In this series the hosts talk to authors featured in the Journal of the American College of Surgeons (JACS), the official scientific journal of the American College of Surgeons.
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Interviews with authors of articles from JAMA Surgery. JAMA Surgery is an international peer-reviewed journal that promotes the art and science of surgery by publishing relevant peer-reviewed research to assist the surgeon in optimizing patient care. JAMA Surgery also serves as a forum for the discussion of issues pertinent to surgery, such as the education and training of the surgical workforce, quality improvement, and the ethics and economics of healthcare delivery.
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"Speaking of SurgOnc" is a podcast series brought to you by the Annals of Surgical Oncology (ASO) and the Society of Surgical Oncology(SSO). Dr. Frederick L. (Rick) Greene, ASO Deputy Editor, will explore and expand upon ideas and concepts described in articles published in the Annals of Surgical Oncology. Dr. Greene will interview authors and leading experts about topics of current importance in surgical oncology.
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Restrictive Strategy vs Usual Care for Cholecystectomy in Patients With Gallstones and Abdominal Pain
13:16
13:16
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Interview with Philip R. de Reuver, MD, PhD, and Daan J. Comes, MD, authors of Restrictive Strategy vs Usual Care for Cholecystectomy in Patients With Gallstones and Abdominal Pain: 5-Year Follow-Up of the SECURE Randomized Clinical Trial. Hosted by Amalia Cochran, MD. Related Content: Restrictive Strategy vs Usual Care for Cholecystectomy in Patie…
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Episode 25: Association of National Accreditation Program for Rectal Cancer Accreditation with Outcomes after Rectal Cancer Surgery
21:38
21:38
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In this episode, Tom Varghese, MD, FACS is joined by Calista M Harbaugh, MD, MSc, from the University of Michigan. They discuss Dr Harbaugh’s recent study, “Association of National Accreditation Program for Rectal Cancer Accreditation with Outcomes after Rectal Cancer Surgery,” in which the authors found that hospitals accredited by the National Ac…
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Practice Patterns and Outcomes Among Surgical Oncology Fellowship Graduates Performing Complex Cancer Surgery in the United States Across Different Career Stages
19:44
19:44
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Dr. Rick Greene discusses with Dr. Timothy Pawlik and Dr. Diamantis Tsilimigras the assessment of perioperative mortality and serious complications among patients undergoing complex cancer surgery by surgical oncology fellowship graduates across different career stages. Dr. Pawlik and Dr. Tsilimigras are co-authors of "Practice Patterns and Outcome…
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Episode 24: Sustaining Lifelong Competency of Surgeons: Multimodality Empowerment Personal and Institutional Strategy
27:09
27:09
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In this episode, Lillian Erdahl, MD, FACS is joined by Todd Rosengart, MD, FACS, from the Baylor College of Medicine. They discuss Dr Rosengart’s recent article, “Sustaining Lifelong Competency of Surgeons: Multimodality Empowerment Personal and Institutional Strategy,” which focuses on maintaining and ensuring the competency of an aging surgeon wo…
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Pregnancy and Parenthood Among US Surgical Residents
17:24
17:24
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Interview with Erika L. Rangel, MD, MS, and Lauren M. Janczewski, MD, MS, authors of Pregnancy and Parenthood Among US Surgical Residents. Hosted by Amalia Cochran, MD. Related Content: Pregnancy and Parenthood Among US Surgical Residents
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Extent of Resection and Long-Term Outcomes for Appendiceal Adenocarcinoma: a SEER Database Analysis of Mucinous and non-Mucinous Histologies
14:33
14:33
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Dr. Rick Greene discusses with Dr. Brett Ecker the association between extent of resection and disease-specific survival in mucinous and non-mucinous appendiceal adenocarcinomas as reported in his article, "Extent of Resection and Long-Term Outcomes for Appendiceal Adenocarcinoma: a SEER Database Analysis of Mucinous and non-Mucinous Histologies.” …
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Episode 23: Home Is Not Always Where the Sleep Is: The Effect of Home Call on Sleep, Burnout, and Surgeon Well-Being
26:12
