Surg Endosc19 Jan 2024
Researchers investigated the feasibility of single-port sleeve gastrectomy (SPSG) by introducing a routine gastric suspension technique. Analyzing 171 patients, they compared SPSG to multiple-port sleeve gastrectomy (MPSG) and found no significant differences in preoperative and perioperative parameters, complications, or total weight loss percentages. SPSG demonstrated…
Surg Endosc19 Jan 2024
Italian researchers conducted a national study involving 788 patients from 76 highly specialized colorectal surgery wards to analyze the approach to lymphadenectomy during laparoscopic right hemicolectomy (RH). The study reveals that while laparoscopic RH is the preferred surgical technique, there is no standardized approach to…
BMJ Open19 Jan 2024
The prevalence of non-alcoholic fatty liver disease (NAFLD) is high in patients with obesity scheduled for bariatric surgery. This single-centre observational prospective cohort study aims to evaluate the impact of bariatric surgery on NAFLD/NASH. Initial findings show that bariatric surgery significantly improves NAFLD/NASH in the…
BMJ Open19 Jan 2024
The economic burden associated with unmet surgical needs in Liberia was investigated through a nationwide enumeration of surgical procedures and providers. Researchers estimated that surgical activities prevented an economic loss ranging from $35 to $141 million in 2018, averting a total of 55,890 disability-adjusted life…
Int J Colorectal Dis19 Jan 2024
Patients with locally advanced rectal cancer who experience significant downstaging after preoperative chemoradiation have better overall survival compared to those with true pathologic stage 0-1 disease treated with upfront surgery. This was determined through a retrospective review of the national cancer database, which included a…
Am J Surg Pathol18 Jan 2024
A study comparing high-grade solid pseudopapillary neoplasms (hg-SPNs) with conventional SPNs (c-SPNs) found that hg-SPNs exhibit more aggressive malignant characteristics, such as larger tumor size, true necrosis, high-grade nuclear atypia, and lymphatic and/or venous invasion. All hg-SPN patients died of the disease, while c-SPN patients…
J Am Coll Surg18 Jan 2024
In a comprehensive multidisciplinary clinic, molecular profiling of intrahepatic cholangiocarcinoma (ICC) identified actionable molecular alterations in 45% of patients, including mutations and amplifications. Among 120 patients with molecular profiling, the detection of these alterations significantly improved mean overall survival (OS) by 10.5 months. Additionally, in…
Ann Surg Oncol18 Jan 2024
Researchers conducted a systematic review on the feasibility of using circulating tumor DNA (ctDNA) as a biomarker in the immediate postoperative period. Eight cohort studies across six different cancer types showed that patients with detectable ctDNA after surgery had an increased risk of cancer recurrence.…
World J Gastroenterol18 Jan 2024
South Korean patients with Barcelona Clinic Liver Cancer (BCLC) stage B hepatocellular carcinoma (HCC) showed significant variations in adherence to treatment guidelines over the study period of 2008-2016. Adherence to guidelines, particularly those recommended by the European Association for the Study of the Liver (EASL)…
Perspectives, Opinions and Curiosities18 Jan 2024
Researchers conducted a study to determine if faculty perception aligned with resident self-perception of intraoperative behaviors in order to enhance intraoperative learning. They found that faculty were not able to accurately perceive residents' motivational style, as evidenced by the lack of correlation between resident self-perception…