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Appendix, Gallbladder and Surgical Emergencies11 Feb 2025

Robotic cholecystectomy training proves effective for novice surgeons

A training program focused on robotic-assisted surgery (RAS) demonstrated significant enhancements in novice surgeons' technical skills and confidence. An analysis of 300 robotic cholecystectomies revealed no major complications or conversions to other surgical methods. Additionally, the comprehensive RAST curriculum, employing a multimodal learning approach, emphasizes…

Surg Endosc10 Feb 2025

Proctoring boosts surgical skills and reduces operating times

Proctoring in robotic surgery significantly improved surgical skills and reduced operating times, according to a retrospective analysis of surgeons' feedback in a single-center program. The study revealed that proctoring not only enhanced individual surgical abilities but also positively influenced the number of cases performed and…

Perspectives, Opinions and Curiosities10 Feb 2025

Human errors significantly contribute to surgical adverse events

Over a decade, 52.7% of 14,237 adverse events in a South African surgical department were linked to human error. This resulted in an error rate of 14% per admission and 2% per inpatient day, correlating with increased length of hospital stays and mortality. Addressing these…

BMJ Open9 Feb 2025

Racial disparities in surgical outcomes are set for analysis

A systematic review and meta-analysis aims to assess the impact of racism on surgical outcomes in the USA and Canada. The study will compile data on adverse postoperative events for racialised versus non-racialised patients across common and high-risk surgeries. Key outcomes include mortality and complication…

Int J Surg8 Feb 2025

Increased familiarity among surgical teams lowers patient complications

Higher levels of surgical team familiarity significantly reduce patient complications and adverse events, according to a cohort study of over 8,500 operations. Specifically, investigators found that initial collaborations cut composite adverse event rates from 23% to 16.5%. The related odds ratios indicated notable decreases in…

BMC Gastroenterol2 Feb 2025

Prehabilitation improves postoperative outcomes for digestive cancer patients.

A meta-analysis of 20 studies involving 1,719 patients revealed that exercise-based prehabilitation significantly reduced overall postoperative complications with a risk ratio of 0.74. While it did not shorten hospital stays, prehabilitation improved the six-minute walk distance preoperatively and maintained benefits at four weeks post-surgery. High…

Int J Surg2 Feb 2025

3D surgical videos enhance student preparedness despite lower knowledge retention.

A randomized controlled trial with 231 medical students found that while 3D immersive videos led to lower immediate knowledge retention compared to 2D videos, they significantly improved expected preparedness, satisfaction, and self-confidence after one month. Participants using 3D video reported feeling more engaged, better able…

Perspectives, Opinions and Curiosities29 Jan 2025

ABsite Exam Demonstrates Strong Reliability and Unidimensionality

The internal structure study of the American Board of Surgery In-Training Examination (ABSITE) revealed strong reliability (Cronbach's alpha >0.9) along with suitable item difficulty (0.66) and item discrimination index (>0.2). Analyzing data from 55,986 unique test results between 2018 and 2023, the findings suggest that…

World J Surg29 Jan 2025

A new model predicts perioperative mortality in low-resource settings.

A novel perioperative mortality risk (POMR) model was developed and validated for humanitarian surgical care, utilizing electronic health record data from 49,277 patients. Eight critical, accessible variables were identified: age over 65 years, male sex, Glasgow Coma Scale under 13, high glucose levels, low hemoglobin,…

Ann Surg28 Jan 2025

Algorithm Effectively Grades Surgery-Related Adverse Events

An algorithm was developed to automate the grading of surgery-related adverse events using the Clavien-Dindo classification, showing substantial agreement with manual annotations. In a study of 1,379 colorectal procedures, the algorithm achieved a kappa of 0.77 with surgeons and 0.74 with nurses, improving to 0.89…