Digital Surgery and Telemedicine9 Mar 2025
Artificial intelligence could revolutionize surgical education by providing personalized feedback, improved competency evaluations, and enhanced candidate selection. AI-driven simulations foster adaptive learning among trainees, while intraoperative tools may assist surgeons in complex procedures. However, challenges such as data quality, ethical concerns, and the risk of…
Langenbecks Arch Surg8 Mar 2025
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…
Int J Surg7 Mar 2025
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…
Int J Surg Case Rep4 Mar 2025
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…
Perspectives, Opinions and Curiosities3 Mar 2025
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…
Perspectives, Opinions and Curiosities2 Mar 2025
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…
Perspectives, Opinions and Curiosities2 Mar 2025
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…
Surg Endosc28 Feb 2025
First-intention endoscopic ultrasound-guided drainage (EUS-pcd) using lumen-apposing metal stents (LAMS) demonstrated a technical success rate of 97.0% and a clinical success rate of 95.2% in managing postoperative collections (PCs) from various surgeries. The median size of collections was 7.6 cm, occurring about 19 days post-surgery.…
BMJ Open28 Feb 2025
A multicentre, parallel-arm, randomised trial in China aims to assess whether continuous glucose monitoring (CGM) improves surgical outcomes for patients with diabetes or impaired glucose tolerance compared to conventional monitoring. The study targets a significant cohort of over 10,000 participants and measures the comprehensive complication…
World J Surg24 Feb 2025
A meta-analysis of 15 studies with 382 participants reveals that video-based coaching (VBC) markedly improves surgical technical skills. Participants who received VBC scored significantly higher than controls, with average performance scores showing a standardized mean difference of 0.71. Additionally, improvement from baseline to final performance…