Nicholas R. Teman, John A. Kern, Leora T. Yarboro, Irving L. Kron, Michael R. Nelson, Mark Roeser
Summary: This study evaluated the effect of cardiopulmonary bypass (CPB) on COVID-19 vaccination antibody concentration after cardiac surgery. The results showed that antibody concentration was significantly reduced in the short-term following CPB but returned to pre-CPB levels within 1 month. Heightened precautions in the perioperative period for cardiac surgery patients may be necessary.
JOURNAL OF THE AMERICAN HEART ASSOCIATION
(2023)
Editorial Material
Cardiac & Cardiovascular Systems
Michael Edmiston, Ali Darehzereshki, Vinay Badhwar, J. Hunter Mehaffey
Article
Oncology
Max O. Meneveau, Gina R. Petroni, Elise P. Salerno, Kevin T. Lynch, Mark Smolkin, Elizabeth Woodson, Kimberly A. Chianese-Bullock, Walter C. Olson, Donna Deacon, James W. Patterson, William W. Grosh, Craig L. Slingluff
Summary: Transdermal immunization using peptides in DMSO demonstrated high CD8(+) T cell responses in 83% of participants in group 3 and 86% in group 4, compared to lower responses in groups using IFA. Overall, 61% of participants showed CD4(+) T cell immune responses to the tetanus peptide, with significant responses in groups 3 and 4. While severe rash was observed in five out of seven participants in group 4, long-term overall and disease-free survival rates were encouraging, indicating the potential of this immunization approach. Further research on the use of TLR agonists as adjuvants during transcutaneous application is recommended.
JOURNAL FOR IMMUNOTHERAPY OF CANCER
(2021)
Editorial Material
Surgery
Meghal Shah, Tejas S. Sathe, Sukriti Bansal, Anai N. Kothari, Sophie Dream
JOURNAL OF SURGICAL RESEARCH
(2024)
Letter
Surgery
Zafer Turkyilmaz, Ramazan Karabulut, Kaan Sonmez
JOURNAL OF SURGICAL RESEARCH
(2024)
Letter
Surgery
Priyanka Jadhav, Gerald Gollin
JOURNAL OF SURGICAL RESEARCH
(2024)
Review
Surgery
Kheira Hireche, Ludovic Canaud, Pierre Antoine Peyron, Linda Sakhri, Isabelle Serres, Sanaa Kamel, Youcef Lounes, Thomas Gandet, Pierre Alric
Summary: This study evaluated the elastic properties of commonly used vascular substitutes for pulmonary artery replacement and compared their compliance and stiffness indexes to human pulmonary artery. The results showed that allogenic arterial grafts appeared to be the most suitable vascular substitutes in terms of compliance and stiffness for PA replacement.
JOURNAL OF SURGICAL RESEARCH
(2024)
Article
Surgery
Margaret Siu, Aixa Perez Coulter, Heather M. Grant, Reginald Alouidor, Michael Tirabassi
Summary: There is no significant difference in adverse respiratory events between intubated, critically ill patients requiring operative intervention who are kept NPO for 6 hours or longer compared to those kept NPO for less than 6 hours. Patients commonly experience periods of fasting much longer than the recommended 6-hour period by the American Society of Anesthesiologists.
JOURNAL OF SURGICAL RESEARCH
(2024)
Article
Surgery
Whitney Elks, Allison G. McNickle, Matthew Kelecy, Kavita Batra, Shirley Wong, Shawn Wang, Lisa Angotti, Deborah A. Kuhls, Charles St Hill, Syed F. Saquib, Paul J. Chestovich, Douglas R. Fraser
Summary: This study aimed to compare the effects of early and late enteral feeding after PEG placement on achieving nutritional therapy goals and adverse outcomes. The results showed that patients with early initiation of feeds achieved a higher percentage of goals on day 0 without an increased rate of adverse events.
JOURNAL OF SURGICAL RESEARCH
(2024)
Article
Surgery
Manisha B. Bhatia, Cassandra M. Anderson, Abdiwahab N. Hussein, Brian Opondo, Nereah Aruwa, Otieno Okumu, Sarah G. Fisher, Tasha Sparks Joplin, JoAnna L. Hunter-Squires, Brian W. Gray, Peter W. Saula
Summary: This study aimed to understand postoperative pediatric nutrition practices in Kenya and the United States. The results showed that in the United States, patients initiated enteral nutrition earlier and had shorter hospital stays. However, in Kenya, patients initiated enteral nutrition earlier but had no significant difference in hospital stays.
