In a multicenter randomized trial, researchers investigated the impact of lymphatic venous anastomosis (LVA) on cellulitis prevention in lower extremity lymphoedema. Patients undergoing LVA with non-operative decongestive therapy showed a significant reduction in cellulitis frequency over 6 months compared to those receiving only non-operative decongestive therapy. Limb circumference and pain did not significantly differ, but […]
Category: General Surgery
Innovative Closure Strategy for Rectal Defects Post-Endoscopic Submucosal Dissection
Researchers introduced an endoscopic hand-suturing with clips strategy (EHS-clips) for closing rectal defects after endoscopic submucosal dissection (ESD) or ESD with myectomy. All 49 defects achieved complete closure, with 71.4% through EHS alone and 28.6% with additional clips. Zero cases experienced delayed bleeding. Sustained closure reached 73.5% on postoperative days 3-5, with a stitch margin […]
Augmented Reality Improves Outcomes in Laparoscopic Segmentectomy for Hepatocellular Carcinoma
In a retrospective analysis of 98 hepatocellular carcinoma patients undergoing laparoscopic segmentectomy, augmented reality navigation (ARN) combined with fluorescence imaging (FI) significantly reduced intraoperative blood loss and remnant liver ischemia compared to non-ARN-FI cases. The ARN-FI group exhibited higher 1-year and 3-year disease-free survival rates, indicating improved oncological prognosis. The study concludes that ARN-FI enhances […]
Multidisciplinary Clinics Improve Pancreatic Cancer Treatment and Equity
Examining 4141 pancreatic cancer patients, this study in a high-volume hospital system found that Multidisciplinary Clinics (MDCs) significantly boost comprehensive treatment rates, such as neoadjuvant chemotherapy, surgery, palliative care, and clinical trial participation. MDC management effectively eliminates socioeconomic disparities in treatment access, particularly benefiting disadvantaged patients. The study underscores the crucial role of multidisciplinary team-based […]
Biochemical Response Predicts Survival in FOLFIRINOX-Treated Pancreatic Cancer
Evaluating 150 non-metastatic pancreatic ductal adenocarcinoma patients undergoing neoadjuvant FOLFIRINOX chemotherapy, researchers compared biochemical (CA 19-9 normalization) and radiologic responses. Three groups were identified: biochemical responders (BR+), radiology-only responders (BR-/RR+), and non-responders (BR-/RR-). BR+ showed the highest 3-year overall survival (71.0%), significantly better than BR-/RR+ (53.6%) and BR-/RR- (33.1%). Regardless of neoadjuvant response, completing adjuvant […]
Optimal Lymph Node Removal Improves Survival in Gastric Signet-Ring Cell Cancer
Analyzing 1020 patients with gastric signet-ring cell cancer (GSRCC), researchers investigated the relationship between the number of examined lymph nodes (ELNs) and prognosis. X-tile analysis determined the optimal ELN cutoff as 22. Patients with more than 22 ELNs demonstrated higher 5-year overall survival (66.9% vs. 74.9%). Multivariate analyses revealed that a higher number of ELNs […]
Comprehensive Preoperative Sarcopenia Evaluation Predicts Poor Prognosis in Esophageal Cancer Patients
Examining 115 elderly esophageal cancer patients, researchers assessed preoperative sarcopenia comprehensively using skeletal mass index, handgrip strength, and gait speed. Sarcopenia, identified in 20% of patients, correlated with older age and advanced cancer stage. Although postoperative complications showed no significant difference, slow gait speed was associated with more severe complications. The sarcopenia group exhibited significantly […]
Radiomic Model Enhances Gastric Cancer Prognostic Prediction After Neoadjuvant Chemotherapy
A cohort study involving 205 gastric adenocarcinoma patients treated with neoadjuvant chemotherapy aimed to improve prognosis prediction. The developed radiomic model, incorporating pre- and post-treatment features, outperformed pathological T stage models. The final radiomic model, integrating radiomic and clinicopathological data, demonstrated superior accuracy in predicting 3-year survival. Results suggest the radiomic model could serve as […]
Strategic Planning for Surgical Departments: Building Effective Clinic Programs
Navigating change in a large healthcare entity, like a major surgical department, poses challenges. This study emphasizes aligning projects with institutional and departmental strategic plans. Key steps involve defining missions, setting short- and long-term goals, resource analysis, and understanding expectations. Careful project design is crucial for successful implementation. The study explores considerations and challenges in […]
Optimal Liver Remnant Volume for Safer Hepatobiliary Resection
In right hepatic trisectionectomy with bile duct resection, this study explored the impact of Future Liver Remnant volume-to-body weight ratio (FLR/BW) and indocyanine green plasma clearance rate (ICGK-F) on posthepatectomy liver failure. Among 91 patients, a FLR/BW ≥ 0.65% significantly reduced the risk of liver failure, while ICGK-F < 0.05 did not. Age, blood loss, […]