In patients with inflammatory bowel disease (IBD) and primary sclerosing cholangitis (PSC), subtotal colectomy may be a viable surgical option for those with rectal sparing disease, as it was found to have no dysplasia or neoplasia in the residual colon or rectum. Endoscopic surveillance showed that 2% of patients who underwent total proctocolectomy with ileal […]
Category: General Surgery
Intensive Dietary Support Leads to Greater Weight Loss in Asian Bariatric Patients
Intensive dietary support significantly boosts weight loss and BMI reduction in an Asian population undergoing bariatric surgery, as demonstrated by a retrospective study. The group receiving intensive dietary support had notably superior outcomes at 6 and 12 months compared to those following standard care, without a significant difference in postoperative complications. Journal Article by Sim […]
Speech Communication Interference in the Operating Room: Frequency, Impact, and Causes
Speech communication interference events are common in operating rooms, with significant implications for patient safety. A study of 40 surgeries revealed a mean of 2.58 speech interference events per surgery, primarily involving attending physicians, circulating nurses, residents, and scrub techs. Most events occurred during patient-related tasks, with 17.5% happening at critical moments. Interestingly, 27.2% of […]
Improved Diagnostic Workup and Delay in Treatment Start in Esophageal Cancer Patients Between Two Tertiary Centers
Comparative study between two tertiary centers in Europe reveals that the time interval from diagnosis to treatment differs significantly between the centers. The main reasons for these differences are the need for additional diagnostics and variations in referral routines. Gastroscopy was frequently repeated for further anatomical mapping. Clearer protocols, checklists, and guidelines can contribute to […]
Laparoscopic Transverse Abdominis Plane Block Reduces Operation Time and Cost in Pancreatectomy and Gastrectomy
The study compared the efficacy and efficiency of laparoscopic transverse abdominis plane block (lap-tap) versus ultrasound-guided tap (us-tap) in patients undergoing pancreatoduodenectomy and gastrectomy. The lap-tap group showed a significantly shorter median time to skin incision and a reduction in operation cost by $602 compared to the us-tap group. Pain control and opioid use were […]
Variations in pancreatic surgeons’ practice patterns for pancreatic adenocarcinoma
Surveying HPB surgeons, this study found significant variations in the decision-making and surgical practices for pancreatic adenocarcinoma. Most respondents performed staging laparoscopy selectively and would abort the procedure in the presence of a pathological aorto-caval node. However, they would continue surgery with a positive hepatic artery node. Surgeons in Europe were more likely to resect […]
High-grade Tumors Increase Lymph Node Metastasis Risk in T1 and T2 Colorectal Cancer
Out of 765 patients with T1 and T2 colorectal cancer, 11.3% had lymph node metastasis (LNM), leading to a poorer recurrence-free survival (RFS) compared to patients without LNM (72.6% vs. 88.6%). Multivariable analysis revealed that high-grade tumors were a significant risk factor for LNM. Radical surgery should be considered for T1 and T2 colorectal cancer […]
GERD After OAGB: 2% Incidence, 100% Success in Surgical Treatments
The systematic review and meta-analysis investigated gastroesophageal reflux disease (GERD) as a major concern following one anastomosis gastric bypass (OAGB). The analysis of 40 studies involving 17,299 patients revealed that 2% of patients experienced GERD after OAGB, with reflux rates six times higher in revisional OAGB compared to primary OAGB. Medical and surgical treatments were […]
Islet Autotransplantation into the Liver Shows Superior Insulin Function in Total Pancreatectomy Patients
A European single-center study evaluated the outcomes of total pancreatectomy with islet autotransplantation (tp-iat) in patients with chronic pancreatitis. The study found that tp-iat is a safe procedure with a low risk of complications. Islet autotransplantation into the liver resulted in higher levels of fasting c-peptide and significantly lower insulin doses compared to skeletal muscle […]
Survival and Treatment Differences Between Cirrhotic and Non-cirrhotic Liver in Hepatocellular Carcinoma
A nationwide cohort study in Sweden compared the treatment and survival outcomes of hepatocellular carcinoma (HCC) in cirrhotic versus non-cirrhotic livers. Out of the 4259 identified patients, 34% had HCC in a non-cirrhotic liver. Cirrhotic patients presented at a younger age, had poorer performance status, and a higher prevalence of underlying liver disease. Tumors in […]