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In this episode, Tom Varghese, MD, FACS is joined by Jamie Coleman, MD, FACS, from the University of Louisville. They discuss Dr Coleman’s recent article, “Home Is Not Always Where the Sleep Is: The Effect of Home Call on Sleep, Burnout, and Surgeon Well-Being”, which quantifies sleep loss and burnout associated with home call in acute care surgeon…
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Variation in Postoperative Outcomes Across Hospital Star Ratings
15:16
15:16
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Interview with Adrian Diaz, MD, MPH, and Andrew M. Ibrahim, MD, MSc, authors of Variation in Postoperative Outcomes Across Federally Designated Hospital Star Ratings. Hosted by Amalia Cochran, MD. Related Content: Variation in Postoperative Outcomes Across Federally Designated Hospital Star Ratings
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Docetaxel‑Based Neoadjuvant Chemotherapy Followed by En Bloc Resection for Esophageal Adenocarcinoma: A 15‑Year Retrospective Analysis from a Regional Upper Gastrointestinal Cancer Network
17:34
17:34
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Rick Greene, MD, discusses with Lorenzo Ferri, MD, PhD, the long-term survival outcomes of patients with esophageal and junctional adenocarcinoma treated with neoadjuvant docetaxel-based chemotherapy and en bloc transthoracic esophagectomy. Dr. Ferri is author of, "Docetaxel-Based Neoadjuvant Chemotherapy Followed by En Bloc Resection for Esophagea…
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The Landmark Series—Addressing Disparities in Breast Cancer Screening: New Recommendations for Black Women
14:34
14:34
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Rick Greene, MD, discusses with Kathie-Ann Joseph, MD, MPH, the epidemiologic and socioeconomic factors that are associated with breast cancer among black women and an assessment of the implications of these factors for screening in this population. Dr. Joseph is author of, "The Landmark Series—Addressing Disparities in Breast Cancer Screening: New…
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Episode 22: Expeditionary Surgeons: Essential to Surgical Leadership in World War II and Today
21:47
21:47
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In this episode, Tom Varghese, MD, FACS is joined by Jeremy Cannon, MD, SM, FACS, from the University of Pennsylvania. They discuss Dr Cannon’s Excelsior Surgical Society Presidential Address, emphasizing the crucial contribution of expeditionary surgical leaders in World War II and how their legacy serves as an example for military and civilian su…
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Breast Cancer Risk After Bariatric Surgery and Influence of Insulin Levels
11:04
11:04
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Interview with Felipe M. Kristensson, MD, and Magdalena Taube, PhD, author of Breast Cancer Risk After Bariatric Surgery and Influence of Insulin Levels: A Nonrandomized Controlled Trial. Hosted by Amalia Cochran, MD. Related Content: Breast Cancer Risk After Bariatric Surgery and Influence of Insulin Levels…
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Episode 21: Social Determinants of Outcomes Disparity among Pediatric Solid Tumor Patients
25:20
25:20
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In this episode, Lillian Erdahl, MD, FACS is joined by Dai Chung, MD, FACS, from the University of Texas Southwestern Medical Center. They discuss Dr Chung’s recent study, which demonstrates that poor health outcomes among pediatric solid tumor patients are associated with minority race and residence in rural or border regions, and that the 5-year …
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Oral Antibiotics vs IV and Oral Antibiotics for Uncomplicated Appendicitis
16:24
16:24
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Interview with Paulina Salminen, MD, PhD, and Jussi Haijanen, MD, PhD, authors of Three-Year Outcomes of Oral Antibiotics vs Intravenous and Oral Antibiotics for Uncomplicated Acute Appendicitis: A Secondary Analysis of the APPAC II Randomized Clinical Trial. Hosted by Amalia L. Cochran, MD. Related Content: Three-Year Outcomes of Oral Antibiotics …
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Standardization of Colon Resection for Cancer: An Overview of the American College of Surgeons Commission on Cancer Standard 5.6
16:59
16:59
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Rick Greene, MD, discusses with Anthony Villano, MD, a review the American College of Surgeons Commission on Cancer Standard 5.6, which pertains to curative intent colon resections performed for cancer. Dr. Villano is author of "Standardization of Colon Resection for Cancer: An Overview of the American College of Surgeons Commission on Cancer Stand…
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Episode 20: Anchors Aweigh! The History of Women Surgeons at Sea
29:48
29:48
