Implementing enhanced recovery pathways in rectal cancer surgery decreased short-term morbidity and length of hospital stay. However, adherence to these protocols did not show an improvement in long-term overall survival, cancer-specific survival, or disease-free survival compared to non-enhanced care. Therefore, while enhanced recovery pathways reduce short-term complications, they do not affect long-term oncological outcomes in […]
Category: General Surgery
High risk of venous thromboembolism in peritoneal mesothelioma patients highlights need for vigilant monitoring
Peritoneal mesothelioma patients had a high venous thromboembolism (VTE) risk, with 21.7% experiencing VTE, mainly symptomatic pulmonary emboli. 4-week thromboprophylaxis post-surgery resulted in acceptable 90-day VTE rates. Surgical patients and those with low serum albumin had higher VTE risk, but overall survival did not significantly differ between patients with and without VTE. These findings underscore […]
Surgeon and Anesthesiologist Well-being: A Tailored Approach
Surgeons and anesthesiologists at an academic medical center completed surveys revealing higher global well-being scores linked to workplace satisfaction and support. Anesthesiologists reported lower satisfaction and control than surgeons. Template analysis identified five intervention areas. Both specialties prioritized patient care, but differed in other priorities. Surgeons’ well-being threats were inefficiencies/delays and workload, while anesthesiologists cited […]
Enhancing Surgical Discharge: Addressing Gaps for Better Outcomes
Mapping the surgical discharge process in US hospitals revealed key components and challenges specific to surgical patients. Current care transition models do not address wound care education, pain control, non-home post-discharge locations, and follow-up plans. Challenges include social situations, team communication issues, and post-discharge care coordination. Addressing these components and challenges in care transitions for […]
Metastatic Lymph Nodes and Survival in Esophageal Cancer
Patients with 1 metastatic lymph node had a median overall survival of 49.8 months, while those with 2 metastatic lymph nodes had an overall survival of 33.3 months. Survival was not significantly different between patients with 1 metastatic lymph node in 1 lymph node metastasis station and those with 2 metastatic lymph nodes in the […]
Long-Term Oncologic Outcome Similar Between Proximal Gastrectomy and Total Gastrectomy for Upper-Third AGC and EGJ Cancer
Proximal gastrectomy (PG) and total gastrectomy (TG) for upper-third advanced gastric cancer (AGC) and Siewert type II esophagogastric junction (EGJ) cancers yield similar overall survival rates (61.7% vs. 68.3%) and recurrence-free survival rates (86.7% vs. 83.3%). PG group had eight recurrences, but operation method was not identified as a prognostic factor of tumor recurrence in […]
Stapled Hemorrhoidopexy Plus Ligation Anopexy Improves Long-Term Results
Researchers conducted a randomized trial comparing stapled hemorrhoidopexy alone to stapled hemorrhoidopexy plus ligation anopexy for grade III-IV hemorrhoids. Although short-term outcomes were similar, the combined approach showed significantly better long-term results. After 36 months, the stapled-only group had a 16% recurrence rate, requiring redo surgery, while the combined group had only 5% recurrence with […]
Identification of Predictive Factors for Postoperative Pancreatic Fistula in Distal Pancreatectomy Using Novel Model
Researchers proposed a novel predictive model based on preoperative imaging parameters and stapler handling for postoperative pancreatic fistula (POPF) in distal pancreatectomy. Among 81 patients who underwent the procedure using a linear stapler, 38.2% developed POPF. The model identified computed tomography-measured pancreatic thickness and pancreas-to-muscle signal intensity ratio as significant risk factors. The model also […]
Laparoscopic Roux-en-Y Gastric Bypass Outperforms Sleeve Gastrectomy in Weight Loss and Diabetes Remission
Researchers compared laparoscopic sleeve gastrectomy (LSG) with laparoscopic Roux-en-Y gastric bypass (LRYGB) in treating obesity. The meta-analysis of 20 studies involving 1270 patients showed that LRYGB was superior to LSG in terms of BMI loss at six months and short-term T2DM remission efficacy. However, LSG had less complications and shorter operating times. Therefore, LRYGB is […]
Elevated Fibrinogen-to-Prealbumin Ratio and Glasgow Prognostic Score Predict Poor Survival in Colorectal Cancer Patients Post Laparoscopic Surgery
High preoperative Fibrinogen-to-Prealbumin Ratio (FPR) and Glasgow Prognostic Score (GPS) are independently associated with worse overall survival in colorectal cancer patients after laparoscopic surgery. Combining FPR and GPS provides more accurate prognostic assessment, outperforming single indicators. Patients with elevated FPR and GPS values have a significantly poorer prognosis. Journal Article by Liu B, Qian J […]