The Italian scientific societies involved in hepatocellular carcinoma (HCC) management have collaborated to create updated treatment guidelines using evidence-based methods. This study presents the first part of the guidelines, focusing on the surgical treatments and expert tumor board collaboration for HCC. HCC is the third most common cause of cancer-related death worldwide, and the complexity […]
Category: General Surgery
High-Risk Opioid Prescribing Increases Risk of Persistent Opioid Use in Adolescent and Young Adult Patients
Approximately 5% of adolescents and young adults continue to use opioids after surgery, and this study investigated the impact of postoperative opioid prescribing on persistent use in this population. The study found that high-risk opioid prescribing practices, such as overlapping prescriptions and multiple prescribers, significantly increased the risk of persistent opioid use in this age […]
Surgeon supply in US counties has increased from 2010 to 2020
The surgical workforce in US counties was analyzed from 2010 to 2020 in a cross-sectional study. The study reveals that surgeon supply has increased during this period, impacting the accessibility of surgical care. The findings provide important insights for policymakers, healthcare administrators, and clinicians in addressing the distribution of surgeons and improving surgical services in […]
Robotic Enucleation for Challenging Pancreatic Head Insulinomas
The results of this study demonstrate that robotic enucleation is a safe and feasible treatment option for pancreatic head insulinomas located in challenging areas. The use of intraoperative ultrasound and endoscopic retrograde cholangiopancreatography (ERCP) with pancreatic duct stent placement were key components in preserving the pancreatic duct during surgery. Both patients experienced successful resolution of […]
Improved Detection of Lymph Nodes in Esophageal Squamous Cell Carcinoma Using Indocyanine Green-Near-Infrared Fluorescence Imaging
Indocyanine green-near-infrared fluorescence imaging showed a 100% success rate and significantly improved the detection rate of lymph nodes in esophageal squamous cell carcinoma. Seven cases with lymph node metastases were all near-infrared positive, while near-infrared-negative nodes were nonmetastatic. The technique accurately identified sentinel lymph nodes and increased the number of resected mediastinal lymph nodes, suggesting […]
Postoperative Ambulation Predicts Emergency Department (ED) Utilization in Outpatient Surgery
The study examined postoperative ambulation using accelerometers in outpatient abdominal surgeries and its impact on 30-day readmissions and ED utilization. Out of 106 patients, those who failed to reach their preoperative step count within one week were 6× more likely to visit the ED. Geriatric patients had a lower likelihood of meeting their preoperative baseline […]
Regional mock oral board exercises improve first-time pass rates for board certification in general surgery
Regional mock oral board exercises, known as regional mobs, can be effectively conducted in a multi-institutional setting to prepare chief residents in general surgery for the American Board of Surgery certifying examination. These exercises expose residents to unfamiliar proctors and diverse contexts, closely resembling the actual exam. The study reports high satisfaction rates from faculty […]
Neoadjuvant calcium electroporation is a safe and effective treatment for potentially curable colorectal cancer.
Neoadjuvant calcium electroporation was found to be a safe and feasible treatment modality for potentially curable colorectal cancer. In a study of 21 patients, no procedure-related complications were reported, and surgery was able to be performed as planned in 19 patients. Limited side effects and no significant impact on quality of recovery or inflammatory markers […]
Risk-Scoring Model for Lymph Node Metastasis in T1b-T2 Esophageal Cancer
Researchers constructed and validated a risk-scoring model to predict lymph node metastasis in T1b-T2 esophageal cancer. Multivariate analysis identified primary site, tumor grade, tumor size, depth, and lymphovascular invasion as independent risk factors for lymph node metastasis. The risk-scoring model, based on these factors, showed good predictive accuracy in both the primary cohort and the […]
Age-adjusted Charlson Comorbidity Index is an Independent Prognostic Factor for Hilar Cholangiocarcinoma Patients Undergoing Laparoscopic Resection
The prognostic value of age-adjusted Charlson comorbidity index (ACCI) in laparoscopic resection for hilar cholangiocarcinoma was assessed in this study. Data from 136 patients undergoing laparoscopic resection were analyzed, and ACCI scores were divided into high and low groups. Higher ACCI scores (ACCI > 4.0) were found to be an independent risk factor significantly impacting […]