This systematic review explored existing quality performance indicators (QPIs) for the surgical management of oesophageal cancer (OC). Researchers collected data from articles, guidelines, and consensus reports. QPIs were categorized as process, outcome, or structural measures, covering aspects like multidisciplinary involvement, reoperation rates, and the role of surgical metrics. The findings provide a foundation for a […]
Category: General Surgery
Pancreatic Cancer Recurrence: A Second Chance for Some
Researchers examined the post-recurrence progression in patients with resected pancreatic ductal adenocarcinoma (PDAC) and the implications for treatment. Most PDAC patients experience recurrence within two years, with varying survival outcomes depending on the site of recurrence. Lung recurrence showed significantly longer post-recurrence survival. A subset of patients with local-only recurrence, especially those with specific markers […]
Continuing Aspirin Reduces Thromboembolic Risk in Gastroenterological Surgery
Researchers conducted a multicenter study to assess the impact of continuing preoperative aspirin monotherapy in patients on antiplatelet therapy (APT) during gastroenterological surgery. The study revealed that patients who continued aspirin had significantly lower rates of thromboembolic complications compared to those who discontinued aspirin or were not on APT. These findings emphasize the importance of […]
Sham Surgery Trials: Potential Benefit for Patients
Sham-controlled randomized trials, which involve sham surgical procedures, are essential for evaluating the risks and benefits of some surgeries. This study explores the ethics of sham surgery trials and argues that patients can benefit from participating. When the procedure under study is ineffective, patients who receive the sham procedure experience fewer harms than the full […]
Frequent Recurrence in Pancreatic Adenocarcinoma Arising from IPMN, with Treatment Improving Survival
An international multicenter study analyzed 459 patients who underwent pancreatic resection for adenocarcinoma originating from intraductal papillary mucinous neoplasia (IPMN). Results showed that recurrence was common, with 45.5% experiencing it, including 23.2% with early recurrence within a year. Treatment of recurrence, such as adjuvant chemotherapy and other modalities, significantly improved overall survival, with a median […]
Mixing Feedback and Compliments Boosts Suturing and Knot-Tying Skills
A study explored the impact of feedback and compliments on students’ suturing and knot-tying skills. Participants were divided into three groups: feedback, compliments, or a combination of both. The group receiving both feedback and compliments showed significant improvement in their skills, similar to the feedback-only group, while the compliments-only group didn’t improve significantly. Those who […]
Gunshot Wounds Pack a Bigger Punch Than Other Penetrating Trauma
This study delves into the impact of gunshot wounds (GSW) compared to other penetrating traumas. Researchers found that GSWs are far deadlier and complex, with higher odds of mortality compared to stab wounds. They lead to longer hospital stays, increased risk of complications like kidney injury and sepsis, and more ventilator days. Traditional injury scoring […]
Nomogram Predicts Surgery-Specific Complications in Liver Cancer Patients
Researchers in southwestern China developed a predictive tool called a nomogram to help identify patients with hepatocellular carcinoma (HCC) who are at risk of experiencing moderate-to-severe complications after hepatectomy surgery. The nomogram uses six variables, including diabetes and the extent of liver resection, to estimate the risk of postoperative complications in HCC patients. This tool […]
Metabolic Surgery Boosts Natural Conception Rates in Obese Women with Polycystic Ovary Syndrome
A retrospective study conducted in Shanghai, China, investigated the impact of metabolic surgery on natural conception rates in women with infertility, obesity, and polycystic ovary syndrome (PCOS). After metabolic surgery, 64.8% of patients achieved natural pregnancies, while 35.2% remained unable to conceive naturally. Notably, women with a preoperative body mass index (BMI) under 27.0 kg/m² […]
New Calculator Predicts Success of Bariatric Surgery in Comorbidity Remission
The Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) developed a public tool, the Bariatric Surgical Risk/Benefit Calculator, to evaluate short-term surgery risks and long-term benefits for prospective adult bariatric surgery patients. This study assessed the calculator’s performance in predicting 1-year remission of comorbidities. The results indicate that the calculator effectively predicts comorbidity […]