Cardiothoracic surgeons and general surgeons perform the majority of esophagectomies, but differences in surgical techniques exist. This study analyzed data from 3,247 patients and found that cardiothoracic surgeons were more likely to use traditional minimally invasive or open approaches, while general surgeons favored robotic or hybrid approaches. However, after adjusting for risk factors, there were […]
Category: General Surgery
The Kono-S Anastomosis Shows Low Complication Rates and Promising Long-Term Results in Crohn’s Disease Patients
In a multicenter study, 262 consecutive patients with Crohn’s disease underwent Kono-S anastomosis. The study reported very low rates of anastomotic failure (1.5%), reoperation (0.7%), and postoperative surgical site infection (6.1%). After a median follow-up of 49.4 months, surgical recurrence was found in 7.6% of patients. Perianal disease, urgent/emergent surgery, and postoperative use of steroids […]
Timing of EUS-Guided Drainage for Postoperative Pancreatic Fluid Collections
Early endoscopic ultrasound (EUS)-guided drainage can effectively manage postoperative pancreatic fluid collections (POPFCs) without increasing adverse events. Six retrospective studies involving 128 and 107 patients were analyzed, with the threshold for early and delayed drainage ranging from 14 to 30 days. Distal pancreatectomy was the main cause of POPFCs. The pooled odds ratio for adverse […]
Low inter-rater reliability and variability in assessing laparoscopic fundoplication with endoscopy
This study evaluated the inter-rater reliability and variability in assessing laparoscopic fundoplication using endoscopy. A total of 101 participants, including upper gastrointestinal surgeons and gastroenterologists, analyzed ten static endoscopic images post-fundoplication. The study found that overall accuracy was 76% for upper gastrointestinal surgeons and 69.9% for gastroenterologists. Upper gastrointestinal surgeons performed significantly better in certain […]
Long-term outcomes of ultrasound-guided thermal ablation for low-risk papillary thyroid microcarcinoma
A multicenter retrospective study reports that ultrasound-guided thermal ablation (TA) is an effective and safe treatment option for patients with solitary low-risk papillary thyroid microcarcinoma (PTMC). Over a median follow-up period of 77.2 months, the incidence of disease progression, lymph node metastasis, and recurrent tumors were 3.6%, 1.1%, and 2.5%, respectively. TA achieved a median […]
Female Surgeons Linked to Lower Healthcare Costs for Common Surgical Procedures
Female surgeons are associated with lower healthcare costs compared to male surgeons for patients undergoing common surgical procedures, according to a population-based study in Ontario, Canada. The study found that patients treated by male surgeons had higher healthcare costs at 30 days, 90 days, and 1 year after surgery compared to those treated by female […]
Significant Reduction in Surgical Site Infections in Low-Income Hospitals
A new study evaluated the implementation of the clean cut program in 7 Ethiopian hospitals to address surgical infections. After refining the program and updating the implementation strategies, the relative risk of surgical site infections decreased by 34%. Adherence to infection prevention standards significantly improved, including the use of surgical safety checklists, hand and skin […]
Laparoscopic Resection of Liver Segment 4 with Fluorescence Staining: Feasibility and Efficacy
Researchers successfully performed a laparoscopic anatomic resection of liver segment 4 with middle hepatic vein involvement using indocyanine green fluorescence staining. The operation lasted 263 minutes with a 110-minute Pringle maneuver and 400g of estimated blood loss. The patient was discharged on postoperative day 5 without complications, and histopathology confirmed sigmoid carcinoma and R0 margin. […]
Comparison of Robotic-Assisted and Laparoscopic Liver Resection for Liver Malignancies
Robotic-assisted liver resection (RLR) and laparoscopic liver resection (LLR) have similar surgical and oncological outcomes for patients with liver malignancies. A systematic review and meta-analysis of five high-quality cohort studies, involving 986 patients, found no significant differences between RLR and LLR in terms of operation time, conversion to open surgery, complication rates, length of hospital […]
EPA for Metastasis Trial 2 (EMT2): Phase 3 Protocol for CRC Liver Metastasis Surgery
The EPA for Metastasis Trial 2 (EMT2) study protocol aims to address the need for safe and cost-effective adjunctive treatment for advanced colorectal cancer (CRC). The trial evaluates the effect of EPA on CRC outcomes in patients undergoing liver resection surgery for CRC liver metastasis. The primary endpoint is CRC progression-free survival, with key secondary […]