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In this episode, Lillian Erdahl, MD, FACS is joined by Amy Hernandez, MD, FACS, from the Department of Surgery, Naval Medical Center San Diego. They discuss Dr Hernandez’s recent study, which uses literature review, personal interviews, and correspondence with Navy Medicine administrative leaders to describe the evolution of women providing surgica…
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Morbidity After Mechanical Bowel Preparation and Oral Antibiotics Prior to Rectal Resection
10:20
10:20
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Interview with Laura Koskenvuo, MD, PhD, and Ville Sallinen, MD, PhD, authors Morbidity After Mechanical Bowel Preparation and Oral Antibiotics Prior to Rectal Resection: The MOBILE2 Randomized Clinical Trial. Hosted by Amalia Cochran, MD. Related Content: Morbidity After Mechanical Bowel Preparation and Oral Antibiotics Prior to Rectal Resection…
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Hepatectomy Before Primary Tumor Resection as Preferred Approach for Synchronous Liver Metastases from Rectal Cancer
20:49
20:49
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Rick Greene, MD, discusses with Jean-Nicolas Vauthey, MD, a comparison of different surgical approaches to synchronous liver metastases from rectal cancer and their analysis of both clinicopathological and biological tumor factors associated with completion of the reverse approach. Professor Vauthey is the senior author of, “Hepatectomy Before Prim…
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Intraoperative Wound Irrigation for the Prevention of Surgical Site Infection After Laparotomy
14:32
14:32
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Interview with Daniel Reim, MD, and Tara Catharina Mueller, MD, authors Intraoperative Wound Irrigation for the Prevention of Surgical Site Infection After Laparotomy: A Randomized Clinical Trial by CHIR-Net. Hosted by Amalia Cochran, MD. Related Content: Intraoperative Wound Irrigation for the Prevention of Surgical Site Infection After Laparotomy…
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Episode 19: Practical and Ethical Guidelines for the Involvement of Trainees in Global Surgery:
22:58
22:58
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In this episode, Lillian Erdahl, MD, FACS, is joined by Erin M Scott, MD, MPH, from the University of Massachusetts Chan Medical School. They discuss Dr Scott’s recent study, which outlines recommendations of the American College of Surgeons Resident and Associate Society Global Surgery Work Group for involvement of trainees in global surgery, with…
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Hospital Designations and Their Impact on Guideline-Concordant Care and Survival in Pancreatic Cancer. Do They Matter?
17:42
17:42
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Rick Greene, MD, discusses with Patricio M. Polanco, MD, an analysis of three hospital designations, as well as volume status, and their effect on the delivery of care and survival outcomes using a cancer registry database of the second largest state in the USA. Dr. Polanco is co-corresponding author of, “Hospital Designations and Their Impact on G…
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Episode 18: Diverticulitis Familiality: A Statewide Case-Control Study
21:21
21:21
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In this episode, Dr Tom Varghese is joined by Jessica Cohan, MD, FACS, from the University of Utah. They discuss Dr Cohan’s recent study, which used statewide medical records linked with genealogy data to evaluate the familial contributions to diverticulitis. The results indicate that diverticulitis has a significant heritable component, which may …
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Safety and Feasibility of Single-Port Robotic-Assisted Nipple-Sparing Mastectomy
14:09
14:09
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Interview with Deborah E. Farr, MD, and Herbert Zeh III, MD, authors Safety and Feasibility of Single-Port Robotic-Assisted Nipple-Sparing Mastectomy. Hosted by Amalia Cochran, MD. Related Content: Safety and Feasibility of Single-Port Robotic-Assisted Nipple-Sparing Mastectomy
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Benchmarks and Geographic Differences in Gallbladder Cancer Surgery: An International Multicenter Study
17:17
17:17
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Rick Greene, MD, discusses with Eduardo A. Vega, MD, definitions reported on of benchmark values for gallbladder cancer surgery across an international population as well as geographic differences in gallbladder cancer surgery across multiple continents. Dr. Vega is the senior author of, “Benchmarks and Geographic Differences in Gallbladder Cancer …
