Eur J Surg Oncol26 Feb 2024
Patients achieving near-pathological complete response in locally advanced rectal cancer benefited from adjuvant chemotherapy, particularly those with ypt1-t2 stage tumors and positive lymph nodes. Act was associated with improved 5-year disease-free survival rates in downstage patients, emphasizing its significance in post-surgery outcomes. Additionally, serum carcinoembryonic…
Langenbecks Arch Surg26 Feb 2024
A tailored diagnostic protocol using contrast-enhanced computed tomography enterography and 68 Ga dotatate PET/CT showed high sensitivity and specificity in detecting primary small intestinal neuroendocrine tumors (SI-NETs) and distal lymph node disease. The combined imaging allowed for the identification of low-risk surgical candidates with single SI-NET…
BMC Gastroenterol26 Feb 2024
Examining minimally invasive gastrectomy post-preoperative chemotherapy for advanced gastric cancer, this study included 150 patients, assessing safety and feasibility. The overall morbidity rate was 12%, with a higher incidence in total/proximal gastrectomy plus splenectomy cases. Robotic gastrectomy, especially in cases involving splenectomy, demonstrated significantly lower…
Digital Surgery and Telemedicine25 Feb 2024
Integration of large language models (LLMs) into academic surgical settings can revolutionize practices by reducing administrative burdens, enhancing efficiency, and facilitating surgical research. Despite challenges such as generalization performance and ethical concerns, LLMs show promise in triaging patient concerns, generating automated responses, and improving efficiency.…
JAMA Surg25 Feb 2024
Faculty members in US academic surgery departments were studied over a 10-year period for race, ethnicity, sex, promotion rates, and attrition. Results show underrepresented in medicine (UIM) females faced the lowest promotion rates and highest attrition risk compared to other groups. Non-UIM males had faster…
J Am Coll Surg25 Feb 2024
Researchers utilized an updated Markov model to compare life-years gained with elective laparoscopic paraesophageal hernia repair (ELHR) versus watchful waiting (WW) in patients aged 40-90 with symptoms, Cameron lesions, or comorbid conditions. ELHR was found to increase life expectancy over WW in most cases, particularly…
Dis Colon Rectum25 Feb 2024
Redo-Redo ileal pouch anal anastomosis procedures have an acceptable pouch survival rate of 76% at 3 years, mainly due to septic complications. Quality of life and functional outcomes are comparable between first and second redos, except for increased incontinence in second redos. A second pouch…
Surg Endosc25 Feb 2024
A clinical analysis of a new multifunctional instrument set for gasless endoscopic thyroidectomy with transaxillary and transareolar approaches was conducted on 180 patients with papillary thyroid carcinoma. The study found that both approaches using the same instruments had similar outcomes in terms of surgical resection,…
Am J Surg25 Feb 2024
Surgical repair of rectal prolapse significantly improved patients' quality of life, with notable enhancements in fecal incontinence severity, pain interference, depressive symptoms, and overall gastrointestinal function. Forty-six participants reported positive changes in health status, pain levels, and mental well-being post-surgery, indicating meaningful improvements in symptom…
Med J Aust25 Feb 2024
Rural general surgery in Australia is mainly provided by general surgeons to 29% of the population. Increasing resident rural general surgeons and changing care models are crucial for sustaining the workforce. Rural general surgical outcomes are comparable to metropolitan centers, with a need for improved…
