Indocyanine-green (ICG)-guided lymphography during minimally invasive esophagectomy significantly decreased the incidence of postoperative chyle leak from 11.8% to 4.6% (p=0.026). Additionally, it was linked to a shorter median hospital stay of 9 days compared to 13 days in patients without ICG guidance (p=0.006). Although chyle leaks post-ICG were more likely to necessitate reoperation (p=0.050), the […]
Category: General Surgery
Implementing a critical view reduces recurrence in hernia repairs
A novel critical view approach in paraesophageal hernia repair yielded significant outcomes. Patients experiencing this technique had a recurrence rate of 9.7% versus 20% for standard repair (p < 0.01) and reoperation rates of 0.5% compared to 10% (p < 0.001). Adjusted outcomes also indicated a lower odds of postoperative complications for the critical view […]
Postoperative hypothermia increases complications after major abdominal surgery
The study revealed a significant association between postoperative hypothermia and increased complications in patients undergoing major abdominal surgery. Out of 30,194 patients, those who experienced hypothermia had a 9% higher incidence of complications, particularly acute kidney injury, which was 14% more prevalent in this group. Factors linked to hypothermia included the type of surgery performed. […]
Intracorporeal triangular anastomosis enhances robotic gastrectomy safety
The study evaluated the intracorporeal triangular anastomotic technique (INTACT) in robotic distal gastrectomy (RDG) with Billroth I reconstruction, involving 81 patients aged 31 to 91 years. Results showed median blood loss was 0 ml, and postoperative stays averaged 8 days. Importantly, there were no incidences of reanastomosis, anastomotic leakage, reoperations, or strictures. With enhanced precision […]
Staging laparoscopy improves diagnosis of incurable gastric cancer.
A population-based study indicates that staging laparoscopy in gastric cancer patients increased from 19.6% in 2016 to 32.3% in 2021 (p
Combination therapy improves survival in unresectable upper biliary tract cancers
A retrospective study of 60 patients with unresectable upper biliary tract cancer revealed that gemcitabine and cisplatin plus S-1 (GCS) therapy, followed by conversion surgery, significantly increased median overall survival to 28 months compared to 12.4 months for those receiving only GCS. The response rate to therapy was 33.9%, with conversion surgery performed in 35% […]
RD2 Ver.02 shows promising efficacy in treating pilonidal sinus
In a phase II study involving 51 patients with pilonidal sinus (PNS), RD2 Ver.02 demonstrated significant results. Three months post-treatment, 82.4% achieved primary healing, increasing to 90.2% and 82.4% at six and twelve months, respectively. Recurrence occurred in 11.8% of patients within a year, while five adverse events were reported, none severe. Thus, RD2 Ver.02 […]
Preoperative iron deficiency anemia needs urgent management in CRC patients.
Preoperative iron deficiency anemia (IDA) significantly impacts colorectal cancer (CRC) patients, with up to 80% experiencing iron deficiency. This condition predisposes them to increased risk of allogeneic blood transfusion, postoperative complications, prolonged hospital stays, and higher mortality. An effective strategy for managing IDA involves using the reticulocyte hemoglobin equivalent as a diagnostic tool and administering […]
Innovative protocol enables high compliance in genetic testing
A novel protocol for germline genetic testing (GGT) in pancreatic ductal adenocarcinoma (PDAC) demonstrated a high patient compliance rate of 98.7%, with 310 patients tested over three years. The physician compliance rate was 82.6%, and 14.2% of patients had actionable pathogenic variants. The protocol effectively allocated genetic counseling resources to benefit those most in need, […]
Modified Surgical Apgar Score enhances postoperative complication prediction
Modified Surgical Apgar Score (MSAS) may serve as a valuable tool in predicting postoperative complications in rectal cancer patients undergoing robotic surgery. The study analyzed 524 patients, revealing a 17.4% complication rate, with MSAS scores of 6 identified as optimal cut-off values. The area under the ROC curve was 0.740 for predicted complications, while the […]