Despite conflicting guidelines, this study found that laparoscopy is infrequently used in stable patients with abdominal stab wounds. Among the included patients, only 7% received therapeutic laparoscopy and 8% underwent laparoscopy converted to open surgery. However, patients who underwent therapeutic laparoscopy had better outcomes, including shorter ICU and hospital stays and fewer infection complications. This […]
Category: General Surgery
Home-based laparoscopic training program proves effective in improving surgical skills
A national home-based laparoscopic and core surgical skills course, Monash Online Surgical Training (MOST), was evaluated for its educational impact. The 6-week remote course, designed to address limitations to surgical education access during the COVID-19 pandemic, showed statistically significant improvement in all 11 learning-outcome domains, including core laparoscopic skills and instrument handling. Participants completed 3460 […]
The Effect of Staple Line Reinforcement on Short-term Outcomes of Laparoscopic Sleeve Gastrectomy
A comparative study analyzed data from patients undergoing laparoscopic sleeve gastrectomy (LSG) in Egypt over 11 years to evaluate the efficacy and safety of staple line reinforcement (SLR). The SLR group had longer surgery times but a lower rate of postoperative bleeding compared to the non-SLR group. All leakage cases occurred in the non-SLR group, […]
Patterns of Trauma Deaths in Western Cape of South Africa
Death patterns and factors associated with trauma deaths in the Western Cape of South Africa were examined through a retrospective cross-sectional analysis. The study found that the majority of trauma deaths (94.0%) occurred on-scene, predominantly among young men. Firearms were the leading cause of injury (32.6%), followed by road traffic collisions (17.8%). On-scene deaths were […]
Predictive Risk Score Identifies Recurrence of Acute Diverticulitis
Researchers conducted a prospective observational study to develop a predictive risk model for the recurrence of acute diverticulitis (AD) after the first episode. They analyzed data from 368 patients with AD who had a good response to treatment and found that colonic perforation in the antimesenteric location and a CRP level greater than 100 mg/dL […]
ctDNA Assessment in Characterizing Recurrence Sites after Resection for Metastatic Colorectal Cancer
Among 31 patients who underwent optimal resection for metastatic colorectal cancer (mCRC), circulating tumor DNA (ctDNA) was detected in 83.4% of those who experienced postoperative recurrence, while remaining undetectable in those without recurrence. ctDNA was detected earlier than clinical diagnosis by a median of nine weeks, and its levels were significantly lower in peritoneal-only recurrence […]
The Feasibility and Promising Results of Conversion Surgery for Esophageal Cancer with Distant Metastasis
A multi-institutional retrospective study investigated the clinical impact of conversion surgery for esophageal cancer with synchronous distant metastasis after induction therapy. Out of the 66 enrolled patients, distant lymph node metastasis occurred in 77%, while distant organ metastasis occurred in 23%. The study found that conversion surgery after chemotherapy or chemoradiotherapy is feasible and may […]
Robotic Surgery Breakthrough: Step-by-Step Technique for Treating Perihilar Cholangiocarcinoma IIIA
Researchers present the first-ever full robotic surgical step-by-step technique for treating perihilar cholangiocarcinoma, a challenging procedure. This innovative approach allows for better dissection and suture due to the flexible and accurate movements of the robotic instruments, overcoming the limitations of laparoscopic techniques. The study showcases the successful performance of an extended right hemihepatectomy for perihilar […]
Minimally Invasive Pancreaticoduodenectomy Benefits Frail Patients with Pancreatic Cancer
Frail patients with pancreatic cancer who underwent minimally invasive pancreaticoduodenectomy had improved postoperative outcomes compared to open surgery, according to a study. The analysis of pancreaticoduodenectomy cases for pancreatic ductal adenocarcinoma revealed lower rates of complications, major morbidity, and nonhome discharge for those who underwent minimally invasive procedures. Robotic surgery had even better outcomes than […]
The Value of a Laparoscopic Approach in Pancreaticoduodenectomy
A propensity score-matched analysis compared the outcomes of laparoscopic pancreaticoduodenectomy (LPD) and open pancreaticoduodenectomy (OPD). LPD showed longer operative times, reduced blood loss, higher rates of pancreatic fistula and delayed gastric emptying, while postpancreatectomy hemorrhage, major morbidity, mortality, hospital stay, and readmissions were not significantly different. LPD was associated with higher intensive care use and […]