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September 2013, Vol 148, No. 9, Pages 801-894

In This Issue of JAMA Surgery

Highlights

Abstract Full Text
free access
JAMA Surg. 2013;148(9):801-803. doi:10.1001/jamasurg.2013.2202
Viewpoint

Robotic Thyroidectomy: Do It Well or Don鈥檛 Do It

Abstract Full Text
JAMA Surg. 2013;148(9):806-808. doi:10.1001/jamasurg.2013.2253

Less Is More: The Example of Minimally Invasive Thyroidectomy

Abstract Full Text
JAMA Surg. 2013;148(9):808-809. doi:10.1001/jamasurg.2013.2263
Original Investigation

Pacific Coast Surgical Association

Prospective Evaluation of the Role of Computed Tomography in the Assessment of Abdominal Stab Wounds

Abstract Full Text
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JAMA Surg. 2013;148(9):810-816. doi:10.1001/jamasurg.2013.2521

Inaba and colleagues prospectively compared computed tomography (CT) against serial physical examination in the evaluation of patients who have sustained a stab wound to the abdomen. Martin A. Schreiber, MD, provided a related invited commentary.

Pacific Coast Surgical Association

Association Between Dedicated Rural Training Year and the Likelihood of Becoming a General Surgeon in a Small Town

Abstract Full Text
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JAMA Surg. 2013;148(9):817-821. doi:10.1001/jamasurg.2013.2681

Deveney and colleagues aimed to determine whether fourth-year residents at a hospital in a rural setting were more likely to enter general surgery practice than a specialty. Diana Farmer, MD, FRCS, provides an invited commentary.

Pacific Coast Surgical Association

Telehealth Follow-up in Lieu of Postoperative Clinic Visit for Ambulatory Surgery: Results of a Pilot Program

Abstract Full Text
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JAMA Surg. 2013;148(9):823-827. doi:10.1001/jamasurg.2013.2672

Hwa and Wren examine whether an allied health professional telephone visit could safely substitute for an in-person clinic visit. See the Invited Commentary by Ault.

Pacific Coast Surgical Association

Effect of the 16-Hour Work Limit on General Surgery Intern Operative Case Volume: A Multi-institutional Study

Abstract Full Text
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JAMA Surg. 2013;148(9):829-833. doi:10.1001/jamasurg.2013.2677

Schwartz and colleagues examined whether the 16-hour intern work limit, implemented in July 2011, has adversely affected operative experience. Julie Ann Freischlag, MD, provides an invited commentary.

Pacific Coast Surgical Association

A Paradigm Shift in Trauma Resuscitation: Evaluation of Evolving Massive Transfusion Practices

Abstract Full Text
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JAMA Surg. 2013;148(9):834-840. doi:10.1001/jamasurg.2013.2911

In an observational prospective cohort study, Kutcher and coauthors evaluate changes in the administration of fluids and blood products, hypothesizing that a reduction in crystalloid volume and a reduced red blood cell to fresh frozen plasma ratio over the last 7 years would correlate with better resuscitation outcomes.

Pacific Coast Surgical Association

The General Surgery Chief Resident Operative Experience: 23 Years of National ACGME Case Logs

Abstract Full Text
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JAMA Surg. 2013;148(9):841-847. doi:10.1001/jamasurg.2013.2919

Drake and colleagues evaluated changes in operative experience for general surgery chief residents. Karen Deveney, MD, provides an invited commentary.

Pacific Coast Surgical Association

Risk Factors for Superficial vs Deep/Organ-Space Surgical Site Infections: Implications for Quality Improvement Initiatives

Abstract Full Text
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JAMA Surg. 2013;148(9):849-858. doi:10.1001/jamasurg.2013.2925

Lawson et al identify risk factors that are uniquely predictive of superficial vs deep/organ-space surgical site infections occurring after colectomy procedures. See Invited Commentary by Rhoads.

Pacific Coast Surgical Association

Use the Duodenum, It鈥檚 Right There: A Retrospective Cohort Study Comparing Biliary Reconstruction Using Either the Jejunum or the Duodenum

Abstract Full Text
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JAMA Surg. 2013;148(9):860-865. doi:10.1001/jamasurg.2013.2701

Rose et al demonstrate that duodenal anastomoses for biliary reconstruction are at least as safe and effective as Roux-en-Y jejunal anastomoses, with the benefits of operative simplicity and ease of postoperative endoscopic evaluation. See the by Donahue.

