This study evaluated the inter-rater reliability and variability in assessing laparoscopic fundoplication using endoscopy. A total of 101 participants, including upper gastrointestinal surgeons and gastroenterologists, analyzed ten static endoscopic images post-fundoplication. The study found that overall accuracy was 76% for upper gastrointestinal surgeons and 69.9% for gastroenterologists. Upper gastrointestinal surgeons performed significantly better in certain […]
Category: General Surgery
Long-term outcomes of ultrasound-guided thermal ablation for low-risk papillary thyroid microcarcinoma
A multicenter retrospective study reports that ultrasound-guided thermal ablation (TA) is an effective and safe treatment option for patients with solitary low-risk papillary thyroid microcarcinoma (PTMC). Over a median follow-up period of 77.2 months, the incidence of disease progression, lymph node metastasis, and recurrent tumors were 3.6%, 1.1%, and 2.5%, respectively. TA achieved a median […]
Female Surgeons Linked to Lower Healthcare Costs for Common Surgical Procedures
Female surgeons are associated with lower healthcare costs compared to male surgeons for patients undergoing common surgical procedures, according to a population-based study in Ontario, Canada. The study found that patients treated by male surgeons had higher healthcare costs at 30 days, 90 days, and 1 year after surgery compared to those treated by female […]
Significant Reduction in Surgical Site Infections in Low-Income Hospitals
A new study evaluated the implementation of the clean cut program in 7 Ethiopian hospitals to address surgical infections. After refining the program and updating the implementation strategies, the relative risk of surgical site infections decreased by 34%. Adherence to infection prevention standards significantly improved, including the use of surgical safety checklists, hand and skin […]
Laparoscopic Resection of Liver Segment 4 with Fluorescence Staining: Feasibility and Efficacy
Researchers successfully performed a laparoscopic anatomic resection of liver segment 4 with middle hepatic vein involvement using indocyanine green fluorescence staining. The operation lasted 263 minutes with a 110-minute Pringle maneuver and 400g of estimated blood loss. The patient was discharged on postoperative day 5 without complications, and histopathology confirmed sigmoid carcinoma and R0 margin. […]
Comparison of Robotic-Assisted and Laparoscopic Liver Resection for Liver Malignancies
Robotic-assisted liver resection (RLR) and laparoscopic liver resection (LLR) have similar surgical and oncological outcomes for patients with liver malignancies. A systematic review and meta-analysis of five high-quality cohort studies, involving 986 patients, found no significant differences between RLR and LLR in terms of operation time, conversion to open surgery, complication rates, length of hospital […]
EPA for Metastasis Trial 2 (EMT2): Phase 3 Protocol for CRC Liver Metastasis Surgery
The EPA for Metastasis Trial 2 (EMT2) study protocol aims to address the need for safe and cost-effective adjunctive treatment for advanced colorectal cancer (CRC). The trial evaluates the effect of EPA on CRC outcomes in patients undergoing liver resection surgery for CRC liver metastasis. The primary endpoint is CRC progression-free survival, with key secondary […]
Healthcare professionals identify training priorities to manage distress in young people with inflammatory bowel disease and a stoma
Healthcare professionals highlighted the need for training to recognize and manage distress in young people with inflammatory bowel disease (IBD) and a stoma. The study identified 19 training priorities, including addressing stigma, practicalities of stoma management, initiating conversations about distress, considering cultural beliefs, and techniques for assessing patient distress. These findings will inform the development […]
Long-term Survival Outcomes of Liver Resection for Metastatic Anal Squamous Cell Carcinoma
The study evaluated the outcomes of liver resection in patients with metastatic anal squamous cell carcinoma (SCC) to the liver. Among the 21 patients undergoing liver resection and/or ablation, 95% had undergone the Nigro protocol for the primary tumor, with 57% experiencing a complete response. The median overall survival was 32.2 months, and the 5-year […]
Robotic Surgery Proves Promising in Surgical Oncology
Robotic surgery has significantly grown in popularity among general surgeons, including those specializing in surgical oncology. Initially introduced by urologists and gynecologists, this technology has now become a valuable tool in the treatment of various cancers, such as those affecting the gastrointestinal, hepato-pancreatico-biliary, colorectal, endocrine, and soft tissue systems. Although long-term outcomes are yet to […]