J Surg Oncol19 Feb 2024
Examining T2 multifocal hepatocellular carcinoma (MHCC), researchers compared liver resection (LR) and tumor ablation (TA) in a cohort of 1225 patients. Despite higher 30-day mortality with LR, 10-year overall survival favored LR over TA (27.5% vs. 14.7%). Stratified analysis revealed significant benefits in patients with…
J Surg Res19 Feb 2024
The study reveals notable gender disparities in family planning, parental leave, and career advancement among general surgeons. Of the respondents, 26% had utilized fertility services, while 36.4% of men and 100% of women took parental leave during training. A higher percentage of women agreed that…
Eur J Surg Oncol19 Feb 2024
Preoperative sarcopenia is significantly associated with lower overall survival (OS) and relapse-free survival (RFS) in patients with gastric cancer. A retrospective study of 781 gastric cancer patients who underwent radical gastrectomy revealed that preoperative sarcopenia is an independent risk factor for 10-year OS and RFS.…
Eur J Surg Oncol19 Feb 2024
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…
Br J Surg18 Feb 2024
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…
JAMA Surg18 Feb 2024
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…
Perspectives, Opinions and Curiosities18 Feb 2024
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…
Ann Surg Oncol18 Feb 2024
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…
Intestine and Lower Gastrointestinal Tract18 Feb 2024
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…
Surg Endosc18 Feb 2024
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…