Long-term outcomes of spleen-preserving distal pancreatectomy with splenic vessel resection showed higher prevalence of perigastric varices and lower platelet count compared to preservation. However, other complications such as gastric submucosal varices, splenic infarction, gastrointestinal bleeding, and hematologic parameters were similar between the two groups 5 years post-surgery. Spleen preserving distal pancreatectomy with splenic vessel preservation […]
Category: General Surgery
Pelvimetry Measurements Predict Total Mesorectal Excision Quality in Rectal Cancer Surgery
Pelvimetry measurements using CT scans can predict the quality of total mesorectal excision in rectal cancer surgery. Factors like a deeper sacral curve and greater transverse distance of pelvic outlet were associated with incomplete excision. An increased area of pelvic inlet was linked to a higher rate of complete excision. Visceral obesity did not impact […]
Impact of Intensive Pre-Operative Information Course on Long-Term Weight Loss Post-Bariatric Surgery
Intense pre-operative information course (IPIC) and higher pre-operative weight loss significantly contribute to sustained weight loss post-bariatric surgery, with 80.5% achieving EWL ≥ 50% and 53.1% achieving EWL ≥ 70%. Those who underwent IPIC had increased likelihood of maintaining EWL ≥ 50% and ≥ 70% after a median of 6.5 years, suggesting that IPIC and […]
Enhanced Surgical Journal Clubs Expand Accessibility and Active Learning
Researchers adapted a surgical journal club curriculum to an asynchronous, virtual format during the pandemic, allowing for expanded participation and active learning opportunities. The new format enabled visual abstract generation and audio-synopsis creation, supporting learners’ critical appraisal skills of surgical literature. Rural surgeons could now participate in the expanded community-based journal clubs, promoting inclusivity and […]
Robotic Surgery Dominance in Minimally Invasive Procedures
Robotic surgery is projected to surpass laparoscopy and open surgery in various abdominal procedures by 2025, with forecasts indicating dominance in colectomies, proctectomies, pancreatectomies, and esophagectomies. Urology shows robotic surgery leading in prostatectomies and nephrectomies, while general surgery sees a shift towards robotic colectomies and proctectomies. This transformative shift emphasizes the need for proactive adjustments […]
Adenocarcinoma Arising from Intraductal Papillary Mucinous Neoplasms (A-IPMN) Shows Superior Long-term Outcomes Compared to Pancreatic Ductal Adenocarcinoma (PDAC)
Patients with Adenocarcinoma arising from Intraductal Papillary Mucinous Neoplasm (A-IPMN) have better long-term survival and lower recurrence rates compared to those with Pancreatic Ductal Adenocarcinoma (PDAC). PDAC patients showed inferior overall and disease-free survival, higher locoregional recurrence rates, but comparable systemic recurrence rates. A-IPMN patients had higher rates of lung and peritoneal recurrence but lower […]
Protocolized care pathways in emergency general surgery associated with shorter hospital stay and reduced postoperative complications
Protocolized care pathways in emergency general surgery were found to be associated with a shorter hospital stay compared to standard care pathways, with no impact on postoperative mortality. Additionally, a reduction in specific postoperative complications such as postoperative pneumonia and surgical site infection was observed, highlighting short-term clinical benefits despite variable standardization and compliance levels. […]
Which type of pancreatic surgery has the best postoperative quality of life?
After reviewing 45 articles on quality of life post-pancreatic surgery, it was found that recovery time varied between surgeries. Duodenum-preserving pancreatic head resection showed better quality of life compared to pancreaticoduodenectomy, with central pancreatectomy outcomes still debated. Recovery to preoperative levels took longer after total pancreatectomy. The decrease in exocrine and endocrine functions significantly impacted […]
Complications and Risk Factors of Abdominal Organ Injuries during Colonoscopy
Abdominal organ injuries during colonoscopy, though rare, can be serious and life-threatening. Splenic and hepatic injuries are the most common, requiring intervention. Conservative management is possible for pancreatitis. Risk factors include difficult colonoscopy, intra-abdominal adhesions, and excessive force during the procedure. Clinicians should be vigilant for symptoms such as abdominal pain and distension post-colonoscopy. Proper […]
Optimizing Neoadjuvant Chemotherapy for Initially Resectable Colorectal Cancer Liver Metastasis
Neoadjuvant chemotherapy for initially resectable colorectal cancer liver metastasis aims at tumor downsizing, evaluating biological behavior, and reducing postoperative recurrence risk. Balancing tumor reduction benefits with hepatic injury risks and the need for timely surgery is crucial. Precision medicine’s role in tailoring neoadjuvant regimens, such as gene testing, and a multidisciplinary approach are emphasized. Tailored […]