High-volume colorectal center study finds low rates of severe complications and conversions to open surgery in laparoscopic sigmoidectomy for fistulizing diverticular disease. 10.6% experienced Clavien-Dindo grade ≥ III complications with a 1.9% rate of anastomotic leaks. Most patients were stoma-free at last follow-up with only 0.9% mortality within 30 days. Urgent surgeries had higher severe complication rates. […]
Category: General Surgery
Lobectomy is the preferred surgical choice for intermediate-risk papillary thyroid cancer
Lobectomy is superior to total thyroidectomy in reducing complications, including transient parathyroid dysfunction, for intermediate-risk papillary thyroid carcinoma patients. Both lobectomy and total thyroidectomy show similar effects on survival outcomes and recurrence rates. This systematic review and meta-analysis suggest considering lobectomy as the optimal surgical approach for intermediate-risk papillary thyroid cancer, as total thyroidectomy does […]
Double Balloon Interventional Endoscopic Platform Reduces Procedure Time and Costs for Colorectal ESD
The Double Balloon Interventional Platform (DBIP) significantly reduced the mean procedure time for colorectal endoscopic submucosal dissection (ESD) by 36.5% compared to traditional methods (88.6 vs. 139.5 minutes, p
Indocyanine green angiography reduces hypoparathyroidism risk after thyroid cancer surgery
Indocyanine green angiography identified 14.75% of devascularized parathyroids during thyroid cancer surgery. Patients with all four parathyroids evaluated by angiography had decreased rates of permanent hypoparathyroidism compared to those without. In fact, no patients in the indocyanine group developed permanent hypoparathyroidism. This method may help to prevent long-term hypoparathyroidism in individuals undergoing thyroid cancer surgery, […]
Computed Tomography-Based Vascular Burden Index Predicts Vascular Resection and Pathological Invasion in Pancreatic Cancer
Computed tomography-based vascular burden index accurately predicts vascular resection and pathological vascular invasion in pancreatic cancer patients post neo-adjuvant chemotherapy. The study found that the vascular burden index values, specifically around adjacent arteries and veins, significantly predicted vessel resection and invasion. These indices, particularly the regression of vvbi and avbi, were independent prognostic factors for […]
Augmented Reality System Enhances 3D Visualization in Liver Surgeries
An augmented reality (AR) system for laparoscopic liver surgery shows promise in improving visualization of internal anatomy. The system achieved a mean registration time of 2.4 minutes and a high accuracy rate of 93.8% in aligning preoperative 3D models with real-time laparoscopic images. Evaluations by surgeons demonstrate that this AR technology could significantly enhance tumor […]
Serum Hepcidin Levels as a Diagnostic Marker for Acute Appendicitis
Serum hepcidin levels were significantly elevated in patients with acute appendicitis (1750±285 pg/ml) compared to healthy controls (1066±225 pg/ml, p
Robot-assisted surgery excels in lymph node dissection for oesophageal cancer
Robot-assisted oesophagectomy shows superior effectiveness in removing crucial lymph nodes near the recurrent laryngeal nerve, compared to video-assisted techniques, resulting in lower rates of nerve injury. In a multicentre trial in Asia, robot-assisted surgery successfully dissected lymph nodes in 88.3% of cases, significantly outperforming video-assisted surgery at 69%. Robot-assisted procedures also led to fewer cases […]
Additional Gastrectomy after Endoscopic Submucosal Dissection Does Not Worsen Prognosis in Early Gastric Cancer
Propensity score-matching analysis of 778 patients showed that additional gastrectomy after endoscopic submucosal dissection (ESD) for early gastric cancer did not significantly impact overall or disease-free survival rates compared to surgery alone. Postoperative complication rates were similar between groups. The findings suggest that additional gastrectomy after ESD is oncologically acceptable and does not worsen long-term […]
Scissor-Type Knives Show Similar Efficacy in Colorectal Endoscopic Submucosal Dissection
Scissor-type knives, clutch cutter (CC) and SB knife Jr2 (SB), demonstrated comparable efficacy in colorectal endoscopic submucosal dissection. Both groups exhibited high en bloc resection rates and low complication rates, with CC showing significantly less perioperative bleeding than SB. Risk factors for prolonged procedure time included antiplatelet use, larger lesion size, severe fibrosis, and higher […]