In a cross-sectional study across 4 university-based surgical training programs, researchers used a validated tool to assess intraoperative faculty entrustment and resident entrustability behaviors. They found that faculty entrustment was positively associated with resident entrustability, and this association was consistent across the different surgical programs. The results suggest that developing faculty entrustment behaviors can enhance […]
Category: General Surgery
Etiologic and Physiologic Gender Differences in Fecal Incontinence
The study analyzed 200 men and 200 women with fecal incontinence to compare the causes and physiological characteristics. Both genders showed urge incontinence as the most common type. Men displayed higher prevalence of anal fistula, history of anal surgeries, rectal tumors, and pelvic radiotherapy as etiological factors, while pelvic surgeries were more common in women. […]
Effect of Mood Disorders on Weight Loss Outcomes in Bariatric Surgery Patients
The study aimed to assess the impact of mood disorders on weight loss outcomes in patients undergoing bariatric surgery. Data from 775 patients were analyzed, out of which 38.1% had pre-existing mood disorder diagnoses. Both groups experienced significant reductions in postoperative body mass index, with no significant difference between the mood disorder group and the […]
Impact of Stoma App on Quality of Life in Stoma Patients
A randomized double-blind clinical trial investigated the effects of a mobile healthcare app, Stoma App, on the quality of life in stoma patients. The intervention group, using the full version of the app with personalized guidance and peer support, reported a significant 3.1-point improvement in stoma-related quality of life one month after surgery. However, no […]
Extended pancreatic neck transection reduces postoperative pancreatic fistula in laparoscopic pancreaticoduodenectomy
Researchers conducted a multicentre randomised controlled trial to explore the impact of the level of pancreatic transection in laparoscopic pancreaticoduodenectomy. The trial compared extended pancreatic neck transection with conventional pancreatic neck transection. The results showed that extended pancreatic neck transection significantly reduced the incidence of clinically relevant pancreatic fistula. This finding suggests that extending the […]
Improved Survival and Acceptable Complication Rates with Bidirectional Intraoperative Chemotherapy for Peritoneal Sarcomatosis
A retrospective cohort study analyzed 29 patients with peritoneal sarcomatosis who underwent cytoreductive surgery (CRS) with bidirectional intraoperative chemotherapy (BDIC) using intravenous ifosfamide and hyperthermic intraperitoneal chemotherapy (HIPEC). The overall survival rates at 6, 12, 24, and 48 months after CRS/BDIC were 93.1%, 89.2%, 81.4%, and 73.3%, respectively. Disease recurrence rates were 15% at 6 […]
Size and grade predict lymph node metastasis in rectal neuroendocrine tumors
Rectal neuroendocrine tumors (NETs) sized 1-2 cm were analyzed to identify predictive factors for lymph node (LN) metastasis and recurrence. The study found that a higher rate of LN metastasis was observed in larger-sized tumors, advanced T stage, lymphovascular invasion, perineural invasion, and high tumor grade. Tumor size and grade were identified as significant risk […]
Patient Characteristics Have the Greatest Impact on Variations in Hospital Mortality After Complex Cancer Surgery
Researchers sought to identify the factors contributing to in-hospital mortality (IHM) after complex cancer surgery. They analyzed data from 52,838 patients across 294 hospitals and found that patient characteristics (PCS) had the largest influence on IHM, accounting for 32% of the variance. Case volume (CV) contributed 2.4%, hospital characteristics (HCS) contributed 1.3%, and social determinants […]
Predictive Nomogram for Lymph Node Metastasis in Superficial Esophageal Squamous Cell Carcinoma
Researchers analyzed data from 474 patients with superficial esophageal squamous cell carcinoma (ESCC) to identify lymph node metastasis (LNM) risk factors. For intramucosal cancer, LNM prevalence was 3.29%, increasing to 26.40% for submucosal cancer. Tumor size, invasive depth, differentiation, growth pattern, budding, and lymphovascular invasion correlated significantly with LNM. A nomogram incorporating these factors demonstrated […]
Bariatric Surgery in ESRD Patients on Dialysis: Safety and Outcomes in the Transplant Era
Patients with end-stage renal disease (ESRD) on dialysis who underwent bariatric surgery experienced longer operative times and increased postoperative complications compared to those without renal disease. The study, analyzing data from the 2015-2020 MBSAQIP database, found that laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (LRYGB) were safe procedures for ESRD patients seeking kidney […]