Patients with BCLC stage 0/A hepatocellular carcinoma (HCC) and clinically significant portal hypertension (CSPH) who underwent laparoscopic hepatectomy had worse overall and recurrence-free survival rates compared to those without CSPH. However, CSPH patients treated laparoscopically had better short- and long-term prognoses than those treated with open surgery. This study highlights the importance of careful patient […]
Category: General Surgery
Robotic Pancreatoduodenectomy Improves Oncologic Outcomes in Pancreatic Duct Adenocarcinoma
After the learning curve, robotic pancreatoduodenectomy (RPD) demonstrated improved oncologic outcomes in patients with pancreatic duct adenocarcinoma (PDAC) compared to open pancreatoduodenectomy (OPD). A retrospective analysis of 548 patients revealed that RPD had longer overall survival (33.2 months vs. 25.7 months) and disease-free survival (18.5 months vs. 14.0 months) than OPD. RPD also had a […]
Strategies to Enhance Trainee Engagement in Surgical Trainee Research Collaboratives
Trainee surgeons engaged in surgical trainee research collaboratives (TRCs) to improve patient care, surgical evidence, and progress their careers. The study revealed that building relationships with key stakeholders, maximizing multi-disciplinary working, and offering training and career development opportunities were effective strategies to enhance trainee engagement in TRCs. Challenges included limited time and confidence, recognition, and […]
Addressing Inequities in Global Cancer Surgery: Solutions for Improved Access and Outcome
Access and quality disparities in surgical cancer care between high and low resource settings have a direct impact on oncological outcomes. As cancer rates continue to rise worldwide, this study investigates the factors contributing to these inequities and proposes potential solutions to overcome the challenges. The findings emphasize the urgent need for global efforts in […]
Optimizing Polyp Recurrence Prevention: Comparing Techniques in Colorectal EMR
A study compared different techniques for reducing recurrence rates after endoscopic mucosal resection (EMR) of large non-pedunculated colorectal polyps. The direct and indirect comparisons showed that EMR combined with submucosal tunneling endoscopic submucosal dissection (EMR+STSC) and underwater EMR (U-EMR) had significantly lower odds of polyp recurrence compared to EMR alone. The p-score ranking indicated that […]
SF-BARI Score as a Standard Tool for Metabolic Bariatric Surgery Outcomes
Researchers analyzed data from two randomized clinical trials to assess the feasibility of using the Swiss-Finnish Bariatric Metabolic Outcome Score (SF-BARI score) as a standardized tool for measuring outcomes in metabolic bariatric surgery (MBS). They found that the SF-BARI score, which includes measures of weight loss, comorbidities, complications, and quality of life, was correlated with […]
Improved Survival Associated with Resection in Localized Pancreatic Neuroendocrine Carcinoma
A retrospective study of 199 patients with localized small- and large-cell pancreatic neuroendocrine carcinoma (pannec) found that resection was associated with improved overall survival, while adjuvant chemotherapy did not significantly impact survival. The study also revealed an increasing trend in the rates of resection and adjuvant treatment since 2011. Resected patients were younger, treated more […]
Operationalizing Value Congruence for Improved Well-Being in General Surgery Residency
The study investigated the impact of value congruence (vc) on well-being and job retention among general surgery residents. Survey #1 revealed a lack of vc, with themes of inaccessibility, inconsiderateness, inauthenticity, and insufficiency of well-being resources. Program directors had varying awareness and alignment with these perceptions. Survey #2 showed that higher vc was significantly associated […]
Successful patient-derived xenograft engraftment predicts recurrence and survival in pancreaticobiliary cancer
Researchers evaluated the correlation between successful patient-derived xenograft (PDX) engraftment and survival in pancreaticobiliary cancer. They implanted 384 PDX models and found a 41% engraftment rate. Successful engraftment was strongly associated with both recurrence-free survival and overall survival outcomes. Furthermore, successful PDX tumor generation occurred significantly earlier than clinical recurrences. These findings suggest that successful […]
Long-Term Benefits of Diaphragm Plication Surgery
Patients who underwent open or robotic-assisted transthoracic diaphragm plication for diaphragm paralysis and eventration reported significant improvement in dyspnea and fatigue symptoms, as well as improved overall quality of life and exercise capacity. The majority of patients would recommend the surgery to others. There were no significant differences in symptom improvement or quality of life […]