This study reports historic morbidity and mortality rates in anti-reflux and hiatal hernia surgery, showing a 30-day morbidity rate of 18.2% and mortality rate of 0.2%, with most complications being minor. The 31-90-day period shows decreased rates. These findings suggest that while the surgeries have rare mortality, some patients may experience major complications, emphasizing the […]
Category: General Surgery
Relaparoscopy for Severe Complications in Laparoscopic Colorectal Surgery
Relaparoscopy, guided by a standardized interdisciplinary protocol, demonstrates efficacy in managing major complications after laparoscopic colorectal surgery, leading to reduced treatment failure rates, including lower 90-day mortality and need for further surgery. Relaparoscopy, particularly in cases of anastomotic leak, correlates with shortened hospital stays, decreased postoperative morbidity, and less intensive postoperative care, indicating its potential […]
Effectiveness of Virtual Care in a Multidisciplinary Bariatric Program
Transition to virtual care in a bariatric program saw significant increase in virtual visits, with high patient satisfaction rates. Patient preferences varied by healthcare providers, with most patients preferring in-person visits with medical doctors. Despite the preference, virtual care offers added benefits and high satisfaction rates. The study highlights the importance of a hybrid model […]
3D Reconstruction and Virtual Reality for Body Image Improvement in Bariatric Metabolic Surgery
3D Reconstruction and Virtual Reality proved effective in improving body image satisfaction and psychological outcomes for bariatric metabolic surgery patients. Participants reported a more accurate perception of their body changes and overall appearance, with positive feedback on group workshops and VR discussions. This method offers a feasible and acceptable approach to supporting patients in adjusting […]
Prognostic Value in Gastric Cancer Patients
The age-adjusted Charlson Comorbidity Index and sarcopenia are significant independent risk factors for prognosis in gastric cancer patients. A new prognostic score, ACCIS, combining these factors, accurately predicts prognosis and enhances predictive accuracy. Integration of ACCI score and sarcopenia improves prognostic predictions, leading to the development of a nomogram with a high concordance index for […]
Clinical Significance of C-Reactive Protein-Albumin-Lymphocyte Index in Gastric Cancer Patients
The preoperative C-reactive protein-albumin-lymphocyte (CAlly) index is an independent prognostic factor for overall and disease-free survival in patients with gastric cancer. It is also a valuable predictive marker for postoperative surgical site infection, highlighting its potential clinical significance in perioperative and oncologic management of gastric cancer patients. Journal Article by Okugawa Y, Ohi M (…) […]
WeChat-based Nursing Interventions on Mental Distress and Satisfaction
WeChat online education and care (WOEC) interventions significantly lowered depression and anxiety levels in caregivers of elderly postoperative colorectal cancer patients. Patient satisfaction scores were notably higher in the WOEC group compared to the control group. Subgroup analysis revealed that caregivers with lower performance status and higher education levels benefitted the most from WOEC. Overall, […]
Outcomes of Robotic Radical Surgery for Rectal GIST
Favorable short-term and long-term outcomes were observed in patients undergoing robotic radical surgery for rectal gastrointestinal stromal tumor (GIST), with 100% 5-year overall survival and recurrence-free survival rates. The majority of patients had negative surgical margins, underwent sphincter-preserving surgery, and experienced low postoperative complication rates, highlighting the potential utility of robotic surgery for this condition. […]
Comparing Local and Remote Ischemic Preconditioning in Hepatectomy
Local ischemic preconditioning (LIPC) and remote ischemic preconditioning (RIPC) were found to be superior to no-preconditioning in reducing postoperative serum transaminase levels in hepatectomy. There was no significant difference between the two methods in postoperative liver function and surgical outcomes. RIPC showed potential benefits in improving liver function, particularly in patients with cirrhosis or those […]
Effectiveness of Laparoscopic Indocyanine Green Tracer-guided Lymphadenectomy for Locally Advanced Gastric Cancer
Indocyanine green (ICG) guidance significantly improves lymph node dissection quality in patients with locally advanced gastric cancer undergoing laparoscopic radical gastrectomy after neoadjuvant chemotherapy. ICG led to higher numbers of retrieved lymph nodes, reduced noncompliance rates, and improved lymphadenectomy quality for patients with complete response. Surgical outcomes were similar between ICG and non-ICG groups, suggesting […]