Laparoscopic cholecystectomy is found to be effective in improving symptoms for patients with abdominal pain and biliary dyskinesia (low ejection fraction 35%). In a retrospective study of 117 patients with negative workup, including normal ejection fraction, who underwent laparoscopic cholecystectomy, 84% reported resolution of pre-operative symptoms. There was no significant correlation between pain during hida […]
Category: General Surgery
Subtotal Cholecystectomy: Safe Approach with Postoperative ERCP for Bile Leak Resolution
This study examined 102 cases of subtotal cholecystectomy (STC) as a strategy for difficult cholecystectomies. Of all patients with STC, 47.1% underwent intra- or postoperative ERCP. Bile leak was the main indication for ERCP, with a higher resolution rate for postoperative ERCP (95.7%) compared to intraoperative ERCP (60.0%). No injuries to the central bile ducts […]
Optimal Surgical Management and Outcomes of Abdominal Catastrophes Secondary to Intestinal Lymphomas
A systematic review was conducted to assess the presentation, diagnosis, optimal surgical approach, and post-operative outcomes of abdominal catastrophes secondary to intestinal lymphomas. A total of 95 patients were identified, with Burkitt’s lymphoma and diffuse large B-cell lymphoma being the most common types. Small bowel resections had a 25% complication rate and a 13.8% 30-day […]
Extent of Surgery Found to Impact Gastrointestinal Function in Patients Undergoing CRS and HIPEC
This study investigated the impact of the extent of surgery on late adverse effects (LAEs) in patients undergoing cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC). The study found that patients undergoing extensive CRS experienced persistent impaired gastrointestinal function in terms of diarrhea, compared to those undergoing less extensive surgery. However, the levels of other […]
Distal Fistula Risk Score: Preoperative Tool for Predicting Pancreatic Fistula in Distal Pancreatectomy
Researchers conducted a nationwide retrospective Dutch cohort study to validate the preoperative and intraoperative Distal Fistula Risk Score (D-FRS) for postoperative pancreatic fistula (POPF) prediction in distal pancreatectomy (DP) patients. The study included 896 patients, of which 152 (17%) developed POPF. The preoperative D-FRS, based on pancreatic neck thickness and pancreatic duct diameter, had an […]
Feasibility and Safety of Early Home Transfer for Surgical Patients
A cohort study evaluated the effectiveness and safety of a hospital at home (HAH) program for surgical patients. The study included 325 patients who underwent various surgeries and were transferred to the HAH unit. Results showed that overall escalation of care during HAH occurred in 7.3% of patients, with a 7% 30-day readmission rate. Most […]
Normalization Overestimates Tumor Budding Counts in Colorectal Carcinoma Assessment
Validation of the international tumor budding consensus conference (itbcc) method for assessing tumor budding in colorectal cancer (CRC) revealed that normalization overcorrects tumor budding counts, resulting in the downgrading of many borderline cases. Despite this, tumor budding counts in a 0.95 mm2 field remained clinically predictive. These findings highlight the implications of normalization for risk […]
Low Utilization of Surgical Resection for Locally Advanced Pancreatic Cancer
Despite the positive outcomes reported by high-volume international centers, a multicenter retrospective study in the Netherlands found that surgical resection for locally advanced pancreatic cancer (LAPC) following induction chemotherapy is infrequently performed. Out of 142 patients who underwent resection, only 34.5% met the national comprehensive cancer network criteria. The most commonly used chemotherapy was FOLFIRINOX, […]
Radical resection provides improved OS for patients with high-risk histology in T2N0M0 rectal adenocarcinoma
Local excision may be a reasonable approach for patients with low-risk histopathology and clinical stage T2N0M0 rectal adenocarcinoma, as it showed similar overall survival rates compared to radical resection. However, radical resection provided a significant survival advantage for patients with high-risk histology. Journal Article by Kramer SP, Swanson J (…) Baker MS et 6 al. […]
Reducing Postoperative Labs in Colorectal Surgery has No Impact on Stay or Readmissions
A quality improvement study investigated the impact of reducing postoperative laboratory testing after colorectal surgery. The intervention group showed a 33% reduction in labs per hospital stay, 26% reduction in labs per day, and a 49% increase in lab-free days. There were no differences in length of stay or readmissions between the intervention and non-intervention […]