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Preoperative Midazolam and Patient-Centered Outcomes of Older Patients
14:38
14:38
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Interview with Mark Coburn, MD, and Ana Kowark, MD, authors of Preoperative Midazolam and Patient-Centered Outcomes of Older Patients: The I-PROMOTE Randomized Clinical Trial. Hosted by Amalia Cochran, MD. Related Content: Preoperative Midazolam and Patient-Centered Outcomes of Older Patients
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CA19-9 Response to First-Line Neoadjuvant FOLFIRINOX and Second-Line Gemcitabine/Nab-Paclitaxel for Patients with Operable Pancreatic Cancer
15:33
15:33
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Rick Greene, MD, discusses with Susan Tsai, MD, MHS, the results of an analysis examining the efficacy of second-line gemcitabine/nab-paclitaxel (GnP) after first-line FOLFIRINOX in the neoadjuvant setting among patients with operable pancreatic cancer who were treated with a total neoadjuvant approach. Dr. Tsai is the senior author of, “CA19-9 Res…
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Operative vs Nonoperative Management of Acute Cholecystitis During the Different Trimesters of Pregnancy
16:18
16:18
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Interview with Mariam N. Hantouli, MD, and Giana H. Davidson, MD, MPH, authors of Operative vs Nonoperative Management of Acute Cholecystitis During the Different Trimesters of Pregnancy. Hosted by Amalia Cochran, MD. Related Content: Operative vs Nonoperative Management of Acute Cholecystitis During the Different Trimesters of Pregnancy…
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Neuroendocrine Tumor Liver Metastases: Long-Term Follow-up Evaluation of More Than 500 Patients
16:08
16:08
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Rick Greene, MD, discusses with Sean Cleary, MD, cytoreductive hepatectomy for neuroendocrine tumor liver metastases; specifically, perioperative outcomes and operative trends, rates and duration of symptomatic relief, and long-term survival and predictors of prognosis. Dr. Cleary is the senior author of, “Neuroendocrine Tumor Liver Metastases: Lon…
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Episode 17: Novel Form of Breast Intraoperative Radiation Therapy with CT-Guided High-Dose-Rate Brachytherapy: Interim Results of a Prospective Phase II Clinical Trial
18:24
18:24
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In this episode, Dr Jamie Coleman is joined by Shayna Showalter, MD, from the University of Virginia School of Medicine, Charlottesville, VA. They discuss Dr Showalter’s recent study evaluating precision breast intraoperative radiation therapy (PB-IORT), which uses customized CT-based treatment plans for high-dose-rate (HDR) brachytherapy. Interim …
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Presurgical Oral Tamoxifen vs Transdermal 4-Hydroxytamoxifen in DCIS
19:54
19:54
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Interview with Seema A. Khan, MD, author of Presurgical Oral Tamoxifen vs Transdermal 4-Hydroxytamoxifen in Women With Ductal Carcinoma In Situ: A Randomized Clinical Trial. Hosted by Amalia Cochran, MD. Related Content: Presurgical Oral Tamoxifen vs Transdermal 4-Hydroxytamoxifen in Women With Ductal Carcinoma In Situ…
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Endocrine Therapy for Surgeons: Practical Pearls for Managing Menopausal, Bone Loss and Sexual Adverse Effects
17:08
17:08
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Rick Greene, MD, discusses with Anna Weiss, MD, the evidence-based treatments available for the adverse effects of endocrine therapy that can be experienced by breast cancer patients, including clear treatment algorithms for genitourinary syndrome of menopause (GSM), which can be overlooked by providers. Dr. Weiss is the senior author of, “Endocrin…
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Episode 16: Comprehensive Cost Implications of Commercially Available Noninvasive Colorectal Cancer Screening Modalities
26:14
26:14
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In this episode, Dr Dante Yeh is joined by Casey Allen, MD, from the Institute of Surgery, Division of Surgical Oncology, Allegheny Health Network, Pittsburgh, Pennsylvania. They discuss Dr Allen’s recent study, which found that widespread adoption of the fecal immunochemical test for noninvasive colorectal cancer screening could lead to substantia…
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Comparative Safety of Robotic-Assisted vs Laparoscopic Cholecystectomy
22:00
22:00
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Interview with Stanley Kalata, MD, MS, and Kyle H. Sheetz, MD, MS, authors of Comparative Safety of Robotic-Assisted vs Laparoscopic Cholecystectomy. Hosted by Amalia Cochran, MD. Related Content: Comparative Safety of Robotic-Assisted vs Laparoscopic Cholecystectomy
