Local excision may be a reasonable approach for patients with low-risk histopathology and clinical stage T2N0M0 rectal adenocarcinoma, as it showed similar overall survival rates compared to radical resection. However, radical resection provided a significant survival advantage for patients with high-risk histology. Journal Article by Kramer SP, Swanson J (…) Baker MS et 6 al. […]
Category: General Surgery
Reducing Postoperative Labs in Colorectal Surgery has No Impact on Stay or Readmissions
A quality improvement study investigated the impact of reducing postoperative laboratory testing after colorectal surgery. The intervention group showed a 33% reduction in labs per hospital stay, 26% reduction in labs per day, and a 49% increase in lab-free days. There were no differences in length of stay or readmissions between the intervention and non-intervention […]
Robotic Ramps Safely Improves Short-Term Outcomes for Pancreatic Cancer Patients
A retrospective cohort study compared robotic and open radical antegrade modular pancreatosplenectomy (ramps) for pancreatic ductal adenocarcinoma (PDAC) and found that robotic ramps had advantages in operative time, estimated blood loss, delayed gastric emptying, and postoperative hospital stay. The rate of severe postoperative complications was similar between the groups. Both robotic and open ramps had […]
Higher Weight Loss and Postprandial Regurgitation in Banded Sleeve Gastrectomy
Five-year results from a three-year randomized controlled trial comparing banded and non-banded sleeve gastrectomy (SG) showed that banded sleeve gastrectomy (BSG) resulted in significantly higher excess weight loss (9%) and total weight loss (4.2%) compared to non-banded SG. Most patients experienced remission of type 2 diabetes, with no significant difference between the two groups. However, […]
EUS-Fiducial Markers Improve Pancreas Surgery Guidance
Researchers conducted a preliminary controlled trial to evaluate the feasibility of using endoscopic ultrasound-guided fiducial markers (EUS-FMP) to guide pancreas surgery. The study enrolled 20 patients with resectable pancreas masses and found that EUS-FMP was successful and technically straightforward before planned surgery. Intraoperative detection of the markers was feasible and improved compared to lesions without […]
Pragmatic Sleep Protocol Yields No Increase in Postoperative Sleep Time in Surgical Oncology Patients
Researchers conducted a randomized controlled trial to evaluate the effects of a sleep protocol on postoperative sleep time in surgical oncology patients. The study included 101 patients undergoing major oncologic surgery, with half receiving the sleep protocol and half receiving standard care. Results showed no significant difference in postoperative sleep time between the two groups. […]
Surgeon-Driven Cost Variability in Gastrointestinal Operations
Cost aspects of care episodes attributable to surgeons’ management decisions were evaluated in a tertiary academic cancer center. A study involving 1540 patients undergoing gastrointestinal operations revealed significant variations in total direct costs between surgeons. The main drivers of cost differences included operating room (OR) supplies, central medical supply, laboratory, and supportive care. This study […]
Estimating the Rate of Low-Yield Surgery in Pancreatic Cancer Surveillance
The prevalence meta-analysis aimed to determine the rate of low-yield surgery in pancreatic cancer surveillance. A systematic search of relevant studies was conducted, including 5027 patients from 23 articles. The pooled prevalence of low-yield surgery was found to be 2.1%, with a slightly higher prevalence among familial pancreatic cancer subjects without known pathogenic variants. The […]
Racial Disparity in Esophageal Cancer Treatment and Survival
Black individuals with esophageal squamous cell carcinoma (ESCC) have a lower survival rate compared to white individuals. This disparity could be attributed to presenting at a later stage of the disease and differences in treatment received, including chemotherapy, radiation, and surgery. Black individuals were less likely to receive these treatments even when diagnosed at the […]
Standardized Technique and Assessment Tool for Minimally Invasive Right Hemicolectomy
Researchers achieved national consensus on the optimal and standardized technique for minimally invasive right hemicolectomy (MIrh) in colon cancer. The study involved formulating consensus statements and conducting three rounds of the Delphi technique with 76 colorectal surgeons. The development and validation of a video-based competency assessment tool (CAT) for MIrh showed high consistency among surgeons, […]