Among 950 patients with pathologic T1B gallbladder cancer, receiving either simple or radical cholecystectomy, there was no significant difference in median overall survival between the two groups. This suggests that highly selected patients may not benefit from extended resection, highlighting comparable outcomes with simple cholecystectomy in this population. Journal Article by Rhodin KE, Goins S […]
Category: General Surgery
The Equipoise Ruler: Study Reveals Surgeons’ Varied Judgment on the Value of Surgery
Professional judgment about the value of surgery varies among US surgeons, according to a national survey. Researchers found that for 19 out of 30 exemplar cases, there was consensus on the value of surgery, with a range of 63% to 99% agreement. Exposure to peer responses increased the number of cases with consensus. Women were […]
Low-risk pedunculated polyps do not increase colorectal cancer risk compared to fit+/colonoscopy negative group
Colorectal cancer (CRC) risk after resection of low- and high-risk adenomas was investigated in a fit-based CRC screening program. The study included 87,248 post-fit+ colonoscopies and found that patients with low-risk adenomas did not have an increased CRC incidence compared to the fit+/colonoscopy negative group. However, patients with high-risk adenomas had a significantly higher CRC […]
Short-term Safety of Magnetic Sphincter Augmentation vs Minimally Invasive Fundoplication
This study compared the outcomes of patients undergoing magnetic sphincter augmentation (MSA) or fundoplication for anti-reflux surgery using the ACS-NSQIP registry. A total of 7,882 patients were included, with MSA patients being younger and more often male. Compared to fundoplication, MSA was associated with reduced postoperative complications, fewer readmissions, shorter hospital stays, and shorter operative […]
Robotic Surgery Reduces the Incidence and Severity of Low Anterior Resection Syndrome in Patients with Lower Rectal Cancer
Robotic surgery has been shown to significantly reduce the occurrence and severity of low anterior resection syndrome (LARS) in patients with lower rectal cancer. In a study involving 342 patients, the incidence of major LARS was significantly lower in the robotic surgery group compared to the laparoscopic surgery group at 6, 12, and 18 months […]
Simulation in African Surgical Education: A Critical Need for Training in Low-Middle-Income Countries
Researchers conducted a needs assessment in African surgical education, revealing a critical need for comprehensive surgical training in low-middle-income countries (LMICs). The survey of program directors identified high priority skills such as intracorporeal suturing, laparoscopic camera driving, and medial visceral rotation. Interviews highlighted a desire for laparoscopic surgery and a need for a simulation curriculum […]
Comparative Outcomes and Prognostic Factors in Adrenalectomy for Adrenal Metastasis
Adrenalectomy for adrenal metastasis remains controversial, and the feasibility of laparoscopic adrenalectomy (LA) is under debate. A retrospective review of 141 patients undergoing adrenalectomy compared open adrenalectomy (OA) to LA. For tumors less than 8 cm without adjacent organ resection, LA had shorter operation time, less blood loss, and shorter hospital stay. Positive pathological margin, […]
Liver Resection Outperforms Ablation in Multifocal Hepatocellular Carcinoma
Examining T2 multifocal hepatocellular carcinoma (MHCC), researchers compared liver resection (LR) and tumor ablation (TA) in a cohort of 1225 patients. Despite higher 30-day mortality with LR, 10-year overall survival favored LR over TA (27.5% vs. 14.7%). Stratified analysis revealed significant benefits in patients with negative resection margins, no lymphovascular invasion, and a Charlson-Deyo score […]
Gender Disparities in Family Planning and Career Advancement in General Surgery
The study reveals notable gender disparities in family planning, parental leave, and career advancement among general surgeons. Of the respondents, 26% had utilized fertility services, while 36.4% of men and 100% of women took parental leave during training. A higher percentage of women agreed that their training influenced their decision on having and timing children. […]
Preoperative Sarcopenia Predicts Poor Prognosis in Gastric Cancer
Preoperative sarcopenia is significantly associated with lower overall survival (OS) and relapse-free survival (RFS) in patients with gastric cancer. A retrospective study of 781 gastric cancer patients who underwent radical gastrectomy revealed that preoperative sarcopenia is an independent risk factor for 10-year OS and RFS. Patients with sarcopenia had a higher risk of death and […]