Pacific Coast Surgical Association

Gallstone Pancreatitis Without Cholecystectomy

Abstract Full Text
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JAMA Surg. 2013;148(9):867-872. doi:10.1001/jamasurg.2013.3033

Hwang et al determine the risk of developing recurrent gallstone pancreatitis in patients who never receive a cholecystectomy. Worhunsky and Visser provide an invited commentary.

Pacific Coast Surgical Association

Correlation of Breast Cancer Axillary Lymph Node Metastases With Stem Cell Mutations

Abstract Full Text
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JAMA Surg. 2013;148(9):873-878. doi:10.1001/jamasurg.2013.3028

Donovan et al determine if variability in clinical presentation at diagnosis correlates with PI3K/Akt mutations in breast cancer stem and progenitor cells (BCSCs) and provides an early prognostic indicator of increased progression and metastatic potential. See the Invited Commentary by Calhoun.

Pacific Coast Surgical Association

Staging of Regional Lymph Nodes in Melanoma: A Case for Including Nonsentinel Lymph Node Positivity in the American Joint Committee on Cancer Staging System

Abstract Full Text
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JAMA Surg. 2013;148(9):879-884. doi:10.1001/jamasurg.2013.3044

Leung et al reviewed the records of patients with cutaneous melanoma who underwent completion lymph node dissection to evaluate whether disease limited to sentinel lymph nodes represents different clinical significance than disease spread into nonsentinel lymph nodes. See the invited commentary by Leong.

Brief Report

Resident's Forum

Missing Consent Forms in the Preoperative Area: A Single-Center Assessment of the Scope of the Problem and Its Downstream Effects

Abstract Full Text
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JAMA Surg. 2013;148(9):886-889. doi:10.1001/jamasurg.2013.354

Missing consent forms at surgery can lead to delays in patient care, provider frustration, and patient anxiety. In a single-center assessment, Garonzik-Wang and coauthors sought to assess the scope and magnitude of this problem at their institution.

Invited Commentary

Evaluating the Role of Computed Tomography: Have They Gone Far Enough?

Abstract Full Text
JAMA Surg. 2013;148(9):816. doi:10.1001/jamasurg.2013.2538

Rural Surgery Is Global Surgery: Seeking Solutions to the Growing Surgical Workforce Crisis

Abstract Full Text
JAMA Surg. 2013;148(9):821-822. doi:10.1001/jamasurg.2013.2707

Are Telephone Interviews an Adequate Substitute for Postoperative Care?

Abstract Full Text
JAMA Surg. 2013;148(9):827-828. doi:10.1001/jamasurg.2013.2704

There Are Just Not Enough Hours in the Day

Abstract Full Text
JAMA Surg. 2013;148(9):833. doi:10.1001/jamasurg.2013.2713

Chief Resident Operative Experience: A Moving Target

Abstract Full Text
JAMA Surg. 2013;148(9):847-848. doi:10.1001/jamasurg.2013.2929

Surgical Site Infection: Is It Time to Change Our Expectations?

Abstract Full Text
JAMA Surg. 2013;148(9):859. doi:10.1001/jamasurg.2013.2932

Should the Duodenum Be 鈥渢he Road Less Traveled鈥 for Biliary Reconstruction?

Abstract Full Text
JAMA Surg. 2013;148(9):865-866. doi:10.1001/jamasurg.2013.2710

Gallstone Pancreatitis: Why Not Cholecystectomy?

Abstract Full Text
JAMA Surg. 2013;148(9):872. doi:10.1001/jamasurg.2013.3063

Breast Cancer Stem Cells鈥擱eady for Their Close-up?

Abstract Full Text
JAMA Surg. 2013;148(9):878. doi:10.1001/jamasurg.2013.3070

Compartmentalizing Sentinel Lymph Nodes and Nonsentinel Lymph Nodes in Regional Lymph Nodes Draining the Primary Melanoma

Abstract Full Text
JAMA Surg. 2013;148(9):884-885. doi:10.1001/jamasurg.2013.3057
JAMA Surgery Clinical Challenge

Gallbladder Disease in an Elderly Patient

Abstract Full Text
JAMA Surg. 2013;148(9):891-892. doi:10.1001/jamasurg.2013.309

Fifty-Two-Year-Old Woman With Neck Pain and Fever

Abstract Full Text
JAMA Surg. 2013;148(9):893-894. doi:10.1001/jamasurg.2013.312
JAMA Surgery Masthead

JAMA Surgery

Abstract Full Text
free access
JAMA Surg. 2013;148(9):805. doi:10.1001/jamasurg.2013.2182
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