Enhanced Recovery after Surgery (ERAS) recommendations in minimal invasive liver surgery significantly reduce postoperative complications by 14% and prove cost-effective by offsetting the expenses associated with complications. Complications greater than Clavien-Dindo grade II incur the highest costs, reducing profit margins by a median of € 6,640. Embracing ERAS society recommendations in liver surgery leads to […]
Category: General Surgery
Early follow-up colonoscopy after colorectal cancer resection detects significant pathology
Follow-up colonoscopies post colorectal cancer resection found 2.7% cancer and 13.2% advanced adenomas in initial procedures. Timely surveillance detected 4.4% cancer progression. Older age, stage IV cancer, and synchronous cancers increased the odds of finding advanced neoplasia. Subsequent colonoscopies revealed 1.8% cancer and 11.4% advanced adenomas. Advanced adenomas during prior exams predicted advanced neoplasia in […]
Surgeon Workload’s Impact on Pregnancy Outcomes
Surgeons experiencing high workload during pregnancy have increased risks of major complications, preeclampsia/gestational hypertension, intra/post-partum complications, unplanned cesarean sections, and preterm deliveries. Most institutions lack policies for workload modification, leading to many surgeons not adjusting their workload. These findings highlight the importance of creating a supportive workplace culture and implementing formal policies to protect the […]
Heparin reduces risk of posthepatectomy liver failure
Heparin was found to significantly reduce the risk of posthepatectomy liver failure in patients who underwent liver cancer hepatectomy. A study of 1388 patients showed that heparin administration was associated with a decreased occurrence of liver failure, indicating its potential as a preventive option. Statistical analysis demonstrated a significant association between heparin treatment and reduced […]
Robotic-assisted esophagectomy improves R0-resection in esophageal cancer patients
A single-center experience found that robotic-assisted minimally invasive esophagectomy with total mesoesophageal excision led to a significantly higher R0-resection rate compared to open transthoracic esophagectomy. This approach also reduced postoperative pneumonia rates, shortened ICU and hospital stays, with comparable mortality rates. The study suggests that combining robotic assistance with a structured dissection method may result […]
Robotic-assisted surgery shows better outcomes in rectal cancer resection
Patients with rectal cancer who underwent robotic-assisted surgery (RAS) had a higher likelihood of ileostomy formation but experienced fewer complications, less bleeding, and improved recovery compared to laparoscopic and open surgery. RAS patients had lower rates of ileus, anastomotic leak, and reoperation, as well as a higher rate of discharge to home. Results suggest that […]
Colectomy Outcomes in the U.S. Improve Significantly from 2012 to 2020
Significant improvements in postoperative outcomes after colectomy in the United States were observed between 2012 and 2020. The adoption of quality improvement initiatives led to a decrease in postoperative length of stay, rates of surgical site infections, and pulmonary embolism. Notably, mortality rates remained unchanged. Specifically, undergoing a colectomy in 2020 compared to 2012 was […]
CA 19-9 Surveillance Enhances Survival in Resected Ampullary Cancers
CA 19-9 surveillance in resected ampullary cancers significantly improves survival rates by detecting recurrences early. Among 572 patients, a rise in CA 19-9 levels predicted recurrences accurately, with a serial increase proving to be a more reliable indicator. The optimal threshold for identifying a recurrence was established, leading to prompt detection and treatment. Patients with […]
Age, BMI, and Surgery Duration Impact Microbial Composition of Surgical Infections
Age, BMI, and duration of surgery significantly influence the microbial composition of surgical-site infections, with older age, lower BMI, and longer surgical procedures associated with a shift from skin bacteria to intestinal pathogens like enterobacterales and enterococcus spp. These patient-dependent factors were identified as key predictors of microbial composition in surgical infections, regardless of the […]
Step-up Approach Proves Effective in Treating Infected Necrotizing Pancreatitis
Real-life data from a single center experience show that the “step-up” approach for treating infected necrotizing pancreatitis is feasible, with an 80.5% success rate in resolving infections. The strategy had mild morbidity, a 19.5% mortality rate at 6 months, and led to long-term sequels in some patients (exocrine pancreatic insufficiency, diabetes, pancreatic fistula, parietal hernia). […]