Researchers conducted a pilot randomized controlled trial to investigate the effectiveness of video-based self-assessment in enhancing the surgical performance of laparoscopic cholecystectomy in trainees. They found that automated video capture and storage could improve adherence, and although the a priori trial feasibility criteria were not achieved, important data were gathered to inform the design of […]
Category: General Surgery
Adjuvant chemotherapy improves overall survival in resected stage I pancreatic cancer
A meta-analysis of six comparative studies involving 6,874 patients with resected stage I pancreatic cancer revealed that adjuvant chemotherapy is associated with significantly higher overall survival and 2-year survival rates compared to surgery alone. However, there was no statistically significant difference in 1-year, 3-year, or 5-year survival rates. This study suggests that adjuvant chemotherapy may […]
Improved Surgical Outcomes for Female Surgeons in Predominantly Female Patient Surgeries
Preliminary evidence from a retrospective study using the New York State SPARCS database suggests that female surgeons have better post-operative outcomes than their male colleagues in predominantly female patient surgeries. The study examined the impact of patient-surgeon gender discordance on outcomes in bariatric, foregut, and colorectal surgeries. The results showed that patient-surgeon concordance had a […]
Novel System Enhances Network Latency Management in Telesurgery
Researchers conducted telesurgery simulation trials and remote adrenalectomy procedures to assess the performance of a novel network latency management system in 5G telesurgery. The system displayed stability during all procedures and had a friendly interface that was easy to operate. Comparison with the traditional “ping command” method showed no significant difference in network latency data. […]
Small Financial Incentives Do Not Significantly Increase Smoking Cessation Before Surgery
Offering small financial incentives to smokers on elective surgery wait-lists did not result in clinically significant differences in smoking cessation rates before surgery. A total of 620 adult smokers were randomized, and 404 underwent surgery at the hospital. The offer of a $a70 supermarket voucher resulted in 21.9% registering to quit, increasing to 32.6% with […]
Practical Recommendations for Pouchitis Management by AGA
The AGA Clinical Practice Guideline on the Management of Pouchitis and Inflammatory Pouch Disorders provides practitioners with recommendations for the prevention and treatment of pouchitis, Crohn’s-like disease of the pouch, and cuffitis. The guideline panel made 9 conditional recommendations, including the use of antibiotics for intermittent pouchitis, probiotics for recurrent pouchitis, and advanced immunosuppressive therapies […]
Practice Patterns and Factors Associated with Intraoperative Nerve Monitoring in Endocrine Surgery
Among 9,813 patients who underwent parathyroidectomy, intraoperative nerve monitoring was used in 49% of cases. There was a significant increase in parathyroidectomies with intraoperative nerve monitoring from 2014 to 2018, followed by a plateau. Vocal cord dysfunction after parathyroidectomy was not associated with intraoperative nerve monitoring. Surgeons who routinely used intraoperative nerve monitoring during thyroidectomy […]
Long-Term Impact of Genotype and Surgery in MEN1 Hyperparathyroidism
The study investigated the impact of genotype and surgical approach on long-term postoperative outcomes in patients with primary hyperparathyroidism and multiple endocrine neoplasia type 1 (MEN1). Findings showed that patients with protein-truncating germline pathogenic variants in specific exons of the MEN1 gene had aggressive pancreatic neuroendocrine tumors and earlier onset of primary hyperparathyroidism. The choice […]
Endoscopic Resection Shows Promising Results in Treating Gastric Gastrointestinal Stromal Tumors
Endoscopic resection (ER) has shown to be an effective and safe method for treating gastric gastrointestinal stromal tumors (GISTs), as suggested by a retrospective study in a large tertiary hospital in China. With a sample size of over 300 patients and a follow-up period longer than 45 months, the study found an en bloc resection […]
Fluorescent Cholangiography Improves Visualizaton and Surgeon Satisfaction in Laparoscopic Cholecystectomy
Fluorescent cholangiography (nirf-c) was compared with intraoperative cholangiogram (ioc) and critical view of safety in white light (cvs-wl) for laparoscopic cholecystectomy (lc) performed by trainee surgeons. A total of 338 patients were analyzed, with nirf-c group showing higher rates of common hepatic and common bile duct visualization. There were no significant differences in operative time […]