Placing vacuum sponges in esophageal anastomotic leaks using a piggyback technique proved to be a fast and safe alternative to standard methods. In seven patients, 56 eso-sponges® were successfully inserted or replaced with minimal complications, except for one dislocation. All patients healed, except for one unrelated death, and three strictures were effectively treated. This technique […]
Category: General Surgery
Identifying Challenges and Opportunities for Future Surgeons
Research identifies educational challenges and opportunities for the next generation of surgeons, focusing on surgical innovations, culture, and mentoring. Current issues include burnout, well-being, gender bias, and the need for technological expertise to meet evolving demands. Surgery must adapt curricula and transform its culture to address the changing educational and working environment arising from COVID-19-driven […]
Opportunities for Improving Care in Managing Acute Colonic Pseudo-Obstruction
Researchers examined outcomes of patients with acute colonic pseudo-obstruction (ACPO) and adherence to treatment guidelines. A total of 45 patients were identified, with 13 admitted under general surgery. Despite all patients receiving admission bloods, ACPO management, often overseen by general surgeons, may impact conservative treatment quality and intervention timeliness. Further optimization is necessary to improve […]
En-bloc resection of well-differentiated nonampullary duodenal neuroendocrine tumors is safe and effective
Endoscopic resection of well-differentiated nonampullary duodenal neuroendocrine tumors was safe and effective, with a high rate of en-bloc and R0 resections. Tumors located in the second part of the duodenum, ≥10mm in size, and with muscularis propria invasion were risk factors for non-curative resection. Adverse events were rare and successfully managed. Long-term outcomes showed low […]
Higher postoperative complications and healthcare expenditures in dementia patients undergoing major surgery
Authors found that patients with Alzheimer’s disease and related dementias had lower rates of achieving textbook outcomes and home discharge after major surgery, along with higher healthcare expenditures. They also had increased odds of postoperative complications, extended length-of-stay, readmissions, and mortality. These findings highlight the importance of considering cognitive deficits in decision-making regarding surgical procedures […]
Impact of Multibipolar Radiofrequency Ablation on Intrahepatic Cholangiocarcinoma Recurrence
Multibipolar radiofrequency ablation (RFA) resulted in lower local recurrence rates in patients with intrahepatic cholangiocarcinoma (ICCA) compared to monopolar RFA. Treatment-naive patients had a median overall survival of 26 months and tumor size and Child-Pugh B score were associated with higher mortality. Distant recurrence rates were lower for small ICCA tumors. Cirrhotic ICCA patients had […]
Immunosuppressive Induction Agents in Liver Transplantation: No Impact on Incisional Hernia Development
Despite the technical complexity of liver transplantation and the high incidence of incisional hernias, a retrospective cohort study found that the specific immunosuppressive induction agent administered during surgery did not affect the development of hernias. However, obesity and postoperative seroma of the abdominal wall were identified as potential risk factors. The overall incisional hernia rate […]
Long-Term Survival Unaffected by Complication Severity After Esophagectomy for Cancer
Survival following esophagectomy for esophageal cancer remains stable regardless of post-operative complication severity. A study of 721 patients showed no significant difference in long-term survival rates between those with no complications, minor, or major complications, with overall survival rates staying equivalent at 1, 3, and 5 years. Factors independently associated with survival were gender, comorbidity […]
Hand-sewn ileal pouch-anal anastomosis improves survival in familial adenomatous polyposis patients
Comparison between stapled and hand-sewn ileal pouch-anal anastomosis in familial adenomatous polyposis patients showed that hand-sewn anastomosis was associated with better overall survival. The stapled group had higher rates of adenoma in the remnant rectum or anal transitional zone, metachronous rectal cancer, and mortality. Cox regression analysis confirmed the negative impact of stapled anastomosis on […]
Surgeons Exhibit Varied Views on PDAC Resectability, Regardless of Classification System
Surgeons’ classification of pancreatic ductal adenocarcinoma (PDAC) resectability varies significantly, regardless of the adopted classification system, according to a survey distributed to international HPB surgeons. The study found notable discordance among surgeons in determining resectability, with a median concordance rate of 62.5% with their chosen classification system. Overall, the findings highlight the need for standardized […]