For patients with high-risk T1 colorectal cancer, the need for additional surgery after local excision (LE) is uncertain. A study analyzed patients who had received LE between 2009 and 2016. Comparing those who received additional surgery and those who did not, researchers found that regional lymph node metastasis occurred in 7.7% of the surgery group. […]
Category: General Surgery
Metabolic surgery effectively resolves nonalcoholic steatohepatitis and improves fibrosis in patients with obesity
Metabolic surgery has been found to facilitate the resolution of nonalcoholic steatohepatitis (NASH) and improve fibrosis in patients with obesity. A study comparing the histologic outcomes of metabolic surgery versus nonsurgical care in individuals with fibrotic NASH revealed that half of the surgical patients achieved simultaneous resolution of NASH and improvement in fibrosis, compared to […]
Minimally Invasive Distal Pancreatectomy: Nationwide Uptake and Outcomes After Training Program and Trial
A nationwide audit-based study was conducted to evaluate the long-term uptake and outcomes of minimally invasive distal pancreatectomy (MIDP) following a training program and randomized trial. The study found that the implementation of MIDP increased from 48.6% to 63.0% over time, with a significant variation in usage between centers. MIDP resulted in shorter hospital stays […]
Elective Laparoscopic Hernia Repair Increases Life Expectancy in Asymptomatic Patients
Elective laparoscopic hernia repair (ELHR) is shown to lead to a greater life expectancy compared to watchful waiting (WW) in asymptomatic patients with a paraesophageal hernia (PEH). An updated Markov analysis revealed that ELHR resulted in maximum life-years gained for 40-year-old women and gradually diminished with increasing age. Alternative values in sensitivity analysis had modest […]
Combined endoscopic approach for modified radical neck dissection in papillary thyroid carcinoma.
Researchers performed a combined endoscopic approach, using both the transoral and chest approaches, for modified radical neck dissection (MRND) in a patient with papillary thyroid carcinoma (PTC). The procedure included total thyroidectomy and bilateral central neck dissection via the transoral approach, and MRND for levels II, III, and IV via the combined approach. The surgery […]
Higher recurrence rates for primary hyperparathyroidism found after less than subtotal parathyroidectomy in patients with multiple endocrine neoplasia type 1
Recurrence rates for primary hyperparathyroidism (PHPT) in patients with multiple endocrine neoplasia type 1 (MEN1) were assessed based on the type of surgery performed, and risk factors for recurrence were identified. The study found that recurrence was significantly higher after less than subtotal parathyroidectomy (LTSP) compared to subtotal parathyroidectomy (STP). The median time to recurrence […]
Intraoperative Autonomic Physiology in Surgeons: Real-time Cardiac Reactivity Study
Surgeons’ autonomic physiology, specifically their heart rate (interbeat intervals), varies intraoperatively. Attending surgeons exhibit higher heart rate reactivity during high-risk operations, while residents show lower reactivity during high-risk procedures relative to low-risk ones. Nurses respond similarly during both low-risk and high-risk operations; however, they are more reactive when the resident is operating. Attending surgeons’ physiological […]
Extended Postoperative Antibiotic Prophylaxis Does Not Reduce Surgical-Site Infections in Low- and Middle-Income Countries
Extended postoperative antibiotic prophylaxis does not lower surgical-site infection rates in low- and middle-income countries, according to a study of 8,714 patients across 19 hospitals in Ethiopia, Madagascar, India, and Bolivia. Prolonged use of antibiotics did, however, increase hospital stays by 1.4 days. The findings highlight the need for surgical initiatives to implement antimicrobial stewardship […]
Improved Short-term Outcomes Seen in Spleen-preserving Distal Pancreatectomy for IPMN
Researchers conducted an international multicenter cohort study to compare outcomes after distal pancreatectomy with or without splenectomy for intraductal papillary mucinous neoplasm (IPMN). They found that patients without preoperative suspicion of malignancy who underwent spleen-preserving distal pancreatectomy had improved short-term outcomes and no significant difference in overall survival compared to those who underwent distal pancreatectomy […]
Prehospital “x-ABC” Resuscitation Reduces Mortality in Patients with Severe Hemorrhage
The introduction of a prehospital advanced resuscitative care (ARC) bundle, focusing on the “x-ABC” sequence prioritizing hemorrhage control, led to a reduction in in-hospital mortality. A total of 93 patients with severe hemorrhage were included in the analysis, with 62 in the x-ABC group and 31 in the ABC group. Compared to the ABC group, […]