The study evaluated the safety and accuracy of the temporary inflow control of the Glissonean pedicle (TICGL) technique combined with indocyanine green (ICG) fluorescence imaging in laparoscopic anatomical S2/3 resection. Twelve patients underwent this procedure, with 7 undergoing S2 resection and 5 undergoing S3 resection. The operation time was 76.92±11.95 minutes, blood loss was 15.42±5.82 […]
Category: General Surgery
Evolution of Laparoscopic Liver Resection: Improved Perioperative Outcomes in Challenging Cases
The study analyzed the evolution of laparoscopic liver resection (LLR) over the past two decades at a Korean referral center. The number of technically challenging LLR procedures increased significantly, but perioperative outcomes improved. The most recent period showed shorter operation time, lower blood loss, reduced transfusions, and shorter hospital stays. Technical major resections and underlying […]
Shorter operative time observed in manual sutures for pancreatic stump closure in robotic distal pancreatectomy
In robotic distal pancreatectomy, researchers compared manual sutures and staplers for pancreatic stump closure. Among 119 patients, the manual suture group exhibited shorter operative time, lower estimated blood loss, and a shorter postoperative hospital stay compared to the stapler group. The incidence of clinically relevant postoperative pancreatic fistulas (POPFs) was similar between groups, emphasizing the […]
Lap hepatectomy has better short-term outcomes and similar long-term survival as open hepatectomy for high difficulty HCC
Propensity score analysis of 424 patients who underwent liver resection for high difficulty hepatocellular carcinoma compared laparoscopic (LLR) and open approaches. LLR had significantly fewer severe complications (3% vs. 10.8%) and shorter hospital stays (6 days vs. 8 days). Long-term outcomes, including tumor recurrence rate, 5-year overall survival rate, and 5-year recurrence-free survival rate, were […]
Weight Loss, Not BMI Alone, Predicts Wound Complication Risk in Obese Hernia Patients
A retrospective study analyzed 182 obese patients who underwent open transversus abdominis release (TAR) for complex ventral hernias. Among these patients, those with a BMI greater than 40 did not show significant differences in surgical site occurrences and infections compared to those with a lower BMI. However, patients who achieved at least a 3% preoperative […]
Correlation between main and minor lesions of synchronous multiple gastric neoplasms
Researchers analyzed data from patients with early gastric cancer (EGC) who underwent endoscopic submucosal dissection (ESD) to assess the correlation between main and minor lesions of synchronous multiple gastric neoplasms (SMGNs). Among the 1013 post-ESD cases examined, 95 cases had SMGN. The study revealed a similarity in pathological type (rs = 0.37) and a positive correlation in […]
Intestinal Autotransplantation Results in Prolonged Survival for Locally Advanced or Recurrent Colon Cancer Involving SMA
Intestinal autotransplantation (iatx) combined with extended resections of multiple organs, including the superior mesenteric artery (SMA), was performed on 10 patients with locally advanced or recurrent colon cancer invading the SMA. The study found that iatx, either alone or in combination with pancreaticoduodenectomy, is a safe procedure and is associated with a 68% recurrence-free survival […]
The Impact of Fatigue on Surgical Performance
Researchers conducted a systematic review to evaluate the effect of fatigue on surgical outcomes. Out of 7,251 studies, 134 were included in the analysis, comprising over 1.6 million surgeries. Simulator studies showed that fatigue led to a deterioration in surgical outcomes in 46% of cases, while real-life studies reported a deterioration in 35.5% of cases. […]
Percutaneous Creation of Gastrointestinal Anastomosis via Lumen-Apposing Metallic Stents for Gallbladder Drainage
Researchers discuss the emerging frontier of percutaneous cholecysto-enteric anastomoses for internal drainage of the gallbladder, focusing on the percutaneous delivery and deployment of lumen-apposing metallic stents. The study highlights the efficacy and safety of using these stents for creating gastrointestinal anastomosis, providing a less invasive option for gallbladder drainage compared to traditional surgical procedures. Journal […]
Medical Students’ Perceptions on Family Planning Influence Specialty Choice
Medical students in a qualitative study revealed four main perceptions that impact their choice of medical specialty: (1) there is no ideal time for family building within a medical career, (2) family planning is a taboo topic, (3) surgical specialties provide less support for family building, and (4) residents with children are seen as a […]