Evaluation of robotic liver resections at San Raffaele Hospital revealed effective learning curves for two surgeons with varied laparoscopic experience. The pioneer surgeon achieved proficiency in high-complexity cases after 10 cases, while the new generation surgeon required 18. Operative times improved significantly for both after completing 15 low and 10 intermediate cases, demonstrating the impact […]
Category: General Surgery
Better IPMN risk stratification could optimize cancer surgery decisions.
Personalized Cancer Risk Thresholds Can Guide IPMN Surgery Decisions Clinicians found that optimal cancer risk thresholds (CRT) for surgery in patients with branch-duct intraductal papillary mucinous neoplasms (bd-IPMN) vary based on age, comorbidities, and tumor location. For a 60-year-old with mild comorbidities, surgery was favored at a 20% CRT for tumors in the pancreatic head […]
High Rate of Adverse Events Found in South African Surgical Service
In a comprehensive analysis of a decade’s worth of data from a tertiary surgical service in South Africa, researchers documented a notable 22% adverse event rate among 52,835 admissions. A total of 14,537 adverse events were identified, primarily linked to clinical care (57.3%) and pathology (21.4%). Indwelling devices and iatrogenic injuries were the most common […]
Alloplastic grafts enhance patency in pancreatic surgery
Findings reveal that alloplastic vascular grafts used in pancreatic surgeries demonstrate superior patency rates compared to other materials. For example, the 7-day patency rate reached 99%, while the 1-year patency for polytetrafluorethylene grafts was 78%. Among 201 patients, the all-cause 90-day mortality was recorded at 10%, with no incidences of graft infection. The study highlights […]
Predictive model developed for cachexia in gastric cancer patients
A new prognostic model for cachexia in postoperative gastric cancer patients was developed and validated across two cohorts. Focusing on twelve key factors, the model achieved promising performance with AUC values of 0.805 in the training set and 0.795 in the external validation cohort. Calibration and decision curve analyses confirmed its clinical utility, enabling healthcare […]
Long-term success of open ventral hernia repair is confirmed
A study tracking 101 patients who underwent open ventral hernia repair with a narrow well-fixed retrorectus polypropylene mesh over an average of 7.68 years revealed no recurrent hernias or enterocutaneous fistulas. While 15% of patients required unrelated abdominal surgeries post-repair and 5% reported chronic pain, overall, the procedure demonstrated excellent long-term outcomes without complications. These […]
Same-day discharge after hepatectomy is safe for low-risk patients
Analysis of 7,279 patients undergoing laparoscopic or robotic hepatectomy revealed that same-day discharge is feasible for low-risk individuals. Among 361 patients discharged on the same day, there were no significant differences in 30-day mortality, readmissions, or postoperative complications compared to admitted patients. Younger age and fewer comorbidities characterized the same-day discharge cohort, suggesting careful patient […]
Combining PRP and NPWT enhances healing in pressure ulcers
A combination of autologous platelet-rich plasma (PRP) and negative pressure wound therapy (NPWT) demonstrates superior efficacy in treating pressure ulcers. In a study involving 90 patients, the combined treatment resulted in a 95.56% effective rate, significantly higher than the 80.00% found with NPWT alone. The combination also led to reduced infection control times, shorter wound […]
Higher lymph node yield correlates with reduced colon cancer mortality
A significant negative correlation exists between lymph node yield (LNY) and 5-year mortality rates in colon cancer patients, with optimal prognostic results noted at 12 nodes. Beyond 22 nodes, further increases in LNY did not yield significant mortality differences. Additionally, lymph node ratio (LNR) strongly predicted survival outcomes in stage III colon cancer, regardless of […]
Surgery shows superior treatment success for acute appendicitis
A network meta-analysis of 13 randomized controlled trials evaluated various antibiotic treatments against surgical options for acute appendicitis. Results indicated that surgical intervention had the highest initial treatment success (66.5% SUCRA) and was superior at 1-year follow-up compared to selected antibiotic regimens. However, no significant differences were identified for treatment-related complications among interventions. Overall, while […]