The study demonstrates that laparoscopic anatomic bi-segmentectomy using Takasaki’s approach and indocyanine green fluorescence navigation is technically feasible and safe, serving as a valuable alternative to formal right hepatectomy in select cases. The report describes a successful case of a 58-year-old male with hepatitis B virus-related hepatocellular carcinoma (HCC), where the laparoscopic procedure resulted in […]
Category: General Surgery
Neoadjuvant Radiation Therapy Shows Marginal Impact on Outcomes of Mucinous Rectal Carcinoma
The impact of neoadjuvant radiation therapy on the outcomes of patients with stage II-III mucinous rectal carcinoma was assessed using data from the national cancer database. After propensity-score matching, it was found that patients who received neoadjuvant radiation therapy had marginal downstaging of the disease, fewer examined and positive lymph nodes, and similar overall survival […]
International Consensus Achieved on Core Descriptor Sets for Rectal Prolapse Outcomes Research
Experts from around the world have achieved international consensus on core descriptor sets for rectal prolapse outcomes research. Through a three-round Delphi process, experts agreed on minimum descriptors to consider during clinical care, which were then grouped into core descriptor sets. Key findings included the correlation of age, body mass index, frailty, nutrition, and American […]
Emerging Trends and Collaborations in Research on Surgical Smoke
Knowledge mapping of surgical smoke from 2003 to 2022 was conducted through a bibliometric analysis. The study identified a growing interest in surgical smoke research, with a notable surge in publications in 2020. The journal Surgical Endoscopy and Other Interventional Techniques was the most active in this field. The USA, Italy, and China emerged as […]
Which Antibiotic Regimen Fails in Nonoperative Treatment of Diverticulitis and Appendicitis?
Empiric antibiotic treatment of appendicitis is more likely to be associated with the need for additional antibiotics or procedure within 90 days compared to diverticulitis. Cephalosporin + metronidazole (c + m) was the most commonly used antibiotic regimen for appendicitis, while quinolone + metronidazole was more commonly used for diverticulitis. Treatment with c + m […]
Netosis in Surgery: Implications, Impact, and Potential Treatments for Surgeons
Netosis, the formation of neutrophil extracellular traps (NETs), is a novel function of neutrophils. These NETs play a crucial role in trapping microorganisms and preventing their spread throughout the body. However, they can also lead to tissue damage and contribute to various diseases like gallstone formation, acute pancreatitis, impaired wound healing, intravascular coagulation, cancer growth, […]
Prophylactic Clipping Does Not Prevent Delayed Bleeding After Colorectal Cold Snare Polypectomy in Patients on Antithrombotic Agents
Prophylactic clipping may not be necessary to prevent delayed bleeding after colorectal cold snare polypectomy in patients on antithrombotic agents, according to a retrospective study. The rates of delayed bleeding and hematochezia did not significantly differ between patients with and without prophylactic clipping. These findings suggest that prophylactic clipping may not be effective in preventing […]
Optimal Surveillance Interval for Branch Duct Intraductal Papillary Mucinous Neoplasm of the Pancreas Depends on Cyst Size and Morphologic Changes
The optimal surveillance interval for branch duct intraductal papillary mucinous neoplasm (IPMN) of the pancreas depends on the size of the cyst and morphologic changes detected during the initial 6-month follow-up. Findings from a large-scale, international cohort study suggest that for patients with cysts smaller than 20 mm and no morphologic changes during a 5-year […]
Compromised Intestinal Integrity is Associated with Increased Postoperative Complications in Cancer Patients
In this study, it was found that compromised intestinal integrity during oncologic surgery is associated with an increased risk of postoperative complications in cancer patients. The gut wall becomes more permeable due to splanchnic hypoperfusion, allowing intraluminal microbes to enter the splanchnic circulation and potentially contribute to complications. Intestinal fatty acid binding protein (i-fabp) was […]
Comparison of Fenestrating and Reconstituting Approaches in Laparoscopic Subtotal Cholecystectomy: Higher Complication Rates with Fenestrating Technique
The study analyzed 170 cases of laparoscopic subtotal cholecystectomy (LSC) and compared the outcomes of fenestrating LSC (F-LSC) and reconstituting LSC (R-LSC). They found that F-LSC had higher complications, including bile leaks, the need for postoperative endoscopic retrograde cholangiopancreatography, and longer length of stay. The study suggests that if LSC is performed, the reconstituted technique […]