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Impact of the Histologic Pattern of Residual Tumor After Neoadjuvant Chemotherapy on Recurrence and Survival in Stage I–III Breast Cancer
15:02
15:02
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Rick Greene, MD, and Tari King, MD, FSSO, discuss findings generated from central path review of a large series of patients treated with neoadjuvant chemotherapy and surgery regarding the pattern of residual tumor in the breast and its related prognostic significance. Dr. King is the senior author of, “Impact of the Histologic Pattern of Residual T…
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Operationalizing the Culture of Burnout and Well-Being: Multicenter Study of Value Congruence and Flourishing in General Surgery Residency
24:19
24:19
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In this episode, Dr. Jamie Coleman is joined by Carter Lebares, MD, FACS, from the Department of Surgery, University of California San Francisco. They discuss Dr. Lebares’ recent study at 16 academic general surgery training programs, in which residents indicated a perceived lack of value congruence with leadership regarding occupational well-being…
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Outcomes Following Lung Transplant for COVID-19–Related Complications in the US
18:11
18:11
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Interview with Leonard J. Lobo, MD, and Jason M. Long, MD, MPH, authors of Outcomes Following Lung Transplant for COVID-19–Related Complications in the US. Hosted by Amalia Cochran, MD. Related Content: Outcomes Following Lung Transplant for COVID-19–Related Complications in the US
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Long-Term Survival in Patients Treated with Cytoreduction and Heated Intraperitoneal Chemotherapy for Peritoneal Mesothelioma at a Single High-Volume Center
14:29
14:29
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Rick Greene, MD discusses with Edward A. Levine, MD, long-term survival in patients with malignant peritoneal mesothelioma undergoing cytoreductive surgery with hyperthermic intraperitoneal chemotherapy. Dr. Levine is the senior author of, “Long-Term Survival in Patients Treated with Cytoreduction and Heated Intraperitoneal Chemotherapy for Periton…
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Leadership and Imposter Syndrome in Surgery
30:45
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In this episode, Dr Dante Yeh is joined by Lola Fayanju, MD, MA, MPHS, FACS, from The University of Pennsylvania, Philadelphia, PA. They discuss Dr Fayanju’s recent study on imposter syndrome, an internalized sense of incompetence and not belonging. The study found that female physicians were more likely to experience imposter syndrome than male ph…
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Association of Axillary Dissection With Systemic Therapy in Patients With Clinically Node-Positive Breast Cancer
12:06
12:06
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Interview with Walter P. Weber, MD, author of Association of Axillary Dissection With Systemic Therapy in Patients With Clinically Node-Positive Breast Cancer. Hosted by Amalia Cochran, MD. Related Content: Association of Axillary Dissection With Systemic Therapy in Patients With Clinically Node-Positive Breast Cancer…
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Exploring the Potential of Artificial Intelligence in Surgery: Insights from a Conversation with ChatGPT
16:45
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Rick Greene, MD, discusses with Jesse Selber MD, MPH, MHCM, FACS, the use of ChatGPT and explores questions regarding the potential of artificial intelligence (AI) in surgery and its opportunities, challenges, and possible role in surgery. Dr. Selber is the senior author of the article entitled "Exploring the Potential of Artificial Intelligence in…
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Quantifying the Prognostic Value of Preoperative Surgeon Intuition: Comparing Surgeon Intuition and Clinical Risk Prediction as Derived from the American College of Surgeons NSQIP Risk Calculator
31:33
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In this episode, Dr Dante Yeh is joined by Gabriel Brat, MD, FACS, MPH and Jayson Marwaha, MD, MBI, from Beth Israel Deaconess Medical Center, Boston, MA. They discuss their recent study, which compared the predictive utility of preoperative surgeon intuition and surgical risk calculators and found that, while preoperative surgeon intuition alone i…
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Transfascial Fixation vs No Fixation for Open Retromuscular Ventral Hernia Repairs
12:38
12:38
