In a hip multicenter study, researchers spilled the tea on adrenal cancer secrets. Analyzing 807 patients, they unveiled that mixed cortisol/androgen-secreting adrenal tumors play hard on survival, with worse overall survival compared to solo cortisol or androgen secrets. Notably, after a clean R0 surgery, the secretory subtype didn’t sway overall survival. Cortisol-secreting tumors spilled more […]
Category: General Surgery
High-Volume Parathyroid Surgeons: A Dearth in Accessibility
The hunt for equitable healthcare takes center stage as researchers uncover disparities in access to high-volume parathyroid surgeons in the US. Analysis of 2019 Medicare data reveals a skewed distribution, with 445 identified surgeons mostly concentrated in metropolitan areas. Shockingly, disadvantaged neighborhoods face longer distances to these specialists, potentially impacting treatment outcomes for hyperparathyroidism patients. […]
SAGES/AHPBA Guidelines for Microwave and Radiofrequency Liver Ablation in Hepatocellular Carcinoma or Colorectal Liver Metastases Under 5 cm
In the liver cancer maze, SAGES/AHPBA experts wielded microwaves and radiofrequency ablation (RFA) to guide decisions for tumors under 5 cm. Assessing outcomes and techniques, they found evidence somewhat shaky but suggested both microwave (MWA) and RFA are viable for selected patients, with laparoscopic MWA having higher risks but similar survival. However, caution blinked in […]
Unmasking Esophageal Cancer: V’ and U’ Variables Shine Bright
Researchers unveil a tech-savvy twist to esophageal cancer diagnosis, sidelining the subjective pink-color sign’s (PCS) hiccups. Testing the V’ variable solo, results hit 73.91% sensitivity, lagging behind human eyes. But, combining V’ and U’ variables steps up the game, matching seasoned endoscopists with 86.30% accuracy. The modified V’ + U’ method proves a reliable diagnostic ally, hinting […]
Revolutionizing Liver Resection: Ultrasound-Guided Compression Takes the Lead
Researchers bring a game-changer to minimal access liver surgery (MALS) for hepatocellular carcinoma (HCC). Testing the waters with laparoscopic and robotic ultrasound-guided compression anatomical resection (C-AR), they aced it with 10 patients—no post-op hiccups. This technique, known in open surgery, now waltzes into MALS, promising a bright future for HCC patients. Stay tuned for more […]
No Weekend Woes: Discharging Patients After Pancreatic Surgery on Weekends Doesn’t Raise Readmission Rates
Discharging patients on weekends following pancreatic surgery, a practice previously linked to increased mortality, was found to have no significant impact on the 30-day readmission rate. The study, encompassing 2,042 patients, revealed similar readmission rates between weekend and weekday discharges, suggesting that with careful clinical decision-making, weekend discharges after pancreatic surgery can be done safely […]
Immigrant Doctors in the US and Their Vital Role in Healthcare
In a study covering 97.8 million respondents, 0.12% identified as doctors. Among them, 72.4% were citizens by birth, with naturalized citizens working more hours annually. Immigrant doctors, particularly those naturalized for over 10 years, were more likely to serve in socially vulnerable and densely populated areas. The findings underscore the crucial role of immigrant doctors […]
Predicting Pancreatic Complications: Machine Learning Triumphs Over Traditional Models.
Researchers crafted an innovative machine learning (ML) model for forecasting clinically relevant postoperative pancreatic fistula (CR-POPF) after pancreaticoduodenectomy. The ML model consistently outshone the existing modified fistula risk score (MFRS) in both internal and external validations, proving its versatility and efficacy in enhancing CR-POPF prediction. This breakthrough offers a more accurate risk stratification tool, potentially […]
Surgery Volume Matters: Risks in Low-Volume Centers for Colorectal Cancer.
A national study analyzing 16,883 cases across 80 centers unveils crucial associations. Low-volume centers show a 50% higher risk of severe postoperative complications, with reduced lymph node removal compared to high-volume centers. In rectal cancer cases, low-volume centers exhibit a 43% lower rate of adequate lymph node removal. Optimal outcomes and comprehensive cancer care advocate […]
Innovative AI Support in Surgery for Laparoscopic Cholecystectomy: Early Clinical Trial Shows Promise.
Surgeons embrace real-time artificial intelligence (AI) assistance for laparoscopic cholecystectomy, overcoming technical and cultural hurdles. The study proves the feasibility of deploying multiple AI models concurrently in operating rooms, offering live assistance during procedures. The research delves into diverse clinical applications, involving a collaborative effort with key stakeholders across disciplines. This marks a significant stride […]