BMC Surg12 Dec 2023
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…
Dis Colon Rectum12 Dec 2023
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…
Surg Endosc12 Dec 2023
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…
Surg Endosc12 Dec 2023
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%…
Ann Surg11 Dec 2023
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…
JAMA Surg11 Dec 2023
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…
JAMA Surg11 Dec 2023
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,…
HPB & Spleen11 Dec 2023
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…
Surg Endosc11 Dec 2023
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…
BMJ Open11 Dec 2023
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.…