Surveying HPB surgeons, this study found significant variations in the decision-making and surgical practices for pancreatic adenocarcinoma. Most respondents performed staging laparoscopy selectively and would abort the procedure in the presence of a pathological aorto-caval node. However, they would continue surgery with a positive hepatic artery node. Surgeons in Europe were more likely to resect […]
Category: General Surgery
High-grade Tumors Increase Lymph Node Metastasis Risk in T1 and T2 Colorectal Cancer
Out of 765 patients with T1 and T2 colorectal cancer, 11.3% had lymph node metastasis (LNM), leading to a poorer recurrence-free survival (RFS) compared to patients without LNM (72.6% vs. 88.6%). Multivariable analysis revealed that high-grade tumors were a significant risk factor for LNM. Radical surgery should be considered for T1 and T2 colorectal cancer […]
GERD After OAGB: 2% Incidence, 100% Success in Surgical Treatments
The systematic review and meta-analysis investigated gastroesophageal reflux disease (GERD) as a major concern following one anastomosis gastric bypass (OAGB). The analysis of 40 studies involving 17,299 patients revealed that 2% of patients experienced GERD after OAGB, with reflux rates six times higher in revisional OAGB compared to primary OAGB. Medical and surgical treatments were […]
Islet Autotransplantation into the Liver Shows Superior Insulin Function in Total Pancreatectomy Patients
A European single-center study evaluated the outcomes of total pancreatectomy with islet autotransplantation (tp-iat) in patients with chronic pancreatitis. The study found that tp-iat is a safe procedure with a low risk of complications. Islet autotransplantation into the liver resulted in higher levels of fasting c-peptide and significantly lower insulin doses compared to skeletal muscle […]
Survival and Treatment Differences Between Cirrhotic and Non-cirrhotic Liver in Hepatocellular Carcinoma
A nationwide cohort study in Sweden compared the treatment and survival outcomes of hepatocellular carcinoma (HCC) in cirrhotic versus non-cirrhotic livers. Out of the 4259 identified patients, 34% had HCC in a non-cirrhotic liver. Cirrhotic patients presented at a younger age, had poorer performance status, and a higher prevalence of underlying liver disease. Tumors in […]
Robotic gastrectomy leads to superior short-term outcomes compared to laparoscopic gastrectomy for elderly individuals with advanced gastric cancer
Results from a propensity score-matching study comparing robotic gastrectomy (RG) and laparoscopic gastrectomy (LG) revealed that RG is safe and feasible for elderly patients with advanced gastric cancer. The study found that RG was associated with less intraoperative blood loss, a faster postoperative recovery time, a greater number of lymph nodes dissected, and earlier initiation […]
One Anastomosis Gastric Bypass Yields Better Long-Term Outcomes Than Roux-en-Y Gastric Bypass and Sleeve Gastrectomy
Patients who underwent one Anastomosis Gastric Bypass (OAGB) had significantly higher total BAROS scores at the five-year follow-up compared to those who underwent Roux-en-Y Gastric Bypass (RYGB) and Sleeve Gastrectomy (SG). All three common metabolic and bariatric surgical procedures (SG, RYGB, and OAGB) significantly improved the quality of life after surgery. This retrospective study of […]
Surgical Resection Alone Improves Long-Term Survival in Localized Biliary Tract Cancers
Patients with localized biliary tract cancers (BTCs) who underwent surgical resection had higher long-term survival rates compared to those treated with multiagent chemotherapy alone, according to a study. The research analyzed data from 5,988 patients with localized BTCs and found that surgical resection led to a decline in overall survival within the first 30 days […]
Gaps in Patient-Centered Decision-Making Related to Complex Surgery
The main result of this study is that surgeons agree that patients prefer to make their own health decisions after considering their physician’s opinion, rather than having the physician make decisions for them. However, the study also revealed gaps in patient-centered decision-making, as only a small percentage of surgeons assessed patient preferences regarding decision-making and […]
Instrument and Supply Variability in Operating Rooms: Potential for Cost Savings and Environmental Impact
There is significant variability in instrument and supply choices among surgeons performing common general surgery operations. This study analyzed surgeon preference cards for various operations and found that the number of sterilizable instrument trays and disposable supplies varied greatly. The variability in supply costs and carbon footprint was also substantial. Standardizing these choices could lead […]