Patients with hepatocellular carcinoma undergoing minimally invasive hepatectomy (MIH) showed comparable likelihood of achieving textbook outcome in liver surgery (TOLS) compared to open hepatectomy (OH). MIH was associated with a shorter hospital stay, with TOLS incidence similar between the two approaches after propensity score matching. Tumor burden influenced MIH’s TOLS success, highlighting benefits and limitations […]
Category: General Surgery
Enhancing Laparoscopic Skills Through Simulation
Laparoscopic simulation significantly improves surgical skills and reduces errors and time, even for participants with limited experience. In contrast, robotic simulation is less effective without prior laparoscopic experience. Transfer of skills from simulation to real surgical settings is feasible. Simulation is a valuable tool for optimizing laparoscopic skills and improving training outcomes. Review by Sarmiento-Altamirano […]
High-intensity Interval Training Safety in Postoperative Inpatients
High-intensity interval training (HIT) is safe for postoperative inpatients, with favorable physiologic outcomes and recovery. Results show higher perceived exertion, shorter exercise completion time, and trend towards faster gait speed compared to low-intensity ambulation. HIT may be beneficial in promoting positive recovery after major surgery. Journal Article by Rao SJ, Solsky I (…) Clark CJ […]
MGPS Predicts Survival in Biliary Tract Cancer
The modified Glasgow prognostic score (MGPS) is linked to poorer overall and disease-free survival in biliary tract cancer (BTC) patients, indicating its potential as an independent prognostic indicator. Meta-analysis of 15 studies, encompassing 2447 patients, underscores the significance of MGPS in predicting clinical outcomes in BTC. Review by Zhou Y, Liu Z (…) Fu W […]
Gastrin Orchestrates Glucose Regulation Post-Sleeve Gastrectomy
Gastrin plays a central role in glucose improvement after sleeve gastrectomy (SG). SG induces a medium-term elevation of the insulin response and plasma gastrin levels, with long-term depletion of the insulin response and elevated oral glucose tolerance test results. Gastrin antagonists, like netazepide, prevent these effects. This study highlights the dual effects of gastrin on […]
Impact of Radiologic Splenic Vessels Involvement on Outcomes after Distal Pancreatectomy for Pancreatic Adenocarcinoma
Study evaluates how radiologic splenic vessels involvement affects postoperative complications, overall survival, and disease-free survival in pancreatic adenocarcinoma patients undergoing distal pancreatectomy. Findings suggest that radiologic splenic vessels involvement increases major complication rates and decreases survival outcomes, serving as a potential prognostic marker for treatment decisions in these patients. Journal Article by Blanco-Fernández G, Serradilla-Martín […]
Impact of COVID-19 Pandemic on Operative Trends for Pancreatic and Hepatic Malignancies
The study found that while operations for pancreatic malignancies remained stable during the pandemic, operations for hepatic malignancies were temporarily reduced but quickly returned to normal levels. Additionally, there was an increase in pancreatic operations following neoadjuvant therapy. These results suggest that surgery for hepato-pancreato-biliary malignancies was prioritized during the COVID-19 pandemic. Journal Article by […]
Survival Discrepancies in Colon Cancer Staging
Survival paradox persists between stage IIB/C and IIIA colon cancer, even after adjusting for chemotherapy and lymph node retrieval. Optimal treatment for IIIA yields significantly better 5-year survival rates compared to IIB/C. Stage remains an independent predictor of overall survival, with significant differences in survival outcomes between different sub-stages. The TNM system should consider revising […]
Impact of Preoperative Comorbidities on %EBWL After Bariatric Surgery
Patients with higher baseline BMI, diabetes mellitus, hypothyroidism, and those undergoing laparoscopic sleeve gastrectomy may experience lower %EBWL in the first year post-bariatric surgery. Anxiety, depression, and obstructive sleep apnea were not significantly associated with %EBWL. This study highlights the need for tighter control of certain comorbidities to optimize weight loss outcomes after bariatric surgery. […]
Laparoscopic Gastrectomy in Super-Geriatric Gastric Cancer
Geriatric patients with locally advanced gastric cancer who underwent laparoscopic gastrectomy had lower overall complication rates, shorter hospital stays, and less blood loss compared to those who underwent open gastrectomy. There was no significant difference in 3-year overall survival between the two groups, suggesting laparoscopic gastrectomy may offer similar or better surgical and oncological outcomes […]