Operating theatres have a substantial environmental impact, contributing to greenhouse gas emissions and waste. This systematic review, involving 8,286 participants, investigated factors influencing sustainability in operating theatres. Barriers were identified in domains like knowledge, environmental resources, social influences, and beliefs about consequences. The most common facilitator was intention. While there’s a desire to adopt sustainable […]
Category: General Surgery
Personalized Approaches to T1 Colorectal Cancer Treatment
This study explored the optimal management of T1 colorectal cancers (CRCs) in the Western hemisphere. Analyzing a significant dataset from 2004 to 2018, including 28,430 T1 CRC patients, researchers compared endoscopic therapy (ET) and surgical resection (SR) outcomes. They found that ET was safe and effective for left-sided T1N0M0 colon cancers with tumors 2 cm […]
MRE Model Predicts Hepatic Decompensation in NAFLD Patients
A multicenter study harnessed Magnetic Resonance Elastography (MRE) to create a prediction model for hepatic decompensation in Non-Alcoholic Fatty Liver Disease (NAFLD) patients. This model, which combines MRE data with clinical factors like age, albumin, aspartate aminotransferase, and platelets, demonstrated excellent accuracy in forecasting the risk of hepatic decompensation over 3- and 5-year periods. The […]
Modified Rutgeerts Score Predicts Recurrence in Crohn’s Disease Patients
In a study involving 652 patients who underwent primary ileocecal resection for Crohn’s disease, the Modified Rutgeerts Score (MRS) proved to be a valuable predictor of long-term outcomes. Patients with higher MRS values were more likely to experience surgical and clinical recurrence, as well as progression to severe endoscopic recurrence. Specifically, an MRS of i2b […]
Neoadjuvant Therapy Benefits Esophageal Adenocarcinoma Patients
In a study involving 3,413 patients with cT2N0M0 esophageal adenocarcinoma, researchers investigated the impact of neoadjuvant chemoradiotherapy (NT) on surgical outcomes and oncological benefits for those with clinical stage IIA disease. The study found that NT did not adversely affect perioperative outcomes compared to upfront surgery. Moreover, minimally invasive esophagectomy after NT was feasible, and […]
Noninvasive Approach Accurately Detects Crohn’s Disease Recurrence
A study conducted in three Italian referral centers assessed the accuracy of a noninvasive approach for detecting postoperative recurrence (POR) in Crohn’s disease. Colonoscopy, the standard method for POR assessment, can be invasive and poorly tolerated. The study found that a combination of bowel ultrasound and fecal calprotectin levels reliably detected POR without the need […]
Marking Small Liver Tumors Before Surgery: Will It Improve Resection?
To enhance the precision of small liver tumor removal, a phase II study in Japan will evaluate preoperative marking’s effectiveness. Patients with liver tumors ≤15 mm requiring hepatectomy will undergo microcoil placement near the tumor using either the percutaneous or transvascular approach. The study aims to determine the successful resection rate, with secondary endpoints including […]
Japanese Study Highlights Trends in Penetrating Injuries and Mortality
A 10-year retrospective study in Japan examined penetrating injuries, their characteristics, and long-term mortality trends among 313,643 patients. The findings showed that while in-hospital mortality rates decreased over the study period, the severity-adjusted mortality trend didn’t significantly improve. Stab wounds remained the primary cause of penetrating injuries. Notably, patients with active bleeding who underwent urgent […]
Which Blood Thinners Are Safer for Gastrointestinal Hemorrhage in Atrial Fibrillation?
A systematic review and meta-analysis of real-world studies examined the safety of direct oral anticoagulants (DOACs) in patients with non-valvular atrial fibrillation who experience gastrointestinal hemorrhage (GIH). Apixaban showed a lower risk of GIH compared to dabigatran, rivaroxaban, and vitamin K antagonists (VKA). Rivaroxaban was associated with an increased risk of GIH compared to dabigatran […]
Endoscopic Ultrasound-guided Nerve Block Shows Promise in Easing Pancreatic Cancer Pain
In a network meta-analysis of ten randomized controlled trials, researchers assessed the effectiveness of endoscopic ultrasound-guided celiac plexus neurolysis (EUS-CPN) in addition to medical management for abdominal pain in unresectable pancreatic cancer. Results favored EUS-CPN combined with medical management, showing significantly reduced pain intensity at 4 and 12 weeks compared to medical management alone or […]