Disparities in colon cancer care and outcomes exist based on race/ethnicity, socioeconomic status (SES), and insurance. Low-performing hospitals treat more non-Hispanic black, Hispanic, low SES, and Medicaid patients. Patients with low SES and Medicaid have decreased odds of receiving high-quality care at low-performing hospitals, while non-Hispanic black patients have decreased odds at high-performing hospitals. Low […]
Category: General Surgery
Indocyanine Green Fluorescence Imaging Has No Impact on Mid-Term Outcomes of Laparoscopic Right-Sided Colectomy
In a retrospective cohort study, researchers evaluated the mid-term outcomes of indocyanine green fluorescence imaging-guided laparoscopic right-sided colectomy. After propensity score matching, they found that the number of dissected central, intermediate, and total lymph nodes was significantly higher in the indocyanine green group. However, there was no difference in the 3-year relapse-free survival and overall […]
Local Regrowth in Rectal Cancer After Watch-and-Wait Strategy Signals Higher Distant Metastasis Odds Than Upfront Surgery
A retrospective multicenter study compared the risk of distant metastases in rectal cancer patients who achieved a clinical complete response followed by local regrowth with those managed by surgery after chemoradiation. Out of 79 patients with local regrowth, 21 developed distant metastases, whereas only 10 out of 74 patients in the upfront surgery group had […]
Stump Length Is the Most Significant Factor for Rectal Stump Leakage
Rectal stump leakage is a significant complication after discontinuity resection, with a rate of 11.78% in this study. The risk varies depending on the surgical procedure, and it was highest after subtotal pelvic exenteration. Researchers found that a shorter rectal stump, previous pelvic radiotherapy, chemotherapy, and previous laparotomy were independent risk factors for rectal stump […]
Genomic and clinicopathologic characteristics of small bowel adenocarcinoma
The study examined 68 surgical resections from patients with small bowel adenocarcinoma (SBA) to investigate the correlation between immunophenotypes, DNA mismatch repair status, genomic profiling, and clinicopathologic characteristics. The results showed that the expression of certain proteins correlated with tumor location, histologic type, and TNM stage. Muc1 and muc4 expression were associated with worse prognosis, […]
Smoke Evacuators Effectively Reduce Volatile Organic Compounds and Particles in Surgical Smoke
A randomized controlled trial investigated the impact of smoke evacuators on reducing volatile organic compounds (VOCs) and particles in surgical smoke during laparotomy procedures. The study found that the use of smoke evacuators significantly decreased the levels of acetaldehyde and formaldehyde in surgical smoke compared to the control group. Additionally, the smoke evacuator group had […]
Positive relationship between hospital volume and surgical outcomes in liver resection
The systematic review and Bayesian network meta-analysis compared outcomes of high-volume, medium-volume, and low-volume hospitals performing liver resections. The analysis included 20 studies and 248,707 patients. The results indicated a significant association between hospital volume and postoperative mortality, favoring high-volume hospitals. Patients from high-volume hospitals generally experienced lower mortality rates and shorter lengths of stay […]
Low Rates of Proctectomy and Rectal Cancer in Familial Adenomatous Polyposis Patients Undergoing Total Abdominal Colectomy with Ileorectal Anastomosis
The study investigated the rate of proctectomy and rectal cancer among 197 familial adenomatous polyposis (FAP) patients selected for total abdominal colectomy with ileorectal anastomosis. The results showed that the incidence of proctectomy was 8%, with rectal cancer identified in 3% of cases. Patients with < 20 rectal polyps had a lower rate of proctectomy […]
Early Mobilization in Pancreatic Surgery: Multifaceted Perspectives
The main result of this study is the identification of three main categories that influence the implementation of early mobilisation in pancreatic surgery: attitude towards early postoperative mobilisation, subjective norm, and perceived behavioural control. These factors, which include perceived advantages or disadvantages, impact from healthcare professionals, family members, and fellow patients, as well as knowledge, […]
Increasing diversity, specialization, and publication productivity among past presidents of major surgical organizations.
The study examined trends in the demographics, additional degrees pursued, and scientific publication characteristics of past presidents of three major surgery organizations. They found that the proportion of female presidents significantly increased from the 1990s to the 2010s, as did the percentage of non-white presidents and presidents with additional degrees. The most common area of […]