Findings from a nationwide analysis revealed that achieving a modified textbook outcome (MTO) after surgery for colorectal liver metastases (CRLM) was associated with better overall survival (OS). Out of 6,525 eligible patients, 81% achieved MTO. Between 2014 and 2018, patients achieving MTO had a 5-year OS of 46.7% compared to 33.7% in non-MTO patients. Not […]
Category: General Surgery
Implications of precursor lesions and early cancerous changes in the gallbladder and bile ducts
The study explores terminology, classification, and significance of dysplasia and early carcinoma in the gallbladder and bile ducts. Most precursor lesions and early cancerous changes are clinically undetectable. Low-grade dysplasia is challenging to define and lacks clinical significance, but additional sampling is required to exclude significant lesions. High-grade dysplasia (carcinoma in situ) necessitates complete sampling […]
The 6:1 SL-WL Ratio: Laparotomy Closure Study in Elective and Emergency Surgeries
The researchers conducted a study on laparotomy closure quality and short term complications in elective and emergency surgeries. They analyzed the suture-to-wound length ratio (SL/WL) and surgical site occurrence (SSO) of midline and transverse incisions. The results showed no difference in short stitch quality between elective and emergency operations. The SL/WL ratio was higher in […]
Comparing Sutureless Techniques in Open Inguinal Hernia Repair
In open inguinal hernia repair, three sutureless techniques were compared: mesh fixation with glue, self-gripping mesh, and trabucco’s technique. Among 1034 patients, trabucco’s technique, utilizing standard/heavy mesh, significantly increased the odds of hematomas. The study assessed postoperative complications, acute/chronic pain, and discharge time, considering patient-related factors. Journal Article by Baldini E, Lori E (…) Palumbo […]
Improved Risk Models for Emergency Bowel Cancer Surgery Using Electronic Health Records
Linked electronic health records were used to develop a risk model for 90-day mortality in patients undergoing emergency colorectal cancer (CRC) surgery. The selected model, which included additional physiological and surgical measures along with patient and tumor characteristics, showed considerably better discrimination compared to the basic model. The inclusion of these measures improved the accuracy […]
Video-Based Indocyanine Green Fluorescence Enables Safe and Effective Robotic Duodenum-Preserving Pancreatic Head Resection
Robotic duodenum-preserving pancreatic head resection (DPPHR) utilizing video-based indocyanine green fluorescence imaging was successfully performed on a 48-year-old patient with pancreatic duct stones and chronic pancreatitis. The surgery lasted 265 minutes with minimal blood loss. Postoperative pathology confirmed the diagnoses, and the patient was discharged without complications after 13 days. This technique, employed in four […]
Normal CEA Levels Predict Improved Survival in Colorectal Peritoneal Metastases
Normal CEA levels (≤ 2.5 ng/ml) after neoadjuvant chemotherapy (NACT) and cytoreductive surgery with hyperthermic intraperitoneal chemoperfusion (CRS/HIPEC) are associated with better survival in patients with colorectal peritoneal metastases (CRPM). A retrospective study on 253 CRPM patients showed that those with normal CEA levels after NACT had a median overall survival of 45.2 months, compared […]
SMG: A Novel Muscle Parameter Predicts Prognosis in Resectable Gastric Cancer
The study included 717 patients and found that the new muscle parameter, SMG, obtained by multiplying the skeletal muscle index (SMI) and skeletal muscle radiation attenuation (SMRA), can predict the prognosis of patients with gastric cancer. The findings showed that SMG can effectively predict both short-term outcome and long-term prognosis, suggesting its potential as a […]
Comparison of outcomes in different approaches to unilateral groin hernia repair in the United States
Researchers conducted a multicenter analysis using the Abdominal Core Health Quality Collaborative database to compare the outcomes of unilateral groin hernia repair approaches in the United States. The study included patients who underwent open inguinal hernia repair, laparoscopic transabdominal preperitoneal, laparoscopic total extraperitoneal, and robotic transabdominal preperitoneal repair. The results showed that there were no […]
Direct oral anticoagulants are effective and safe for extended thromboprophylaxis after major abdominal/pelvic cancer surgery
The use of direct oral anticoagulants (DOACs) as an alternative to low-molecular-weight heparin (LMWH) for extended thromboprophylaxis after major abdominal/pelvic cancer surgery is effective and safe. A systematic review and meta-analysis of 9 studies, including 2651 patients, found that DOACs had a similar incidence of venous thromboembolism (VTE) compared to LMWH. These findings suggest that […]