Adrenalectomy for pheochromocytoma carries a risk of intraoperative hemodynamic instability (HDI). In this study, researchers retrospectively reviewed the charts of 205 patients who underwent adrenalectomy for pheochromocytoma. They found that HDI occurred in 75.6% of patients but was rarely associated with major cardiovascular events. Patients with intraoperative HDI had higher rates of postoperative complications. Overall, […]
Category: General Surgery
Impact of COVID-19 on Surgical Resident Autonomy within VA Teaching Hospitals
During the COVID-19 pandemic, surgical trainees at VA teaching hospitals experienced a significant decrease in operative volume due to the suspension of elective cases nationwide. A retrospective analysis of surgical cases revealed that operative cases dropped by half during the peak of the pandemic and remained 20% below pre-pandemic levels the following year. Interestingly, there […]
Survival Advantage of Multivisceral Resection in Locally Advanced Gastric Cancer
Patients with locally advanced gastric cancer often require multivisceral resection to achieve complete tumor removal. A systematic review of 30 studies including 3362 patients showed that R0 resection was achieved in 67.77% of cases, with the spleen, colon, and pancreas being the most frequently resected organs. The most common postoperative complications were pancreatic fistulae, intraabdominal […]
Surgical Margin Prediction by Surgeons in Colorectal Liver Metastases: Inaccuracy Revealed
Surgeons’ ability to accurately predict surgical margins following resection of colorectal liver metastases (CRLM) was evaluated in this study. The analysis included 190 preoperative and 190 postoperative assessments from 95 cases, comparing surgeon assessments to histopathologic assessment. Results showed that surgeons are inaccurate at predicting positive and close surgical margins, with low sensitivity and positive […]
Correlation between primary and secondary cancers
Many cancer survivors are at risk of developing a second primary cancer (SPC), which affects their prognosis. This study conducted a systematic review and meta-analysis of 9 million cancer patients to explore correlations between SPCs and first primary cancers (FPCs). The analysis revealed specific associations between certain FPCs and the development of SPCs in different […]
High Incidence of Pancreatic Exocrine Insufficiency After Non-Pancreatic Upper Gastrointestinal Surgery: Implications for Enzyme Replacement Therapy
Approximately 36% of patients who undergo non-pancreatic upper gastrointestinal surgeries develop pancreatic exocrine insufficiency (PEI), which can have detrimental effects on their health. The incidence of PEI was found to be 23% after bariatric metabolic surgery and 50.4% after oesophagogastric resection, with even higher rates after certain procedures. Diagnostic testing using fecal elastase 1 was […]
Management and Prognosis of Gastric Neuroendocrine Tumors
Gastric neuroendocrine tumors (G-NETs) are rare tumors originating from the gastric mucosa, classified into three subtypes based on their characteristics and behavior. Type 1 and 2 are typically multifocal and associated with elevated serum gastrin levels. Type 2 causes symptoms like abdominal pain and diarrhea. Type 3, sporadic and solitary, has the most aggressive phenotype. […]
A Unique Surgical Technique for Type III Portal Annular Pancreas using Hanging Maneuver and ICG Fluorescence Imaging
Robotic Pancreatoduodenectomy in a patient with Type III Portal Annular Pancreas (PAP) was successfully performed using the hanging maneuver and indocyanine green (ICG) fluorescence imaging. The technique involved transecting the pancreas into the neck of the anteportal portion and stapling the retroportal portion after dissection and encircling with hanging tape. ICG fluorescence imaging confirmed the […]
Frailty, Not Age, Determines Adverse Outcomes in Minimally Invasive Adrenalectomy Surgery
The study evaluated the impact of frailty on complications and length of stay after minimally invasive adrenalectomy surgery. It found that frailty, rather than age, was a better predictor of adverse outcomes. The study included 8,693 patients who underwent the surgery, and the results showed low 30-day mortality and complication rates. Frailty was associated with […]
Long-Term Quality of Life: Laparoscopic vs. Open Pancreatoduodenectomy
Three randomized controlled trials have reported improved functional recovery after laparoscopic pancreatoduodenectomy (LPD) compared to open pancreatoduodenectomy (OPD). This monocentric retrospective cross-sectional study found that patients who underwent LPD had significantly higher quality of life scores, better pancreas specific health status, improved physical functioning, and fewer limitations in activities compared to patients who underwent OPD. […]