A total of 994 out of 1540 patients (64.5%) achieved textbook outcomes (TO) in laparoscopic gastrectomy (LG). Factors independently associated with reduced TO likelihood included older age, higher BMI, higher ASA score, conversion to open surgery, longer operation time, and greater estimated blood loss. Achieving TO in LG was linked to improved 5-year overall survival […]
Category: General Surgery
Surgeon Volume and Outcomes in Adrenal Surgery: Centralization for Higher-Volume Surgeons Recommended
A total of 4464 adrenal surgery patients were analyzed from the United Kingdom Registry of Endocrine and Thyroid Surgery. The study found that increasing surgeon volume is associated with shorter hospital stays and fewer postoperative complications. Surgeons performing a minimum of 12 adrenal operations per year had significantly lower complication rates and shorter hospital stays […]
Patients in Highly Deprived Neighborhoods with Insurance Face Healthcare Disparities
Patients with private insurance or Medicare living in highly deprived neighborhoods have lower odds of positive surgical outcomes and higher presentation acuity, despite having insurance coverage. These findings suggest that insurance expansion alone is inadequate to address healthcare disparities, as barriers to preventive care and other complex factors contribute to inequities in health outcomes. The […]
Legal Remedies for Hand-Tool Size Mismatch: Addressing Challenges Faced by Surgeons
Surgeons, especially those with smaller hands and women, face challenges due to the mismatch between hand size and surgical tools, leading to pain, injuries, and disabilities. This mismatch contributes to musculoskeletal disorders, impacting female surgeons and potentially causing workforce shortages. Legal revisions are proposed to address these occupational hazards, ensuring better-fitted tools and mitigating the […]
Improved Localization and Safety of Indocyanine Green-Macroaggregated Albumin-Hyaluronic Acid Mixture for Recurrent Thyroid Cancer Surgery
Researchers investigated the efficacy and safety of an indocyanine green-macroaggregated albumin-hyaluronic acid (ICG-MAA-HA) mixture for surgical localization of recurrent thyroid cancer. Nine patients received preoperative injections of the dye into recurrent lesions, and surgery was performed using an imaging system for lesion identification. No side effects were reported, and the dye effectively located metastatic and […]
Prone Jack-Knife Transanal Minimally Invasive Surgery: A Safe and Effective Approach for Anterior Low Rectal Gastrointestinal Stromal Tumors
Prone Jack-Knife Transanal Minimally Invasive Surgery (tamis) is a feasible and safe approach for managing subepithelial rectal lesions, specifically anterior low rectal gastrointestinal stromal tumors (gist). This surgical technique, performed with the patient in the prone jack-knife position and using transanal access, provides excellent surgical ergonomics and avoids the need for radical resection. The study […]
Robotic Gastrectomy Using the Hinotori Surgical Robot System: Feasibility and Safety for Gastric Cancer
The first clinical experiences of robotic gastrectomy for gastric cancer using the Hinotori surgical robot system were evaluated in a single-institution retrospective study. Twenty-four patients underwent robotic gastrectomy with Hinotori. The results showed that the procedure can be safely performed, with a low postoperative complication rate within 30 days after surgery. The study also reported […]
Anterior Gastric Wall Anastomosis Reduces Delayed Gastric Emptying in Minimally Invasive Esophagectomy
Research comparing the effect of esophagogastrostomy on the anterior and posterior walls of the gastric conduit in minimally invasive esophagectomy revealed that placing the anastomosis on the anterior wall resulted in a lower rate of delayed gastric emptying. Out of the 439 patients included in the study, those with anterior wall anastomosis experienced fewer complications, […]
Laparoscopic appendectomy with single port has a longer operative time compared to conventional access
The systematic review and meta-analysis of randomized clinical trials compared laparoscopic appendectomy with single port (SILA) to the conventional three-access laparoscopic appendectomy (CLA). The analysis included 21 studies with 2646 patients. The results showed that SILA had a significantly longer operative time, especially in pediatric cases, but no statistically significant difference in postoperative morbidity. SILA […]
Postoperative Adjuvant Chemotherapy Improves Overall Survival in Colorectal Cancer Liver Metastases Patients
A retrospective study investigated the impact of postoperative adjuvant chemotherapy (POAC) on outcomes in patients with colorectal cancer liver metastases (CRLM) undergoing simultaneous resection. After propensity score matching analysis, 478 patients were enrolled and assigned to POAC or non-POAC groups. The study found that POAC significantly improved overall survival (OS) but not progression-free survival (PFS) […]