Analyzing 634 nonmetastatic pT4a colorectal cancer patients (2015–2021), researchers compared minimally invasive surgery (MIS) and laparotomy outcomes. MIS exhibited lower blood loss, quicker recovery parameters, and a 3.5% conversion rate. After 5 years, MIS showed comparable overall survival (72.7%) and disease-free survival (72.2%) to laparotomy. Multivariate analysis identified age, lymph node metastasis, and carcinoembryonic antigen […]
Category: General Surgery
Prognostic Significance of Circumferential Radial Margin in Esophageal Cancer Resection
Examining esophagectomy outcomes for pathologic T3 esophageal cancer (n=519, 2000–2019), researchers categorized patients based on circumferential radial margin (CRM) involvement. CRM+ (tumor at CRM) correlated with shorter disease-free survival (DFS) and overall survival (OS) compared to CRM-. CRM-close (tumor >0 to 1 mm from CRM) showed similar outcomes to CRM-. After adjustments, College of American […]
Process 2023 Guidelines: Enhancing Reporting Quality in Surgical Case Series
The Process 2023 Guidelines, aimed at improving reporting quality in surgical case series, underwent updates through collaboration and a Delphi consensus exercise. Involving a steering group and expert panel, the majority of proposed changes received consensus, leading to the presentation of updated guidelines. Notably, items 3c and 6a, lacking consensus, remain unchanged. With participation from […]
Feasibility and Safety of Single-Incision Robotic Assisted Colorectal Surgery
In a nonrandomized cohort pilot study, researchers explored the feasibility and safety of single-incision robotic-assisted surgery (SIRAS) using the Shurui Endoscopic Surgical Robotic System (SR-ENS-600). Seven patients underwent successful SIRAS for colorectal malignancy. The SR-ENS-600 platform exhibited preferable maneuverability/stability in confined fields. Although one case encountered intraoperative hemorrhage, overall outcomes were satisfactory, with no short-term […]
Storage Time of Transfused Red Blood Cells and Postoperative Infections in Clean-Contaminated Surgery
Investigating the impact of red blood cell storage time on postoperative infections in clean-contaminated surgery, a cohort study with 4,046 patients revealed no significant association between prolonged storage time and increased infection risk. Analyzing 11,604 transfusion episodes, even after adjusting for 17 confounders, no notable correlation was found in either episode-level or patient-level analysis. This […]
Global Benchmarks for Robotic Bariatric Surgery
A comprehensive study across 17 centers on four continents, comparing robotic bariatric surgery with laparoscopic benchmarks, involved 9,097 patients. In expert centers, robotic Roux-en-Y gastric bypass demonstrated lower benchmark cut-offs for hospital stay, bleeding, and ulceration but had a longer operation duration. Robotic sleeve gastrectomy outperformed its laparoscopic counterpart in most outcomes. Overall, newly established […]
Combined Hepatocholangiocarcinoma: Worse Survival Than Hepatocellular Carcinoma, Similar to Intrahepatic Cholangiocarcinoma
In a retrospective study of 3,196 surgery-treated patients with combined hepatocholangiocarcinoma, hepatocellular carcinoma, and intrahepatic cholangiocarcinoma, survival outcomes were analyzed. Despite data limitations, overall survival for combined hepatocholangiocarcinoma was worse than hepatocellular carcinoma but similar to intrahepatic cholangiocarcinoma. Disease-free survival was comparable among the three groups. Predictors of mortality included the cancer subtype, metabolic syndrome, […]
Appendectomy vs. Hemicolectomy for 1- to 2-cm Appendix Neuroendocrine Tumors: A Survival Analysis
Examining 3,189 patients with 1- to 2-cm neuroendocrine tumors of the appendix, researchers found that while the appendectomy rate increased over the years, it wasn’t linked to improved survival compared to right hemicolectomy. Grade 2 and 3 tumors were associated with a lower likelihood of appendectomy. Despite differences in tumor grades and patient travel distance, […]
Prophylactic Negative Pressure Wound Therapy in Emergency Laparotomy: No Significant Reduction in Surgical Site Infections
Examining 65,803 emergency laparotomy patients, researchers found no significant difference in surgical site infection (SSI) rates when comparing prophylactic negative pressure wound therapy (NPWT) to standard dressings. Propensity-matched cohorts with completely or partially closed incisions showed similar SSI rates (13.4% vs. 11.9% and 3.6% vs. 4.4%, respectively). Secondary outcomes, including postoperative complications and hospital length […]
Objective Hiatal Hernia Sizing: Enhancing Precision in Surgical Decision-Making
Investigating hiatal hernia (HH) size reporting, researchers compared subjective estimates with objective axial length measurements in 93 patients. While endoscopic subjective size allocations correlated with intra-operative decisions, axial length measurements significantly correlated with manometry results. Only one barium swallow report included an objective HH size measurement. Integrating axial length measurements into endoscopy reports is crucial, […]