Ann Surg14 Apr 2024
Minimally invasive esophagectomy (TMIE) was associated with improved disease-free survival (DFS) postoperatively compared to open esophagectomy (OE), while both TMIE and hybrid minimally invasive esophagectomy (HMIE) were linked to enhanced overall survival (OS). TMIE showed increased rates of R0 resection and nodal yield, suggesting improved…
Surg Endosc14 Apr 2024
A systematic review of 41 articles on autonomous suturing revealed significant progress in robotic technology, showcasing a variety of engineering solutions to enhance accuracy and efficiency in surgical tasks. Most studies focused on different suturing subtasks, indicating a growing interest in surgical automation and notable…
Hernia14 Apr 2024
Revision procedures for recurrent hiatal hernia revealed that most recurrences occurred in the left-anterior quadrant of the hiatus. Posterior recurrences were also notable. Both anterior and posterior hiatal reinforcement may be necessary to decrease recurrence rates. A randomized controlled trial using a circular, bio-absorbable mesh…
HPB & Spleen14 Apr 2024
Initial outcomes of minimally invasive pancreatoduodenectomy (MIPD) by a well-trained junior surgeon were comparable to a veteran surgeon, despite longer operation times. Both groups showed similar results in blood loss, complications, pancreatic fistula, and hospital stay length. This suggests that junior surgeons may achieve comparable…
Appendix, Gallbladder and Surgical Emergencies14 Apr 2024
Patients with gallbladder dysmotility who underwent laparoscopic cholecystectomy showed significant improvement in biliary pain symptoms and quality of life compared to those who did not undergo the procedure. This retrospective analysis supports the effectiveness of laparoscopic cholecystectomy in managing symptoms associated with gallbladder dysmotility.
Appendix, Gallbladder and Surgical Emergencies14 Apr 2024
Neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and systemic immune inflammation index (SII) significantly predict the necessity for therapeutic surgery in patients with anterior abdominal stab wounds (AASW), aiding in clinical decision-making. NLR showed high accuracy in predicting therapeutic surgery, outperforming PLR and SII.
Digital Surgery and Telemedicine14 Apr 2024
Researchers found that suremediks, a digital lifestyle intervention platform using AI, helped participants lose an average of 14% body weight over 24 weeks. Almost all participants successfully lost at least 5% of body weight, with positive correlations observed with female sex, accountability circle size, and…
HPB & Spleen14 Apr 2024
Frail cancer patients undergoing hepatectomy show improved outcomes with the minimally invasive approach, with lower risks of complications and shorter length of stay. The study analyzed 3,116 patients and found that the minimally invasive approach conferred lower risk of prolonged hospital stay, discharge not-to-home, transfusion,…
J Gastrointest Surg14 Apr 2024
Machine learning models demonstrated significantly higher discriminatory performance compared to logistic regression models in predicting postoperative outcomes for patients undergoing gastrointestinal surgery. Standardized protocols and practical implementation of machine learning models should be further explored.
J Gastrointest Surg14 Apr 2024
Adjuvant chemotherapy significantly increases long-term survival rates in patients with residual esophageal squamous cell carcinoma after neoadjuvant chemotherapy and surgery. Pathological lymph node status and adjuvant therapy were identified as independent prognostic factors. Adjuvant chemotherapy is especially beneficial for patients with nodal metastases.