A systematic review and meta-analysis of 16 cohort studies demonstrated that patients undergoing pelvic peritoneal reconstruction (PPC) during abdominoperineal resection for rectal cancer experienced significantly lower rates of postoperative complications. The PPC group showed reduced odds for intestinal obstruction (OR = 0.22), surgical site infections (OR = 0.36), and pelvic and abdominal cavity infections (OR […]
Category: General Surgery
EUS-guided drainage proves effective for postoperative fluid collections
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. Only 9.1% experienced adverse events, with just one severe case […]
Minimally invasive endoscopic onlay repair shows low complication rates
A systematic review and meta-analysis of 12 studies involving 480 patients indicated that minimally invasive endoscopic onlay repair (endor) for diastasis recti and ventral hernia is a safe technique. The intraoperative complication and conversion rates were low at 1%, with a seroma rate of 25%. Postoperative complications included a 1% rate of surgical site infections […]
Continuous glucose monitoring may enhance surgical outcomes for diabetes patients
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 index (CCI) within 30 postoperative days. By employing rigorous statistical […]
Epithelial type influences postoperative outcomes in IPMNs
A multicenter analysis of 556 patients with intraductal papillary mucinous neoplasms indicated that epithelial types significantly affect postoperative results. The pancreatobiliary type demonstrated a notably higher 10-year cumulative incidence of metachronous pancreatic ductal adenocarcinoma (22.7%) and high-risk lesions (37.2%) compared to gastric and intestinal types. Five-year disease-specific survival rates varied substantially, with 76.1% for the […]
Nomogram predicts risk of pulmonary infections in surgery patients
A novel nomogram developed by clinicians accurately predicts postoperative pulmonary infections (popis) in esophageal cancer patients. Evaluated across 910 patients, it identified six independent risk factors: age, anemia, neoadjuvant therapy, T stage, thoracic adhesions, and duration of surgery. The model demonstrated strong discrimination with areas under the curve (AUC) of 0.8095, 0.8039, and 0.7174 in […]
Robotic hepatectomy shows improved outcomes and lower costs
A recent analysis of 152 robotic hepatectomies demonstrated significant benefits compared to traditional open procedures. Key findings indicate lower overall morbidity, reduced blood loss, and shorter ICU stays, leading to substantially lower hospital costs despite higher operating room expenses. The study also revealed that robotic hepatectomy achieved a higher textbook outcome rate (85% vs. 64% […]
Tumor marker clustering predicts hepatocellular carcinoma outcomes.
A multi-institutional study involving 1,515 hepatocellular carcinoma patients revealed that combining preoperative alpha-fetoprotein and des-gamma-carboxy prothrombin levels enables effective prognostic clustering. Patients in cluster 3 exhibited the worst five-year overall survival rate of 52.8% and a high recurrence rate of 79.3%. Conversely, cluster 4 showed superior outcomes with a 71.5% survival rate. Notably, des-gamma-carboxy prothrombin […]
High success rate achieved in robotic-assisted esophagectomy
A significant 90% of patients achieved textbook outcomes following robotic-assisted minimally invasive esophagectomy (RAMIE) in a single-center analysis involving 150 consecutive patients. Key findings included a median hospital stay of 7 days, low mortality rates of 0.7% at 30 days and 1.3% at 90 days, and a complete pathologic response in 27% of patients. These […]
Robotic surgery reduces pancreatic fistula risk in high-risk patients
In a retrospective study involving 204 patients, robotic pancreatoduodenectomy (rpd) significantly lowered the incidence of clinically relevant postoperative pancreatic fistula (cr-popf) in high-risk patients compared to open pancreatoduodenectomy (opd). The cr-popf rate was 6.0% in the rpd group versus 38.2% in the opd group (p < 0.001). Moreover, multivariate analyses confirmed opd as an independent […]