Minimally invasive liver resection (MILR) demonstrated superior outcomes compared to open surgery in a study of 260 patients. MILR, performed in 68% of cases, resulted in shorter operative times, less blood loss, lower rates of major complications and bile leaks, and reduced hospital stays. Despite a higher proportion of prior abdominal surgeries in the open […]
Category: General Surgery
Malnutrition and Nutritional Support After Gastrectomy in Gastric Cancer Patients
Malnutrition, common among gastric cancer patients, can be improved with nutritional support after gastrectomy. Total gastrectomy poses significant challenges, but function-preserving surgeries show promise. Effective nutritional screening and support enhance outcomes, including reduced complications and improved quality of life. Preoperative interventions vary in effectiveness, while postoperative support consistently benefits patients. Enteral nutrition is effective for […]
Subgrading of G2 Pancreatic Neuroendocrine Tumors Reveals Behaviorally Distinct Subsets
Subgrading G2 pancreatic neuroendocrine tumors into 2A (Ki67 3% to < 10%) and 2B (10% to ≤ 20%) identifies distinct subsets with different metastasis rates and aggressiveness. G2B cases show significantly higher rates of liver/distant metastasis, lymph node metastasis, and histopathologic signs of aggressiveness compared to G2A. G2B tumors behave similarly to G3, suggesting they […]
Circulating Exosomal MicroRNA Panel Predicts Peritoneal Metastasis in Advanced Gastric Cancer
A circulating exosomal microRNA panel, robustly predicting peritoneal metastasis in advanced gastric cancer patients, was developed and validated with remarkable accuracy. The risk-stratification model, combined with currently used tumor markers, significantly outperformed conventional clinical factors in predicting metastasis. This novel liquid biopsy assay shows potential for improved patient selection and management, offering clinical impact in […]
Anatomical variations of the recurrent laryngeal nerve increase risk of vocal cord paralysis in thyroidectomy
Anatomical variations of the recurrent laryngeal nerve (RLN) during thyroidectomy, such as extralaryngeal branching and relation to the inferior thyroid artery (ITA), significantly increase the risk of vocal cord paralysis (VCP). This retrospective study on 1070 neck sides found that extralaryngeal branching nerves had higher VCP rates compared to nonbranching nerves. RLN crossing anteriorly or […]
Robot-assisted Ventral Hernia Repair: Cost-effective with Shorter Stay and Lower Complications
Robot-assisted ventral hernia repair is associated with decreased length of stay and lower complication rates compared with open repair, resulting in a more cost-effective procedure. In a retrospective cohort study, patients undergoing robot-assisted repair had a significantly shorter mean stay of 0.3 days, lower readmission rate of 4%, and lower total procedure cost of 1,094 […]
Laparoscopic segmentectomy using ICG fluorescent navigation shows superior outcomes
Laparoscopic segmentectomy using ICG fluorescence navigation with the negative staining method showed superior outcomes compared to open segmentectomy. Patients who underwent laparoscopic surgery experienced shorter operative times, reduced blood loss, and shorter hospital stays. Additionally, they had significantly fewer grade II and grade III or higher postoperative complications. These findings highlight the precision and safety […]
Higher Lymph Node Yield Improves Survival in Pancreatic Cancer Patients
Increased lymph node yield (LNY) of 22 or more nodes is linked to better overall survival (OS) and longer time to recurrence (TTR) in node-negative pancreatic ductal adenocarcinoma (PDAC) patients receiving neoadjuvant therapy (NAT). This association was observed in two separate patient cohorts, highlighting the importance of LNY in predicting oncologic outcomes and suggesting potential […]
Robotic Pancreatoduodenectomy: Experience Matters
Robotic pancreatoduodenectomy showed decreased complications and increased efficiency with experience, as seen in 150 consecutive patients. Morbidity was lower, mortality rates were comparable, and operative times significantly reduced in the latter half of cases. Higher lymph node resection and more partial portal vein resections were observed in experienced cases. These results emphasize the safety and […]
Robotic Cholecystectomy Proven Safe in UK Training Program
Study of 600 patients shows robotic cholecystectomy in UK training program has low bile duct injury, conversion to open surgery, and need for subtotal cholecystectomy. Majority female, discharged same day with low 30-day readmission rate. Key indications: biliary colic, cholecystitis, gallbladder polyps, pancreatitis. Median stay: 0 days. Findings support safe implementation of robotic cholecystectomy in […]