Esophagectomy, a complex cancer surgery, poses substantial risks of major complications and death. To optimize patient outcomes, modern strategies focus on preventing and treating specific complications, implementing enhanced recovery practices, conducting thorough clinical and physiological risk assessments, involving high-volume surgical teams, and providing multimodal support. These approaches aim to safeguard and restore nutritional status, muscle […]
Category: General Surgery
Enhancing International Collaboration in Clinical Trials
To streamline global clinical trial operations, Clinical Trial Units (CTUs) within academic research institutions worldwide must harmonize services to meet international standards. A survey involving experienced CTU members aimed to identify the most crucial services for seamless clinical trial execution. The results revealed that services related to research project quality and coordination were of utmost […]
Revamping Hemorrhoidal Classification for Improved Care
Hemorrhoids, a common anal condition, present recurring challenges. Effective treatment relies on accurate classification, making cure rates higher and recurrence rates lower. This study reviews various classification methods for hemorrhoids, assessing their pros and cons, treatment relevance, practicality, and assessment value. It proposes strategies to address current assessment limitations, aiming to enhance the classification of […]
Unsupervised Training Proves Effective for Esophago-Gastric Endoscopic Submucosal Dissection
Experienced endoscopists seeking competence in endoscopic submucosal dissection (ESD) faced a challenging learning curve. This study introduced an unsupervised training model. Endoscopists initially observed 30 ESD cases and performed 15 unsupervised ex-vivo ESDs. Afterward, they tackled five human distal gastric ESDs and 55 unselected esophago-gastric cases. Results were promising, with a 93.0% en-bloc resection rate, […]
Setting the Bar for Surgical Video Deidentification Standards
This article dives into the crucial realm of standards for deidentifying surgical videos. In the modern operating room, surgical videos offer a wealth of valuable data. They enable performance assessment and complication rate analysis, enhancing the future of surgical care. The integration of routine video capture and analysis presents exciting prospects for quality improvement, competency […]
Redefining Surgery for Widespread Biliary Malignancy: A Survival Analysis
Researchers explored the impact of hepatopancreaticoduodenectomy (HPD), a radical surgery for biliary carcinoma, on survival in patients with widespread cancer. Of the 54 patients who underwent HPD, 89% achieved R0 resection, significantly improving survival with a median of 36.9 months. Pathological portal vein involvement was identified as an independent prognostic factor. Those with peripancreatic lymph […]
Unlocking the Benefits of Bariatric Surgery: Advanced Lipoprotein Improvement
A study on 52 obese patients undergoing bariatric surgery unveiled a promising shift in their lipoprotein profile, assessed through nuclear magnetic resonance spectroscopy. Researchers discovered that bariatric surgery led to substantial improvements in patients’ advanced molecular lipoprotein profiles, effectively reducing cardiovascular risk factors. Notably, 20% of patients achieved normalized parameters. This research highlights the significant […]
Comparing Strategies for Crohn’s Disease Strictures: Endoscopy vs. Surgery
In the battle against Crohn’s disease-related strictures, researchers compared endotherapy (ET) and surgical therapy (ST) outcomes. The study, encompassing 59 patients with 12+ months of follow-up, showed a significantly higher re-intervention rate with ET. However, it also highlighted that re-operation could be avoided for most ET patients, with similar symptom-free survival at one year. This […]
Disparities in Pancreatic Cancer Surgery: Minority Serving Hospitals Face Treatment Challenges
A study exploring the surgical treatment of resectable pancreatic adenocarcinoma in minority serving hospitals (MSH) revealed significant disparities. Patients at MSH were less likely to undergo surgical resection, facing unique barriers, and leading to increased mortality among those who did. These findings highlight the urgent need for targeted interventions to improve the care provided to […]
Malnutrition Negatively Impacts Post-Operative Outcomes in Crohn’s Disease Patients Undergoing Ileocecectomy
A nationwide study on Crohn’s disease patients undergoing elective ileocecectomy reveals the influence of malnutrition on post-operative outcomes. Of 1,464 patients, 22% were malnourished. Malnourished patients experienced more organ space surgical site infections (SSI), bleeding, longer hospital stays, and higher readmission rates compared to well-nourished counterparts. This study underscores the importance of assessing and optimizing […]