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ACR Appropriateness Criteria® Parathyroid Adenoma

December 13, 2021

UNC Surgery Author: Lawrence Kim, MD | Journal of the American College of Radiology

Hyperparathyroidism is defined as excessive parathyroid hormone production. The diagnosis is made through biochemical testing, in which imaging has no role. However, imaging is appropriate for preoperative parathyroid gland localization with the intent of surgical cure. Imaging is particularly useful in the setting of primary hyperparathyroidism whereby accurate localization of a single parathyroid adenoma can facilitate minimally invasive parathyroidectomy.

Radiologic Reporting of Simple Hepatic Cyst Versus Biliary Cystadenoma May Lead to Unnecessary Surgery

December 13, 2021

Authors: Aman Kumar, MD, Alex Zendel, MD, Michael Batres, MD, David A. Gerber, MD, Chirag S. Desai, MD | The American Journal of Surgery

Simple liver cyst (SHC) is a benign condition with no malignant potential. They are typically discovered incidentally due to the increased use of abdominal imaging, but some patients may present with abdominal pain. A radiologist’s differential diagnosis in cases of SHC will often include “rule out biliary cystadenoma.”

The Sociotechnical Factors Associated With Burnout in Residents in Surgical Specialties: A Qualitative Systematic Review

December 13, 2021

Surgery Authors: Ian Kratzke, MD, and Muneera Kapadia, MD, MEE | Journal of Surgical Education

The consequences of burnout remain prevalent within general surgery training programs, yet there is no comprehensive description of the factors associated with burnout. Using sociotechnical systems theory, this review aims to qualitatively evaluate the factors associated with burnout in surgical residents.

Adenosine, Lidocaine, and Magnesium for Attenuating Ischemia Reperfusion Injury from Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) in a Porcine Model

December 13, 2021

Lead Author: Matthew J Eckert |  Journal of Trauma and Acute Care Surgery

Minimally invasive REBOA following non-compressible hemorrhage results in significant ischemia reperfusion injury (IRI). Adverse outcomes from IRI include organ dysfunction and can result in profound hemodynamic and molecular compromise. We hypothesized that ALM attenuates organ injury and inflammation responses following REBOA IRI in a porcine model of hemorrhage.

ASTS Cellular Transplantation Committee. Challenges, highlights, and opportunities in cellular transplantation: A white paper of the current landscape

December 13, 2021

Lead Author: Chirag Desai, MD | American Journal of Transplantation

Although cellular transplantation remains a relatively small field compared to solid organ transplantation, the prospects for advancement in basic science and clinical care remain bountiful. In this review, notable historical events and the current landscape of the field of cellular transplantation are reviewed with an emphasis on islets (allo- and xeno-), hepatocytes

Dynamic α-Fetoprotein Response-Are We Ready to Change the Dynamics of Hepatocellular Carcinoma Liver Transplant Practice?

December 13, 2021

Lead Author: Chirag Desai, MD | Journal: JAMA Surgery

There is an important unmet need for better measures of liver tumor biologic and objective criteria that may be used to select patients who will benefit most from the limited pool of life-saving liver grafts. This study advances our understanding of AFP-R, and such data may eventually be used in organ allocation practice and policy. However, before considering

Kim co-PI on $2M NIH RO1 Grant with Radiology Collaborators

November 23, 2021

UNC Department of Surgery is pleased to recognize co-PI Professor Lawrence Kim, MD, in the division of Surgical Oncology and Endocrine Surgery who was awarded a four-year R01 funding ($2M) in September 2021. Along with Associate Professor of Radiology Zhanhong Wu, PhD, as co-MPI of a National Institute of Diabetes and Digestive and Kidney Diseases … Read more

UNC named a American College of Surgeons NSQIP Meritorious hospital for 2020

November 23, 2021

The American College of Surgeons National Surgical Quality Improvement Program recognized UNC for achieving meritorious outcomes for surgical patient care for the 2020 calendar year for both ALL CASES and HIGH RISK CASES!  This award is for the Adult NSQIP Program at UNCH, Chapel Hill Campus. We were one of 90 out of 706 eligible … Read more