Surgeons can confidently perform proactive emergency laparoscopic cholecystectomy for complex acute cholecystitis, showing strong outcomes even in high-risk patients. Among 721 patients, the overall complication rate was just 6.9%, with severe complications at 1.2%. Patients older than 80 had no higher complication rates (p = 0.14) compared to younger patients. Indocyanine green cholangiography significantly reduced […]
Category: Appendix, Gallbladder and Surgical Emergencies
CRP Levels Predict Conversion in Acute Cholecystitis Surgery
Preoperative C-reactive protein (CRP) can help predict complications and the need for conversion in laparoscopic cholecystectomy for acute cholecystitis. Acute cholecystitis patients showed CRP levels at 25.4 mg/l, compared to 7.1 mg/l in chronic cases (p < 0.001). CRP reliably predicted conversion to open surgery with an area under the curve (AUC) of 0.964 and […]
ERAS improves recovery in elderly patients with perforated ulcers
Enhanced recovery after surgery (ERAS) protocols accelerate recovery in elderly patients undergoing emergency surgery for perforated peptic ulcers. ERAS patients achieved bowel movement in 1.21 days vs. 2.20 days (p=0.008) and mobilized faster (1.26 vs. 3.51 days, p<0.001). Hospital stays were significantly shorter: 5.24 days vs. 7.03 days (p=0.001). Implementing ERAS led to better pain […]
Trauma Center Distribution Affects Patient Outcomes and Costs
Trauma center distribution matters: regions with more centers have better patient outcomes and lower economic costs related to injuries. Higher density of trauma centers correlates with lower per capita costs for fatal injuries. The northeast has the lowest burden of fatalities and years of potential life lost, while the south, with the fewest centers, faces […]
Title: High Negative Appendectomy Rates in Overnight Admissions
Children with equivocal appendicitis are often unnecessarily admitted, leading to high rates of negative appendectomies. 54% of patients were admitted for observation after-hours, with 30% undergoing unnecessary appendectomies. An Alvarado score under 5 accurately ruled out appendicitis in all cases, yet 44% of these low-score patients were still admitted. Discharging children with low Alvarado scores […]
Maximizing Efficiency in Robotic Cholecystectomy
A new service evaluation reveals that implementing high-intensity theatre (HIT) principles can double productivity for robotic cholecystectomy. Up to 10 robotic cholecystectomies can be performed in a single day, compared to 5 laparoscopic cases. Theatre utilization increased by 100%, optimizing patient throughput and revenue potential. This approach could significantly reduce elective surgery waiting lists while […]
Next-gen camera control for cholecystectomy using mixed reality
A new head-mounted mixed reality platform could revolutionize cholecystectomy by improving camera control. Verbal instructions for camera assistants dropped from 15.3 to 0.2 per procedure. Mean operative time decreased from 74.8 to 66.0 minutes. This technology not only boosts efficiency but also enhances visualization and reliability in surgery. Camera movements were reduced by over 70%, […]
Optimal Timing for Surgery in Small Bowel Obstruction
Early surgical intervention in small bowel obstruction can significantly reduce mortality and improve outcomes. Surgery within 24 hours cut mortality risk by 47% (risk ratio 0.53). Analysis included 47 studies with 12,486 patients, providing robust data on outcomes. Implementing earlier interventions could be critical for improving patient survival and minimizing complications. Delaying surgery past 24 […]
Interhospital Transfers in Acute Mesenteric Ischemia Raise Risks
Delayed care due to interhospital transfers significantly increases mortality and procedural severity in acute mesenteric ischemia. Of 39,690 AMI hospitalizations, 14.6% involved transfer, which correlated with higher complication rates. Transferred patients had 3.48 times the odds of bowel resection and 2.05 times higher in-hospital mortality after adjustments for age and comorbidities. Early diagnosis and streamlined […]
AI Enhances Scar Detection in Laparoscopic Cholecystectomy
An AI framework improves scar tissue visualization during laparoscopic cholecystectomy under bleeding conditions, which is critical for preventing bile duct injuries. The system significantly improved scar detection, yielding a p-value < 0.001 across expert surgeons. It translates bleeding images into clearer representations for better surgical decision-making. Surgeons can utilize this real-time technology to enhance safety […]