In a study of 592 patients, no significant differences were found in intraoperative complications or secondary outcomes between robotic and laparoscopic cholecystectomy across all severity grades of acute cholecystitis. Laparoscopic surgery had a longer postoperative hospital stay for grade II-V cholecystitis patients (2 days vs. 1 day, p = .048), but it wasn’t an independent […]
Category: General Surgery
High Satisfaction in Mentor-Mentee Surgical Programs
Mentee-mentor matching in surgical training shows strong satisfaction, but evidence is weak. A pooled satisfaction rate of 92% from 144 mentees indicates effective pairing. Shared clinical or research interests were the main matching criterion, used by 83% of programs. Surgeons should consider enhancing selection processes and meeting structures to bolster mentorship effectiveness. Areas needing improvement […]
Multivisceral Resection for Pancreatic Cancer: Comparable Outcomes
Multivisceral resection (MVR) for pancreatic ductal adenocarcinoma shows similar short-term outcomes to standard resection, but poorer long-term survival rates among selected patients. 2-year overall survival rate for MVR is 33.3% vs. 49.9% for standard resection (p=0.006). 2-year disease-free survival rate is 11.3% for MVR vs. 25.9% for standard resection (p=0.018). Surgeons should consider MVR for […]
Surgical availability impacts patient care decisions in urgent cases.
Nearly 30% of patients seek non-local care for urgent/emergent surgery. Counties with the lowest hospital treatment rates performed 15% fewer surgeries per admission. Surgical outcomes may hinge more on local practices than workforce numbers. Regions with low surgery rates saw a 17% increase in non-local urgent care utilization. Journal Article by Abid M, Holmes GM […]
Fragmented Care Impacts Pancreatic Cancer Outcomes
Fragmented care for pancreatic cancer patients at high-volume centers leads to delays in chemotherapy but not worse surgical outcomes. One-third of patients (n = 124) received fragmented care, often living farther from the center. Delayed chemotherapy initiation occurred in 17.6% of fragmented care patients compared to 5.6% of those receiving care solely at the center. […]
AI Scribes Cut EHR Time for Surgeons and Boost Visits
Adopting AI-powered scribes can streamline electronic health record tasks for surgical practices and enhance patient volume. Clinicians using AI scribes spent 13.4 fewer minutes on EHRs weekly and reduced documentation time by 16 minutes. On average, they saw 0.49 more patients per week. Surgeons may benefit from integrating AI tools to improve efficiency and patient […]
No Long-Term Outcome Difference in Gallbladder Cancer Resection
Surgeons can expect similar long-term outcomes when choosing between segment 4b/5 and wedge resection for gallbladder adenocarcinoma. 163 patients underwent randomized surgeries; segment 4b/5 took longer (318 min vs. 287 min) and had higher blood loss (265 ml vs. 223 ml). No differences in morbidity, mortality, or R0 resection rates were observed. At 27 months […]
New Biliary Drainage Technique for Altered Anatomy Shows Promise
A novel endoscopic approach improves biliary drainage outcomes for patients with altered anatomy. Technical success rate: 87.3%, clinical success: 93.8%. Adverse event rate: 20%, with 30.6% persistent fistula rate within 3 months. Consider this technique for patients with complex anatomy, especially when multiple biliary interventions are needed. Most common indication: benign strictures (58.2%). Multicenter Study […]
Improved Outcomes with Elective Paraesophageal Hernia Repairs
Elective repairs of paraesophageal hernias lead to significantly better outcomes than urgent or emergent procedures. Elective surgeries had a textbook outcome rate of 88.1%, compared to 58.2% for urgent and 46.7% for emergent (p < 0.001). Elective repairs used laparoscopic or robotic techniques 96.3% of the time, versus only 40% for emergent cases (p < […]
Cost Insights on Alpha Blockade for Pheochromocytoma Surgery
Selective alpha blockers lower medication expenses but yield similar surgical outcomes for pheochromocytoma. Median preoperative medication cost was $19.73 for selective vs. $1,033.70 for nonselective (p < 0.001). Total admission costs were nearly identical: $31,104.47 for selective vs. $31,471.90 for nonselective (p = 0.428). Choosing selective blockers may optimize preoperative costs without compromising patient care. […]