Using a posterior-first, 2-stage approach, researchers achieved consistent R0 resection of locally advanced primary and recurrent anorectal cancers involving the deep pelvic sidewall. All 10 patients in the study achieved R0 resection, although nine experienced complications, including gluteal wound issues. Four patients developed metastatic disease during follow-up, highlighting the importance of close monitoring. Overall, the […]
Category: General Surgery
Enhanced Recovery Programs and Colorectal Surgery Outcomes: reduces Racial Disparities in Complications, but not in Length of Stay
The study aimed to determine the impact of enhanced recovery programs on social vulnerability and race-related disparities in colorectal surgery outcomes. The researchers found no significant association between social vulnerability and length of stay, complications, or readmissions in either the enhanced recovery or non-enhanced recovery groups. Black race was associated with increased length of stay […]
Conversion Risks in Laparoscopic Resection for Intrahepatic Cholangiocarcinoma: Vessel Proximity and Prior Surgery
Patients with intrahepatic cholangiocarcinoma (ICC) who required conversion from laparoscopic to open surgery were studied to determine the risk factors and outcomes associated with this conversion. Tumor proximity to major vessels and previous upper abdominal surgery were identified as independent predictors of unplanned conversions. Surgical conversions resulted in longer operative times, increased blood loss, higher […]
Force Feedback Function in Surgical Robot Improves Suturing Procedure
Adding a force feedback function to robotic surgical systems significantly reduced the maximal force applied to the robotic forceps while maintaining the quality of suturing. The force feedback function did not affect the objectively assessed suturing score but slightly shortened the task accomplishment time in younger surgeons. This suggests that robots with force feedback can […]
Implementation of ERAS Protocols in Colorectal Surgery Yields Positive Outcomes
Despite advancements in surgical and anesthetic care, the implementation of Enhanced Recovery After Surgery (ERAS) protocols in colorectal surgery still provides benefits. This single-center study compared patients undergoing elective colorectal surgery under an ERAS program to those receiving standard care and found that ERAS led to a reduction in non-surgical complications, shorter length of stay, […]
Metachronous Para-aortic Lymphadenectomy in Colorectal Cancer: Surgical Management Improves Survival
The systematic review focused on the outcomes of metachronous para-aortic lymphadenectomy in colorectal cancer treatment. Surgical resection of metachronous para-aortic lymph node metastasis (m-palnm) was found to be the preferred management strategy in 64% of patients. Patients who underwent surgical management experienced longer disease-free survival and overall survival rates. However, the evidence available is limited, […]
Frailty and Healthcare Utilization Before and After Major Surgery
A study analyzed healthcare utilization patterns before and after major surgery and their association with pre-operative frailty. The results showed that frail patients had worse post-operative outcomes and higher costs during the surgical period. Four distinct utilization trajectories were identified, with a subgroup of patients experiencing a transition from low to high healthcare utilization after […]
Comparison of Robotic and Laparoscopic Pancreatoduodenectomy: Perioperative Advantage of Robotic Surgery and Similar Oncological Outcomes
Robotic pancreatoduodenectomy (RPD) was compared to laparoscopic pancreatoduodenectomy (LPD) in terms of operative and oncologic outcomes in a multicenter study involving 2,255 patients. After propensity score matching, 1,006 patients were included in each group. RPD had shorter operative time, lower blood transfusion and conversion rates, and higher vascular reconstruction rate compared to LPD. No significant […]
High Mortality and Morbidity Rates in Patients at High Risk for Postoperative Pancreatic Fistula
Researchers analyzed nationwide outcomes after pancreatoduodenectomy in patients at very high risk for postoperative pancreatic fistula (POPF). The study found a 4.1% in-hospital mortality rate and observed major morbidity in 45.9% of patients. POPF occurred in 30% of patients, leading to increased major morbidity and mortality rates. Prophylactic total pancreatectomy (TP) was performed in only […]
Development of Prediction Models for Major Morbidity and Endocrine Dysfunction after Central Pancreatectomy
A retrospective multicenter study aimed to develop prediction models for major morbidity and endocrine dysfunction following central pancreatectomy (CP). The study included 838 patients from 51 centers in 19 countries. The risk model for major morbidity identified male sex, age, BMI, and ASA score ≥3 as significant factors. The risk model for endocrine dysfunction revealed […]