Eur J Gastroenterol Hepatol16 Jan 2024
A prospective cohort study assessed the anal defecatory function in ulcerative colitis patients undergoing total proctocolectomy (tpc) followed by ileal pouch-anal anastomosis (ipaa). The study included 20 consecutive patients who were evaluated using high-resolution anorectal manometry. After surgery, the mean number of bowel movements decreased…
Intestine and Lower Gastrointestinal Tract16 Jan 2024
A retrospective study compared minimally invasive (MIS) and open surgery for treating small intestinal neuroendocrine neoplasms. Out of 65 patients, 54% underwent MIS and 46% underwent open surgery. The study found no significant difference in the frequency of successful resections or the number of lymph…
Am Surg16 Jan 2024
The analysis of general surgery trainee cases over a decade revealed that there was a preservation of operative volume, although with changes in case distribution based on trainee level. There was an increase in cases with more than one trainee and a rise in minimally…
Am Surg16 Jan 2024
Subtotal cholecystectomy (LSTC) is associated with better outcomes compared to open cholecystectomy (COC) as bailout procedures for severe cholecystitis. LSTC resulted in shorter operative time, fewer ICU admissions, and shorter length of stay. It also had fewer complications, such as biliary injury, bleeding, ileus, and…
Surgeon16 Jan 2024
Researchers conducted a retrospective cohort study on 592 patients who underwent upper gastrointestinal surgeries with an anastomosis. The study aimed to identify clinical parameters that predict anastomotic leaks (AL) and evaluate the effectiveness of investigations in diagnosing AL. The overall occurrence of AL was 6.4%.…
Ann Surg15 Jan 2024
Results from analyzing patients with high-risk T1 colorectal cancer who either received additional surgery or not after local excision (LE) showed that while regional lymph node metastasis was observed in the group that underwent additional surgery, the incidence of oncologic adverse events was significantly lower…
Ann Surg15 Jan 2024
Prognostic relevance of primary tumor sidedness (pts) in early-stage colorectal cancer was investigated by analyzing four randomized controlled trials. The study found that pts had no impact on the risk of recurrence for stage II/III colorectal cancer and that treatment stratification based on pts is…
Ann Surg15 Jan 2024
Elective laparoscopic hernia repair (ELHR) offers a greater increase in life expectancy compared to watchful waiting, particularly in women aged 40 to 90, according to a new markov analysis. The analysis identifies ELHR as the preferred strategy for patients with asymptomatic paraesophageal hernia (PEH) in…
Br J Surg15 Jan 2024
Researchers conducted a randomized controlled study on 192 patients undergoing laparoscopic ventral hernia repair to assess the effects of suturing the hernia aperture before mesh placement. The study found that suturing the hernia aperture did not lead to an increase in postoperative pain or hernia-site…
Dis Colon Rectum15 Jan 2024
Prolonged operative time was found to be associated with longer length of stay and higher probability of complications in minimally invasive colorectal surgery. However, the negative impact of prolonged operative time on outcomes was less pronounced in minimally invasive approaches compared to open surgery. Each…