Underwater endoscopic mucosal resection (UEMR) demonstrated higher rates of vertical resectability compared to cold snare polypectomy (CSP) for small duodenal tumors. However, CSP had shorter procedure times and fewer bleeding events. UEMR should be chosen for lesions that cannot be definitively diagnosed as mucosal low-grade neoplasias. Journal Article by Miyazaki K, Nakayama A (…) Kato […]
Category: General Surgery
Surgeon Perspectives on Aborted Cancer Surgeries
Surgeons commonly encounter aborted cancer surgeries, which occur due to unresectable or metastasized tumors. However, little is known about how to effectively manage the unique needs of these patients. A survey of 190 surgeons revealed that aborted cancer surgeries occur in approximately 7% of cases, with occult metastases and unresectability being the primary causes. While […]
Preoperative Frailty and Malnutrition Predict Adverse Outcomes in Surgical Oncology
Preoperative frailty and malnutrition in surgical oncology patients were found to be predictors of higher postoperative adverse events and worse survival in a blinded, prospective trial. Frail patients had a significantly higher likelihood of readmission within 30 and 90 days, as well as higher rates of unplanned intensive care unit admission and increased postoperative mortality. […]
Neoadjuvant Chemotherapy Improves Survival in Diffuse Type Gastric and Gastroesophageal Junction Carcinoma
Multimodal therapy, specifically neoadjuvant chemotherapy, was associated with increased survival in patients with diffuse type gastric and gastroesophageal junction carcinoma, including signet ring cell carcinoma. All-cause mortality within 90 days postoperatively was lower after neoadjuvant chemotherapy compared to primary surgery. Additionally, mortality remained lower in the neoadjuvant chemotherapy group even after 90 days post-surgery. These […]
Elevating Academic Excellence: A 13-Fold Surge in Research Funding and National Ranking in 7 Years
By committing to providing necessary resources for faculty recruitment and retention, as well as physical space and infrastructure for research activities, the department of surgery significantly expanded its academic footprint. Over a period of 7 years, research funding increased by 13-fold, leading to a rise in national ranking from 55th to 10th place in the […]
Frequent Surveillance Imaging for Low-Risk Gastrointestinal Stromal Tumors Yields Little and Incurs High Costs
This study assessed the utility and costs of surveillance imaging for low- and very low-risk gastrointestinal stromal tumors. The researchers reviewed the surveillance strategy in 60 patients and found that frequent imaging studies were performed with little yield and at substantial cost. No recurrences were detected, and the mean number of surveillance images per patient […]
Patient Activation Influences Postoperative Outcomes in Digital Health Follow-Up After Colorectal Surgery
Low patient activation (pa) negatively affects postoperative outcomes, but its impact on digital health interventions is unclear. This study assessed the influence of patient activation on the effectiveness of a digital health application for remote post-discharge follow-up in patients undergoing elective colectomy. The analysis included both a control cohort (cc) and a digital application cohort […]
Under-represented medical students perceive surgery clerkship differently
Under-represented students in medicine (URIM) perceive the surgery clerkship differently compared to non-URIM students, according to a study of 235 medical students between 2019 and 2021. URIM students were less likely to see surgical residents and faculty as positive role models, while non-URIM students more often agreed that residents and faculty demonstrated positive patient care. […]
The Validation Status of Current and Emerging Minimally Invasive Robotic Surgical Platforms
Most existing robotic surgical platforms are at the early stages of evaluation, with the majority being in the preclinical to developmental and exploratory stage. A scoping review of 23 different robotic platforms from 21 companies revealed that only one multiport system is fully evaluated, while the rest are at various stages of assessment. None of […]
Metabolic surgery leads to weight loss, improved comorbid conditions, lower incidence of cardiovascular events, cancer, and death, but also carries risks.
Metabolic/bariatric surgery is an effective and durable treatment for obesity, resulting in significant weight loss and improvements in comorbid conditions, including type 2 diabetes. It is associated with a lower incidence of cardiovascular events, cancer, and death. However, there is a risk of weight regain and an increased risk of developing substance and alcohol use […]