Margin Width and Local Recurrence in Patients with Phyllodes Tumors of the Breast.

Background: Optimal surgical margin width for patients with phyllodes tumors (PTs) of the breast remains debated. The aim of this study was to assess the influence of margin width on long-term local recurrence risk.

Patients And Methods: This was a single-institution retrospective review of patients with confirmed PT treated from 2008-2015.

A systematic review of general surgery robotic training curriculums.

Background: As of the most recent surveys of resident programs in 2018, only slightly more than half of programs have formal robotic training curriculums implemented. Fewer programs have further assessed their own curriculum and its benefit.

Method: We conducted a PubMed/MEDLINE literature search for robotic surgery curriculums and those that had assessment of their programs.

Video-based curriculum improves resident participation during robot-assisted surgery.

Background: Surgical videos allow residents to prepare for the operating room. We sought to determine if a video-based curriculum improves resident participation during robot-assisted surgery.

Methods: We created a video-based surgical curriculum by providing residents with narrated videos of similar cases before participating in the operating room.

Anatomic Pulmonary Resection is Associated With Improved Survival in Typical Carcinoid Lung Tumor Patients.

Background: The optimal extent of resection for a patient with a typical carcinoid tumor has been controversial. Studies suggest that wedge resection is an adequate oncologic operation for this tumor type.

Materials And Methods: We analyzed the National Cancer Database to determine an optimal surgical resection for patients with a typical carcinoid tumor.

Surgery provides improved overall survival in surgically fit octogenarians with esophageal cancer after chemoradiation therapy.

Background: Multiple randomized controlled trials have shown that multimodal therapy provides the best overall survival for patients who had locally advanced esophageal cancer. However, it is unknown if multimodal therapy offers the best overall survival in octogenarians.

Methods: We performed retrospective cohort study using data obtained from the National Cancer Database (NCDB) for octogenarians who had locally advanced esophageal cancer from 2004 to 2015.

Pre-emptive pain management program is associated with reduction of opioid prescription after minimally invasive pulmonary resection.

Background: We developed and implemented a pre-emptive pain management program wherein providers agreed to have non-opioid pain medication as a standard pain management strategy at discharge accompanied by patient education about the program.

Methods: A retrospective case-control study of prospectively collected data of patients who underwent minimally invasive pulmonary resection. We compared the outcomes among patients who were managed with pre-emptive pain management program with enhanced recovery after surgery (Pre-emptive), enhanced recovery program after surgery alone (ERAS) and standard care (control).