JOURNAL OF SURGICAL RESEARCH
(2024)
Article
Surgery
David P. Stonko, Joseph Edwards, Hossam Abdou, Rebecca Treffalls, Patrick Walker, Jonathan J. Morrison
Summary: Raising mean arterial pressure (MAP) >90 mmHg with norepinephrine can increase gastroduodenal artery (GDA) flow and delay bowel ischemia.
JOURNAL OF SURGICAL RESEARCH
(2024)
Article
Surgery
David R. Mann, Kathryn E. Engelhardt, Barry C. Gibney, Macelyn E. Batten, Eric C. Klipsch, Rupak Mukherjee, Ian C. Bostock
Summary: Pathologic upstaging is associated with decreased overall survival in cT1b esophageal cancer. Esophagectomy has better survival outcomes compared to endoscopic local tumor excision. Neoadjuvant chemoradiation therapy does not improve overall survival in cT1b lesions.
JOURNAL OF SURGICAL RESEARCH
(2024)
Article
Surgery
Ross Mudgway, Zachary Tran, Juan C. Quispe Espiritu, Woo Bin Bong, Hayden Schultz, Vamsi Vemireddy, Aarthy Kannappan, Marcos Michelotti, Kaushik Mukherjee, Jeffrey Quigley, Keith Scharf, Daniel Srikureja, Sharon S. Lum, Esther Wu
Summary: Comparison of medium-term outcomes between robotic-assisted cholecystectomy (RC) and laparoscopic cholecystectomy (LC) using validated quality of life (QoL) and pain assessments did not show significant differences.
JOURNAL OF SURGICAL RESEARCH
(2024)
Article
Surgery
Ningjie Chen, Haitao Wang, Yang Shao, Jincun Yang, Guodong Song
Summary: This study aimed to compare the therapeutic effects of activated platelet-rich plasma (PRP) prepared from elderly individuals and young adults in treating pressure ulcers (PUs). The results showed that PRP from young adults had higher platelet concentrations and greater production of growth factors, leading to better wound healing.
JOURNAL OF SURGICAL RESEARCH
(2024)
Article
Surgery
Brendin R. Beaulieu-Jones, Margaret T. Berrigan, Kortney A. Robinson, Jayson S. Marwaha, Tara S. Kent, Gabriel A. Brat
Summary: Introduction: Prescription opioids, including those prescribed after surgery, have greatly contributed to the US opioid epidemic. Educating opioid prescribers is a crucial component of ensuring the safe use of opioids among surgical patients. This study implemented an annual education curriculum for new surgical prescribers, resulting in significant improvements in knowledge and comfort levels. However, there remains a persistent knowledge and comfort gap among these prescribers.
JOURNAL OF SURGICAL RESEARCH
(2024)
Article
Surgery
Sneha G. Bhat, Madhuri Nagaraj, Courtney Balentine, Timothy Hogan, Jennie Meier, Hillary Prince, Kareem Abdelfattah, Herbert Zeh, Benjamin Levi
Summary: This pilot study examined the effects of a structured mental fitness program on academic surgeons and found significant improvement in Positive Intelligence (PQ) scores, as well as increased connectedness and shared language among participants. However, there were no significant changes in sleep, well-being, or teaching evaluations.
JOURNAL OF SURGICAL RESEARCH
(2024)
Article
Surgery
Kristin E. Cox, Michael A. Turner, Siamak Amirfakhri, Thinzar M. Lavin, Mojgan Hosseini, Pradipta Ghosh, Marygorret Obonyo, Takashi Murakami, Robert M. Hoffman, Paul J. Yazaki, Michael Bouvet
Summary: This study demonstrates the potential of using humanized anti-carcinoembryonic antigen (CEA) antibodies conjugated with near-infrared dyes to specifically label gastric cancers in mouse models. Orthotopic models showed bright and specific labeling with more than ten times higher tumor-to-background ratios compared to the control. This tumor-specific fluorescent antibody has promising potential as a clinical tool for improving visualization of gastric cancer margins during surgical resection.
JOURNAL OF SURGICAL RESEARCH
(2024)
Review
Surgery
Sarah Maki, Melissa Leon, Emily Glenn, Tiffany Tanner, Crystal Krause
Summary: This scoping review analyzed the literature on the use of broadband personality tests in the bariatric surgical population to optimize weight loss outcomes. The study found significant associations between personality scales and weight loss, but inconsistent reporting of outcome measures made it challenging to draw concrete conclusions. The American Society for Metabolic and Bariatric Surgery recommends standardization of outcome reporting to improve the reliability of predicting weight loss outcomes.
JOURNAL OF SURGICAL RESEARCH
(2024)