The study aimed to compare the accuracy of prediction models in detecting clinically relevant post-hepatectomy liver failure (PHLF) following major hepatectomy. The researchers evaluated the use of arterial lactate measurements as an early predictor of PHLF in a subgroup of major hepatectomies, finding that lactate levels on postoperative day 1 were inferior to clinical risk […]
Category: General Surgery
A Video-Based Procedure-Specific Competency Assessment Tool Improves Evaluation of Minimally Invasive Esophagectomy
The study developed and validated a procedure-specific competency assessment tool (CAT) for minimally invasive esophagectomy (MIE). The CAT consists of 8 procedural phases, with 4 quality components per phase, assessed using a 1-4 Likert scale. Peer-reviewed MIE videos were evaluated by 18 international experts. Results showed good intrarater reliability and moderate interrater reliability. Construct validity […]
Local Therapy Improves Survival for Early Recurrence After Resection of Colorectal Liver Metastases
A study evaluated whether local therapy benefits patients who experience early recurrence after hepatectomy for colorectal liver metastases (CLM). Clinicopathologic data of 671 patients were analyzed, with 81% experiencing recurrence. Local therapy, including ablation, resection, or radiation, resulted in improved survival for patients with early, intermediate, or later recurrence. Treatment with local therapy, liver and […]
Improved Prognosis in Rectal Cancer: Pathological-Features-Modified TNM Staging
A retrospective population-based study developed a pathological-features-modified tumor node metastasis (TNM) staging system using machine learning ensemble methods to improve the prognostic accuracy for rectal cancer patients. The study cohort included 14,468 patients diagnosed between 2010 and 2015. Patients were categorized into four pathological groups based on the number of pathological features. The proposed staging […]
International Consensus Defines Quality Measures for Minimally Invasive Gastrectomy
Researchers conducted an international Delphi consensus study to determine expert agreement on the key technical steps of minimally invasive total gastrectomy (MITG) for gastric cancer. A final consensus of 41 statements was reached, outlining crucial steps for performing high-quality MITG for oncological indications. The findings provide a foundation for developing and validating surgical quality assessment […]
Dehydration Slows Laparoscopic Tasks and Reduces Precision in Novices
Prolonged dehydration has limited impact on fundamental laparoscopic tissue handling skills, with no significant differences in force exertion. However, dehydrated participants demonstrated slower task times and increased errors in speed and precision, emphasizing the importance of hydration in maintaining optimal laparoscopic performance. Journal Article by Bereuter JP, Geissler ME (…) Oehme F et 8 al. […]
Guidelines Favor Single-Operator Cholangioscopy for Biliary Strictures and Stones
Researchers conducted a systematic review to develop clinical practice guidelines on the use of single-operator cholangioscopy (SOC) as a diagnostic and therapeutic alternative for indeterminate biliary strictures and difficult biliary stones. The guidelines recommend SOC with stricture pattern characterization for adult patients with indeterminate biliary strictures, and SOC over endoscopic retrograde cholangiopancreatography with large-balloon dilation […]
Success of Cholecystectomy for Functional Gallbladder Disorder
Interim analysis of a prospective cohort study on functional gallbladder disorder (fgbd) reveals promising results for cholecystectomy as a treatment option. Despite ejection fraction and pain reproduction not predicting success, the majority of enrolled patients experienced significant improvement in biliary pain and quality of life after surgery. 83.9% reported rapid improvement and 93.3% reported sf12 […]
Hiatal Hernia Repair Post-Laparoscopic RYGB: Short-Term Symptom Relief
Symptomatic hiatal hernia (HH) with pouch migration is a rare complication after laparoscopic Roux-en-Y gastric bypass (RYGB), and there is limited evidence on the utility of surgical repair. In this retrospective review of 44 patients who underwent isolated HH repair after previous RYGB, researchers found that common symptoms were dysphagia and reflux. Surgical repair resulted […]
Long-term tube feeding after minimally invasive esophagectomy helps prevent skeletal muscle loss
Long-term tube feeding intervention after minimally invasive esophagectomy was found to effectively prevent skeletal muscle loss and aid in preventing sarcopenia. The study compared short-term and long-term outcomes of tube feeding intervention in patients who underwent esophagectomy. While there were no significant differences in postoperative albumin levels, body weight, or psoas muscle area between the […]