Among over 1 million patients with gastrointestinal cancer, only a small percentage were enrolled in clinical trials, with significantly lower enrollment rates among patients treated at minority-serving hospitals and black individuals. The odds of enrollment in a clinical trial were much lower for patients at minority-serving hospitals compared to non-minority-serving hospitals, and even after controlling […]
Category: General Surgery
Impact of Sarcopenia on Perioperative Outcomes and Survival After Esophagectomy for Cancer
Patients with preoperative sarcopenia, identified using skeletal muscle index, had higher rates of major complications, including cardiac arrhythmia and mortality. They also had significantly lower overall survival and disease-free survival compared to non-sarcopenic patients. Sarcopenia was found to be an independent risk factor for lower survival on multivariate analysis. Sarcopenia is associated with increased risks […]
Religion rarely addressed in preoperative stoma counseling
Healthcare providers at a high-volume academic institution lack training on addressing religious beliefs impacting patients undergoing stoma surgery, with only 35% reporting training on how stomas interact with faith practices. Religious services are rarely present during counseling sessions, and interviewees note difficulties in discussing religious beliefs during preoperative sessions. Lack of support and awareness about […]
Residency Program Factors Influence Surgery Board Exam Pass Rates
Program factors such as residency length, resident class size, number of total physician faculty, average hours of didactics per week, and the percentage of residents graduating from US MD programs are associated with improved American Board of Surgery examination pass rates. Older programs, as well as those located in the West and Midwest, tend to […]
Postoperative outcomes favor pure IVc approach in laparoscopic caudate lobectomy
Researchers introduced an inferior vena cava (IVC) priority approach in laparoscopic caudate lobectomy, studying 21 patients with caudate hepatic tumors. Those who underwent the pure IVC approach had shorter hepatic pedicle clamping and operation times as well as shorter hospital stays compared to the combined approach group. The technique proved safe and feasible, emphasizing the […]
Mesh Repair Reduces Ventral Hernia Recurrence Rates Over Time
The study revealed that the 5-year recurrence rate after ventral hernia repair was greater than 40% and 70% in patients with and without mesh, respectively. Ventral hernia recurrence rates increased over time, emphasizing the need for close, long-term follow-up. Risk factors associated with higher odds of recurrence include higher body mass index, immunosuppressants, incisional and […]
Centralization of Cytoreductive Surgery Alone Improves Perioperative Outcomes for Colorectal Peritoneal Metastases
Centralization of cytoreductive surgery alone for colorectal peritoneal metastases improved 90-day postoperative mortality and failure-to-rescue rates. High-volume centers showed lower mortality rates compared to low-volume and no-hipec centers. After the Prodige 7 trial, there was a drastic decrease in cytoreductive surgery with hyperthermic intraperitoneal chemotherapy rates in cancer centers, while patients treated with cytoreductive surgery […]
Study finds longer time to surgery and black race associated with worse survival in thyroid cancer patients
Delaying surgery for papillary thyroid carcinoma (PTC) worsens survival, with longer times to surgery associated with poorer outcomes. Racial disparities persist, as black patients face worse survival independent of time to surgery and other factors. Non-Hispanic white patients have shorter median times to surgery compared to black and Hispanic patients. Journal Article by Gillis A, […]
Bariatric surgery post-liver transplantation in Belgium: Significant weight loss and metabolic improvements observed with favoring sleeve gastrectomy.
Bariatric surgery post-liver transplantation in Belgium showed significant and sustained weight loss, resolution of metabolic dysfunction-associated liver disease, and favorable metabolic outcomes. Sleeve gastrectomy was the favored procedure, leading to improved clinical and biochemical markers. Despite a small sample size, the results suggest the safety and efficacy of bariatric surgery in liver transplant recipients. Journal […]
Total Pancreatectomy Reduces Complications in High-Risk Pancreatoduodenectomy
Completion pancreatectomy during pancreatoduodenectomy significantly reduces postoperative complications and mortality rates in high-risk patients. In a study of 139 patients, total pancreatectomy (TP) resulted in shorter hospital stays, lower risks of post-pancreatectomy hemorrhage, and a significant reduction in reoperation, postoperative pancreatic fistula, hemorrhage, and mortality rates compared to pancreatoduodenectomy. Implementing a risk-tailored strategy with TP […]