A global expert consensus defined standardized practices for Endoscopic Sleeve Gastroplasty (ESG) utilizing a modified Delphi method. Six experts, after three survey rounds, achieved 100% agreement on six cognitive skill statements and high consensus on 21 technical skill statements. Key procedural elements emphasized were starting at the incisura, using at least six sutures, and avoiding […]
Category: General Surgery
Machine learning predicts surgical outcomes in cholangiocarcinoma patients
A machine learning model developed from 376 intrahepatic cholangiocarcinoma patients effectively predicts textbook outcomes. Key preoperative factors include Child-Pugh classification, ECOG score, hepatitis B status, and tumor size. The model achieved high accuracy during internal (AUC = 0.8825) and external validation (AUC = 0.8346). Survival analysis indicated that patients achieving textbook outcomes had disease-free survival […]
Trauma care systems need improvement in conflict-vulnerable regions.
A growing demand for effective trauma care in conflict-affected areas necessitates urgent enhancements to local health systems. Current humanitarian efforts are insufficient to cope with increased civilian injuries due to armed conflicts. Advocates urge assessing trauma care readiness in regions at risk and fostering partnerships to bolster local capacity. Recommendations include identifying vulnerable areas, evaluating […]
Heterogeneity in outcome reporting impacts pancreatic surgery research
A systematic review of 156 studies on curative surgery for pancreatic adenocarcinoma reveals significant inconsistencies in outcome reporting. Researchers identified 2088 reported outcomes, resulting in 399 unique endpoints, with no single outcome universally reported. Alarmingly, 45% of these outcomes were undefined, indicating a lack of clarity. Most outcomes focused on adverse events and care delivery, […]
Soluble TREM2 predicts liver dysfunction after surgery.
Soluble TREM2 (strem2) levels in plasma effectively reflect liver fibrosis status and predict postoperative liver dysfunction in patients undergoing liver resection. In a cohort of 108 patients assessed before surgery and on postoperative days one and five, strem2 demonstrated sensitivity for early, asymptomatic chronic liver disease. Notably, even patients without end-stage liver disease showed distinct […]
Comprehensive Classification of Right Intrahepatic Portal Vein Branching
A study analyzing the branching patterns of the right intrahepatic portal vein identified 12 distinct types, emphasizing the anatomical variations of the right anterior and posterior portal veins. Three-dimensional visualization technology was utilized to analyze 711 patients, revealing the cranio-caudal and ventro-dorsal configurations among others. These findings provide clinicians with critical insights into portal vein […]
Hospital programs can reduce violent injuries through better care access
Limited access to trauma care contributes to health disparities, particularly regarding violent injuries. Effective interventions, including hospital-based violence programs, can promote awareness and education within communities, supporting trauma-informed care. By prioritizing prevention and comprehensive access to care, healthcare professionals and policymakers can mitigate violence and enhance community health and safety. Addressing these gaps is essential […]
Adjuvant PD-1 inhibitors enhance survival in high-risk HCC patients.
In a study involving 199 hepatocellular carcinoma patients, the use of adjuvant PD-1 inhibitors significantly improved both recurrence-free survival (RFS) and overall survival (OS) rates. After propensity score matching, 1-year RFS was 87.1% for those receiving PD-1 inhibitors versus 44.6% for non-recipients, while 1-year OS rates were 98.5% versus 90.7%, respectively. The findings suggest that […]
Surgical workload in Gaza reveals alarming trauma and infection rates
Surgical data from Al Aqsa Martyrs Hospital during the October 2023 conflict highlights over 2000 patients, with traumatic injuries constituting approximately 25% of cases. The most prevalent injuries were penetrating abdominal traumas, which demanded extensive surgical resources. A concerning 50% mortality rate was observed in patients presenting with class 4 hypovolemic shock, alongside a significant […]
Deep learning model enhances bile duct identification during surgery
A newly developed deep learning system effectively identifies extrahepatic bile ducts in real-time during laparoscopic cholecystectomy. Trained on 3,993 images, the YoloV7 model achieved a mean average precision of 0.846 overall, with specific accuracies of 94.39% for the common bile duct and 84.97% for the cystic duct during video clip validations. By optimizing these crucial […]