Renowned international liver surgeons achieved consensus on the definition of Textbook Outcome in Liver Surgery (TOLS) using a modified Delphi method. The TOLS definition includes the absence of intraoperative incidents, postoperative complications, bile leakage, liver failure, readmission due to major complications, mortality within 90 days, and the presence of a clear resection margin. This consensus-based […]
Category: General Surgery
Safety and Efficacy of Pancreatectomy with Vein Resection for Pancreatic Head Cancer
Pancreatectomy with resection of the portal vein and/or superior mesenteric vein, along with jejunal vein resection, is a safe procedure for patients with pancreatic ductal adenocarcinoma. The study found that postoperative complications and mortality rates were similar across all groups. Overall survival did not significantly differ between patients who underwent pancreatectomy with portal vein and/or […]
Perioperative Circulating Tumor DNA Dynamics Impact Outcomes for Colorectal Liver Metastases Patients Undergoing Hepatectomy
Perioperative circulating tumor DNA (ctDNA) dynamics have been found to correlate with outcomes in patients undergoing hepatectomy for colorectal liver metastases (CLM). In this prospective study, 48 patients were analyzed for ctDNA presence before and after surgery. It was found that patients with ctDNA detected both before and after surgery had worse recurrence-free survival (RFS) […]
Impact of Surveillance on Oncological and Quality of Life Outcomes in Esophageal Cancer Patients
A multicenter study investigated the impact of surveillance after esophageal cancer surgery on recurrence patterns, treatment, survival, and quality of life. The study found that intensive surveillance was associated with reduced symptomatic recurrence, increased tumor-directed therapy, and improved overall survival for patients who underwent surgery alone and those with early-stage or favorable pathological stage cancer. […]
Thoracic duct resection does not improve survival in patients with esophageal cancer
Thoracic duct (td) resection does not improve the prognosis of patients with esophageal cancer, according to a study analyzing 12,237 patients who underwent esophagectomy between 2007 and 2012 in Japan. The study found that td-resected patients had similar overall survival and cause-specific survival rates compared to td-preserved patients. However, td-resected patients had more retrieved mediastinal […]
Factors Influencing Surgeon Adoption of Quality Standards in Advanced Cancer Care
Surgeons demonstrated low adherence to documenting care preferences and surrogate decision-makers, while maintaining high adherence to discussing goals of surgery without documentation. Conflicting views arose concerning the relevance of care preferences and documentation of surrogate decision-makers. Participants questioned the direct connection between documentation of quality standards and improved patient care value. Factors influencing the adoption […]
Surgeon Opioid Prescribing and Persistent Use Risk in Surgery Patients
This study aimed to analyze the connection between surgeon opioid prescribing intensity and patients’ subsequent persistent opioid use post-surgery. The results indicate that patients with surgeons in the highest intensity quartile were more likely to fill opioid prescriptions within 7 days after surgery compared to those with surgeons in the lowest quartile. While the primary […]
Antibiotic Duration for Complicated Intraabdominal Infection Unchanged Despite Landmark Study
Researchers conducted a population-based study to determine if the publication of the STOP-IT randomized controlled trial influenced antibiotic prescribing for patients with complicated intraabdominal infection (CIAI). The study analyzed data from four hospitals in Calgary, Canada, between July 2012 and December 2018. The results showed that antibiotic duration for appendix or biliary tract sources of […]
No significant difference in patient outcomes between trainee-led and consultant-led emergency laparotomy
Based on a population dataset analysis, this study compared the outcomes of trainee-led emergency laparotomy surgeries with consultant-led surgeries. The study included 111,583 patients and found that mortality rates at discharge were equivalent between the two groups after adjusting for various factors. Trainee-led operations reported fewer cases of significant blood loss, and the length of […]
Colorectal Surgery Postdischarge App: Enhancing Satisfaction, Impact on 30-Day Readmission Limited
A randomized controlled trial evaluated the effectiveness of a postdischarge mobile app in reducing 30-day readmissions and improving patient-reported outcomes after elective colorectal surgery. The app did not significantly reduce readmissions or emergency room visits, but it led to significant improvements in patient satisfaction, well-being, and reduced anxiety levels. While the app may not reduce […]