Surg Endosc25 Dec 2023
The study analyzed the evolution of laparoscopic liver resection (LLR) over the past two decades at a Korean referral center. The number of technically challenging LLR procedures increased significantly, but perioperative outcomes improved. The most recent period showed shorter operation time, lower blood loss, reduced…
Surg Endosc25 Dec 2023
In robotic distal pancreatectomy, researchers compared manual sutures and staplers for pancreatic stump closure. Among 119 patients, the manual suture group exhibited shorter operative time, lower estimated blood loss, and a shorter postoperative hospital stay compared to the stapler group. The incidence of clinically relevant…
Surg Endosc25 Dec 2023
Propensity score analysis of 424 patients who underwent liver resection for high difficulty hepatocellular carcinoma compared laparoscopic (LLR) and open approaches. LLR had significantly fewer severe complications (3% vs. 10.8%) and shorter hospital stays (6 days vs. 8 days). Long-term outcomes, including tumor recurrence rate,…
Hernia25 Dec 2023
A retrospective study analyzed 182 obese patients who underwent open transversus abdominis release (TAR) for complex ventral hernias. Among these patients, those with a BMI greater than 40 did not show significant differences in surgical site occurrences and infections compared to those with a lower…
Surg Endosc25 Dec 2023
Researchers analyzed data from patients with early gastric cancer (EGC) who underwent endoscopic submucosal dissection (ESD) to assess the correlation between main and minor lesions of synchronous multiple gastric neoplasms (SMGNs). Among the 1013 post-ESD cases examined, 95 cases had SMGN. The study revealed a…
Ann Surg24 Dec 2023
Intestinal autotransplantation (iatx) combined with extended resections of multiple organs, including the superior mesenteric artery (SMA), was performed on 10 patients with locally advanced or recurrent colon cancer invading the SMA. The study found that iatx, either alone or in combination with pancreaticoduodenectomy, is a…
Br J Surg24 Dec 2023
Researchers conducted a systematic review to evaluate the effect of fatigue on surgical outcomes. Out of 7,251 studies, 134 were included in the analysis, comprising over 1.6 million surgeries. Simulator studies showed that fatigue led to a deterioration in surgical outcomes in 46% of cases,…
Intestine and Lower Gastrointestinal Tract24 Dec 2023
Researchers discuss the emerging frontier of percutaneous cholecysto-enteric anastomoses for internal drainage of the gallbladder, focusing on the percutaneous delivery and deployment of lumen-apposing metallic stents. The study highlights the efficacy and safety of using these stents for creating gastrointestinal anastomosis, providing a less invasive…
JAMA Surg24 Dec 2023
Medical students in a qualitative study revealed four main perceptions that impact their choice of medical specialty: (1) there is no ideal time for family building within a medical career, (2) family planning is a taboo topic, (3) surgical specialties provide less support for family…
Dis Colon Rectum24 Dec 2023
Using a posterior-first, 2-stage approach, researchers achieved consistent R0 resection of locally advanced primary and recurrent anorectal cancers involving the deep pelvic sidewall. All 10 patients in the study achieved R0 resection, although nine experienced complications, including gluteal wound issues. Four patients developed metastatic disease…