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Interview with Ryan C. Ellis, MD, and Ajita S. Prabhu, MD, authors of Transfascial Fixation vs No Fixation for Open Retromuscular Ventral Hernia Repairs: A Randomized Clinical Trial. Hosted by Amalia Cochran, MD. Related Content: Transfascial Fixation vs No Fixation for Open Retromuscular Ventral Hernia Repairs…
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A Model to Predict Treatment Failure in Patients Undergoing Upfront Surgery for Resectable Colorectal Liver Metastases
12:03
12:03
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Rick Greene, MD, discusses with Giammauro Berardi, MD, PhD, FEBS, the outcomes of a large cohort of patients undergoing upfront surgery for resectable colorectal liver metastases (CRLM) to analyze the predictability and probability of early treatment failure using clinicopathological characteristics. Dr. Berardi is author of, “A Model to Predict Tr…
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COVID Vaccination Status and Operative Outcomes after Kidney Transplantation
21:11
21:11
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In this episode, Dr Jamie Coleman is joined by Bradley Kushner, MD, from the Washington University School of Medicine, St Louis. They discuss Dr Kushner’s study, which found that patients who are unvaccinated against COVID-19 have worse compliance and healthcare follow-up after a kidney transplant compared with those who were preoperatively vaccina…
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Association of Trauma With Long-Term Risk of Death and Immune-Mediated or Cancer Disease in Same-Sex Twins
15:35
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Interview with Trine O. Eskesen, MD, PhD, and Jacob Steinmetz, MD, PhD, authors of Association of Trauma With Long-Term Risk of Death and Immune-Mediated or Cancer Disease in Same-Sex Twins. Hosted by Amalia Cochran, MD. Related Content: Association of Trauma With Long-Term Risk of Death and Immune-Mediated or Cancer Disease in Same-Sex Twins…
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Integration of Universal Germline Genetic Testing for All New Breast Cancer Patients
17:35
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Rick Greene, MD, discusses with Julie Culver, MS, LCGC, CCRP, the implementation of genetic testing for all patients with breast cancer and how this can be incorporated into oncology care. Ms. Culver is author of “Integration of Universal Germline Genetic Testing for All New Breast Cancer Patients.” Julie Culver is the Director of Genetic Counselin…
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Severe Increase in Nursing Labor Cost and Effect on Surgical Department Financial Margins at an Academic, Tertiary Medical Center
21:51
21:51
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In this episode, Dr Jamie Coleman is joined by Clayton Brinster, MD, FACS, from Ochsner Health. They discuss his study, which demonstrates a significant increase in surgical nursing labor cost, with a resultant decrease in department of surgery financial margins. This nationwide, precarious trend is not sustainable, and fiscal recovery will require…
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Outcomes Following Laparoscopic Elective Sigmoid Resection vs Conservative Treatment Following Diverticulitis
13:42
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Interview with Ville Sallinen, MD, PhD, and Alexandre Santos, MD, authors of Quality-of-Life and Recurrence Outcomes Following Laparoscopic Elective Sigmoid Resection vs Conservative Treatment Following Diverticulitis: Prespecified 2-Year Analysis of the LASER Randomized Clinical Trial. Hosted by Amalia Cochran, MD. Related Content: Quality-of-Life…
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Is Routine Omentectomy a Necessary Component of Cytoreductive Surgery and HIPEC?
13:05
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Rick Greene, MD, discusses with Joel Baumgartner, MD, the rate of occult omental metastases in patients undergoing cytoreductive surgery-HIPEC for peritoneal surface malignancy. Dr. Baumgartner is author of, “Is Routine Omentectomy a Necessary Component of Cytoreductive Surgery and HIPEC?” Dr. Baumgartner is Associate Professor in the Department of…
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Truth of Colorectal Enhanced Recovery Programs: Process Measure Compliance in 151 Hospitals
22:28
22:28
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22:28
In this episode, Dr. Dante Yeh is joined by Tejen Shah, MD, from The Ohio State University Wexner Medical Center. They discuss his study, which shows that contrary to published enhanced recovery program (ERP) literature, most study hospitals had difficulty improving process compliance, with 80% not achieving substantial improvement. ERP bundles sho…
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