Real-time organ hypoperfusion detection using Indocyanine Green in a piglet model showed immediate decreases in oscillation signals in most organs when peripheral arterial supply was occluded. Complete disappearance of oscillation curves was observed when central arterial supply was blocked. Continuous monitoring using high-frequency, low-dose ICG bolus regimen successfully detected organ hypoperfusion in real-time, offering potential […]
Category: General Surgery
Digitizing Surgical Data Delivery in Tanzanian Hospitals
Digitizing operating theater data at Tanzanian referral hospital showcased significant advancements in data management, with over 4449 procedures conducted, emphasizing orthopedics/trauma. Challenges included securing local support and technology integration, but lessons learned highlighted the importance of stakeholder communication and training. The success of the web-based platform suggests scalability potential, with recommendations for ongoing monitoring, local […]
Feasibility of Laparoscopic Common Bile Duct Exploration in Gastric Bypass Patients
Study shows laparoscopic exploration with a disposable bronchoscope is safe and effective for removing common bile duct stones in gastric bypass patients, achieving 100% stone clearance without conversions to open surgery. This cost-effective approach offers a practical alternative to traditional methods, demonstrating feasibility and safety in this population. Journal Article by Jazi AHD, Mahjoubi M […]
Positive outcomes of two-stage hepatectomy for colorectal liver metastasis in Japanese patients
Two-stage hepatectomy with portal vein embolization in Japanese patients with colorectal liver metastasis showed a 1-, 3-, and 5-year overall survival rate of 92.5%, 70.8%, and 34.7%. Patients with more than 10 liver nodules had a 4.2-fold increased mortality risk. Repeat hepatectomy post-tsh was more beneficial than chemotherapy. The study confirms tsh as a safe […]
Improved Efficacy in Treating Large Hepatocellular Carcinoma with Major Portal Vein Tumor Thrombosis
A study comparing lenvatinib plus drug-eluting bead transarterial chemoembolization with and without hepatic arterial infusion chemotherapy for hepatocellular carcinoma > 7.0 cm with major portal vein tumor thrombosis found that the addition of haic significantly improved objective response rate, time to progression, and overall survival, with a comparable safety profile. Journal Article by Cai M, […]
Robotic Liver Surgery Outcomes in Elderly Patients
Robotic liver surgery in elderly patients leads to less blood loss and shorter hospital stays compared to open liver surgery, especially in minor liver resections. Overall morbidity is similar between the two groups, but operative times are longer with the robotic approach. These findings highlight the safety and feasibility of robotic liver surgery for elderly […]
Neutrophil to Lymphocyte Ratio Predicts Bowel Ischemia in Non-Strangulated Adhesive Small Bowel Occlusions
Neutrophil to lymphocyte ratio (NLR) > 6.8 was identified as the sole independent predictive factor for bowel ischemia in non-strangulated adhesive small bowel obstruction, with 78% sensitivity and 65% specificity. This study highlights the importance of NLR as a straightforward and reproducible parameter in predicting bowel ischemia onset, aiding acute care surgeons in early detection […]
Reduction of Surgical Complications with Piperacillin/Tazobactam in Pancreatoduodenectomy
A meta-analysis comparing piperacillin/tazobactam and traditional antibiotics for surgical prophylaxis during pancreatoduodenectomy showed significant reductions in surgical-site infections, major complications, postoperative pancreatic fistulas, and mortality in patients receiving piperacillin/tazobactam. Subgroup analysis demonstrated reduced incidences of superficial and organ/space infections. These findings support the use of piperacillin/tazobactam to decrease postoperative complications and enhance patient outcomes following […]
Long-Term Outcomes of Additional Surgery for T1 Colorectal Cancer
Study comparing long-term outcomes of patients treated with additional surgery after endoscopic resection versus primary surgery for T1 colorectal cancer found no adverse effects on overall survival rates. The 5-year survival rates were 97.1% in the additional surgery group and 96.0% in the primary surgery group, indicating non-inferiority. Additionally, recurrence rates showed no significant difference […]
Delayed Adjuvant Chemotherapy Linked to Poorer Colorectal Cancer Survival
Delaying adjuvant chemotherapy for more than 6 weeks post colorectal cancer surgery is associated with worse disease-free survival in high-risk stage II and III patients. A study of 5719 individuals revealed a 5-year disease-free survival of 78.0% vs. 73.2% in early vs. late-start groups, respectively. Those initiating chemotherapy later had a hazard ratio of 1.24 […]