A collaborative initiative significantly enhanced trauma care in Ukraine through the implementation of advanced trauma life support (ATLS) courses amid ongoing conflict. Over three months, 213 healthcare providers participated in ten courses, showing measurable improvements in knowledge and self-reported confidence in trauma management. The program operated safely despite the war, with no casualties recorded among […]
Category: General Surgery
Minimally invasive approach effectively treats appendicitis
Endoscopic retrograde appendicitis therapy (ERAT) emerges as a promising alternative for managing acute or chronic appendicitis, allowing effective elimination of obstructions through endoscopic techniques. Compared to antibiotic therapy, patients undergoing ERAT showed lower rates of recurrence and avoided the need for appendectomy. Innovations like the “mother-baby” endoscopic system and microbubble contrast agents have broadened its […]
Predictive tool for early detection of anastomotic leakage
A novel predictive tool combining early warning scores and C-reactive protein levels has been developed to detect anastomotic leakage after colon cancer surgery. Analysis of 1,855 patient records revealed that mean CRP levels exceeded 200 mg/l and early warning scores above 2 indicated leakage. Specifically, postoperative day 3 emerged as critical for detection, with cutoffs […]
Machine learning enhances assessment of colorectal liver metastases response
A machine learning model utilizing CT-based radiomics significantly surpassed traditional radiologist assessments in estimating pathologic response of colorectal liver metastases after neoadjuvant therapy. In a study involving 85 patients, the model achieved an area under the curve (AUC) of 0.87, contrasting sharply with the AUCs of 0.53 for RECIST assessments and 0.56 for morphologic evaluation. […]
Hyperthermic Intraperitoneal Chemotherapy Enhances Survival in Gastric Cancer
A meta-analysis of 12 randomized controlled trials involving 1,181 gastric cancer patients demonstrated that hyperthermic intraperitoneal chemotherapy (HIPEC) significantly improved survival rates compared to control groups at 1, 2, 3, and 5 years. The recurrence rates were notably lower in the HIPEC group, and higher disease-free survival rates were also observed. These findings suggest that […]
Modifiable risk factors significantly linked to gallbladder cancer
A comprehensive meta-analysis identified several modifiable environmental factors associated with gallbladder cancer (GBC). Key risk factors included body mass index, waist circumference, and bile duct infections, all showing moderately high credibility in longitudinal studies. Interestingly, higher education levels correlated with reduced GBC risk. With 350 meta-analyses from 215 studies covering multiple exposure domains, the findings […]
Patients with isolated lateral lymph node metastasis show better outcomes
A significant proportion of rectal cancer patients exhibit isolated lateral lymph node (LLN) metastases without mesenteric involvement. Results indicate these patients have a markedly better prognosis, with three-year overall survival rates of 85% compared to 51% for those with both LLN and mesenteric metastases. Furthermore, findings revealed that characteristics such as poor histological types and […]
Predictive model established for early esophageal cancer invasion
A logistic regression model developed from various risk factors effectively predicts early esophageal cancer with submucosal infiltration beyond 200 micrometers. Key predictive factors include endoscopic findings, esophageal wall thickening, pickled food intake, platelet-lymphocyte ratio, tumor size, circumferential mucosal defect percentage, and preoperative pathological type. The model demonstrated high efficacy, achieving an area under the curve […]
Minimally invasive common bile duct exploration reduces fluoroscopy time.
In a comparison of minimally invasive common bile duct exploration (MICBDE) and endoscopic retrograde cholangiopancreatography (ERCP) for treating choledocholithiasis, significant advantages were found for MICBDE. Fluoroscopy time was notably lower for MICBDE (1.54 minutes) compared to ERCP (3.1 minutes, p
Delayed primary skin closure reduces surgical site infections.
A systematic review and meta-analysis of 12 randomized clinical trials involving 903 patients indicate that delayed primary skin closure (DPC) significantly lowers the risk of surgical site infections (SSI) following surgery for gastrointestinal perforation, with an odds ratio of 0.31 (p < 0.01). However, no significant differences in length of stay (LOS) were found between […]