Langenbecks Arch Surg29 Jun 2024
Retrospective multicentric study comparing surgical and endoscopic gastroenterostomy for gastric outlet obstruction (GOO) revealed similar technical and clinical success rates, post-procedure outcomes, and mortality between the two procedures. Endoscopic ultrasound-guided gastroenterostomy (EUS-GE) showed advantages such as shorter procedure duration, lower complications, and shorter hospital stay.…
J Gastrointest Cancer29 Jun 2024
In metastatic Grade 1 gastro-entero-pancreatic neuroendocrine tumors (GEP-NETs), a higher burden of liver disease significantly reduces progression-free survival (PFS). Patients with concomitant extra-hepatic involvement have a lower overall survival (OS) rate. Liver tumor burden emerged as the sole predictor of PFS. These findings suggest a…
Digital Surgery and Telemedicine29 Jun 2024
Explores AI's significant impact on early detection and surgical intervention for gastric cancer, crucial for improving patient outcomes. AI enhances early detection precision through image analysis and aids surgical decision-making with predictive modeling. The review discusses the historical shift in gastric cancer treatment towards surgical…
J Am Coll Surg28 Jun 2024
Higher levels of authenticity were linked to lower rates of burnout and depression among surgeons, while accepting external influence and self-alienation were associated with increased depression and burnout. The study underscores the importance of promoting authenticity to support mental health in the surgical profession. Targeted…
J Am Coll Surg28 Jun 2024
Resident and fellow trainees in surgical oncology procedures demonstrate low rates of achieving practice-ready performance in breast, soft tissue, endocrine, and hpb cases. Despite this, attending surgeons provide limited supervision even for high-performing trainees. The study underscores the critical need for surgical training programs to…
Ann Surg Oncol28 Jun 2024
Minimally invasive esophagectomy (MIE) demonstrated superior outcomes over open esophagectomy (OE) for esophageal squamous cell carcinoma. MIE patients had lower postoperative complications, higher R0 resection rate, better 3-year survival rates, and reduced locoregional recurrence. This benefit was especially pronounced in patients with CT3-4 tumors. Overall,…
BMC Surg28 Jun 2024
Adherence to surgical quality metrics in pancreatic ductal adenocarcinoma resections significantly correlates with improved overall survival. A study of 38,228 patients revealed that higher quality metric scores led to better outcomes, with mortality hazards decreasing in a stepwise manner. These findings emphasize the importance of…
Surgical Endoscopy28 Jun 2024
CT findings of gross perforation and peritonitis are significant factors associated with surgery in delayed perforation after endoscopic tumor resection. These factors can guide patients towards an appropriate treatment plan, with a low rate of 0.50% experiencing delayed perforation. Clinical factors and pneumoperitoneum amount were…
Endocrine Surgery28 Jun 2024
Radiofrequency ablation (RFA) demonstrates a 99.81% volume reduction rate with minimal complications in treating low-risk papillary thyroid microcarcinomas. Over 46.59 months follow-up, only 69 patients experienced local recurrence, positioning RFA as a compelling alternative to surgery and active surveillance. Notably, retreatment rates were significantly lower…
Int J Surg28 Jun 2024
AI-assisted coaching program, SmartCoach, significantly enhanced surgical performance and safety for novice surgeons in laparoscopic cholecystectomy procedures. Surgeons in the coaching group showed substantial improvement in performance scores and critical view of safety achievement compared to self-learning counterparts. Participants expressed high satisfaction with the program,…