Med Sci Monit29 Feb 2024
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…
Langenbecks Arch Surg29 Feb 2024
Results show that fine-needle aspiration cytology results influence surgical planning in thyroid cancer, with intermediate categories leading to more partial thyroidectomies. Inadequate procedures due to inconclusive cytology are encountered in up to 15% of cases. Completion thyroidectomies after initial partial procedure do not significantly increase…
HPB (Oxford)29 Feb 2024
High acinar pancreatic content on preoperative CT scans is associated with increased risk of postpancreatectomy acute pancreatitis and pancreatic fistula formation. A simple radiological score combining pancreatic density, wirsung caliber, and pancreatic thickness predicts patients at higher risk for these complications, with male gender and…
Hepatology28 Feb 2024
Creating a modified tool, the Cirrhosis-Hospital Frailty Risk Score (CHFRS), for improved perioperative risk stratification in cirrhosis patients undergoing abdominal operations. This simplified index, based on 12 icd-10 codes within the existing Hospital Frailty Risk Score, was found to have superior predictive accuracy for in-hospital…
Ann Surg28 Feb 2024
Private equity investments have substantially impacted surgical specialties, leading to increased practice consolidation. Among 1,542 transactions involving surgical practices from 2015-2019, 539 were financed by private equity. Activity peaked in 2017 with 63 practices involved, predominantly in digestive disease, urology, and orthopedic surgery. Anesthesiology, ambulatory…
J Am Coll Surg28 Feb 2024
Roux-en-Y gastric bypass (RYGB) patients display higher rates of continued diabetes remission (CDR) compared to sleeve gastrectomy (SG) patients, even with weight recurrence (WR). The odds of Type 2 diabetes mellitus (T2DM) recurrence were 5.5 times higher in the SG group. Baseline insulin use, higher…
Ann Surg Oncol28 Feb 2024
Patients with modest radiologic response to neoadjuvant treatment (NAT) for pancreatic cancer face operative eligibility uncertainties. A novel Sialyl-Lewis Antigen-related Index (SLE Index) combining CA19-9 and Dupan-II reveals significant prognostic value. An SLE Index below 45.25 correlates with favorable disease-free survival, proving superior in predicting…
Am J Surg28 Feb 2024
Male and non-white patients with medullary thyroid cancer (MTC) are more likely to present with advanced disease, including larger tumors and distant metastases. They also experience longer delays in receiving surgical treatment and are less likely to undergo guideline-concordant surgery. Black patients, in particular, are…
Am J Surg28 Feb 2024
Researchers analyzed data from 190 post-pancreaticoduodenectomy patients with upper gastrointestinal symptoms and found a 10.5% incidence of marginal ulcers. Factors associated with an increased risk of marginal ulcers included advanced age, alcohol consumption, smoking, longer surgery time, and postoperative bleeding, while regular use of antacids…
Langenbecks Arch Surg28 Feb 2024
The study compared endoscopic and surgical treatment in acute necrotizing pancreatitis, showing that endoscopic treatment resulted in lower peri-interventional morbidity, shorter hospital stays, and lower mortality rates. Endoscopic treatment also led to better long-term outcomes with reduced renal insufficiency, ventilation dependency, and recurrence rates, along…
