A bibliometric study of 1,608 articles from 1994 to 2024 highlights the evolving landscape of anal fistula treatment in Crohn’s disease. Researchers identified significant contributions from 325 countries, with the US and UK leading in publication volume. The Cleveland Clinic and Imperial College London emerged as influential institutions. Trends show a focus on surgical interventions, […]
Category: General Surgery
Minimally invasive ALPPS reduces mortality and hospital stay.
A systematic review and meta-analysis evaluated minimally invasive associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) compared to open methods. Findings revealed a significant reduction in 90-day mortality (risk ratio = 0.48) and overall length of hospital stay (mean difference = -8 days) for minimally invasive procedures. Efficacy remained comparable regarding liver […]
Incentive nursing care improves outcomes for thyroid cancer patients.
Incentive nursing care (ICN) alongside routine nursing care (RNC) significantly enhances the management of depression and anxiety in thyroid cancer patients undergoing surgery. A meta-analysis of 12 trials with 999 participants revealed notable improvements in self-reported depression and anxiety levels, as well as overall quality of life measures. Results indicated that ICN plus RNC outperformed […]
Endoscopic gastrojejunostomy shows benefits over surgical options
Findings indicate that endoscopic gastrojejunostomy (EGJ) is associated with fewer peri-procedural complications compared to surgical gastrojejunostomy (SGJ) for patients with malignant gastric outlet obstruction. Data from over 20,000 hospitalizations from 2016 to 2020 revealed that EGJ resulted in lower rates of respiratory failure, blood transfusions, and peritonitis, alongside reduced hospitalization costs and shorter stays. The […]
New survival model offers real-time predictions for gastric cancer
A dynamic survival prediction model for gastric neuroendocrine carcinoma (GNEC) was developed using machine learning and conditional survival (CS) analysis. Data from 654 patients were split into training and validation sets. The CS model demonstrated improved 5-year survival probabilities, rising from 48% at diagnosis to 94% after four years. Key prognostic factors—age, tumor grade, stage, […]
Nomogram predicts complications in robotic radical gastrectomy patients
A predictive nomogram was developed to assess the risk of postoperative complications in gastric cancer patients undergoing robotic-assisted radical gastrectomy. The study analyzed data from 636 patients across two cohorts and identified five independent risk factors: tumor diameter, TNM stage III, ASA classes I and III, and visceral fat area. The nomogram demonstrated good discrimination, […]
Deep learning algorithm excels in kidney trauma detection
A deep learning model, RenotrNet, demonstrated high accuracy in detecting kidney trauma on CT scans, achieving 0.88 accuracy in internal testing and 0.93 in external validation with RSNA data. The model showed robust performance metrics, including 0.75 sensitivity and 0.95 specificity internally, and 0.73 sensitivity and 0.94 specificity externally. Its high negative predictive value of […]
Bismuth subgallate-borneol ointment enhances healing in surgical wounds
A novel bismuth subgallate-borneol compound ointment significantly improved wound healing in infectious postoperative wounds after anorectal surgery. In a randomized controlled trial involving 46 patients, the experimental group showed a higher granulation growth rate at all observation points and a notable increase in wound healing rate by day 14 compared to the control group. These […]
Predictive model enhances surgical options for liver tumor patients
A predictive model for identifying intrahepatic collateral vessels in patients with caval confluence tumors reveals that 78% exhibited such vessels. Out of those, 92% underwent parenchyma-sparing hepatectomies, with zero operative mortality and no liver congestion reported. The study established tumor size, number, hepatic vein infiltration, and tissue density as key predictors for the presence of […]
Methylated ctDNA predicts outcomes in liver metastases treatment
A prospective study of 56 colorectal cancer patients reveals that preoperative circulating tumor DNA (meth-ctDNA) serves as a significant biomarker for assessing treatment plans. Negative preoperative meth-ctDNA correlates with longer median progression-free survival (PFS), identified as a strong independent predictor (HR=3.3). Similarly, negative postoperative meth-ctDNA also indicates improved survival outcomes. This study suggests that assessing […]