Researchers assessed the Pan-Immune-Inflammation Value (PIV) as an indicator of neoadjuvant immunochemotherapy (NICT) response in esophageal squamous cell carcinoma. Among 218 patients, PIV was linked to achieving a pathological complete response. High PIV predicted poorer 3-year overall survival and disease-free survival compared to low PIV. PIV independently forecasted outcomes. A novel risk stratification model improved […]
Category: General Surgery
Gender Bias in Colorectal Surgery Fellowship Recommendation Letters
An analysis of recommendation letters for colorectal surgery fellowship candidates revealed gender-based differences. Women applicants received longer short answer responses, while men applicants had lengthier letters. Furthermore, the study uncovered that men were often described with more technical skill-related terms, while women’s letters contained emotional and cognitive language. Recognizing these discrepancies is crucial for addressing […]
Understanding the Impact of Second Victim Syndrome (SVS) on Surgeons: A Scoping Review
A Scoping Review unpacked the underexplored realm of Second Victim Syndrome (SVS) in surgeons. SVS, affecting 50% of healthcare providers, often leads to enduring emotional turmoil, impacting personal lives and professional practices. The review emphasized that surgeons, due to their high-stress profession, also grapple with SVS. The study examined SVS’s prevalence, its psychological, physical, and […]
Active Learning Enhances Automated Recognition of Surgical Features in Esophageal Surgery
This study delves into “surgomics,” a method that customizes surgical outcome predictions using machine learning and real-time surgical data. The challenge? Gathering high-quality annotations from experts. To address this, the researchers investigated active learning (AL) to make annotation more efficient. They chose ten video-based features linked to intraoperative bleeding complications during robot-assisted esophagectomies. AL significantly […]
Preoperative Weight Loss Program in Hepatocellular Carcinoma Patients with High BMI
Researchers investigated the impact of a weight-loss program (WLP) on patients with a high body mass index (BMI) before undergoing liver resection for hepatocellular carcinoma (HCC). In a study of 19 patients with a BMI of 25.0 or higher, WLP successfully led to weight loss without affecting short- or long-term surgical outcomes. The program improved […]
Malnutrition Linked to Colorectal Cancer Outcomes
Researchers delved into the relationship between malnutrition, assessed by the Geriatric Nutritional Risk Index (GNRI), and the outcomes of patients who had undergone curative surgery for colorectal cancer (CRC). Those with lower GNRI scores had reduced overall survival and higher risk of recurrence, particularly within the first three years post-surgery. Importantly, this malnutrition also predicted […]
Factors Linked to Reduced Surgical Training Experience for General Surgery Residents
A study involving 20 institutions and over 1,300 general surgery residents found that those with the lowest logged case volume were more likely to be female, identify as underrepresented in medicine, and pursue fellowships. Additionally, they were more likely to have graduated from low-volume programs and institutions with lower National Institutes of Health funding. Understanding […]
Embolization Reduces Failure of Nonoperative Management in Blunt Splenic Trauma
Researchers compared outcomes in patients with splenic pseudoaneurysms (PSAs) following blunt trauma, some treated with splenic artery embolization (Embo) and others without (No-Embo). Patients who underwent embolization had a significantly lower rate of failure of nonoperative management (FNOM) compared to the No-Embo group (3.1% vs. 13.3%). The study suggests that embolization may play a crucial […]
3D Reconstructions Improve Understanding of Hepato-Biliary Surgical Anatomy
A multicentric survey involving 11 patients with liver tumors and 23 experienced surgeons demonstrated that 3D reconstructions significantly enhance the comprehension of complex liver anatomy and the relationship between tumors and adjacent vascular structures. Compared to standard 2D CT scans, the 3D models provided superior accuracy in identifying vascular structures related to tumors. This advancement […]
Mixed Results for Adjuvant Therapy in Duodenal and Ampullary Carcinomas
Researchers investigated whether adjuvant therapy benefits patients with duodenal adenocarcinoma (DAC) and intestinal subtype ampullary carcinoma (IAC) after surgery. The study found that while DAC patients with perineural invasion and IAC patients with specific risk factors (lymph node involvement, advanced tumor stage, perineural invasion) benefited from adjuvant therapy, overall survival wasn’t improved in all cases. […]