This retrospective study analyzed the management options and outcomes of 50 adult patients with complex duodenal fistulas. Surgical closure combined with duodenal decompression yielded the highest success rate, with 76% of patients achieving fistula closure. In selected cases, nonoperative management was attempted, resulting in closure without surgery in 5 out of 6 patients. However, eventually […]
Category: General Surgery
A comparison of surgical sub-specialization in emergent colon cancer surgery reveals no significant difference in postoperative outcomes
Researchers conducted a retrospective population study to analyze the impact of surgical sub-specialization on short- and long-term outcomes in patients undergoing emergent surgery for colon cancer. The study included 656 patients divided into three groups based on specialization of the operating team. The results showed no significant differences in 5-year overall survival, 3-year recurrence-free survival, […]
Comparable disease progression for small pancreatic neuroendocrine tumors (≤2 cm) with or without surgery
Researchers compared the disease progression in patients with nonfunctional pancreatic neuroendocrine tumors (pnets) ≤2 cm who either underwent surgery or were observed. Out of the 52 patients, 75% had an operation while 25% were observed. Both groups had similar demographics and tumor characteristics. The observation group had a mean disease progression interval of 80.9 months, […]
Higher Lymph Node Count Improves Survival in Stage III Gastric Cancer Patients After Surgery
Analysis of 2373 stage III gastric cancer patients who underwent curative gastrectomy revealed that a higher count of negative lymph nodes (NLN) (>14) significantly improved the 5-year overall survival rate compared to patients with a lower count (43.7% vs 23.1%). This study establishes NLN count as an independent prognostic factor for stage III gastric cancer […]
Complication Rates Higher in Recurrent Rectal Cancer Patients Undergoing Sacral Resection during Total Pelvic Exenteration
This retrospective study investigated the surgical approach of total pelvic exenteration combined with sacral resection for rectal cancer and its impact on short-term outcomes. The association between the level of sacral resection and complications, specifically exhibiting a Clavien-Dindo grade III, was assessed. The results revealed a significantly higher complication rate for recurrent rectal cancer patients […]
Enhanced Recovery Protocol Benefits High-Risk Colon Cancer Surgery
The study analyzed the impact of an enhanced recovery protocol (ERP) on surgical outcomes in a high-risk population undergoing colon cancer surgery. Researchers retrospectively examined factors associated with postoperative complications (POC) and length of stay (LOS) in 408 elective colon cancer surgery patients. The results showed that ERP did not affect POC but was associated […]
Early exposure to robotic surgery training enhances interest in surgical career and simulation skills
Early exposure of medical students to robotic surgery training positively influences their interest in a surgical career and improves their performance on simulation tasks. Seventy percent of students reported that the training had a positive impact on their decision to pursue a general surgery career. Furthermore, students felt more knowledgeable about robotics, comfortable operating robotically, […]
Residents with prior evaluations and feedback show improved performance and autonomy in common bile duct exploration
Surgical residents who receive prior evaluations and formative feedback for common bile duct exploration (CBDE) demonstrate better operative performance and greater autonomy compared to residents without prior evaluations. Cases with prior evaluations had a higher proportion of practice-ready or exceptional performance ratings according to both residents and attending surgeons. They also had a higher proportion […]
Optimizing Mortality Reduction in Necrotizing Pancreatitis
Researchers conducted a systematic review and network meta-analysis to determine the optimal timing and intervention for reducing mortality in necrotizing pancreatitis. They analyzed 10 studies involving 570 patients and compared 8 treatment strategies. While no statistically significant differences were found in odds ratios, trends were confirmed by the surface under the cumulative ranking scores. The […]
Long-Term Results of Conservative Management for Complicated Colonic Diverticulitis: Effective and Safe Option for Selected Patients
The study investigated the long-term outcomes of conservative management for complicated colonic diverticulitis. The results showed that non-operative treatment is effective and safe for selected patients, with recurrence rates of 38.1% and high severity recurrence rates of 11.1%. Lower CT stages and grade III diverticulitis were associated with higher recurrence rates. Chronic NSAID use was […]