In recent years, there has been an increased use of minimally invasive surgery (MIS) for adrenocortical carcinoma (ACC). However, MIS has been associated with noncurative resection and locoregional recurrence. This study aimed to identify risk factors for margin-positive resection in ACC patients undergoing MIS. Factors such as increasing age, nonacademic center, advanced tumor stage, and […]
Category: General Surgery
Increase in demand for surgical procedures for cancer care in low- and middle-income countries
Over 5 billion people worldwide lack access to basic surgical procedures, and it is projected that the number of surgical procedures needed for cancer care will rise by 5 million between 2018 and 2040. The greatest surge in demand is expected in low- and middle-income countries. The article highlights the progress made in surgical cancer […]
Older Adults Experience Significant Impact on Their Quality of Life and Psychosocial Well-being Following Major Elective Surgery
Older adults undergoing major elective surgery experience significant impact on their valued life activities and psychosocial well-being due to postoperative symptoms, according to a qualitative study. Participants felt unprepared for the intensity and duration of these symptoms and expressed a need for additional support and education on symptom management. The most frequently mentioned symptoms included […]
Factors distinguishing higher-performing hospitals in implementing enhanced recovery pathways
Implementing enhanced recovery pathways in hospitals varies widely. This qualitative study analyzed interviews with perioperative leaders, clinicians, and staff from eight US hospitals to identify factors that distinguished hospitals with greater success in implementing these pathways. The study found that information-sharing practices, planning, engaging, positive knowledge and beliefs among clinicians, and strong leadership support were […]
Glucose Control Improves Survival in Pancreatic Cancer Patients with Low CA19-9 Levels
Researchers examined pancreatic cancer patients with long-term survival and found that a subgroup with normal levels of the biomarker CA19-9 had a significantly higher overall survival rate and 5-year survival compared to patients with high CA19-9 levels. This subgroup also had lower levels of circulating glucose and increased insulin expression. Glucose control was shown to […]
Surgical Care in the Criminal Justice Health Care System: Comparable Mortality and Readmission Rates, but Higher Morbidity in Incarcerated Patients
Patients who are incarcerated within the Texas Department of Criminal Justice (TDCJ) receive similar rates of mortality and readmission compared to the general nonincarcerated population when undergoing surgical procedures. However, incarcerated patients have significantly higher rates of morbidity. These findings highlight the need for further research to understand the factors contributing to perioperative morbidity and […]
Crafting Surgical Leadership: A Comprehensive Toolkit for Integrated Strategic Plans
Developing an integrated strategic plan in surgical leadership requires a variety of tools. The most common tool is a strengths, weaknesses, opportunities, and threats analysis, which evaluates internal and external factors. Various additional tools, such as the political, economic, social, technological, legal, and environmental analysis, mission-objective-strategy-tactics analysis, blue ocean strategy, scenario planning, Ansoff matrix, Porter’s […]
Pre-operative risk factors predict post-operative pancreatic leak after pancreatectomy
A novel combined pre-operative risk score composed of radiologic main pancreatic duct diameter (mpd), body mass index (bmi), and comorbidity-polypharmacy score (cps) was found to be an independent predictor of post-operative pancreatic fistula (popf) occurrence after pancreatectomy. Patients with mpd diameter
Prehabilitation in Colorectal Cancer Surgery Reduces Complications, Length of Stay, and Hospital Costs
Implementation of a multimodal prehabilitation program in colorectal surgery reduces postoperative complication rates, length of stay, and hospital costs. A study conducted in a regional Dutch hospital included 196 patients who completed prehabilitation and 390 patients who received standard care. The prehabilitation group had lower overall complication rates (31% vs. 40%) and severe complication rates […]
New Study Finds Early CT Scan Accuracy for Diagnosing Anastomotic Leakage After Colorectal Surgery
A retrospective study evaluated the efficacy of early contrast-enhanced CT scans for diagnosing anastomotic leakage (AL) after colorectal surgery in patients with elevated CRP levels. The study included 661 patients, with an overall AL rate of 7.4%, and found that early CT scans had an accuracy of 83.7% in diagnosing AL. The accuracy was lower […]