ANZ J Surg12 Feb 2024
The study analyzed the outcomes and patient experiences of laparoscopic central pancreatectomy for benign or low-grade malignant tumors in the pancreatic neck and proximal body. Sixteen cases were retrospectively analyzed, with all surgical procedures successfully completed without the need for open surgery conversion. The postoperative…
Tech Coloproctol12 Feb 2024
A systematic review and meta-analysis assessed the efficacy of liposomal bupivacaine (LB) compared to conventional anesthetic or placebo in hemorrhoidectomy patients. The analysis included three randomized clinical trials involving 338 patients. LB demonstrated a significant reduction in pain scores at 72 hours post-surgery compared to…
Int J Surg Pathol12 Feb 2024
The study examined the impact of tumor cells in close proximity to the resection margin on the survival and development of distant metastasis in pancreatic head ductal adenocarcinoma. The results showed that direct microscopic infiltration or tumor cells within 1 mm of the resection margin…
Upper Gastrointestinal Tract12 Feb 2024
Researchers conducted a retrospective study to compare the outcomes and safety of different chemotherapy regimens as perioperative treatment in elderly patients with resectable gastric cancer. They found that the Flot and DCF regimens were associated with longer overall survival compared to other regimens, with Flot…
Ann Surg11 Feb 2024
Patients on chronic kidney replacement therapy (KRT), particularly those on peritoneal dialysis, exhibit high rates of gastrointestinal surgery and increased morbidity. Peritoneal dialysis patients have the highest postoperative mortality risk, especially after emergency procedures. Infective complications surpass cardiac issues. Additionally, a U-shaped association between body…
Ann Surg11 Feb 2024
Researchers conducted a study to examine the influence of a randomized controlled trial (RCT) on the practice and outcomes of laparoscopic gastrectomy in the Netherlands. The RCT included 10 Dutch centers and compared laparoscopic to open gastrectomy. Data analysis showed that there was no significant…
JAMA Surg11 Feb 2024
Earlier timing of whole blood transfusion as an adjunct to a massive transfusion protocol (MTP) is associated with improved survival at 24 hours and 30 days for trauma patients with severe hemorrhage. A retrospective cohort study analyzed data from 1394 adult trauma patients and found…
World J Gastroenterol11 Feb 2024
This narrative review highlights the use of endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) as a salvage approach for patients with unsuccessful conventional management. EUS-GBD is a minimally invasive technique with high technical and clinical success rates, low adverse event rates, and serves as a rescue option…
Liver Transpl11 Feb 2024
Researchers conducted a single-center retrospective study on 1,601 living-donor liver transplant recipients to evaluate the risks of hepatic artery thrombosis (HAT) and the efficacy of reconstructing two hepatic arteries (HA) in right lobe grafts. They found that HAT occurred in 1.2% of patients, and risk…
Dig Dis Sci11 Feb 2024
A study investigated the use of a 3D volume analyzer to accurately calculate the drained liver volume (DLV) in patients with unresectable malignant hilar biliary obstruction (UMHBO). Out of 104 cases, 63% of patients underwent drainage of ≥50% liver volume, which resulted in a significantly…