Preventive strategies have been shown to lower the risk of postoperative delirium (POD) by 49% after intraabdominal surgery, according to a systematic review and meta-analysis of 16 randomized controlled trials involving 4,060 participants. The findings underscore the necessity for standardized screening and intervention protocols to enhance surgical outcomes, particularly among high-risk patients. This highlights the […]

Analysis of 3006 patients across six clinical trials demonstrates that the Japan Clinical Oncology Group postoperative complication (JCOG PC) criteria show a high agreement with the Common Terminology Criteria for Adverse Events (CTCAE). The median agreement was 99.5% for early complications and 99.4% for late complications, with all items exceeding 90% in agreement rates. This […]

Satisfaction with long-term totally implantable venous access ports (TIVAPs) was assessed in 149 cancer patients, showing non-inferiority to existing literature in overall satisfaction, willingness to choose the port again, cosmetic results, and pain experience. Complications were minimal, with 91.4% of catheter accesses complication-free. While satisfaction levels were adequate, no superiority in cosmetic outcomes was found […]

Laparoscopic simulation training significantly improved the surgical performance of first-year residents during their initial cholecystectomies. In a study involving 22 surgical residents from 11 German clinics, those who underwent standardized training exhibited an 8.5-point improvement in their global operative assessment scores, compared to a mere 2-point increase in the control group. The findings highlight the […]

The study illustrates the efficacy of damage control techniques (DCS) in managing unexpected massive bleeding during elective surgeries. Two cases are presented: an obese male with colon cancer and a male with hepatocellular carcinoma, both experiencing significant bleeding. DCS facilitated stabilization in life-threatening scenarios, enabling successful interventions despite hemodynamic instability and coagulopathy. Outcomes were favorable, […]

A new Modified 4-Factor Functional Frailty Index (mFF-4) was developed to enhance predictions of surgical outcomes for patients aged 75 and older. An analysis of 265,041 individuals demonstrated that the mFF-4 scored higher for 30-day outcomes than the traditional 5-factor Modified Frailty Index (mFI-5), indicating improved accuracy, particularly regarding mortality and postoperative complications. For patients […]

Robotic surgery has rapidly evolved, necessitating specialized training for surgeons due to its unique cognitive and psychomotor demands. Existing programs like the fundamentals of robotic surgery mainly address basic skills, leaving a gap in advanced training and performance assessment. New evaluation tools are emerging to support this need. Looking ahead, advancements in technology, including artificial […]

The study analyzes over 514,000 major surgeries and reveals that the combination of cardiovascular disease (CVD) and chronic kidney disease (CKD) significantly increases long-term mortality risk. Results indicate that higher CKD stages correspond to markedly elevated mortality rates in patients with CVD, with hazard ratios rising from 1.38 for stage III to 2.70 for stage […]