HPB (Oxford)26 Jun 2024
Researchers found that Tumor Burden Score (TBS) significantly influences survival in hepatocellular carcinoma (HCC) patients post-resection. A retrospective analysis of 291 patients showed median overall survival (OS) of 107.4 months for BCLC stage A and 42.7 months for stage B with low TBS. High TBS…
Intestine and Lower Gastrointestinal Tract26 Jun 2024
Conversion surgery significantly reduced mortality risk by 42% in patients with unresectable metastatic colorectal cancer treated with anti-EGFR agents and bevacizumab. Subgroup analyses showed reduced risks of mortality in patients with specific characteristics. While targeted therapy reduced mortality risk, the difference was not statistically significant…
BMC Surg26 Jun 2024
Interdisciplinary laparoscopic resection rectopexy combined with sacrocolpopexy is safe and effective for women with obstructive defecation syndrome (ODS) and pelvic organ prolapse (POP). Outcomes include significant improvement in ODS scores, bowel function, and incontinence. The approach restores pelvic floor anatomy in 80% of patients and…
Ann Surg Open25 Jun 2024
Liver MRI led to a 24.12% change in local treatment plans for patients eligible for surgical resection or ablation of colorectal liver metastases, based on CT findings. This study highlights the significant added value of liver MRI, particularly with contrast-enhanced imaging and diffusion-weighted sequences, in…
Gastrointest Endosc25 Jun 2024
Virtual Indigo Carmine Chromoendoscopy (VICI) converted from peroral cholangioscopy images using artificial intelligence technology demonstrated superior visualization of surface structures and lesion margins compared to white light imaging and narrow-band imaging. VICI, in combination with white light imaging, significantly improved diagnostic accuracy for biliary strictures,…
Ann Surg Oncol25 Jun 2024
Study shows similar survival outcomes in pancreatic cancer patients who undergo surgery after long-duration neoadjuvant FOLFIRINOX therapy, regardless of pretreatment resectability status. The majority received FOLFIRINOX alone without radiation, achieving a 76% R0 resection rate. Median overall survival was 41 months and did not vary…
BMC Surg25 Jun 2024
Subcutaneous wound soaking with chlorhexidine gluconate significantly reduces the incidence of incisional surgical site infections in patients undergoing gastroenterological surgery. A randomized controlled trial involving 363 patients showed a lower infection rate with chlorhexidine gluconate compared to the control group. This study highlights the effectiveness…
BMC Surg25 Jun 2024
Study reveals that 24.3% of older adults discharged post-emergency surgery were unplanned readmitted, with 20.8% experiencing care fragmentation. Predictors include rural residence, low-income areas, discharge to intermediate care, non-operative management, leaving against medical advice, and private investor-owned hospitals. Care fragmentation linked to higher mortality. Results…
Dis Colon Rectum25 Jun 2024
High-precision AI imaging methods, combining super-resolution and 3D shape data, show promising outcomes for diagnosing lymph node metastasis in low rectal cancer. In a pilot study, these methods demonstrated superior sensitivity, negative predictive value, and accuracy, offering potential as a game changer in cancer diagnosis…
J Gastrointest Surg25 Jun 2024
A novel oral-vestibule-enteral anastomosis (OVEA) technique shows promise in patients with compromised epiglottic function or esophageal loss, providing a solution where traditional surgeries fail. Outcomes from 13 patients revealed successful oral feeding, improved quality of life, and minimal fatalities, highlighting the potential of OVEA to…