Healthcare professionals highlighted the need for training to recognize and manage distress in young people with inflammatory bowel disease (IBD) and a stoma. The study identified 19 training priorities, including addressing stigma, practicalities of stoma management, initiating conversations about distress, considering cultural beliefs, and techniques for assessing patient distress. These findings will inform the development […]
Category: General Surgery
Long-term Survival Outcomes of Liver Resection for Metastatic Anal Squamous Cell Carcinoma
The study evaluated the outcomes of liver resection in patients with metastatic anal squamous cell carcinoma (SCC) to the liver. Among the 21 patients undergoing liver resection and/or ablation, 95% had undergone the Nigro protocol for the primary tumor, with 57% experiencing a complete response. The median overall survival was 32.2 months, and the 5-year […]
Robotic Surgery Proves Promising in Surgical Oncology
Robotic surgery has significantly grown in popularity among general surgeons, including those specializing in surgical oncology. Initially introduced by urologists and gynecologists, this technology has now become a valuable tool in the treatment of various cancers, such as those affecting the gastrointestinal, hepato-pancreatico-biliary, colorectal, endocrine, and soft tissue systems. Although long-term outcomes are yet to […]
Multidisciplinary Treatment Guidelines for Hepatocellular Carcinoma in Italy: Surgical Treatments and Expert Collaboration.
The Italian scientific societies involved in hepatocellular carcinoma (HCC) management have collaborated to create updated treatment guidelines using evidence-based methods. This study presents the first part of the guidelines, focusing on the surgical treatments and expert tumor board collaboration for HCC. HCC is the third most common cause of cancer-related death worldwide, and the complexity […]
High-Risk Opioid Prescribing Increases Risk of Persistent Opioid Use in Adolescent and Young Adult Patients
Approximately 5% of adolescents and young adults continue to use opioids after surgery, and this study investigated the impact of postoperative opioid prescribing on persistent use in this population. The study found that high-risk opioid prescribing practices, such as overlapping prescriptions and multiple prescribers, significantly increased the risk of persistent opioid use in this age […]
Surgeon supply in US counties has increased from 2010 to 2020
The surgical workforce in US counties was analyzed from 2010 to 2020 in a cross-sectional study. The study reveals that surgeon supply has increased during this period, impacting the accessibility of surgical care. The findings provide important insights for policymakers, healthcare administrators, and clinicians in addressing the distribution of surgeons and improving surgical services in […]
Robotic Enucleation for Challenging Pancreatic Head Insulinomas
The results of this study demonstrate that robotic enucleation is a safe and feasible treatment option for pancreatic head insulinomas located in challenging areas. The use of intraoperative ultrasound and endoscopic retrograde cholangiopancreatography (ERCP) with pancreatic duct stent placement were key components in preserving the pancreatic duct during surgery. Both patients experienced successful resolution of […]
Improved Detection of Lymph Nodes in Esophageal Squamous Cell Carcinoma Using Indocyanine Green-Near-Infrared Fluorescence Imaging
Indocyanine green-near-infrared fluorescence imaging showed a 100% success rate and significantly improved the detection rate of lymph nodes in esophageal squamous cell carcinoma. Seven cases with lymph node metastases were all near-infrared positive, while near-infrared-negative nodes were nonmetastatic. The technique accurately identified sentinel lymph nodes and increased the number of resected mediastinal lymph nodes, suggesting […]
Postoperative Ambulation Predicts Emergency Department (ED) Utilization in Outpatient Surgery
The study examined postoperative ambulation using accelerometers in outpatient abdominal surgeries and its impact on 30-day readmissions and ED utilization. Out of 106 patients, those who failed to reach their preoperative step count within one week were 6× more likely to visit the ED. Geriatric patients had a lower likelihood of meeting their preoperative baseline […]
Regional mock oral board exercises improve first-time pass rates for board certification in general surgery
Regional mock oral board exercises, known as regional mobs, can be effectively conducted in a multi-institutional setting to prepare chief residents in general surgery for the American Board of Surgery certifying examination. These exercises expose residents to unfamiliar proctors and diverse contexts, closely resembling the actual exam. The study reports high satisfaction rates from faculty […]