Examining 115 elderly esophageal cancer patients, researchers assessed preoperative sarcopenia comprehensively using skeletal mass index, handgrip strength, and gait speed. Sarcopenia, identified in 20% of patients, correlated with older age and advanced cancer stage. Although postoperative complications showed no significant difference, slow gait speed was associated with more severe complications. The sarcopenia group exhibited significantly […]
Category: General Surgery
Radiomic Model Enhances Gastric Cancer Prognostic Prediction After Neoadjuvant Chemotherapy
A cohort study involving 205 gastric adenocarcinoma patients treated with neoadjuvant chemotherapy aimed to improve prognosis prediction. The developed radiomic model, incorporating pre- and post-treatment features, outperformed pathological T stage models. The final radiomic model, integrating radiomic and clinicopathological data, demonstrated superior accuracy in predicting 3-year survival. Results suggest the radiomic model could serve as […]
Strategic Planning for Surgical Departments: Building Effective Clinic Programs
Navigating change in a large healthcare entity, like a major surgical department, poses challenges. This study emphasizes aligning projects with institutional and departmental strategic plans. Key steps involve defining missions, setting short- and long-term goals, resource analysis, and understanding expectations. Careful project design is crucial for successful implementation. The study explores considerations and challenges in […]
Optimal Liver Remnant Volume for Safer Hepatobiliary Resection
In right hepatic trisectionectomy with bile duct resection, this study explored the impact of Future Liver Remnant volume-to-body weight ratio (FLR/BW) and indocyanine green plasma clearance rate (ICGK-F) on posthepatectomy liver failure. Among 91 patients, a FLR/BW ≥ 0.65% significantly reduced the risk of liver failure, while ICGK-F < 0.05 did not. Age, blood loss, […]
Sacral Neuromodulation Triumphs Over Conservative Treatment for Refractory Slow-Transit Constipation
In the No.2-Trial, comparing sacral neuromodulation (SNM) to personalized conservative treatment (PCT) for refractory idiopathic slow-transit constipation, SNM demonstrated significant success (53.7%) compared to PCT (3.8%) after six months. SNM patients reported lower constipation severity and fatigue, along with improved quality of life. Serious adverse events were minimal (6 SNM, 2 PCT), supporting SNM as […]
Logica Trial’s Impact: Evolution of Laparoscopic Gastrectomy in the Netherlands
Analyzing data from the Logica randomized controlled trial (RCT) and the Dutch Upper Gastrointestinal Cancer Audit (DUCA), researchers explored the influence of the Logica RCT on laparoscopic gastrectomy practice in the Netherlands (2012-2021). While the Logica RCT showed no significant impact on outcomes, the DUCA nationally revealed a shift, indicating laparoscopic gastrectomy’s benefits, significantly reducing […]
Optimal Timing for Surgery Post Cardiovascular Events
Examining 877,430 patients, this retrospective cohort study discerns that undergoing surgery within 11.3 months of a prior cardiovascular event escalates 30-day postoperative mortality risk. Subgroup analyses reveal specific intervals for elective (14.2 months) and emergency surgery (7.3 months). While stroke and myocardial infarction exhibit similar risk intervals, absolute risk is higher following a stroke. Clinicians […]
Optimal Outcomes in Emergency Intra-Abdominal Surgery: Surgeon Volume Trumps Hospital Volume
A meta-analysis scrutinizing 33 cohort studies explores the impact of hospital and surgeon volume on mortality in intra-abdominal emergency surgery. High hospital volume proves beneficial overall, except for low-complexity procedures, while high surgeon volume consistently associates with lower mortality. Notably, mortality is significantly lower when high-volume surgeons operate in low-volume hospitals. The findings advocate prioritizing […]
Enhanced Precision in Robotic Hepatectomy: Inflow Control and Liver Retraction Demystified
Researchers detail an improved version of Huang’s Loop for intracorporeal inflow control during minimally invasive hepatectomy. Utilizing a modified soft urinary catheter with an adjustable loop, the team ensures atraumatic and adaptable control around the porta hepatis. Additionally, they introduce a liver sling, crafted from a soft surgical sponge, for gentle yet effective retraction, enhancing […]
Unlocking Telenursing Potential: Scoping Review Protocol for Oncological Perioperative Care
Investigating the implementation of telenursing in surgical oncology, researchers unveil a scoping review protocol. Adhering to Joanna Briggs Institute guidelines, the study explores global evidence through databases and grey literature. Two independent reviewers, aided by Rayyan software, will extract data on program details, challenges, and potentials. Ethical approval is unnecessary, ensuring dissemination of results in […]