A dorsal approach to the middle hepatic vein from the hilar plate in laparoscopic hemihepatectomy has shown promising results. In a study involving 28 patients, the average surgery duration was 260 minutes, with median blood loss at 80 ml. Postoperative major complications occurred in only 3.6% of cases. This technique promotes better visualization and surgical […]
Category: General Surgery
High energy intake in postoperative nutrition mitigates complications.
Supplementary parenteral nutrition (h-spn) with higher energy intake decreased postoperative hospital stays and infectious complications among gastric cancer patients. In a study of 128 patients, the h-spn group had an average stay of 8.11 days compared to 10.38 days for the l-spn group and significantly fewer infections, particularly pulmonary. Furthermore, there were no added costs […]
Robotic surgery research has significantly increased over the last decade.
Recent analysis highlights a consistent rise in robotic surgery publications from 2014 to 2023, with the United States leading in both quantity and citations. The Journal of Robotic Surgery tops the publication list, while the University of Washington presents the highest average citation rate. Key research areas include techniques, complications, and applications across various medical […]
Serious illness exacerbates post-surgical pain and caregiving needs.
The analysis of 1,896 older adults who underwent major elective surgeries revealed that 60% had serious illness. Notably, those with serious illness experienced greater baseline levels of pain (43% vs. 38%), depression (22% vs. 13%), and required assistance with activities of daily living (ADLs) compared to their healthier counterparts. Post-surgery, serious illness was significantly associated […]
Oligometastatic disease does not preclude effective pelvic exenteration
Long-term survival is achievable in selected patients with locally recurrent rectal cancer, even when presenting with synchronous or previously treated metastatic disease. In a study of 300 patients undergoing pelvic exenteration, five-year overall survival rates reached 41%, despite a notable proportion having a history of metastases. Although survival tended to be lower in those with […]
Comorbidities significantly impact gallstone recurrence risk.
A comprehensive analysis of 16,763 patients revealed that gallstone recurrence is influenced by stone size and specific comorbidities, including venous thrombosis, respiratory diseases, and cirrhosis. The study found that while gallbladder stones were predominant, they exhibited low recurrence rates. Variations in stone types affected complications and demographic factors such as gender and age. Understanding these […]
Hemihepatectomy may preserve better nutritional status than pancreatoduodenectomy
A comparative analysis of surgical approaches for extrahepatic cholangiocarcinoma revealed that hemihepatectomy (HH) had fewer severe complications, lower pancreatic fistula rates, and shorter hospital stays than pancreatoduodenectomy (PD). However, HH showed a higher perioperative mortality rate among right hemihepatectomy patients. At one year post-surgery, patients undergoing HH maintained better skeletal muscle area, body fat, and […]
Cytoreductive surgery with HIPEC improves survival in CRC patients.
A systematic review and meta-analysis encompassing 14 studies reveal that colorectal cancer patients with peritoneal metastases experience enhanced overall survival (OS) and relapse-free survival (RFS) following cytoreductive surgery (CRS) combined with hyperthermic intraperitoneal chemotherapy (HIPEC). Compared to control regimens, the CRS + HIPEC approach markedly improves these outcomes, shedding light on effective therapeutic strategies for […]
New Risk Tool Effectively Assesses Surgical Risks in Elderly
A novel geriatric risk stratification tool demonstrates strong effectiveness in predicting postoperative complications among nonagenarians and centenarians. In a study involving 3,085 surgical patients, the tool achieved a discriminative accuracy of 0.857 for any complication and 0.833 for severe complications. In-hospital mortality prediction showed fair accuracy at 0.780. This innovation offers valuable insights for clinicians […]
Intrahepatic and perihepatic abscesses significantly affect postoperative outcomes.
A multicenter study found that 3.3% of 4621 hepatocellular carcinoma patients developed intrahepatic and perihepatic abscesses (ipha) post-hepatectomy. These abscesses led to longer hospital stays (16 vs. 11 days), increased 30-day readmission rates (33% vs. 3.1%), and higher 90-day mortality (11.7% vs. 2.8%). Key risk factors included obesity, diabetes, and major surgical procedures. A novel […]