Int J Surg28 Jun 2024
Robotic-assisted cholecystectomy with common bile duct exploration provides a single-stage solution for complex gallstone disease. A series of emergent and expedited robotic procedures showed feasibility, safety, and effectiveness in treating patients. The robotic platform, alongside innovative adjuncts, enhances precision and outcomes in managing complex gallstone…
Int J Surg28 Jun 2024
Using CT imaging data, a deep learning model accurately predicts postoperative recurrence in gastric cancer patients. Developed and validated on 2,813 patients, the model showed excellent performance in identifying high-risk cases of recurrence. The deep learning fusion signature outperformed clinical models and baseline deep learning…
Metabolic and Bariatric Surgery28 Jun 2024
Study developed a predictive model - GAASThyriC - utilizing age, glucose, TSH, alcohol use, SII, and tobacco to forecast patient outcomes post laparoscopic sleeve gastrectomy. The GAASThyriC score demonstrated high accuracy in identifying individuals unlikely to have optimal responses in weight loss. This model serves…
Ann Surg27 Jun 2024
Researchers found that surgical antimicrobial prophylaxis (SAP) halved the risk of surgical site infections (SSI) in low-risk cholecystectomy (LR-CCE) patients. In a cohort study of 12,521 patients from 66 Swiss hospitals, SAP was administered to 74% of patients and associated with a 50% reduction in…
Upper Gastrointestinal Tract27 Jun 2024
Extended regular follow-up after 5 years postgastrectomy in gastric cancer patients significantly reduced overall mortality rates and improved postrecurrence survival rates. The combination of endoscopy and abdominopelvic CT had the highest 5-year postrecurrence survival rate. A time interval of more than 2 years between previous…
Ann Surg Oncol27 Jun 2024
Von Willebrand Factor Antigen serves as a non-invasive biomarker for clinically significant portal hypertension and predicts time to recurrence and overall survival in hepatocellular carcinoma patients undergoing liver resection. VWF-Ag levels higher than 291% identify a high-risk group with increased posthepatectomy liver failure incidence, while…
Obes Surg27 Jun 2024
Adherence to post-surgery dietary recommendations significantly impacts weight loss success after metabolic and bariatric surgery. Factors like pre-surgery BMI, type of surgery, age, physical activity, and depression symptoms also play a role. Adherence peaks within 6 months post-surgery, highlighting the importance of ongoing support and…
Obes Surg27 Jun 2024
Sleeve gastrectomy surgery led to a significant reduction in hyperuricemia prevalence, improving metabolic syndrome status in patients with obesity. After one year, there was a 46.75% decrease in hyperuricemia cases among females and a 44.44% decrease among males. Enhancements in anthropometric and laboratory measurements were…
JAMA Netw Open27 Jun 2024
A meta-analysis of randomized clinical trials found that Enhanced Recovery After Surgery (ERAS) guidelines were associated with decreased hospital length of stay by 1.88 days and reduced risk of complications. However, there was no significant impact on readmission or mortality rates. Future research should focus…
Int J Surg27 Jun 2024
Novel machine learning models demonstrated better performance in predicting clinically significant posthepatectomy liver failure compared to traditional clinical scores, with pre- and postoperative artificial neural network models achieving excellent accuracy. These online interpretable models could serve as valuable decision support tools for identifying high-risk patients…