Intraoperative blood loss (IBL) ratios were found to predict local recurrence after curative resection in stage I-III colorectal cancer patients. Higher IBL ratios correlated with a greater risk of early local recurrence within two years post-surgery. Multivariate analysis indicated that factors such as anastomotic leakage and tumor characteristics, including rectal cancer and poorly differentiated histology, […]
Category: General Surgery
Iwate scoring system effectively stratifies laparoscopic liver resections
An international multicenter study validated the Iwate difficulty scoring system (DSS) for laparoscopic liver resections (LLR) across both its four difficulty levels and 12-point difficulty index. Analyzing 14,759 patients, researchers found that intraoperative and postoperative outcomes—such as operation time, blood loss, and complications—worsened significantly with higher difficulty levels (p < 0.001). These findings, derived from […]
Nomogram effectively predicts intra-abdominal infection risk post-gastrectomy
A nutrition-based nomogram has been developed to predict the risk of intra-abdominal infection (IAI) after D2 radical gastrectomy for gastric cancer. An analysis of 404 patients identified key indicators, including the NRS2002 score, fasting blood glucose, and multi-visceral resection, associating them with IAI risk. The nomogram demonstrated good predictive capacity (AUROC 0.744) and excellent calibration, […]
Amino acid profiles may predict postoperative recovery in gastric cancer patients.
Significant preoperative amino acid elevations were found in gastric cancer patients. Post-surgery, many amino acids decreased but were partially restored with nutritional intervention, with some levels surpassing preoperative values. However, methionine and glutamine remained lower than in healthy individuals. Correlations were identified between specific amino acid changes and faster gastrointestinal recovery as well as reduced […]
EUS-guided gallbladder drainage proves effective for acute cholecystitis
EUS-guided gallbladder drainage (EUS-GBD) is emerging as a safe, effective solution for managing acute cholecystitis in patients unfit for surgery. Recent findings indicate improved technical and clinical outcomes, especially with the use of lumen-apposing metal stents, which facilitate direct gallbladder inspection. The study emphasizes the necessity of standardized techniques and precise patient selection, while highlighting […]
Lactated Ringer’s solution improves outcomes in acute pancreatitis
A meta-analysis of 1500 patients found that lactated Ringer’s (LR) solution significantly reduces the risk of progressing to moderate-to-severe acute pancreatitis compared to normal saline (NS), with an odds ratio of 0.48. Patients receiving LR also experienced shorter hospital stays and lower ICU admission rates. Additionally, the incidence of local complications was reduced in the […]
New model predicts treatment response in liver cancer therapy
A deep learning-based clinical-radiomics model has shown strong predictive capability for durable clinical benefit (dcb) in patients with potentially convertible hepatocellular carcinoma receiving immune checkpoint inhibitors (ICIs). The model achieved an area under the curve (AUC) of 0.96 in training and 0.88 in testing, accurately stratifying survival risk and revealing significant disparities in overall survival. […]
Robotic technique improves safety in gastric conduit reconstruction
A novel robotic approach for the retrosternal route in gastric conduit reconstruction has demonstrated safety and efficiency. In a study involving 43 esophageal cancer patients, the median time for creating this route was just nine minutes, with no incidences of pleural injury or postoperative hemorrhage reported. Additionally, there was no significant variation in creation time […]
New fluorescent probes enhance surgical navigation for liver cancer
Recent advancements in fluorescence-guided surgery provide significant improvements in identifying hepatocellular carcinoma (HCC) lesions. Indocyanine green has been essential for delineating tumor boundaries yet lacks the ability to differentiate between benign and malignant tumors. This review discusses clinical applications and emerging alternatives, such as aggregation-induced emission probes, which demonstrate enhanced fluorescence and stability. These innovative […]
Navigation system improves robotic gastrectomy outcomes for novices
A vascular navigation system significantly enhances robotic distal gastrectomy for novice surgeons, according to a study involving 49 patients. The navigation group showed reduced dissection times (179.85 vs. 204.87 minutes) and increased lymph node retrieval (41.81 vs. 30.96). Additionally, the system contributed to lower C-reactive protein levels, indicating reduced surgical trauma (8.27 vs. 11.68 mg/dl). […]