The study aimed to analyze the hemodynamic and surgical effects of using the inferior vena cava (IVC) partial clamp (PC) in combination with the Trendelenburg position (TP) during anatomical hepatectomy. Twenty-six patients were divided into three groups based on the use of IVC-PC and TP. The results showed that IVC-PC combined with TP can be […]
Category: General Surgery
A Review of Cognitive Support Systems in the Operating Room: Improved Surgical Performance and Reduced Workload
Implementing cognitive support technologies (CSTs) in the operating room has been found to enhance surgical performance compared to traditional methods. Findings from 37 studies demonstrated decreased error rates and increased efficiency with the use of CSTs. Most CSTs achieved over 90% accuracy in identifying anatomical markers with minimal error margins. Additionally, there was a general […]
Pancreatic Ductal Adenocarcinoma Resection: A 5.3-Year Journey to 95% Cure Probability
According to a multi-institutional analysis of 2554 patients, the probability of achieving the same life expectancy as the general population, with no tumor recurrence, after pancreatic surgery for pancreatic ductal adenocarcinoma (PDAC) was found to be 20.4%. Furthermore, the study revealed that the likelihood of cure reached 95% certainty after 5.3 years. Preoperative and postoperative […]
Novel Use of Falciform Ligament for MHV Reconstruction During Laparoscopic Hepatectomy of Colorectal Liver Metastasis
Reconstructing the major hepatic veins during laparoscopic hepatectomy for colorectal liver metastasis is challenging and requires complex techniques. This study presents a novel method of using the falciform ligament for MHV reconstruction, resulting in successful preservation of liver volume for adjuvant chemotherapy and prevention of venous congestion. The technique was found to be technically demanding […]
Improved Prognosis for Pancreatic Metastases from Renal Cell Carcinoma
A study evaluated the surgical pathology and outcomes of pancreatic metastases from renal cell carcinoma (RCC). The retrospective review included 25 patients who underwent pancreatic surgery, with 24 cases intended for cure. Postoperative complications occurred in 36% of patients, and one patient died during hospitalization. Recurrence was observed in 60% of patients, with a five-year […]
Use of Inlay Bridge of Posterior Fascia Enhances Repair for Difficult Abdominal Wall Hernias
The study explored the use of an inlay mesh bridge as a supplementary technique to a modified Rives-Stoppa repair for challenging abdominal wall hernias. Nineteen patients with large postoperative ventral hernias were examined. Results showed that the inlay mesh bridge, combined with a sublay ultrapro mesh, effectively repaired abdominal wall defects when the posterior fascia […]
Ernest Amory Codman’s End Result System: A Century-Old Contribution to Surgical Quality
Ernest Amory Codman’s end result system, aimed at achieving “perfection” in surgery by analyzing and improving cases that fell short, was initially rejected by his colleagues. Codman’s revolutionary idea laid the foundation for the quality movement in healthcare, including patient safety and the value equation. Despite facing ostracization and financial difficulties, Codman’s contributions were later […]
The National Resident Matching Program: Increasing Congestion and the Need for Reform
A comprehensive study examined trends in the National Resident Matching Program (NRMP) from 2007-2008 to 2022-2023, focusing on competitive surgical specialties. The mean number of applicants to surgical specialties has increased by 47.99%, while the mean number of total ranked positions per applicant increased by 88.07%. The top 5 most competitive specialties experienced a 57.66% […]
Hidden Stitch Technique Prevents Complications in Laparoscopic Hernia Repair
Researchers introduced a novel hidden stitching technique for peritoneal closure in laparoscopic hernia repair to prevent complications associated with the use of barbed suture. The study retrospectively analyzed the data of patients undergoing laparoscopic transabdominal preperitoneal patch (TAPP) procedures. In the hidden stitch group, where the barbed suture was hidden on the dorsal side of […]
Identification of Non-Medical Barriers Affecting Surgical Attrition in Pancreatic Cancer
Researchers evaluated factors contributing to surgical attrition in non-metastatic pancreatic cancer. Clinical trials showed 25-30% of patients did not undergo surgery, mainly due to disease progression. The overall surgical rate in the national cancer database was 49%, increasing to 67% in a cohort resembling clinical trial patients. Low-volume institutions and uninsured or Medicaid-insured patients were […]