Predictive factors of first-time failure on the American Board of Colorectal Surgery certifying and qualifying examinations.

Objective: To discover if first-attempt failure of the American Board of Colon and Rectal Surgery (ABCRS) board examination is associated with surgical training or personal demographic characteristics.

Methods: Current colon and rectal surgery program directors in the United States were contacted via email. Deidentified records of trainees from 2011 to 2019 were requested.

A giant hemangioma of the sigmoid colon as a cause of lower gastrointestinal bleeding in a young man.

Although hemangiomas are among the rarest causes of lower gastrointestinal bleeding, they should be considered in young adults with recurrent, painless gastrointestinal bleeding. We present a case report of a 37-year-old man with a 2-month history of intermittent rectal bleeding who had a single large hemangioma in the sigmoid colon, successfully treated with elective laparoscopic sigmoid resection.

A Comparison of Colectomy Outcomes Utilizing Open, Laparoscopic, and Robotic Techniques.

Introduction: Robotic colectomy could reduce morbidity and postoperative recovery over laparoscopic and open procedures. This comparative review evaluates colectomy outcomes based on surgical approach at a single community institution.

Methods: A retrospective review of all patients who underwent colectomy by a fellowship-trained colon and rectal surgeon at a single institution from 2015 through 2019 was performed, and a cohort developed for each approach (open, laparoscopic, and robotic).

Spaced Education With ABSITE Quest Resulting in Improved American Board of Surgery In-Training Examination Performance.

Objective: The American Board of Surgery In-Training Examination (ABSITE) is an annual exam taken by general surgery residents as a cognitive assessment of the knowledge gained throughout each year of training. Several question banks are available for ABSITE preparation. However, ABSITE Quest (AQ) utilizes a method called spaced education which has been demonstrated to help with retaining information longer and improve exam performance.

Right Patient, Right Place, Right Time : Field Triage and Transfer to Level I Trauma Centers.

Introduction: This study sought to compare outcomes of trauma patients taken directly from the field to a Level I trauma center (direct) versus patients that were first brought to a Level III trauma center prior to being transferred to a Level I (transfer) within our inclusive Delaware trauma system.

Methods: A retrospective review of the Level I center's trauma registry was performed using data from 2013 to 2017 for patients brought to a single Level I trauma center from 2 surrounding counties. The direct cohort consisted of 362 patients, while the transfer cohort contained 204 patients.

Right Patient, Right Place, Right Time: Field Triage and Transfer to Level I Trauma Centers.

Introduction: This study sought to compare the outcomes of trauma patients taken directly from the field to a level I trauma center (direct) versus patients that were first brought to a level III trauma center prior to being transferred to a level I (transfer) within our inclusive Delaware trauma system.

Methods: A retrospective review of the level I center's trauma registry was performed using data from 2013 to 2017 for patients brought to a single level I trauma center from two surrounding counties. The direct cohort consisted of 362 patients, while the transfer cohort contained 204 patients.

Pancreatic resections: 30 and 90-day outcomes in octogenarians.

Background: Pancreatic tumors are frequently found in a geriatric population. Given that the median age of patients with pancreatic cancer is 70 years at diagnosis and the ubiquity of CT and MRI imaging has increased the detection of pancreas masses, pancreatic surgeons often find themselves operating on patients of advanced age. This study sought to evaluate the outcomes of pancreatic resection in an octogenarian population at a single institution with a dedicated surgical oncology team.

High volume pancreaticoduodenectomy performed at an academic community cancer center.

Background: We sought to evaluate the post-operative outcomes of patients undergoing pancreaticoduodenectomy at a high volume academic community cancer center.

Methods: A retrospective review was performed of patients undergoing pancreaticoduodenectomy over a 10-year period.

Results: Over 10 years, 213 patients underwent pancreaticoduodenectomy.

Complex distal pancreatectomy outcomes performed at a single institution.

Objective: Discuss the outcomes of distal pancreatectomy in a high volume academic community cancer center.

Introduction: Distal pancreatectomy can be done with minimal morbidity and mortality in high volume centers. However, there are limited reports of distal pancreatectomy being performed in the community.