Results from a propensity score-matching study comparing robotic gastrectomy (RG) and laparoscopic gastrectomy (LG) revealed that RG is safe and feasible for elderly patients with advanced gastric cancer. The study found that RG was associated with less intraoperative blood loss, a faster postoperative recovery time, a greater number of lymph nodes dissected, and earlier initiation […]
Category: General Surgery
One Anastomosis Gastric Bypass Yields Better Long-Term Outcomes Than Roux-en-Y Gastric Bypass and Sleeve Gastrectomy
Patients who underwent one Anastomosis Gastric Bypass (OAGB) had significantly higher total BAROS scores at the five-year follow-up compared to those who underwent Roux-en-Y Gastric Bypass (RYGB) and Sleeve Gastrectomy (SG). All three common metabolic and bariatric surgical procedures (SG, RYGB, and OAGB) significantly improved the quality of life after surgery. This retrospective study of […]
Surgical Resection Alone Improves Long-Term Survival in Localized Biliary Tract Cancers
Patients with localized biliary tract cancers (BTCs) who underwent surgical resection had higher long-term survival rates compared to those treated with multiagent chemotherapy alone, according to a study. The research analyzed data from 5,988 patients with localized BTCs and found that surgical resection led to a decline in overall survival within the first 30 days […]
Gaps in Patient-Centered Decision-Making Related to Complex Surgery
The main result of this study is that surgeons agree that patients prefer to make their own health decisions after considering their physician’s opinion, rather than having the physician make decisions for them. However, the study also revealed gaps in patient-centered decision-making, as only a small percentage of surgeons assessed patient preferences regarding decision-making and […]
Instrument and Supply Variability in Operating Rooms: Potential for Cost Savings and Environmental Impact
There is significant variability in instrument and supply choices among surgeons performing common general surgery operations. This study analyzed surgeon preference cards for various operations and found that the number of sterilizable instrument trays and disposable supplies varied greatly. The variability in supply costs and carbon footprint was also substantial. Standardizing these choices could lead […]
Effects of Immunotherapy on Overall Survival in Rectal Cancer Patients
The study examined the impact of immunotherapy on overall survival (OS) in rectal cancer patients using a propensity score matched analysis of the National Cancer Database. Out of the total patients analyzed, only 2.5% underwent immunotherapy. The results showed that patients treated with immunotherapy had shorter OS compared to controls. However, when stratified by clinical […]
Feasibility and Challenges of Pancreaticoduodenectomies with Concurrent Colectomies
Pancreaticoduodenectomies with concurrent colectomies for pancreatic and colon cancer are feasible, but their morbidity and oncological benefits are controversial. This review examines the outcomes of this combined procedure and finds that it is a viable option for select patients with anticipated negative resection margins. However, caution must be exercised due to increased complication rates, including […]
Surgeon specialization not associated with improved outcomes in acute perianal abscess management
Surgeon specialization did not impact outcomes for acute perianal abscess patients in an acute surgical unit, despite colorectal surgeons identifying fistulas more frequently. Abscess recurrence rates were similar between colorectal and non-colorectal surgeons, suggesting drainage alone might suffice as treatment. Journal Article by Turner GA, Tham N (…) Hayes IP et 4 al. in ANZ […]
Acupressure effectively reduces nausea after laparoscopic cholecystectomy
Acupressure has shown potential in managing nausea and vomiting after laparoscopic cholecystectomy (LC). A meta-analysis of six randomized controlled trials revealed that acupressure significantly reduced the incidence of nausea at 2 and 6 hours after LC, as well as the need for rescue antiemetics. However, it did not have a significant impact on vomiting or […]
Positive Experience Found in Surgeons’ Perceptions of Online Surgical-Focused Learning During the COVID Pandemic
During the COVID pandemic, many surgeons and surgical trainees had a positive experience with online surgical-focused learning, according to a scoping review. The review included 44 studies, with the majority focused on the perception of newly developed e-learning platforms and surgeons’ attitudes towards remote learning. The United States was the most represented country, and general […]