Combining clinical score and ultrasound outperformed CT scan or upfront surgery in diagnosing acute appendicitis, especially in equivocal cases. The study included 3,123 patients, with the best balance of sensitivity and specificity seen in the clinical evaluation + score + ultrasound group. Ultrasound was significantly associated with an increased probability of correctly diagnosing appendicitis, particularly […]
Category: General Surgery
Improving Surgery-Specific Goals of Care Discussions in the Preoperative Setting
During a pilot study, surgeons and advanced practice providers utilized a template for goals of care discussions in the preoperative setting for gynecologic surgical oncology patients. The template improved documentation of topics of discussion, patient values, and advance care planning. Despite positive perceptions, implementation barriers were identified, highlighting the need for iterative revisions to enhance […]
Effective guidance for safe laparoscopic total gastrectomy in remnant gastric cancer using indocyanine green fluorescence imaging
Researchers successfully performed laparoscopic total gastrectomy in two cases of remnant gastric cancer using intraoperative indocyanine green fluorescence imaging. The technique allowed visualization of the liver and common bile duct, leading to safe dissection of severe adhesions between hepatobiliary organs and the remnant stomach. This novel approach resulted in successful surgeries without complications, demonstrating the […]
Key Factors Impacting Timely Receipt of Appropriate Surgery for Stage 3 Colon Cancer
Research found that patients who are non-Hispanic white, younger, have fewer comorbidities, lower household income, and receive surgery at a community cancer program within 50 miles of their primary residence are more likely to undergo timely surgery for stage 3 colon cancer. These factors play an important role in reducing the time to surgery and […]
Advances in Hernia Care: Moving Towards Individualized Treatment
Recent advances in hernia surgery have allowed surgeons to accurately predict risk, diagnose hernias based on individual characteristics, and utilize new technology and techniques in the operating room. While outcomes have modestly improved, further progress is still needed, with emphasis on continued research, use of registries, education, and training. Hernia prevention strategies focusing on minimally […]
Same-Day Ileostomy Closure Discharge Reduces Costs without Compromising Outcomes
Same-day discharge diverting loop ileostomy closure (SDD) demonstrated a significant reduction in median index episode hospitalization and 30-day post-operative costs compared to standard inpatient enhanced recovery protocol, saving $4,827 per patient. Complication rates, readmission, and reoperation rates were similar between groups. Implementing SDD for ileostomy closure offers substantial cost savings and potentially improves healthcare resource […]
High Yield of Somatic Mutational Analysis in EUS-Guided Biopsy of Pancreatic Adenocarcinoma
Somatic mutational analysis from EUS-guided biopsies of pancreatic adenocarcinoma showed a high yield and comparable impact to that of surgical resection. EUS sampling had a yield of 89.5%, with over a quarter carrying actionable mutations and one in six having treatment impacted by mutational analysis. This study highlights the potential and real impact of EUS […]
Association of National Accreditation Program for Rectal Cancer Accreditation with Lower Morbidity and Mortality Rates after Surgery
NAPRC-accredited hospitals have lower risk-adjusted in-hospital, 30-day, and 1-year mortality rates, as well as lower 30-day complication rates, compared to non-accredited hospitals among Medicare beneficiaries undergoing proctectomy for rectal cancer. Patients at accredited hospitals were more likely to receive minimally invasive procedures and had higher rates of sphincter preservation, pointing to higher quality surgical care […]
Comparing Gemcitabine Plus Nab-Paclitaxel and Gemcitabine Plus S-1 as Neoadjuvant Chemotherapy in Pancreatic Cancer Patients
Patients with resectable/borderline-resectable pancreatic cancer underwent neoadjuvant chemotherapy with gemcitabine plus nab-paclitaxel or gemcitabine plus S-1. While there was no significant difference in 2-year progression-free survival rates between the two groups, the gemcitabine plus nab-paclitaxel regimen showed a longer median progression-free survival. Adverse events, completion rates, reduction in tumor marker levels, and lymph node metastasis […]
Understanding Patient Perspectives on Smartphone-Based Mobile Health Technology in Perioperative Care
Patients value mobile health technology in perioperative care, but there is limited knowledge on their perceptions. A human-centered design approach is crucial for meaningful implementation. Recommendations from qualitative studies of surgeons and patients can help health care systems maximize mobile health technology for patient-centered surgical care. Journal Article by Sinyard RD and Panda N in […]